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The precursors of lumbar protrusion are pain and swelling in the lower back, numbness and pain in the legs, and exacerbation of the disease can cause poor flexion and extension and normal activities are affected, and it will be accompanied by a feeling of heaviness, which will affect the normal squatting movement. It may be due to long-term dry heavy physical labor, or prolonged sedentary inactivity, which can be assisted by acupuncture or traction**. In the early stage of lumbar disc herniation, most patients will have some precursors, and patients can detect lumbar disc herniation disease in time through these precursors, and the precursor of lumbar protrusion is lumbar pain, which is manifested as diffuse pain distribution in the lower back.
The pain is aggravated by sitting or standing for a long time, and relieved by lying down. Morning pain is often the most relaxing. Patients may not have lower extremity pain.
This condition is often a precursor to lumbar disc herniation, so be careful.
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Lumbar disc herniation is one of the more common diseases, before suffering from lumbar disc herniation, there will be some signs, patients can detect the disease in advance through these signs, patients will have low back pain, and the pain is diffusely distributed, patients in the sitting or standing for a long time after the pain is aggravated, the symptoms will be relieved when lying down, after getting up in the morning, the body is the most relaxed, some patients do not have pain in the lower limbs, these are the precursors of lumbar disc herniation, people with these signs should pay special attention.
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Oops! This question is too professional, it is beyond the scope of my cognition, I can't talk about it, I think this problem can only be asked by Gao Junmao, an expert from Shijiazhuang Yiling Hospital. You must be satisfied with the answer he gave, and the doubts in your heart will be solved, and you can go down.
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If there are no symptoms, if there is pain, it is not good.
What are the main symptoms of lumbar disc herniation:
1) Low back pain: This pain occurs before leg pain, or it can occur at the same time. The pain is mainly in the lower back or lumbosacral region, the pain is deep, difficult to localize, and is usually dull, stabbing or radiating.
2) Radiating pain in the lower limbs: sciatica or pain usually starts in the buttocks and gradually radiates to the back and outside of the thighs, the outside of the calves, the dorsum of the feet, the outside of the soles of the feet and the toes. Protrusion of type ** often causes bilateral sciatica.
Radiating pain in the lower extremities is worse when intra-abdominal pressure such as coughing, sneezing, and urinating and urinating increases, and leg pain is worse than low back pain, which is one of the main signs of disc herniation.
3) Numbness and paresthesia: abnormal sensations such as pain and numbness occur in the innervated area of the affected nerve root. For example:
The back of the thigh, the outside of the calf, the dorsolateral foot and the dorsal side of the hallux feel abnormal, the dorsal side of the toes ** paresthesia, and some will have chills, coolness, and dorsalis pedis artery weakening.
4) Muscle paralysis: Nerve paralysis and muscle paralysis may occur when lumbar disc herniation compresses nerve roots for a long time. It can cause paralysis of the tibialis anterior, peroneus longus and brevis muscles, extensor pollicis longus and extensor phalangeal muscles, and palsy of the triceps calf.
5) Intermittent claudication: due to the compression of the nerve root by the intervertebral disc herniation, resulting in inflammatory reactions and ischemia such as congestion and edema of the nerve root, when walking, the blocked vertebral venous plexus in the spinal canal is congested, which aggravates the congestion degree of the nerve root and the expansion of spinal cord blood vessels, and also aggravates the compression of the nerve root and causes intermittent claudication and pain.
6) Spinal posture changes: most of them are convex to the affected side, and a few are convex to the unaffected side, mainly depending on the relationship between the protrusion and the nerve root. Scoliosis relaxes nerve roots, reduces pain, and is a protective measure to reduce nerve root compression by protrusions.
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In real life, many people suffer from different degrees of lumbar disc herniation, some do not pay enough attention, the condition changes from mild to severe, and some pay attention to it themselves, in time, the symptoms change from severe to mild, so how do we know that our condition is gradually becoming lighter?
First, strictly speaking, if you want to accurately judge whether the standard lumbar disc herniation has improved, you should seek medical attention in time.
Under imaging diagnosis, monitor whether the nucleus pulposus of the lumbar disc herniation is **, whether the fibrous annulus is contracted, whether the lumbar intervertebral disc that has been bulged returns to its original position, and whether the compressed nerve is improved. However, in real life, the main manifestation of the improvement of lumbar disc herniation is the reduction of symptoms, which is a relatively positive performance, and it can be concluded from the milder symptoms that the lumbar protrusion is gradually improving.
However, it should be noted that in some patients, the herniated disc is free, and the nucleus pulposus, which has been detached from the overall structure, may be separated from its original position with movement and peristalsis. Now that the symptoms have decreased, it may be that the compression of some nerves has been relieved, but there is still free broken tissue in the patient's body, and there is still the possibility of inducing obvious symptoms, and the patient should be vigilant.
Second, if these conditions are met, it also proves that the lumbar intervertebral disc herniation has improved.
1. Some patients with more serious lumbar disc herniation will feel back pain and leg neuralgia all year round, if the pain area is reduced and the pain intensity is reduced, it can be proved that the lumbar disc herniation has improved.
