Clinical diagnosis of lumbar disc herniation, lumbar disc herniation .

The medical community agrees that lumbar disc herniation is caused by unreasonable posture, so the root of the first should be to correct unreasonable posture. Correction is mainly aimed at lumbar lordosis and anterior pelvic tilt, so that the waist is straightened and the pressure on the back of the lumbar spine is reduced.

Walking backwards is one of the most effective ways, the center of gravity is shifted backward when walking backwards, the anterior pelvic tilt and lumbar lordosis are reduced, and the backward walking process is also an exercise process that can make this posture reinforced. There are countless examples of getting rid of lumbar disc herniation due to insistence on walking backwards, everyone searches: walking backwards herniated discs, there are many results.

You can experience walking backwards and feel whether the pain will be reduced.

However, there are two problems with walking backwards, one is that it is difficult to persevere, after all, human instinct is to walk forward. Second, there are potential safety hazards. For this reason, you can wear a pair of negative heels with high front and low back, the sole is high in the front and low in the back, which can force the center of gravity of the human body to move backwards, correct the anterior pelvic tilt and lumbar lordosis, and the principle of backward walking is exactly the same, which can effectively reduce pelvic anterior tilt and lumbar lordosis.

Wear negative heels with high and low backs, so that normal forward walking also has the effect of walking backwards, so that daily walking also has the best effect of walking backwards. Compared with the previous short-term backward walking exercise, the effect is greatly increased, and it is more consolidated, and most importantly, it is very safe, completely relieving the safety hazards of backward walking. It comprehensively solves the shortcomings of backward walking fitness exercises, and is the latest method of lumbar disc herniation.

Answer]: A positive straight leg raise test and a positive booster test are specific signs of lumbar disc herniation. In the straight-leg raise test, the patient is placed in a supine position, the examiner stands on the patient's right side, holds the patient's ankle with one hand, places the other hand in front of the thigh to keep the knee straight, and then raises the lower limb, generally at an angle of less than 70°.

Due to the large individual variation, it is recommended that the angle of the straight-leg height lift test should be bilaterally compared. Straight leg elevation and strengthening test, that is, at the same angle of the above-mentioned straight leg deficiency spring elevation test, and then the ankle joint is forced and passively dorsiflexed, so that the affected nerve root is further stretched, if the radiating pain of the nerve root is more aggravated, it is positive.

1. Lumbar X-ray plain film: Lumbar X-ray plain X-ray is a commonly used method to check lumbar intervertebral disc herniation, although lumbar intervertebral disc herniation can not be directly detected through lumbar X-ray, but symptoms such as hyperplasia and narrowing of the vertebral space can be seen at the edge of the vertebral body.

2. CT examination: CT examination is widely used in medicine, and the size, shape, location and nerve root symptoms of intervertebral disc herniation can be clearly seen through CT examination, which has certain guiding significance for the diagnosis of lumbar intervertebral disc herniation.

3. MRI examination: MRI examination can comprehensively check whether the lumbar intervertebral disc is diseased, and can also clearly understand the morphology of the intervertebral disc herniation through the transverse section image of the intervertebral disc, which has certain guiding significance for the diagnosis of lumbar intervertebral disc.

4. Others: Through electrophysiological examination, there is a certain guiding significance for the scope and degree of nerve damage, and this laboratory examination can exclude some other diseases and play a certain diagnostic role.

The main clinical manifestations of lumbar intervertebral disc herniation are reverse low back and leg pain, severe pain, and deep tenderness next to the spinous process of the corresponding vertebrae.

Lumbar disc herniation pro. Diagnosis of lumbar disc herniation.

Diagnostic methods for lumbar disc herniation.

Sciatica, which is typically caused by a herniated disc pressing on the spinal nerves, has not yet radiated to the thighs, calves, and feet, and has not yet reached a very serious level. Minimally invasive surgery** plus small needle knife release of local pain points is recommended. If necessary, it can be supplemented with acupuncture, drug hot compress and other physical **.

Bed rest first, you can do traction, and then take some non-steroidal anti-inflammatory drugs, if the symptoms can be relieved, pay attention to waist maintenance, and exercise the lower back muscles. If conservative work is ineffective, long-term reversal affects life and work, surgery can be considered.

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1.Diagnosis. In patients with typical lumbar disc herniation, the initial diagnosis can be made based on the history, symptoms, signs, and degenerative manifestations of the corresponding nerve segments on plain x-rays.

Combined with X-ray imaging, CT, MRI and other methods, it can accurately diagnose the lesion gap, protrusion direction, protrusion size, nerve compression and the main symptomatic location. If CT or MRI findings are present without clinical findings, the diagnosis should not be made.

2.Differential diagnosis.

1) Diseases mainly caused by low back pain.

1) Lumbar muscle strain and supraspinous and interspinous ligament injuries are the most common causes of low back pain.

2) 3rd lumbar transverse process syndrome.

3) Pedicle isthmus fissure and spondylolisthesis.

4) Lumbar tuberculosis.

5) Tumors. (2) Diseases mainly characterized by low back pain and sciatica.

1) Lumbar spinal stenosis.

2) Nerve root or cauda equina tumors.

3) Sciatica-based diseases.

1) Piriformis syndrome.

2) Pelvic diseases, such as inflammation of the posterior pelvic wall, tumors, etc.