How to treat it lumbar leg pain and lumbar spine disease relationship 1, what causes can cause chronic lumbar leg pain chronic lumbar leg pain is very common in the clinic, refers to the symptoms of a group of diseases caused by various causes of chronic low back pain accompanied by symptoms such as radiating numbness pain in the lower limbs. Among them, lumbar disc herniation, lumbar spinal stenosis and other causes are more common, in addition to congenital or acquired traumatic deformity of the lumbar spine and other causes. Various causes cause compression of the lumbar nerve roots, resulting in low back pain and even radiating pain and numbness in the lower extremities, and sciatica is the most common manifestation of compression of the lumbar nerve roots. Since the compression persists for a long time and will slowly intensify, the patient’s pain will worsen over time, and even manifestations of incomplete paralysis such as walking weakness or urinary and fecal dysfunction may occur. However, because the nerve is compressed for a long time and gradually adapts to the physiological environment of ischemia and hypoxia, complete paralysis of both lower limbs does not usually occur. Doctors are able to clarify the cause of lumbar pain through detailed physical examination combined with imaging examinations such as X-ray, CT or MRI. Although lumbar spine tuberculosis and tumors can also cause symptoms such as low back pain and radiating numbness and pain in the lower limbs, they are generally not classified as chronic low back pain because their treatment principles and prognosis are different from those of general low back pain. In addition, certain gynecological diseases and kidney diseases can also cause similar symptoms, and sometimes they may be confused with orthopedic diseases, so attention should be paid to differentiation. 2.How to choose the treatment for chronic low back pain For chronic low back pain caused by different causes, the treatment principles and treatment methods are different. For the vast majority of chronic low back pain caused by lumbar disc herniation, non-surgical treatment has good effect and is the treatment method of choice for most patients; only a few patients who are not sure of the effect of long-term non-surgical treatment, or who have some effect but have recurrent symptoms, can consider surgical treatment; a few patients who have lower limb muscle paralysis and urinary and fecal dysfunction due to nerve root compression should be operated as early as possible; in addition, a few patients In addition, a small number of patients with acute onset of symptoms, severe pain, and serious impact on life, who are estimated to have difficulty in non-surgical treatment, may be considered for early surgical treatment. Lumbar spinal stenosis is generally caused by lumbar joint osteophytes, lumbar spine instability, lumbar spine slippage and other factors that lead to lumbar spinal stenosis due to aging degeneration or strain of the lumbar spine, and the nerves are compressed and the patient develops symptoms of lumbar pain. Most patients have difficulty in relieving symptoms effectively with non-surgical treatment and need to receive surgical treatment, and the current minimally invasive treatment is the best choice. 3, what are the non-surgical treatment methods for patients with low back and leg pain? Non-surgical treatment is simple and convenient, with few complications, low cost and easy to accept by patients, and is satisfactory for most patients with lumbar disc herniation, and is the treatment method of choice for most patients. Most patients can expect to be cured with the correct combination of non-operative therapies; even for patients who need to undergo surgery, various effective non-operative therapies before and after surgery are essential. For patients with lumbar spinal stenosis who cannot tolerate surgical treatment for various reasons, non-surgical treatment can be tried, but most patients have poor outcomes. The various non-surgical treatments currently used in clinical practice, including rest on a rigid bed, lumbar perimeter braking protection, oral or topical anti-inflammatory and pain-relieving, blood-stasis activating Chinese and Western drugs, lumbar back muscle exercises, local heat physiotherapy and other measures, can alleviate the inflammatory response of the protruding lumbar intervertebral disc or bone spur and other factors to the lumbar nerve roots after stimulation and compression, and to some extent alleviate the patient’s symptoms of lumbar pain and leg pain. Among them, resting on a hard bed is an essential basic element to ensure the effectiveness of non-surgical treatment, and it is best for the patient to rest absolutely in bed for a period of time. 4.How to perform surgical treatment for patients with lumbar leg pain For patients with lumbar disc herniation who need surgical treatment, most of them simply remove the herniated disc from the back of the lumbar spine and release the compression on the nerve root, which can effectively relieve the patient’s symptoms of lumbar leg pain with satisfactory results. In patients with lumbar spinal stenosis who have combined lumbar disc herniation without obvious lumbar instability, the surgery is also relatively simple, and the patient’s symptoms of lumbar and leg pain can be relieved through minimally invasive interventions with satisfactory results. At present, the above-mentioned lumbar spine surgery is relatively mature, with few complications and small surgical incisions, and the majority of patients have satisfactory results and can quickly resume normal work and life after surgery. For patients with significant lumbar instability, surgery requires removal of the herniated disc and enlargement of the narrow nerve root canal to relieve the compression of the lumbar nerve roots; at the same time, appropriate internal fixation combined with bone graft fusion is required to restore the stability of the spine, thus relieving the symptoms of lumbar pain caused by instability stimulating the compression of the lumbar nerve roots. This type of surgery is relatively complex and requires a higher level of surgical technique and more bleeding, and some patients may even need to be operated on from the back and front of the lumbar spine sequentially or simultaneously. MRI is a routine test for lumbar spine patients, and many patients need to have their MRI reviewed after surgery to understand the decompression of the lumbar nerve roots after surgery, which is also an essential test after a relapse of the patient’s condition. Current internal spinal fixations made of pure titanium or titanium alloy, which do not interact with the magnetic field, allow patients to still undergo MRI after surgery, improving the level of surgical treatment for lumbar spine disorders, and are the best option for patients who need to use internal fixation.