2. Some patients with better recovery will even completely transform pain into numbness, which is also a developmental outcome, but it is necessary to evaluate whether the motor function is seriously impaired. The distal pain disappears is also the main manifestation of the improvement of the lumbar disc herniation, the lumbar disc herniation causes the lumbar nerve to be compressed, and then the nerve transmits the pain signal outward, if the compression is reduced, the transmitted signal is weak, and it is likely to not reach the distal limb, and then the distal pain gradually disappears, which is a sign of the improvement of the lumbar disc herniation.
3. Some patients can roughly judge whether the lumbar disc herniation is getting better through the change of body shape. Patients with lumbar disc herniation have organic lesions in the lumbar spine tissue, so it is likely that changes in the structure of the human spine will occur, and symptoms such as physiological curvature of the spine and misalignment of the lumbar joint are common. If the herniated disc improves, these abnormal twists will be corrected and the spine will be straighter.
It's what we usually say about straightening your waist!
4. The exercise time has increased, many patients have lumbar protrusion at the beginning, and they need to rest because they can't walk a few steps, but now they are fine after walking for a few hours, which shows that the symptoms are significantly reduced.
If you have a lumbar protrusion, don't have a fluke mentality, you must be as soon as possible, you can't delay, many patients don't pay attention to it, and then it is serious, you need surgery, you spend money and suffer a crime, and it's easy, but after a timely time, most of the lumbar protrusions can be done by conservative methods!
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The low back pain gradually decreases or even disappears, and the pain and numbness in the lower limbs gradually improve, which is manifested as a shortened pain time, a reduction in the degree of pain, or even basically no pain for a period of time. Once the lumbar process has been diagnosed, conservative** should be chosen.
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The clinical symptoms of patients with lumbar intervertebral disc herniation mainly include the following aspects:
1. Low back pain, the patient's lower back, especially in the middle of the lower back, will have painful symptoms, and there may also be percussion pain or pressure pain. The muscles on both sides of the waist will be tense, muscle spasms, and very hard to the touch.
2. If nerve root compression occurs, sciatica will occur, typical sciatica is radiating pain from the patient's buttocks to the thighs, anterolateral or posterolateral calves to the feet, sometimes accompanied by numbness, and severe may appear to have decreased sensation or decreased muscle strength, such as foot dropping, foot lifting.
3. The symptoms of cauda equina nerve compression are relatively rare, and the patient's urine and urine will also be abnormal, which cannot be discharged or controlled by itself.
The above are the manifestations of lumbar disc herniation, which usually require a doctor to examine the patient according to the patient's symptoms combined with a physical examination, as well as auxiliary examinations such as CT or MRI to diagnose the disease.
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The specific symptoms of lumbar process are manifested as low back pain, lumbosacral pain, pain and activity have a lot to do with activities, long-term sitting or occupancy symptoms will be aggravated, rest for a period of time will be relieved, patients with low back pain accompanied by sciatic nerve pain on one or both sides, but also appear in the form of leg pain and leg numbness, when the patient lumbar disc herniation is more serious, there will be urinary incontinence or can not be ruled out.
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Most patients with lumbar protrusion are sudden low back pain or radiating pain to the lower limbs in the case of minor trauma or cold, now most young people have this symptom, must be paid attention to, the more well-known Yiling Orthopedic Department of Traumatology Gao Junmao Chief Physician has a very good method for the lumbar protrusion, using minimally invasive intervertebral foraminoscopy, the doctor's technique is very good, this kind of surgery can not be careless, must find a good doctor to do, there are the same troubles can go to see.
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Answer: Lumbar protrusion, first of all, I think that the ischial spirit is painful, when walking more than 100 meters, there is a pain of tendon tension from the root of the thigh downward, and then there is a numbness feeling in the feet when you walk more, these feelings disappear when you stop and rest.
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Early symptoms of lumbar disc herniation include low back pain, lower extremity symptoms, and urinary and urinary disorders.
Clause. 1. Low back pain, the herniated lumbar disc compresses the nerves around the disc, which can lead to low back pain, which is a slight pain, especially after bending over or sitting for a long time.
The symptoms of the second band and lower limbs, the corresponding nerve distribution areas of the lower limbs can appear numbness of the skin and skin, pinprick pain, or accompanied by neuromodulation disorders, such as sweating disorders, then it can be suspected that the symptoms of nerve damage caused by lumbar disc herniation can be suspected.
Clause. 3. Urinary and urinary disorders, if the lumbar intervertebral disc herniation is ** type, constipation or fecal incontinence can occur in the early stage.
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There are no symptoms, but pain occurs when the nerve is pressed.
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If the lumbar protrusion is mainly slow, the patient's waist will have symptoms of pain in the middle of the waist, and the muscles on both sides of the waist will have muscle spasms, which will be very hard to the touch, and in severe cases, there may be decreased sensation or decreased muscle strength. If you feel that there are mild symptoms, you can go to the Department of Orthopedics and Traumatology of Yiling Hospital, which is very praised.
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Lumbar intervertebral disc herniation has a great impact on the patient's daily life and work, so the disease should be treated as soon as possible, lumbar intervertebral disc herniation is often caused by daily bad habits, so what are the specific reasons? Let's take a look at it together, hoping to help people in need solve their problems.
