Lumbar spine compression nerve claudication should be based on the degree of nerve compression and intermittent claudication, the decision to take conservative treatment or surgical treatment, so as to relieve the nerve symptoms.
1. If the intermittent claudication, the walking distance is long and the degree of nerve compression is mild, conservative treatment can be adopted. Conservative treatment mainly involves bed rest and wearing a lumbar protector when getting out of bed.
Oral non-steroidal anti-inflammatory drugs (Loxoprofen sodium tablets, diclofenac sodium extended-release tablets, etc.) can be taken under the guidance of the doctor in order to relieve pain and anti-inflammation; oral decongestive medications (Herbaceous rhinoceros effluent tablets, etc.) can be used to dehydrate the nerve root to reduce the compression; and oral nutritive neurotoxic medications (methylcobalamin tablets, etc.) can be taken. In the acute stage, in order to rapid nerve dehydration, intravenous 20% mannitol injection can also be used.
2. If the claudication is so severe that walking less than 200 meters at one time and the nerve compression is so severe, surgery is needed. The main surgical methods are open nucleus pulposus removal and intervertebral foramenoscopic nucleus pulposus removal. After the surgery, we wear protective gears and cooperate with functional rehabilitation training.
When claudication occurs due to lumbar compression of nerve symptoms, you should seek medical treatment as soon as possible, improve the lumbar spine MRI and other auxiliary examinations, according to the specific circumstances, under the doctor’s therapeutic advice for active treatment, so as not to miss the best time for treatment.