What to do if cauda equina nerve damage causes muscle atrophy?

Nerve injury can be specifically divided into: ulnar nerve injury, spinal nerve injury, optic nerve injury, central nervous system injury, Fei Zhong nerve injury, sciatic nerve injury, cauda equina nerve injury, strong nerve injury, radial nerve injury, common peroneal nerve injury, and lower limb nerve injury.

Nerve injury is one of the causes of muscle atrophy, and the lower motor neuron plays a direct role in self-matching and nutrition of skeletal muscle, and when the lower motor neuron is damaged, the skeletal muscle also loses neuronutrition, and then muscle atrophy occurs. Muscle atrophy usually occurs 1-2 weeks after denervation and is most pronounced after 3-4 months. Disuse atrophy also occurs after upper motor neuron injury, but to a lesser extent.

Experts said that at present, the muscle atrophy caused by nerve damage, in addition to the traditional drug and diet therapy, the most important thing is to start from the lesion, treat both the symptoms and the root causes, and the "nerve targeted repair system" is currently very effective for muscle dystrophy caused by nerve damage.

Aerobics. Aerobic exercise can make muscle atrophy patients inhale several times more oxygen than usual during exercise, promote tissue metabolism, make the body nutrients sufficient, muscle strength and endurance, and body immunity are enhanced.

Control the amount of exercise.

When exercising, people often choose dumbbells, sandbags, spring pulls, and rubber strips. So, how much weight should you choose for dumbbells, sandbags, and what kind of tension springs and rubber strips are appropriate? This should be based on the strength base of each person, generally more than 2 3 of the maximum muscle strength of the person, and gradually increase the weight of the punching bag.

Master the rhythm of movement.

Exercise for patients with muscle wasting requires certain time intervals. When the muscles have enough rest time, fatigue can be fully eliminated, and the nutrients consumed can be fully compensated, and the muscles will gradually become hypertrophied through excess compensation. On the other hand, if you exercise too often, your muscles will not be well rested and your strength will not be enhanced.

Choose how you want to exercise.

In daily life, many patients do not have the right way to exercise. Muscle atrophy of the lower limbs, some people use the method of walking alone to exercise, thinking that the more walking, the better, in fact, this not only can not effectively enhance muscle strength, which will cause joint damage due to muscle relaxation and joint instability.

Principles of care. 1. Life nursing.

Avoid overwork, pay attention to the combination of work and rest, and carry out correct functional exercises under the guidance of a doctor. Promoting a high-protein, high-energy diet and abstaining from smoking and alcohol can help strengthen physical fitness and promote muscle recovery. Some patients with muscle contraction have low immunity and need to avoid cold, develop good living habits, and prevent colds, gastroenteritis and other diseases, so as not to aggravate the condition.

Formal massage, physiotherapy, etc. under the advice of a doctor**.

2. Medication care.

Use the drug correctly under the guidance of the doctor, do not use the drug indiscriminately, do not stop the drug at will, pay attention to the adverse reactions of the drug, and inform the doctor in time if discomfort occurs.

3. Psychological nursing.

Patients may be adversely affected by daily work and study due to amyotrophy, and have anxiety, depression, low self-esteem and other bad emotions, family members and medical staff should care more about the patient, and give timely comfort, and the patient can also actively communicate with the doctor to fully understand the cause of their disease, the development of the disease, and the situation, establish confidence, maintain an optimistic and happy mood, and actively cooperate with the doctor.

Muscle atrophy due to cauda equina nerve injury is neurogenic amyotrophy. In layman's terms, it is due to a problem with the nervous system, or a damage, which causes the muscles under the damaged part to atrophy in the corresponding area innervated.

Nerve damage is not a disease in TCM. In traditional Chinese medicine, nerve damage is referred to as meridians. Muscle atrophy occurs due to nerve damage, because qi and blood cannot be supplied, the flow of sperm and blood fluid is blocked, and the muscles are not nourished by nutrients for a long time, so they will gradually shrink.