1. Fatigue, excessive curvature of the lumbar spine, statistics show that the frequency of lumbar flexion can reach up to 3000-5000 times a day. This excessive, repetitive flexion is the most common cause of intervertebral disc pathology.
2. Vibration, repeated stretching of the spine, driving is an obvious example, the natural frequency of the lumbosacral part and the vibration of the seat in the car are in the same low-frequency range, so the lumbar spine is easy to resonate with the car when driving. This kind of resonance means that the spine is constantly compressed and stretched, and at the same time, the surrounding tissues and muscles are also fatigued, which affects the metabolic rate of the lumbar intervertebral disc and accelerates the degeneration and deformation of the lumbar spine.
3. Sudden force, lumbar sprain, normal lumbar intervertebral relationship is elastic and tough, with strong compressive ability, can bear 450 kg of pressure without injury. However, these forces must be gently pressed down from the front, and if the force is suddenly applied or suddenly exerted after a lack of exercise, it is easy to break through its tolerance limit and cause a lumbar sprain.
4. Cold, waist is particularly afraid of cold. If the waist is exposed, in order to resist the cold, the muscles in the lower back spasm, and the small blood vessels constrict, which reduces the local blood circulation, which will affect the nutrition of the intervertebral disc**, and the pressure in the intervertebral disc increases, causing more damage.
To sum up, what you will explain is the introduction to the causes of lumbar disc herniation, I hope that this article can help more people, If you find that your living and working environment is within the scope of the above, you should pay attention to it, these conditions are very easy to cause disease, so try to do a good job of preventive measures against the disease.
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Lumbar intervertebral disc herniation is a common clinical condition, and its occurrence is caused by the following reasons:
Clause. 1. Degenerative changes in the lumbar intervertebral disc are the basic conditions of lumbar intervertebral disc herniation.
Clause. 2. Injury, long-term repeated external force causes damage to the intervertebral disc support structure, aggravating the degree of degenerative changes.
Clause. 3. Pregnancy, the longitudinal ligament is loose after pregnancy, easy to bulge the intervertebral disc, and the weight gain after pregnancy, the incidence of low back pain in pregnant women is significantly higher than normal.
Clause. Fourth, genetic factors, lumbar intervertebral disc herniation has been reported to be familial.
Clause. 5. Congenital abnormalities of lumbosacral disease, including lumbar sacralization, sacral lumbarization, hemivertebral deformity, facet joint deformity and articular process asymmetry.
Clause. 6. Other factors including increased abdominal pressure, improper waist posture, sudden weight bearing, and colds can all be caused.
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The factors of lumbar disc herniation are generally caused by sudden force, which makes your lumbar disc misaligned, that is, there is a dislocation before the lumbar is finished, because the force is uneven.
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Improper sitting posture or incorrect sleeping posture can affect the lumbar protrusion, so a correct posture will promote people's health.
Correct standing posture is essential, in work and life to pay attention to the combination of work and rest, to avoid overwork, at the same time, also try not to lift heavy objects, to avoid aggravating the condition, some strenuous exercise is also not recommended to do, is not conducive to the body. It is possible to perform draping exercises, which can achieve a very good stretching purpose when performing draping exercises. >>>More
Lumbar disc herniation causes leg pain, you can lie in bed and sleep on a relatively hard mattress, avoid cold and tiredness, sit and bend over for a long time, oral celecoxib, glucosamine sulfate, methylcobalamin, can be combined with traction physiotherapy to recover and see, and there may even be thigh muscle atrophy, if the atrophy is obvious, affecting the function of walking activities, conservative ** is ineffective, you can consider going to Dingyi Orthopedics for surgery**, intervertebral foraminoscopy minimally invasive surgery or open surgery.
The vast majority of patients with lumbar disc herniation can be completely **, but the complexity and severity of the lesions of lumbar disc herniation are completely different, so different intervertebral disc herniation ** schemes are also completely different. For mild disc herniation, there is no compression of the nerve, and there are no special discomfort symptoms, there is no need**. If you have mild lumbar discomfort, you should rest in bed for rest, strengthen the training of lumbar back muscles, and adjuvant drugs**. >>>More
Lumbar muscle spasms, spinal deformities, and limited mobility. Muscle spasms on one or both sides. Scoliosis or kyphotic deformity of the spine may be present. All are secondary adaptive changes to relieve pain. When lumbar protrusion** disappears.
1. Surgery**.
Why put surgery in the first place, because from any point of view, surgery is the most straightforward and effective. The purpose of surgery is to directly remove the nucleus pulposus of the diseased lumbar intervertebral disc and relieve the nerve root compression. However, there are also a lot of uncertainties in surgery, due to the limitation of the special physiological position of the lumbar spine, the operation destroys the normal physiological structure of the lumbar vertebrae, resulting in large surgical damage, easy to cause postoperative instability of the lumbar spine, postoperative scar tissue adhesion, intraoperative accidental injury to the nerve root and a series of adverse reactions, therefore, surgery is also the one that needs to be considered most seriously. >>>More