Zhou Xiaobo: First of all, we should pay attention to keeping warm against the cold, and we should also avoid overwork and strenuous exercise. Patients with lumbar disc herniation should try to sit on a higher stool, not bending too hard, not going to bed or turning over too fast or too hard, and pay attention to self-protection. You should do more sports that you can do, such as walking, and do what you can.
Li Bing: Lumbar disc herniation is seasonal, especially when the seasons change. You'd better wear a waist protector when you go out.
One is the hanging method. Use doorframes or horizontal bars for hanging exercises. Every morning and evening 1 time. Hanging exercise is actually a kind of continuous traction therapy, which can not only relax the waist and other parts, but also enhance local blood circulation and metabolism. The second is bending and turning. Including front and back big bends, left and right bends, left and right turns, etc. Do 1 time every morning and evening. According to the requirements of medium speed and slight force, step by step at the same time. The third is massage. Massage Shenshu points (waist and eyes on both sides) mainly twice a day. Massage until there is pain and the feeling of spreading to the lower limbs. Traditional Chinese medicine believes that Shenshu point belongs to the kidney meridian, and regular massage can strengthen the kidney and get rid of low back pain. The fourth is the maintenance method. Mainly combining the doctor's treatment with daily maintenance will get twice the result with half the effort. Pay attention to the "ten noes", that is, don't sit for a long time, don't stand for a short time, don't bear heavy loads, don't bend over (acute stage), don't hold children, don't wear high heels, don't bow your head, don't sit on a low bench, don't get tired, and don't catch cold (waist). Two kinds of protection, namely: waist protection (wrapped in paper-like thin plastic foam to keep warm and absorb moisture in winter) and back protection (wearing wool vest and cotton vest, etc.). ).
The "four methods" for the treatment of lumbar disc herniation is a good self-care method, which has a good effect on the prevention and treatment of lumbar disc herniation.
Suspension method and lumbar transport method can activate lumbar joints and improve symptoms by pulling and exercising lumbar vertebrae. However, we should pay attention to several problems: 1. When hanging, you should pay attention to relaxing the waist and lower limbs, so that the weight can naturally sag, so as to achieve the purpose of traction of the lumbar spine. 2. The up-and-down movements of the suspension must be light, so as not to damage the lumbar spine due to excessive up-and-down jumping movements and aggravate the condition. 3. The waist exercise method should be slow and gentle when bending or turning the waist, so as to avoid new injuries caused by intense and large-scale activities. 4. Both the hanging method and the waist moving method should be exercised step by step, and the amount of exercise should be gradually increased and persevered.
Lumbar disc herniation is a syndrome caused by disc degeneration, annulus fibrosus rupture, nucleus pulposus protrusion or compression of nerve roots and cauda equina. The incidence of lumbar disc herniation is the highest in lumbar 4, 5 and lumbar 5 ~ sacrum 1 space.
The cause of disease
1 Lumbar intervertebral disc degeneration is the basic factor.
Nuclear magnetic resonance confirmed that 15-year-old adolescents can have degenerative disc degeneration.
2 damage
Cumulative injury force is the main cause of intervertebral disc degeneration and the inducement of intervertebral disc herniation. Repeated bending and twisting actions in cumulative injury force are most likely to cause disc injury.
Three genetic factors
About 32% of adolescent patients under 20 years old have a positive family history.
4 pregnancy
The classification of lumbar disc herniation is different, and the treatment methods are different.
classify
1 extension type
Most of this type can be alleviated or cured by conservative treatment.
2 protruding type
Surgery is often needed.
3. Free prolapse
This type is easy to compress cauda equina nerve, causing dysuria, and non-surgical treatment is often ineffective.
Four Schmorl nodules and bony processes.
This type has no symptoms of nerve compression and does not require surgical treatment.
Therefore, type 2 and type 3 are generally treated by surgery.
Specific symptoms are
1 low back pain
Early symptoms of most patients
Sciatica
It is manifested as radiation pain from hip, posterior thigh, lateral calf to foot, early hyperalgesia, and severe numbness or numbness.
3 cauda equina nerve compression
According to the symptom you described, "the patient's back has been bent", in fact, it is not the back bending, but the prominent nucleus pulposus of the intervertebral disc has been compressed to the nerve root, which is a postural compensatory deformity formed by the patient in order to relieve pain. This symptom can be recovered by itself after the neuroinflammation disappears or the herniated intervertebral disc is untreated.
Diagnostic and feasible CT examination further clarifies the degree of disc herniation and nerve root compression, which is helpful for surgical treatment.
treat cordially
1 Non-surgical treatment
About 80% patients with lumbar disc herniation can be relieved or cured by non-surgical treatment, so as to reduce the compression of nucleus pulposus nerve and make neuritis disappear as soon as possible.
Mainly applicable to
(1) Young, first attack or short course of disease.
(2) those whose symptoms can be relieved by themselves after rest
(3)X-ray examination showed no spinal stenosis.
The main treatment methods include:
(1) Absolute bed rest
(2) continuous traction
(3) Physical therapy and massage, massage
There are many specific methods, and there are many employees in this field in China, and the level is not surprising, so the curative effect is also very different. It should be noted that violent massage often does more harm than good.
(4) Epidural injection of corticosteroids
The purpose is to reduce inflammation around the nerves.
(5) chemical dissolution of nucleus pulposus
Percutaneous nucleotomy and aspiration
Mainly suitable for patients with bulging or mild lordosis.
3 surgical treatment
Patients who have been diagnosed with lumbar disc herniation and are ineffective after strict non-surgical treatment, or those with cauda equina nerve compression, may consider nucleus pulposus removal.
finally
For patients with disc herniation, young patients should be the first choice for non-surgical treatment. If strict conservative treatment fails and the symptoms are not obviously relieved or even aggravated, surgical treatment should be considered.
For this patient, it has been treated conservatively for nearly a year, and it still has no remission, and even has a tendency of aggravation. Therefore, it is meaningless to continue this way, and surgery should be considered as soon as possible.
Intervertebral disc surgery should be available in hospitals all over the country, but the fees are different in different regions. The cost of surgery here is about 15000.
The effect of surgical treatment was obvious, and he recovered quickly. Generally, you can go back to school in about a month. He is a senior three now. I hope he can see a doctor as soon as possible. It shouldn't take long.
I sincerely wish this friend a speedy recovery!