The best methods for cauda equina nerve injury are as follows:

1. Surgery: If the cauda equina nerve injury and lesion are clear, it is recommended that the patient should intervene effectively as soon as possible. Cauda equina nerve damage caused by intervertebral disc herniation, lumbar spinal stenosis, and spondylolisthesis may be required to perform emergency surgery on the lumbar intervertebral disc and lumbar spine to relieve cauda equina nerve entrapment and damage as soon as possible, so that the damage and harm can be reduced, and then repaired;

2. Drugs**: Cauda equina nerve injury is a chronic nerve injury, which may need to be repaired by drugs**, such as nutritional nerve drugs, drugs to improve microcirculation, including methylcobalamin and adenosylcobalamin;

3. ****: Local physiotherapy and other measures can be carried out to slow down the speed of cauda equina nerve damage.

It can be carried out by traditional Chinese medicine baking electricity, massage, acupuncture, occlusion and other methods**.

1.In complete injury, the impairment of motor function is manifested as the involvement of the knee joint and its following muscles, the dysfunction of the knee, ankle and foot joints, the obvious instability of gait, and the need to raise the hip joint to show a "wading gait" when stepping due to the loss of foot extension and flexion function; Incontinence of urine and urinary tracts. Impaired sensory function is loss of depth and shallowness below the level of injury, manifesting as:

2.Incomplete cauda equina damage is manifested only by dysfunction of the muscle movement and sensory areas innervated by the injured nerve roots, and the remaining uninjured cauda equina nerve can still perform normal sensory and motor functions. ** Method:

Focus on comprehensive ** to reduce complications and create conditions for functional recovery and reconstruction.

We have to face cauda equina syndrome correctly, although the current level of ** can not be completely **, but after effective standardization**, it is still possible to improve physical fitness, reduce symptoms, reduce complications caused by cauda equina injury, so that patients can have a high quality of life close to normal people.

It is advisable to ** as early as possible, the more you delay, the more severe the symptoms will become.

Depending on the degree of cauda equina nerve damage, the speed of recovery varies.

Patients with cauda equina nerve injury need to go to the hospital immediately for related surgery**, preferably not more than 48 hours, otherwise it will cause permanent nerve damage and affect normal work and life. Therefore, it is necessary to pay attention to the patient, and after the surgery, the patient also needs to take anti-infective drugs and dehydrating agents to alleviate the phenomenon of infection and edema. Most patients are active in the early stages**, which allows for a quick recovery of the disease without serious sequelae.

1. Western medicine: Western medicine is still the mainstream means of control and recovery, and nutritional and neurological drugs are still the most commonly used drugs, such as methylcobalamin, vitamin B, vitamin B12, adenosylcobalamin, hydrocobalamin, mouse nerve growth factor, etc.

Long-term use, there will be a certain amount of ***, so the early ** dosage should not be too much, if you can use a smaller dose to achieve a good ** effect is ideal. However, it should be noted that the nutritional nerve of Western medicine is also felt according to the personal situation, a small number of patients feel that taking nutritional nerve drugs has been improved, most of them feel not obvious, and even some patients have other complications, resulting in more resistance to nutritional nerve drugs, non-absorption and so on. Patients who have drugs also need to use some painkillers frequently, or laxative drugs, which are not recommended for long-term use.

2. Surgery: For surgery for cauda equina nerve damage, in principle, early diagnosis, early surgery, and emergency surgery if necessary. The main purpose of surgery is to improve the compression of the nerve or to loosen the adhesions.

If surgery is performed within 48 hours after cauda equina nerve injury, some muscle strength and sensation can be restored to the greatest extent, and of course, this is also related to the nerve repair mechanism. The best time for surgery is within 6 or 8 hours after the injury, and timely surgical treatment at this time can theoretically prevent edema caused by nerve compression, avoid secondary damage, and have a high probability of recovering the patient's symptoms.

However, due to the fact that there are very few people who can achieve timely surgery in previous cases, coupled with the uncertainty of surgical technology, and the inevitable damage to part of the nerves by the surgeon, usually after surgery, patients also need to combine first-class exercises, drugs, acupuncture and other physiotherapy methods to promote the patient's recovery, and the smoothness of the operation also determines the length of recovery time for the patient in the later stage.

3. Traditional Chinese medicine: Chinese medicine **cauda equina syndrome is mainly from the internal conditioning, that is, the way of drinking traditional Chinese medicine, **cauda equina syndrome is its pathogenesis, according to the situation of patients with different syndromes to comprehensively prescribe the right medicine, symptomatic conditioning, the drug first nourishes the liver and kidneys, strengthens the spleen and stomach, and restores dry stools; Warming the kidneys and tonifying the spleen, nourishing the kidneys and filling the sperm, to restore urine is not good, and sexual function is rebounded; Relax the tendons and channels, nourish qi and nourish blood, so that the meridians are comfortable, the muscles and skin are nourished, the meridians and limbs are gradually slowed down, the qi and blood are operated, the muscle strength is restored, and the sensory disorders gradually disappear.

