I. What is lumbar disc herniation?
It is because the lumbar disc between two vertebrae has protruded and compressed the nerve, resulting in leg pain, leg numbness and other symptoms.
Second, what is lumbar spondylolisthesis?
It is a disease in which the lumbar vertebrae are partially or completely misaligned, generally the upper vertebrae slide forward or backward compared to the lower vertebrae.
Although the symptoms caused by these two diseases are the same, they are very different.
Third, the performance of lumbar disc herniation?
1, lumbar pain, aggravated by activity, often reduced after bed rest.
2.Conduction pain generally occurs from the lower back to the buttocks and the back of the thighs, and the pain will increase in cases such as sneezing and coughing. In the early stage, the pain is hyperalgesia, and in severe cases, sensory dullness or numbness occurs.
3.Severe cases will have disorders of bowel movement and urination.
4, intermittent claudication: patients from the beginning of walking, or after walking a certain distance (usually a few hundred meters or so), unilateral or bilateral lumbago, lower limbs numbness and weakness, and even limp, but a little squatting or sitting down after a few moments of rest, the symptoms can quickly alleviate or disappear, the patient can still continue to walk, and then walk for a period of time, the above symptoms reappear.
5. About 90% of patients with disc herniation have varying degrees of functional scoliosis.
Fourth, lumbar spine slippage performance?
1, lumbar pain: most of the lumbar spine-like will bed rest, the symptoms reduce or disappear, but after exertion, sprain, standing, bending, the symptoms continue or aggravate.
2, lower limb pain, numbness: when the slipped lumbar spine causes the nerve roots to be stretched, patients with lumbar spine slippage have lower limb pain and numbness symptoms.
3. Cauda equina symptoms: When the slipped lumbar spine is serious, the cauda equina nerve is stretched and compressed, and the patient may experience cauda equina symptoms such as weakness of the lower limbs, numbness in the saddle area and dysfunction of urination and defecation.
4, intermittent claudication: When lumbar spinal stenosis is accompanied by lumbar spinal stenosis, patients mostly have intermittent claudication, which is manifested as difficulty in walking continuously.
This indicates that the lumbar spinal stenosis has become serious to a certain extent. The limp distance becomes shorter and shorter with the development of the disease. If such symptoms continue to worsen, surgery is generally considered.
5. Step sensation at the back of the waist and pressure pain in the spinous process: This symptom is mainly found in patients with anterior displacement of the spinous process.
The above symptoms are the most common symptoms of patients with lumbar spondylolisthesis, and the severity of the spondylolisthesis varies, so does the patient’s symptom performance.
V. Treatment of lumbar disc herniation
1, bed rest: after the patient rests in bed, the pressure on the intervertebral disc is light, and the swelling of these nerves will slowly diminish.
2, drugs: apply drugs for inflammatory reaction to reduce the local inflammatory reaction to relieve pain.
3.Surgical treatment: according to different conditions, different surgical methods can be chosen.
Sixth, the treatment of lumbar spondylolisthesis
The treatment of lumbar spondylolisthesis mainly depends on whether the patient has spinal cord and neurological symptoms.
If the patient has obvious symptoms of spinal cord and nerve compression, or if the symptoms of lumbar pain are heavy and continue to be unrelieved after conservative treatment, or if the slippage is serious, the lumbar spine is unstable and has a tendency to continue to slip, then surgery is mostly recommended;
If the patient does not have spinal cord or nerve compression symptoms, or the pain symptoms can be relieved after rest, then conservative treatment is mostly recommended.
At present, more surgical procedures are used clinically: posterior spinal canal decompression, slipped vertebral body pedicle fixation, reset + intervertebral body implant fusion.
Non-surgical treatment.
1. Pay attention to rest and avoid strenuous activities. Avoid bending, sitting, lifting heavy objects and carrying heavy objects. You can do some aerobic exercises such as small swallow flying, swimming, jogging, etc. Avoid confrontational sports, such as playing soccer, basketball, rugby;
2, exercise the function of the lumbar back muscle;
3.Wear a waist brace;
4, pain can be given with symptomatic treatment, such as painkillers, creams and other symptomatic treatment to relieve pain.