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After the patient has intermittent claudication, he or she can be seen in the spine surgeon for examination**.
Because intermittent claudication is caused mainly by compression of the spinal cord in the lumbar spinal canal, it is more common in patients with lumbar spondylolisthesis and lumbar spinal stenosis. Therefore, after the consultation, the lumbar spine can be taken and CT examination, mainly depending on the degree of lumbar spinal stenosis.
If the patient's lumbar spinal stenosis is relatively severe, accompanied by intermittent claudication, surgery is required to enlarge the spinal canal and relieve the compression of the spinal cord in the spinal canal, so that the patient's intermittent claudication will be reduced and recovered.
If the degree of spinal stenosis is relatively mild, the patient has intermittent claudication for a relatively long distance. Acupuncture and moxibustion can be used temporarily to relieve symptoms with dehydration drugs and neurotrophic drugs.
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Walking with a limp, which can be seen in Parkinson's disease, cerebellar ataxia. In orthopedics, which is more common in hip dislocations or femur fractures, the most common examination is MRI.
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Walking not far, leg pain and numbness, 3 main causes teach you how to distinguish intermittent claudication.
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Clinical features: The intervertebral disc is like a ball that slides between the upper and lower vertebral bodies with the movement of the vertebrae. The middle part of the disc is called the nucleus pulposus, surrounded by a fibrous ring.
When a part of the annulus fibrosus ruptures, the nucleus pulposus protrudes in this weak part, compressing the nerve and causing symptoms. After the age of 20, the water content of the intervertebral disc gradually decreases, and it begins to degenerate after the age of 30. The disease is more common between 20 and 40 years old, and can be clinically divided into three different periods:
a.Chronic low back pain period. b.
Low back pain with pain in one buttock. c.Typical sciatica.
For typical cases, it is not difficult to diagnose them by relying on medical history and physical examination, and difficult cases can only be diagnosed after CT or MRI examination.
**:1.Non-surgical**, including hard bed rest, traction, waist immobilization, massage, massage, combined with regression and refining when you can get out of bed and move, as well as traditional Chinese medicine has a good curative effect, with the method of tonifying the liver and kidneys, strengthening the muscles and bones, can make the protrusion part recover and absorb to a certain extent, and most cases can**.
In some cases, collagenase can be injected into the nucleus pulposus to promote nucleus pulposus absorption. 2.Surgery can be considered if it is ineffective, and surgical indications:
a.On the contrary, those whose condition continues to worsen after more than half a year of non-surgery**, those who have a positive straight leg raise test on the unaffected side, or those who have obvious muscle atrophy. b.
** type of huge herniation or intervertebral disc rupture, patients often have symptoms of cauda equina compression or foot drop, because the cauda equina nerve is compressed for more than 20 days, it is difficult to fully recover from the operation. c.Patients with intermittent claudication, non-surgical**, X-ray confirmed spinal stenosis or nerve root canal stenosis.
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1.Painful claudication: hip pain does not dare to walk with weight, the knee of the affected limb is slightly flexed, and the toes are gently landed on the ground, and then the weight bearing of the healthy limb is rapidly changed, and the gait is short and unsteady, which is seen in hip tuberculosis, transient synovitis, aseptic necrosis of the femoral head, etc.
2.Short-limb claudication: Walking on tiptoe or jumping with the lower limb on the unaffected side bent and shortening one leg by more than 3 cm can cause claudication, which is seen in the sequelae of polio.
After a child limps, it usually heals on its own if the injury is not severe. But sometimes claudication can also lurk other diseases, so it needs to be treated in time to avoid permanent disability.
Claudication can also occur when a congenital hip dislocation is detected too late or when the spine is curved so that one limb is shorter than the other. Neuromuscular disorders such as progressive muscular dystrophy or cerebral palsy.
Paralysis can lead to muscle weakness or poor coordination, causing abnormal walking, similar to claudication. Occasionally, claudication can also be caused by abnormal behaviour due to the child's emotional and psychological aspects.
If your child is limping and has a fever, rash or joint heat, contact the doctor immediately, as these symptoms usually indicate a bone or joint infection and must be prompted**. The doctor will examine the child according to the method of selection, including blood tests and x-rays, or ultrasounds, in order to find out the cause of the claudication.
Lameness caused by minor trauma disappears within a few days after **. All other claudications should also disappear once the cause has been eliminated. However, some conditions cannot be **, such as the length of the legs or muscle weakness, etc., and the immobility will accompany you for life.
In the field of electronically controlled engines, limp refers to the automatic degrading state in which the ECU cannot work normally due to the failure of some sensors of the engine, and the engine can barely work in this state, and the output power is limited.
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Because of the stagnation of venous blood, it increases the compression of the dural sac, and the nerve root and dural sac are ischemia, and at this time they cannot walk. By changing postures, such as squatting, bending, sitting for a while, or lying down for a while, the spinal canal expands and the venous return improves, and the movement can be restored. But if you continue to walk vigorously and vigorously, you will repeat the previous venous stasis, so you will stop and go, and you will have intermittent claudication. >>>More
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