What are the symptoms of a lumbar protrusion that doctors recommend surgery?

There are many patients with lumbar disc herniation who ask such questions when they consult, is it not good to have a lumbar disc herniation? Is it necessary to have surgery for a herniated lumbar disc that compresses the nerve? Can lumbar disc herniation cause cauda equina syndrome?

There are many such questions, and today I will answer these three questions first. <>

The first question: Is it bad to have a herniated lumbar disc? The first thing we need to know is that lumbar disc herniation is controllable and treatable, and the specific situation should be analyzed on a case-by-case basis, not that lumbar disc herniation cannot be recovered.

One of the most important is the mentality, a large proportion of patients with lumbar protrusion are aggravated by anxiety and boredom, of course, the correct way of care is also very important. <>

The second question: Is it necessary to have surgery for a herniated lumbar disc that compresses the nerve? This is not necessarily the case, and it is a specific judgment based on the symptoms.

In the absence of an indication for surgery, a conservative attempt can be made to promote recovery. If you want to know if you have met the indication for surgery, you can click this link to understand what symptoms occur when the lumbar disc herniation compresses the cauda equina nerve, and what symptoms occur to meet the indication for surgery? The third question:

Can lumbar disc herniation cause cauda equina syndrome? Of course, this is not necessarily the case, because everyone has a different degree of prominence, and the symptoms are even different. For example, some patients have been consulted in the past, and the examination report showed that it was more severe, but the patient's own symptoms were mild.

Some patients only bulge, but the symptoms are very severe, so it is necessary to go to the hospital and ask the doctor for specific judgment. <>

Here, I want to tell you that not all patients with lumbar disc herniation and nerve compression need surgery, let alone cauda equina syndrome if they have a lumbar disc herniation. Don't scare yourself, be sure to choose the right method and care method. Don't listen to outsiders who say it's good to put this plaster on, if you meet someone who tells you:

If you want to be cured, packaged, affirmed, or not, you must be vigilant to avoid being deceived.

Lumbar intervertebral disc herniation is a common disease, the vast majority of patients do not need to do surgery**, through drugs, physiotherapy and other methods can make the condition be relieved, if the condition is serious, MRI examination found that the herniated nucleus pulposus compresses the spinal cord, causing obvious clinical symptoms, then surgery is required**.

Under normal circumstances, the doctor will only recommend surgery when the patient with lumbar protrusion has compressed nerves, is unable to walk, and has unbearable pain in the lower limbs**.

Surgery is required if there is lower back pain, radiating pain, lumbar spinal stenosis, and neurological dysfunction related to lumbar bending, and progressive exacerbation**. Patients with lumbar disc herniation have severe pain during the attack, and even have to maintain a certain position to relieve the pain, and then there are patients with lower limb weakness, abnormal bowel and bowel movements, or patients with lumbar spinal stenosis, all of whom need surgery**.

If the conservative disc herniation is ineffective for 6 months and the clinical symptoms are aggravated, surgery should be undertaken, and if there is urinary and urinary dysfunction occurs, surgery should be received immediately.

Thank you for your question.

In terms of surgical indications, the currently recognized surgical indications for lumbar intervertebral disc herniation are: severe symptoms, affecting life and work, strictly conservative**6 8 weeks ineffective; Patients with extensive muscle paralysis, hypoesthesia and cauda equina nerve damage, complete or partial paraplegia; Accompanied by severe interstitial claudication, mostly with spinal stenosis; Patients with lumbar isthmus nonunion and spondylolisthesis. From the perspective of pathological types and their outcomes, according to the six-type classification proposed by the International Society for the Study of the Lumbar Spine (ISSLS) and the American Academy of Orthopaedics (AAOS)2:

Degenerative, bulging, prominent, prolapsed (under the posterior longitudinal ligament), prolapsed (posterior longitudinal ligament), and free. Among them, the bulging type is conservative**, the prominent type is generally conservative**, but there is a risk of prolapse and free, and the prolapsed type (under the posterior longitudinal ligament, behind the posterior longitudinal ligament) and the free type are all ruptured types, and the conservative type is relatively poor, and surgery is often required**.

According to your imaging findings, the diagnosis of lumbar disc herniation is not established, and you need to be closely observed for the time being, and if the symptoms do not improve significantly, outpatient follow-up is recommended.

