Most beautiful Chinese medicine – lumbar disc herniation? The doctor said: if you can lie down, don't stand up. – InfraredHeatingTherapy | back pain/herniated disc/leg pain

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Everybody often cries at ordinary times lumbar acerbity backache, so lumbar intervertebral disc grows where after all? How to alleviate lumbago effectively?

Today's guest on fm89.6 wuhan traffic radio "healthy wuhan" is xu ping, an orthopedic surgeon in wuhan hospital of traditional Chinese medicine, with your attention: lumbar disc herniationcars only

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how to cure lower back pain

Xu Ping

Wuhan hospital of traditional Chinese medicine orthopedic doctor, master, attending physician

Graduated from the central zone of wuhan general hospital orthopaedics, minimally invasive spine surgery under well-known minimally invasive spine surgery expert, a professor at Stanford, palasy technique from bone traumatology department doctors with professor zhou lu, is "non-material cultural heritage – wuhan han sent fractures fourth generation inheritance" and "intangible cultural heritage in wuhan – third DaiChuanCheng MeiZhuQing injuries therapy", since after graduation has been engaged in combining traditional Chinese and western medicine treatment of spinal diseases related to the work.

He is a member of the bone injury branch of China association for the promotion of traditional Chinese medicine research and a member of the bone injury professional committee of wuhan society of traditional Chinese medicine. He is the chief editor of 1 monograph, participated in the preparation of 2 books, and published more than 20 professional papers in domestic core journals.

She is good at the combination of Chinese and western medicine in the treatment of spine related diseases. She adopts the "ladder treatment" for spine related diseases, adhering to the academic viewpoint of "disease returning to meridian medicine theory" and "separation first, separation and compound", and pays attention to the "two combinations" and "three characteristics" in the treatment of syndrome differentiation. And advocates the use of "intervertebral foramen" and other minimally invasive treatment of lumbar disc herniation.

What is lumbar intervertebral disc? Why can lumbar intervertebral disc protrude?

Probably everybody is no stranger to lumbar intervertebral disc, often hear from friend, family there who who has herniated intervertebral disc. The functional unit of our spine is the motor segment, which consists of the upper and lower vertebrae and the soft tissue between them. The disc is composed of cartilage plate, fibrous ring and nucleus pulposus. The cartilage plate is composed of hyaline cartilage and covers the bone surface in the middle of the epiphyseal ring on the lower part of the vertebral body. The fibrous ring is composed of fibrous cartilage containing collagenous fiber bundles.

So the nucleus pulposus leaves its original position and becomes prominent. What causes a herniated disc? It is generally believed that lumbar disc herniation occurs on the basis of disc degeneration, and trauma is an important cause of its occurrence. Under normal circumstances, intervertebral disc often oppressed by weight, and waist and often after buckling, stretch, twist, the load of intervertebral disc extrusion and wear and tear, resulting in a series of degenerative changes, at the same time as the growth of the age, the greater the degree of degeneration, the nucleus pulposus gradually reduce the moisture content, the elasticity of the intervertebral disc and the load resistance is also waned. Fiber ring back at this time from the inside to the outside produces cracks, these changes accumulate, the crack growing, make the fiber ring of here gradually a weak "zone", on this basis, a heavier injury minor trauma or repeated many times, and even some daily activity to make the intervertebral disc pressure increases, both can induce degeneration and cumulative damage of fiber ring is broken, and further has degeneration of nucleus pulposus from "weak" areas ".

According to statistics from the national health and fitness commission, China has more than 200 million people with lumbar disc problems, among whom more than 60 percent are 20 to 40 years old.

Generally think that began to degenerative intervertebral disc after age 20, the water content of nucleus pulposus gradually reduce, at the age of 20 to 40 years old age stage, more men than women, with the labor intensity big, the waist large range of activities and is associated with trauma, second young people now, mostly in a sitting position for a long time, studies have found that adult lumbar intervertebral disc 3 pressure when the hypothesis is 20 kg, sitting up to 270 kg, this is to remind the general audience don't sedentary at ordinary times, I often warned patients in clinical "can lay, don't stand, can stand, don't sit", visible to sit for the intervertebral disc pressure is the biggest of all.

