Is lower back pain equal to lumbar disc herniation? Lower back pain is very common in daily life, and as one of the most common and main symptoms of lumbar disc herniation, does the presence of lower back pain necessarily mean lumbar disc herniation? Can the two be equated? In fact, there are many clinical diseases that can cause lower back pain, and lumbar disc herniation is only one of the most common diseases. First of all, the scope of the lower back should be clarified, which generally includes the lumbar spine, sacral spine, bilateral sacroiliac joints and their adjacent tissues, and the pain can involve the lumbar spine, sacral spine, bilateral sacroiliac joints, etc. and the surrounding soft tissues. There are many causes of lower back pain, including: lower back injury, such as acute lumbar sprain, lumbar muscle strain, lumbar ligament injury, lumbar fracture, dislocation, sacrococcygeal injury, sacroiliac joint sprain, etc.; congenital or developmental abnormalities of the lumbar spine, such as congenital lumbar fusion, invisible spina bifida, lumbar sacralization, sacral lumbarization, spinal isthmus disconnection or slippage, third lumbar transverse process hypertrophy, congenital lumbar spinal canal Stenosis, etc.; inflammation of the lower back, such as lumbar dorsal fasciitis, lumbar tuberculosis, sacroiliac arthritis, ankylosing spondylitis, synovitis of the third lumbar transverse process, etc.; tumors of the lower back, degenerative changes of the lumbar spine, such as senile osteoporosis, lumbar disc herniation, pseudo to drink the most slippage, instability of the lower lumbar spine, etc.; other disorders, such as sciatica, pear-shaped muscle syndrome, gynecological inflammation, etc. What should I do if I have a lumbar disc herniation? The purpose of treatment for lumbar disc herniation is to relieve nerve irritation or compression, reduce or eliminate nerve inflammation, and promote the recovery of nerve and muscle function. Treatment methods include non-surgical, surgical, and interventional therapies. The choice of specific methods needs to be determined according to the patient’s specific symptoms and relevant imaging examinations of the degree of herniation. Generally, with the comprehensive use of various treatment methods, it should be said that 80-90% of patients can be cured or relieved by conservative therapy. What problems should patients with lumbar disc herniation pay attention to? The disease of lumbar disc herniation is characterized by the diversity of symptoms and treatment as well as the ease of recurrence after recovery, the symptoms of lumbar disc herniation are diverse and the means of treatment are abundant, the methods of treatment are different for different symptoms and typologies, and the efficacy is also different. Especially for people with neurological dysfunction, the repair process of nerves is long and not easy due to the serious damage of nerve compression, which requires continuous treatment for a period of time, and the post-rehabilitation treatment of lumbar disc herniation is also long, and the rehabilitation training is monotonous and lasts for a long time. These are the reasons for easy recurrence after rehabilitation. Many patients with lumbar disc herniation go to wherever they hear of new treatments, but they can’t stick to them anywhere, and end up running a lot of places, but the results are not very satisfactory. In fact, the overall effect of comprehensive treatment according to different symptoms and fractional treatment is very good. There is no need to be afraid because of the diagnosis of having lumbar disc herniation, but you should go to regular treatment institutions and actively receive treatment. What are the causes of lumbar disc herniation? The most common causes: flashing back, sudden weight-bearing on the back, violent twisting of the back. Incorrect lumbar posture or excessive lumbar activities: such as prolonged ambulatory work, bending over to tie shoelaces, etc., especially bending over to carry weight is more likely to induce the rupture of the degenerated lumbar intervertebral disc fibrous ring, resulting in the protrusion of the nucleus pulposus to compress the nerve. Lumbar cold and moisture: when the local small blood vessels contract, the lumbar back muscles continue to spasm, the pressure in the lumbar intervertebral space continues to increase, resulting in a continuous increase in the pressure on the corresponding segmental discs, easily leading to the occurrence of lumbar disc herniation. The sudden increase in intra-abdominal pressure due to various reasons is also a very common trigger: in various cases such as violent coughing, vomiting, sneezing, painful spasm of abdominal muscles due to various diseases of the abdomen, the intra-abdominal pressure increases significantly, and the pressure in the lumbar intervertebral space is also increased at this time, and the pressure on the intervertebral disc is much higher than normal, easily leading to rupture of the already damaged and degenerated fibrous ring and protrusion of the deformed nucleus pulposus to compress the nerve. Is low back and leg pain equal to lumbar disc herniation? Low back pain is not the same as lumbar disc herniation. There are many complex diseases that can cause low back pain. Although lumbar disc pathology is the main cause of lumbar pain, the diagnosis can only be made after full analysis of clinical symptoms, comprehensive physical examination, and the results of relevant imaging examinations. spondylitis, hip osteoarthritis, osteoporosis with stress fracture, peripheral neuropathy, sacroiliac arthritis, etc. Why does the back and leg pain worsen when the patient has a bowel movement or cough? Another important feature of low back and leg pain caused by a herniated disc is that the pain can be aggravated when the patient coughs, sneezes, defecates, or even laughs or speaks loudly. The symptoms can also be aggravated during pregnancy in women. The main reason for this is that all of the above activities can increase the patient’s abdominal pressure and pressure in the spinal canal, thus stimulating the sensitive nerve endings and