Many people worry, is there a problem with low back pain? Is it lumbar disc herniation or lumbar muscle strain?
In fact, there are many reasons for low back pain, not limited to the above two. However, it is necessary for us to understand the common lumbar disc herniation.
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The lumbar intervertebral disc we are talking about is an elastic pad between two lumbar vertebrae, with a fibrous ring outside and a semi-liquid nucleus pulposus inside, just like a sandwich jiaozi.
Because the lumbar intervertebral disc has no self-repair ability, with the increase of age, structural degenerative diseases will gradually appear, which is what we call lumbar disc herniation (aging performance).
According to the degree of protrusion, lumbar disc herniation can be divided into three types:
To sum up, according to the symptoms of lumbar disc herniation, it can be divided into three types, of which lumbar disc herniation and lumbar disc herniation are the most common.
In addition, we should also know that lumbar disc herniation is an imaging concept, not a disease. Only when lumbar disc herniation stimulates or compresses nerve roots, causing a series of symptoms such as low back pain, is it a disease-lumbar disc herniation.
If only the symptoms of lumbar disc herniation appear, only CT and other imaging examinations can be found.
But if it is a lumbar disc herniation, then the body will have obvious early warning, mainly these two:
1, low back pain
About 9 1% of patients with lumbar disc herniation will have low back pain.
The pain is mostly concentrated in the lower waist or lumbosacral region, mainly dull pain. Some pains have no obvious cause, and some will appear after sprain or trauma. The pain will be aggravated after sitting for a long time or bending over, and it can be obviously relieved when lying down.
2, lower limb radiation pain
The pain is mainly along the back of buttocks, thighs and calves, and radiates to the heel and instep.
Lower extremity pain and low back pain can occur at the same time or before and after.
In addition, lumbar disc herniation will also appear:
When there is more than one symptom, it is suggested to go to the orthopedic department of the hospital for necessary examination in time.
There is also a self-test method, you can also try:
Lie flat on the bed and slowly lift your legs. If the elevation angle is less than 70, there will be leg pain and numbness, or the original pain and numbness will be aggravated, indicating that you may have lumbar disc herniation.
Regrettably, lumbar disc herniation is difficult to be completely cured. What we can do is to relieve the symptoms and control the disease from getting worse.
Fortunately, most patients can have a good curative effect through conservative treatment, and only 5% patients with particularly serious illness need surgery.
Ps: Most patients with lumbar disc herniation only need conservative treatment, and some patients with lumbar disc herniation and prolapse/dissociation often need surgery to be effective.
Conservative treatment, including:
Surgical treatment, including:
It is worth noting that even after surgical treatment, lumbar disc herniation is not once and for all, and there is a possibility of recurrence.
Therefore, patients with lumbar disc herniation must pay attention to avoid behaviors that will lead to wrong waist exertion, such as sedentary, bending over to carry heavy objects, wearing high heels and so on. And pay attention to exercising waist muscles every day to truly never relapse.