What to see the lumbar disc herniation
1, first of all, to see the hospital, if you are here in the hospital division is more general, only divided into internal medicine and surgery, then it is recommended to hang the surgical consultation. If further divided into orthopedics, general surgery, then it is recommended that you do orthopedic consultation. If orthopedics is further subdivided into traumatology, spine surgery, joint surgery, then it is recommended that you hang up the spine surgery clinic. Some even further refinement into cervical spine, thoracic spine and lumbar spine, then it is recommended that you hang lumbar spine to consult.
2, lumbar disc herniation is due to a variety of reasons, such as lumbar disc herniation degenerative lesions, trauma, in addition to pregnancy, developmental abnormalities and so on, the disc herniation compression to the nerve or the cauda equina, resulting in a series of clinical symptoms.
3, in this case you need to go to the spine surgery, usually pay attention to rest, strengthen the warmth, avoid cold, correct body posture, avoid a long time a posture, especially pay attention to avoid sedentary, to avoid bending over, lumbar fixed rest time to take down the appropriate lumbar and back and functional exercise, including the three-point support method, the five-point support method, and so on.
What to check for lumbar disc herniation
1, lumbar spine X-ray film
Simple X-ray film can not directly respond to the presence of disc herniation, but the X-ray film can sometimes be seen on the intervertebral space narrowing, vertebral body edge hyperplasia, and other degenerative changes, it is a kind of indirect tip, some patients can have spinal deviation, scoliosis. In addition, X-ray radiographs can detect the presence or absence of tuberculosis, tumors and other bone diseases, which have important differential diagnostic significance.
2, CT examination
Can clearly show the site of disc herniation, size, morphology, and nerve root, dural sac compression and displacement, and at the same time can show the plate and ligamentum flavum hypertrophy, hyperplasia and hypertrophy of the small joints, narrowing of the spinal canal and the lateral fossa, and so on, which has a greater diagnostic value of the disease, and has been commonly used.
3, magnetic *** vibration (MRI) examination
MRI without radioactive damage, the diagnosis of lumbar disc herniation is of great significance. MRI can comprehensively observe the lumbar intervertebral disc whether the lesion, and through the sagittal image of different levels and the transverse image of the involved discs, it can clearly show the morphology of the intervertebral disc protrusion and its relationship with the dural sacs and the nerve roots of the surrounding tissues, in addition to identifying whether the disc is diseased or not. In addition, it can identify the presence of other space-occupying lesions in the spinal canal. However, the display of whether the herniated disc is calcified or not is not as good as that of CT examination.
4, other
Electrophysiologic examination (electromyography, nerve conduction velocity and evoked potentials) can help to determine the scope and extent of nerve damage, and observe the effect of treatment. Laboratory tests are mainly used to exclude some diseases and play a role in differential diagnosis.
Daily care of lumbar disc herniation
1, activity: lumbar disc herniation patients' maintenance in the morning after waking up the body's various muscles have not yet been active, the sudden movement will trigger back pain. So some subtle movements should be careful, such as washing your face should put one foot on the short platform, wearing shoes, do not half squat, should sit down to wear, do not bend down directly to take things, should first bend the knee and then squat.
2, toilets: when you get up after going to the toilet, you should stand up with your hands on the wall. Especially when standing up from a squatting position, it's easy to hurt your back.
3, go to work: lumbar disc herniation patients' maintenance includes walking on the way to work and work when the abdomen to force. Waiting for the public **** car, do not stand with both legs together, will be a foot on the low step or stone will feel much easier. When you go up the stairs, slowly bend your body slightly to get less stress on your lower back than if you go straight up.
4, work: avoid excessive labor, do not keep a posture for a long time to study, labor. To maintain a correct posture at work, you can massage the waist and legs from time to time, or do a little gymnastics to ease the tension in the lumbar muscles.