further aggravating the back and leg pain. Therefore, many patients with lumbar disc herniation are afraid to cough hard and are very careful when defecating, for this reason. What are the characteristics of abnormal sensory function in patients with lumbar disc herniation? The intervertebral disc compresses the nerve roots, which can cause abnormal skin sensation in the affected innervation area. Different disc herniation spaces compress different nerve roots and therefore cause different symptoms. Sensory changes may occur in the skin segments innervated by the compressed nerve roots. The abnormalities of skin sensation in different areas are of great reference value for the localization and diagnosis of herniated nucleus pulposus. Clinical numbness of the skin of the lateral calf, lateral foot and toe is common. Why do some people with lumbar disc herniation become paralyzed? The nucleus pulposus of the disc can break through the posterior longitudinal ligament from the posterior side and herniate or prolapse into the spinal canal; this type of lesion is called a central herniation. A central herniation, which does not necessarily compress the nerve roots on either side and therefore may not have significant sciatica, behaves similarly to lumbar conus stenosis and may present with intermittent claudication. There may also be alternating pain and soreness in the two lower extremities, or with one side being the heaviest. When the lumbar region is suddenly injured with a large force, causing rupture of the posterior longitudinal ligament, or the original central type protrusion is serious, and the lumbar region is injured again, although the force is not large, it can lead to the protrusion of a large piece of medullary tissue, which severely compresses the spinal nerve in the posterior dura mater, at which time the symptoms suddenly worsen, the two lower limbs become weak to the point of paralysis, the perineum sensation is dull or sensation disappears, and the urination and defecation are out of control. This is the acute paralytic type of lumbar disc herniation. Is lumbar pain necessarily a lumbar disc herniation? This is not necessarily the case. Low back pain is only a clinical manifestation of lumbar disc herniation, and low back pain itself, can be caused by many diseases or conditions, and having low back pain does not necessarily mean having lumbar disc herniation, and having lumbar disc herniation does not necessarily mean having low back pain. The following analysis of lumbago is as follows: 1, when bending hard, picking a heavy load or lifting a heavy object, sudden onset of lumbago, and lumbar spasm and tenderness of the muscles on both sides of the lumbar spine, suggesting that it may be an acute lumbar sprain or lumbar muscle strain. 2.Lumbar pain is as painful as “cracking” and radiates to the back of the thigh, N fossa and outer calf along the buttocks, mostly with pins and needles or electric shock-like sensation, and the lower limbs feel numb and swollen after the lumbar pain. Lumbar disc herniation. 3. Low back pain, especially pain beside the 4th and 5th lumbar vertebrae is obvious and spreads to one side of the lower limb, even with obvious numbness and swelling, and the lower limb on the affected side cannot be lifted with straight legs when lying down, suggesting that it may be radicular sciatica. This disease is mostly seen in middle-aged men aged 30-50. Why does lumbar disc herniation result in limited lumbar movement? The lumbar pain of lumbar disc herniation leads to protective spasm of the lumbar muscles and difficulty in moving the lumbar vertebrae in all directions, with the most obvious restriction in forward flexion, the physiological anterior convexity of the lumbar vertebrae becoming smaller, disappearing completely, or even becoming retroconvex. Why does lumbar disc herniation sometimes lead to scoliosis? Most patients with lumbar disc herniation bend to the affected side, while a few bend to the healthy side. This is mainly because the nucleus pulposus is in a different position, and the nerve roots protect the lumbar spine from the pressure of the nucleus pulposus in order to alleviate the painful symptoms by making the lumbar spine bend sideways in different directions, and the joint protrusions of the intervertebral disc and vertebral body are the basis of spinal movement. This constitutes the intrinsic balance of the spine. The muscles in the front and back of the spine are the main force controlling the movement of the spine, which allows the spine to maintain coordination and stability in all positions, called external balance. Once the nucleus pulposus herniates, the intrinsic balance of the spine is disrupted, resulting in a loss of coordination between the internal and external balance, leading to a change in the relative position of the two vertebrae, manifested as a skewed spinous process and a misaligned articular process, resulting in a scoliosis in the appearance of the spine. In addition, after the herniated nucleus pulposus, the lumbar muscles have different degrees of spasm. If the lumbar muscle spasm is unilateral, the contralateral lumbar muscles are relatively relaxed, so scoliosis occurs, such as bilateral lumbar muscle spasm, which can make the lumbar physiological foreshortening deepen or straighten, or bow backward. Therefore, lumbar muscle spasm can not only change the physiological curvature of the waist, but also cause scoliosis. Lower limb pain is better, but feel numb, does this indicate that the lumbar disc herniation is better? Some patients mistakenly think that their lumbar disc herniation has improved when they feel that the pain in their lower extremities has improved after repeated massage and massage. In fact, a specific analysis is necessary to draw a conclusion. In some patients, the nerve roots are compressed by the herniated disc for a long time, resulting in nerve function damage, so that the pain sensation is slowly reduced, even numbness, and more seriously, muscle weakness and atrophy. At this point, it is necessary to change the treatment plan and take timely measures, otherwise irreversible nerve damage will result.