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The degeneration of the nucleus pulposus is mainly manifested by the decrease of water content, and can cause small-scale pathological changes such as vertebral segment instability and loosening due to water loss. The degeneration of the annulus is mainly manifested by a decrease in the degree of toughness. Long-term repeated external forces cause minor damage and aggravate the degree of degeneration.
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The main symptoms of lumbar disc herniation are:
1. Low back pain: Low back pain is generally the first symptom of lumbar disc herniation, which can appear after obvious trauma such as labor, intense exercise, sprain, etc., or it can appear without obvious causes. Patients with lumbar disc herniation often have a long history of chronic low back pain, based on which the pain worsens suddenly or gradually.
2. Radiating pain in the lower limbs: It generally appears after a period of low back pain, and some patients appear at the same time as low back pain. Pain is manifested from the lumbosacral region.
3. Numbness in the limbs, mostly accompanied by radiating pain in the lower limbs.
4. Intermittent claudication, manifested as obvious claudication, and the claudication aggravates with the extension of walking distance.
5. Muscle paralysis, mainly manifested as muscle weakness, patients with severe lumbar intervertebral disc herniation with severe nerve root compression can have weakened muscle tone on the affected side.
6. Cauda equina nerve symptoms, women can have urinary incontinence, men can have impotence, and severe cases can have fecal incontinence and paralysis of both lower limbs;
7. Muscle atrophy of lower limbs.
8. Sensory impairment, manifested as ** allergy in the early stage, and gradually numbness, tingling and hypoesthesia.
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Lumbar intervertebral disc herniation is mainly because the protrusion compresses the nerve root, which triggers the corresponding reaction in the innervated area, the most common symptoms are low back pain, leg pain, and even lower limb weakness. It is a big thumbs up.
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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.
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Trauma and accumulated strain are important causes of lumbar disc herniation. Although the lumbar spine is physiologically lordosis and the intervertebral disc is thin and thick in the front, when people bend over, the nucleus pulposus moves backward and produces a resistant elastic force, and the magnitude of the elastic force is proportional to the weight bearing pressure. If the weight-bearing pressure is too high, the degeneration of the annulus fibrous and the existing defects of the nucleus pulposus may break through the annulus fibrous and bulge, protrude or prolapse.
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1. Degenerative changes of intervertebral discs: the intervertebral disc lacks blood supply, the repair energy is weak, and the intervertebral disc is squeezed, stretched and torsioned in daily life, which is easy to make the intervertebral disc nucleus pulposus, fibrous annulus, and cartilage plate gradually age, resulting in the fibrous annulus being easy to rupture, resulting in intervertebral disc herniation.
2. Long-term vibration: People who often drive have been sitting and bumpy for a long time, resulting in excessive pressure on the waist, and then there is a sudden change.
3. Excessive load: When the waist is overloaded and engaged in bending over for a long time, such as: coal miners or construction workers, who need to bend over for a long time to take heavy objects, and the weight of the lumbar intervertebral disc exceeds 100 kPa square centimeters, it will lead to the rupture of the intervertebral disc fibrous ring.
4. Trauma: Due to the physiological lordosis of the lumbar spine, the intervertebral disc is thick in front and thin in the back, when the patient suffers from lumbar injury, fall, waist flash, etc., the nucleus pulposus of the intervertebral disc moves backwards, causing the intervertebral disc to herniate backwards.
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Many people bend over for a long time or strenuous activities in the lower back will lead to lumbar back muscle strain, and the weakness of the lower back is prone to lumbar protrusion, and some middle-aged and elderly patients due to calcium deficiency caused by osteoporosis will also be induced, the patient's inducements are different, there are symptoms as soon as possible to Yiling Orthopedics and Traumatology Department to find Director Gao Junmao for diagnosis and treatment, the chief physician has a wealth of on-site experience, great praise.
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1. Long-term vibration is the cause of lumbar disc herniation. When car and tractor drivers are in a sitting position and bumpy state for a long time during driving, the pressure on the lumbar intervertebral disc is too great, which can lead to degeneration and herniation of the intervertebral disc. At the same time, vibration also affects the nutrition of the intervertebral disc, and the effect on microvasculature can accelerate the herniation of the intervertebral disc.
2. Degenerative changes of intervertebral disc are important causes of lumbar intervertebral disc herniation. The intervertebral disc lacks blood supply, the repair energy is weak, and the intervertebral disc is squeezed, stretched and twisted in daily life, which is easy to make the intervertebral disc nucleus pulposus, fibrous annulus, and cartilage plate gradually age, resulting in the fibrous annulus being easy to rupture, resulting in intervertebral disc herniation.
3. Excessive load is the cause of lumbar disc herniation that cannot be ignored. When the waist is overloaded and long-term bending work, such as: media miners or construction workers, need to bend over for a long time to take weights, and the lumbar intervertebral disc weight exceeds 100 kPa square centimeters, it will lead to the rupture of the intervertebral disc fibrous annulus.
4. Lumbar puncture is also the cause of lumbar disc herniation. As early as 1935, there were reports of narrowing of the intervertebral space and herniated discs after lumbar puncture.
5. The cause of lumbar intervertebral disc herniation is trauma, due to the physiological lordosis of the lumbar spine, the intervertebral disc is thick in front and thin in the back, when the patient is in the lumbar injury, fall, flash, etc., the nucleus pulposus of the intervertebral disc moves backwards, causing the intervertebral disc to herniate backwards.
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 main symptoms of lumbar disc herniation are:
1. Low back pain: Low back pain is generally the first symptom of lumbar disc herniation, which can appear after obvious trauma such as labor, intense exercise, sprain, etc., or it can appear without obvious causes. Patients with lumbar disc herniation often have a long history of chronic low back pain, based on which the pain worsens suddenly or gradually. >>>More
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It may be a lumbar muscle strain, rest for a while, and don't carry too heavy things. It'll get better slowly.
There are many patients with low back pain, and there are about dozens of more common ones such as lumbar bone hyperplasia, bone spurs, intervertebral disc herniation, lumbar hypertrophy, spinal stenosis, lumbar fracture, spinal cord tumor, trauma, or acute and chronic lumbar strain, lumbar muscle strain, and ankylosing spondylitis. In the traditional concept, chronic low back pain is often excluded in general examination as a "muscle strain", in fact, there are 40 people who suffer from low back pain is suffering from chronic compartment syndrome, but suffer from low back pain for a long time due to the lack of symptoms. Many patients have low back pain for a long time, and some even have pain for 50 years and still don't know what the disease is. >>>More