Herniated Lumbar Disc Treatment Interview 1: Voiceover: He is young and strong, but the doctor told him to stay in bed; Interview: The doctor said that I can’t move around at all now, or else it will be very troublesome in the future; Voiceover: He is in his prime, but he can’t aspire to a life of freedom; Interview: He can’t go anywhere now, and he can’t do anything at random, and his heart is quite annoyed. Interview: If I become paralyzed, what will happen to my two children? Voiceover: What makes them sad? The health consultation “Sloppy Back” will be broadcasted soon. Video: Voiceover: Li, a busy designer, often sits in front of the computer when he arrives at the office and works for hours on end without any activity. Recently, he felt that his body out of the problem, interview: that morning suddenly back pain is terrible, half of the leg can not move, walk can not walk, voiceover: look really can not survive, he had to put down the work at hand to the hospital to do a checkup, interview: did a magnetic resonance, the doctor said that my lumbar spine problems, discs have a herniated situation. The doctor said that I had a problem with my lumbar spine and a herniated disc. I was scared to death when I heard about the surgery. Voiceover: With the test results in hand, Li was confused. He was so young and usually quite athletic, and he hadn’t suffered any injuries, so how could he have a problem with his waist? Studio: Moderator: As the saying goes, a good waist and good legs will make you live to a ripe old age. The waist is a very important part of our body. But many young and middle-aged friends usually do not have a deep understanding of this, and do not pay attention to protect their own waist, until the problem, the pain comes, only to realize how important the waist to our life and work. So what part of life is easy to hurt our waist? What should we do if something goes wrong with our back? Today we ask Prof. You Chunjing to talk to you about this topic. Hello, Dr. You. Dr. You: Hello host. Expert introduction: (subtitles dubbed) You Chunjing, professor, chief physician, Huazhong University of Science and Technology Tongji Medical College affiliated with Tongji Hospital, deputy director of the Department of Rehabilitation Medicine, 1, the host: you see the video in the small Li, the waist has not been injured, but the pain is so bad, to bring him a lot of pain, you say, this person’s waist out of the question the consequences of the problem will really be so serious? You Director: Yes, indeed, talk about serious consequences, clinical examples of 1 – 2, 2, host: that the audience in front of the TV may think, is not their waist innate problems will be out of order, for the healthy population, lumbar spine problems may be very far away from us, You Director: Not so, the waist in the human body plays a very key role, it can be said that our people’s stand! Sitting, running, jumping and walking, every action is inseparable from our waist, the general public may not know, our waist can bend every day more than 5000 times, bear a great load. Normal people’s waist if you do not pay attention to the protection, but also in the cumulative process of leaving chronic injuries and hidden,, normal people have 5 lumbar vertebrae, 5 sacral vertebrae, 4 caudal vertebrae. Between the vertebrae have intervertebral discs (with teaching animation mold) it is the connection between the vertebrae part, by the outside around the collagen fibers formed by the annulus fibrosus and the central mucus translucent-like material, in layman’s terms, it is a small washer. 3, the host of the intervertebral disc is not like a cushion, in our activities on the lumbar spine to play a protective role? Director You: Yes. With the increase of age, the water content inside the intervertebral disc gradually decreases. The annulus fibrosus is the weakest in the posterior lateral, because of its smallest radius, attachment is not firm plus no posterior longitudinal ligament coverage, is the most likely site of disc herniation. 4, host: lumbar aging is a natural law, why some people will have problems, some people may not have problems, some early, some late? Director You: It has a lot to do with lifestyle. The intervertebral disc itself will undergo degenerative changes, but the main cause is still caused by injury, overwork and incorrect posture and frequent lumbar flexion. Moderator: Can you tell us specifically what bad behaviors in life are likely to hurt our lumbar vertebrae. Director You First of all, work and rest in an incorrect posture, for example, working in front of the computer, for 3-4 hours in a row to take a position sitting without getting up and moving, the lumbar spine is always in a state of tension, some people like to watch TV series, nested in the sofa for several hours he did not move, some people like to sit on a short stool, a small stool feels very comfortable to sit on, and others drive for a long time, seldom walk, in fact, for a long time this kind of flexion. In fact, a long time of this flexed position of sitting, will make the human lumbar spine in a state of tension, the lumbar is not good, 6, moderator: why flexed position of sitting on the lumbar is not good? Because the human lumbar spine arrangement is not straight, it is physiological anterior convexity, the disc after the thin front thick, when people bend over, the nucleus pulposus moves backward, long-term incorrect posture, such as sitting in a flexed position, sitting on the sofa for a long time, sitting on a low stool, etc., due to the weight, muscles and ligaments, and other tensions, the nucleus pulposus produces a strong backward displacement of the force, if this force is too large, or the disc annulus fibrosus itself has been defective, it may make the nucleus pulposus break through the annulus fibrosus, the disc annulus fibrosus itself, and then the disc can be broken. If this force is too strong, or if the annulus fibrosus itself is defective, the nucleus pulposus may break through the annulus fibrosus and bulge out or protrude to the side and back, causing compression of the dura mater, nerve roots, cauda equina or spinal cord and producing symptoms such as lumbago or lumbar and leg pain. Another is frequent bending activities, such as porters, truck drivers, etc. are in the lumbar spine on the basis of lumbar flexion for lumbar spine rotation, easy to produce damage to the annulus fibrosus, resulting in herniation of the nucleus pulposus and the appearance of lumbar disc herniation symptoms and signs. Then there is lumbar trauma. Spraining the lumbar spine when bearing weight causes recurrent lumbar pain, which is also an important cause of lumbar disc herniation. 7, host: life accidentally flashed back is still very common, let’s listen to the situation of several patients. (cut Wang Fang) interview Mr. Wei Sunday at home when moving books accidentally twisted the waist, did not care, after a few days of lumbar pain is very strong, sleep can not turn over, and even the activities are not good interview Ms. Liu: to move things to a high place when the sudden force is too much, a moment of lumbar can not be moved. 8, host: you see our waist is actually quite fragile, easy to be harmed in a moment, what is this? What is the reason for this? Director You: The main thing is to move heavy objects when the method is not correct, mostly in the lumbar flexion when the force, excessive load plus lumbar flexion and rotation, it is easy to lead to sprains, lumbar flash occurred, that is, the disc herniation occurred. 9, host: we mentioned the small Li, why he did not have trauma, age is not too old, lumbar spine but problems? Director You: modern society, people’s lifestyles have changed, the fast pace of work, less physical exercise, long-term office clerks computer operators, accountants and other people who need to work at the desk because of long-term incorrect posture or the use of the design does not meet the human biomechanics of the furniture such as sofas, the kind of chairs with pulleys, etc., may increase the pressure on the discs, so that premature disc degeneration or injury, degeneration, and chronic damage to the discs, and the discs of the lumbar spine. The intervertebral discs that are chronically damaged are difficult to withstand the body’s gravity, which makes it easy to understand that no trauma, the same can happen in the case of lumbar disc herniation, the film two dubbing flash back what to do? Interview: Put on a few plasters and you’ll be fine, Interview: Sleep for a few days and rest and you’ll be fine, Voiceover: What kind of doctor should I see for lumbar pain? Interview: See an orthopedic surgeon to see if there is something wrong with your bones. Interview: Nowadays, many hospitals have pain departments, so you can go to see them. Interview: I might see a gynecologist. Voiceover: What are the misconceptions about the treatment of lumbar spine? Health consultation