See the introduction for the specific clinic time, thank you!

Tian Jiwei, Shanghai First People's Hospital.

Lumbar intervertebral disc herniation is the result of long-term unreasonable posture accumulation, the medical community agrees that correcting posture is the key and core of the ****, backward walking is currently the most effective method, can force the human center of gravity to move back, correct the excessive curvature of the lumbar spine, but it is not easy to adhere to backwards, and it is not very safe. In fact, when standing, you can also force the center of gravity to move back, stand barefoot or wear flat shoes, and step on a book about 20 mm thick on the ball of the forefoot, so that the feet are in a state of high and low in the front, and the center of gravity can also be forced to move back, and you can experience it yourself. If you feel that the symptoms have been reduced, you can consider using negative heel shoes, the soles are high in front and low in the back, and the principle is the same as walking backwards, which is safer and easier to adhere to than walking backwards, and is not contradictory to the existing **** method, and it is beneficial and harmless.

If you have any questions, it is best to consult a professional brand first, whether it is useful will tell you truthfully, and it will never be sold indiscriminately, and scientific research institutions have professional ethics.

A herniated disc will help you talk about it.

First, pay attention to bed rest to avoid the lumbar spine being compressed by external forces.

Second, use other methods to actively exercise the strength of the lumbar muscles, increase the strength of the anterior ligaments, posterior ligaments and lateral ligaments of the lumbar spine, and avoid the compression of the intervertebral disc to break through the normal ligaments of the human body and the protection of muscles. Exercises to strengthen the lumbar muscles can prevent and delay the occurrence and progression of lumbar spondylosis, and ** early lumbar disc herniation.

At present, the best clinical effects are [yangjiagao; yao], which is welcomed by many customers.

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Lumbar disc herniation is a common disease, mainly in the waist of the person to appear lumbar intervertebral herniation symptoms, lumbar disc herniation inducing factors and traumatic strain, degenerative diseases, etc., the elderly suffer from lumbar disc herniation is higher than young people, so, is it really necessary to have surgery for lumbar disc herniation?

There are many factors that cause herniated lumbar discs, such as long-term incorrect sitting posture, excessive obesity and lack of exercise, frequent stilted legs, frequent heavy physical labor, and long-term bending to carry things will lead to lumbar disc herniation. Patients often experience low back pain, which is often characterized by a persistent dull pain in the lower back, which is significantly worse when the condition is severe, resulting in significant pain in the limbs and other parts of the body, and the pain is unbearable, and the patient needs bed rest.

At present, the lumbar disc herniation cannot be healed, because the fibrous ring cannot be repaired, and it is difficult for drugs to reach the fibrous ring, and it is difficult to use drugs to promote its repair. The elderly are more likely to suffer from lumbar disc herniation, because with the growth of age, the elderly gradually degenerate in various organs, resulting in a certain degree of degeneration of the fibrous ring, which causes the fibrous annulus to crack, resulting in lumbar disc herniation.

1. Lumbar disc herniation does not necessarily choose surgery, there are many ways to make a lumbar disc herniation, which needs to be decided in combination with the patient's condition and physical condition.

Second, when the lumbar disc simply appears lumbar bulge or no clinical symptoms of herniation, it is not necessary, patients with lumbar disc herniation will have symptoms of slight nerve compression in the early stage, and can retract the local intervertebral disc through traction and bed rest, and actively cooperate with anti-inflammatory drugs.

3. Patients with lumbar disc herniation have not been alleviated after a conservative and long-term syndrome, and even the condition has gradually worsened, which has seriously affected the patient's life and work, surgery should be considered.

It can be seen that a herniated lumbar disc does not necessarily require surgery, and the patient needs to be correct under the guidance of a doctor based on the specific situation of the individual**. Patients with a herniated lumbar disc must pay attention to rest and avoid overexertion to avoid aggravating the condition. Try not to do strenuous exercise when exercising, just moderate exercise, which is more conducive to the recovery of the condition.

I don't think surgery is necessary if it's mild, because the surgery is actually quite large, and it may not be completely better if it is done.

There is no need. Many lumbar disc herniations are conservative**, and sometimes pay attention to rest and follow-up maintenance, so it will not continue to aggravate.

This should be judged on a case-by-case basis, and if it affects your usual life, surgery is very necessary.