The efficacy of traditional Chinese medicine is relatively reliable, and there is no obvious toxicity and other characteristics. However, the ** process of traditional Chinese medicine is relatively long, and it is impossible to have an immediate effect like Western medicine, so it is recommended that patients must have enough patience to **.

The innate factor is that after the human nervous system is fully developed, neurons do not regenerate, and the growth rate of nerves is much slower than in early development, which greatly hinders the reconstruction of nerve connections.

Acquired factors, the early cauda equina nerve injury is mostly a symptom of low back pain, which is easily mistaken by patients for the manifestation of lumbar muscle strain, and is not paid attention to, and the best time is missed.

In the early stage of cauda equina nerve injury, due to the lack of obvious compression and the inability to detect it systematically, it is easy to be misdiagnosed as other lumbar spine diseases, resulting in no results and even further aggravation of the condition in the process.

The diagnosis report clearly indicates that the cauda equina nerve is compressed or damaged, and most patients are completely injured or have a large degree of damage.

Although the cauda equina nerve can be recovered after injury, the recovery period is extremely long, generally ranging from months to years, mainly affected by factors such as the severity of the disease, the first plan, the first time, and the individual's physique, and there can be individual differences.

Most patients with cauda equina nerve injury are commonly found in lumbar spine diseases, such as large herniated lumbar discs, lumbar spinal stenosis, lumbar burst fractures, etc. It is often necessary to combine suitable surgery to complete the initial stage**, the purpose of which is to relieve the patient's nerve compression or adhesion and create more favorable conditions for subsequent recovery.

It is believed that patients who have received **cauda equina syndrome are more or less aware of some of the methods of Chinese and Western medicine.

Take a patient with a large lumbar disc herniation as an example, usually such patients need to be surgically removed from the herniation, and often need assistance** to cooperate with the body to recover faster, which is also a difficult and long process. In the adjuvant **, the body will be promoted through physiotherapy and drugs to nourish the nerves, but one thing we need to know is that the recovery after nerve damage is slow and easy to recover incompletely, which is recognized by the world's medicine.

Why is it more suitable to go to Chinese medicine for the follow-up of cauda equina nerve injury? First of all, because medicine is also following the footsteps of today's society, in today's medical environment, the first in terms of cauda equina nerve injury has been further improved. Secondly, in the process of traditional Chinese medicine, it has the characteristics of different people and adjusting medicines according to the prescription, which can be better targeted.

Compared with Western medicine, it is relatively small, highly targeted and safe. This is also the reason why more patients are now looking to TCM. Of course, in conjunction with traditional Chinese medicine**, it also needs proper exercise, reasonable diet, mood relaxation and other care methods, which can help the body recover quickly.

The recovery of cauda equina nerve damage should first be carried out by targeting the cause of cauda equina nerve damage. If it is caused by nerve compression, the removal of compression can improve symptoms, and at the same time, the administration of nourishing nerve **, including gangliosides, murine nerve growth factor, methylcobalamin, and vitamin B1, can promote nerve recovery. At the same time, the first training, including the training of the urinary detrusor muscle, as well as local massage, as well as the training of the first sex and activity, can improve this symptom.

Be prepared for a long-term fight against the complications that may arise after cauda equina nerve injury. Depending on the post-seizure symptoms and the speed of timely acceptance, as well as the degree of nerve-related damage that occurs in the spinal cord, it will affect the recovery of the patient's body in the later stages, and most patients may have some long-term residual symptoms to require **care.

Traditional Chinese medicine is usually suitable for the chronic phase of cauda equina syndrome and the repair of postoperative cauda equina nerve damage, in the early stage through traditional Chinese medicine physiotherapy, acupuncture, traditional Chinese medicine and other ways to treat the symptoms, from the overall promotion of recovery and conditioning to alleviate the symptoms, in the chronic phase of cauda equina syndrome if it has been conservative for more than half a year or more than a year, no effect or the effect is particularly subtle, it is recommended to try surgery** to directly relieve the compression of the nerve.