1. Manual therapy: The purpose of manual therapy is to promote blood circulation, relax muscles and tendons, dissipate blood stasis, release adhesion and relieve symptoms. Common manipulations include massage, grasping, rubbing, rubbing and passive movement of lower limbs.
2. Acupuncture treatment: You can choose points such as Yaoyangguan, Shenshu, Dachangshu, Qihaishu, Mingmen, Huantiao, Shi Feng, Weizhong and Kunlun, once a day, and 1 0 times is a course of treatment.
3. Drug therapy: analgesic and anti-inflammatory drugs such as Fenbid can be used for aseptic inflammation of nerve roots. Traditional Chinese medicines can be modified with Bushen Zhuangjin Decoction, such as Radix Rehmanniae Preparata, Rhizoma Zingiberis Preparata, Eucommiae Cortex, Achyranthis Radix, Rhizoma Cibotii Preparata, Radix Dipsaci, etc. Radix Astragali, Radix Codonopsis, Radix Angelicae Sinensis, and Radix Paeoniae Alba are added for patients with qi deficiency and blood deficiency. Spatholobus suberectus, Radix Angelicae Pubescentis, Ramulus Cinnamomi, Herba Epimedii, etc.
Extended data:
There are many reasons for lumbar spinal stenosis. For congenital lumbar spinal stenosis, it depends on the degree of stenosis. According to medical regulations, the sagittal diameter (anteroposterior diameter) of lumbar spinal canal on X-ray film is less than 12 mm for relative stenosis, and less than 10 mm for absolute stenosis.
2. Generally speaking, patients with absolute stenosis should be inclined to surgery. The main operations are total laminectomy and complete decompression. The so-called complete decompression means that laminectomy should not only be wide enough, but also relieve the hyperplastic bone in the posterior part of vertebral body (anterior part of spinal canal) and lateral recess, and completely relieve all the compression of cauda equina and nerve roots.
3. If the lumbar spinal canal is relatively narrow and accompanied by lumbar disc herniation, the patient will receive non-surgical treatment, such as bed rest, traction with kang tractor, massage and physical therapy. Surgery will only be considered if various non-surgical treatments fail.
References:
Baidu encyclopedia-lumbar spinal stenosis
References:
Do you have to have surgery for lumbar spinal stenosis? Must surgery be performed to treat lumbar spinal stenosis?