Lumbar disc herniation = lumbar disc herniation?

Two concepts is lumbar disc and lumbar intervertebral disc protrusion and lumbar disc is the pathological change, is a "disease" and lumbar intervertebral disc protrusion, this when I was in outpatient service also often hear a lot of patients tell me: your, patients with lumbar intervertebral disc protrusion but when I am on examination and no signs of lumbar disc prolapse, so the disease of uneffectiveness of lumbar disc herniation is not equal to.

Besides the waist aches, what other symptom still can you have?

Some common symptoms of lumbar disc prolapse is lumbocrural pain, our outstanding between lumbar, the first is by the fiber ring is broken, and the general fiber ring injury itself can cause back pain, and no lower limb radiation pain, lumbar disc direct stimulation or other oppression sinus vertebral nerve can also cause lumbago, when prominent oppressive nerve root or cauda equina nerve, nucleus pulposus radioactive lower limb pain, as well as the signs and symptoms of nerve function damage, because of the different parts and different parts of the different types of lumbar disc pressure and different number of nerve root and horsetail nerve, the clinical manifestations of difference is very big. It can be summarized as follows: lumbago and radiative leg pain (leg pain radiates along the nerve root distribution area); Abdominal pressure increases, such as cough, sneezing when the waist and legs pain increased; Weak legs; Changes in bowel function.

How is lumbar intervertebral disc herniated treated? What does Chinese medicine cure have?

The treatment of lumbar disc prolapse in big ways with non-surgical treatment and surgery treatment, conservative treatment including: bed rest, drug therapy, physical therapy, acupuncture and massage, needle knife therapy, Chinese medicine has a long history of treating lumbar intervertebral disc protrusion, huangdi neijing on low back pain in etiology and pathogenesis of doing a lot of in this paper. In recent decades, the treatment of lumbar disc herniation by traditional Chinese medicine has made great progress. In the department of orthopedics and traumatology of wuhan hospital of traditional Chinese medicine, the treatment of lumbar disc herniation is mainly conducted by internal administration of traditional Chinese medicine, external fumigation of traditional Chinese medicine, traction, acupotomy, "big massage" under anesthesia and other methods, most of the patients' symptoms can be alleviated.

how to cure lower back pain

Doctor xu ping (left) anchor rui jie (right)

Coordinating editor | anchor rui jie

Correspondent | zhou zhao

"Healthy wuhan" live broadcast at 10 am every day, welcome to watch!

In-depth understanding of spondylitis, to see the symptoms of spondylitis and examination items (the second) – InfraredHeatingTherapy | sciatica/lower back pain/back pain

In the previous article, we introduced the cause of spondylitis and distinguished it from spondylitis. So spondylitis come on how is the symptom? What item inspection can we do to the hospital? Please continue to follow the small make up to understand it.

how to cure lower back pain

One, the symptom of spondylitis

1. Early symptoms:

Appear anorexia, low heat, lack of power, angular wait for systemic symptom with anaemia, with the ache of lumbar, sacral place, and the stiff feeling that accompanies lumbar back is in the majority, this kind of stiff feeling is apparent with morning rise, after classics activity still can alleviate. Also have to knee, ankle, sufficient heel, sciatica disease.

2. Mid-term symptoms:

Have lower back and lumbar di ministry pain, lumbar spinal morning stiffness, creeping up from lumbar di ministry rising sex pain and restricted movement stiff spine, fatigue, weakness, shortness of breath, complexion is pale white, thin, shoot the pelvis are slice performance of sacroiliac joint bone edge blurred, especially at the side of the ilium, accompanied by the mottled hardening on either side of the joint bone formation.

3. Advanced symptoms:

Lumbosacral pain, severe spinal pain, accompanied by systemic joint pain, pain was persistent pain; Systemic weakness, emaciation, muscular atrophy or partial disappearance, viscera function decline performance; · hunchback and disappeared spinal activity function; · pelvic orthography showed hardening and fusion at the bone margin of the sacroiliac joint, ossification of spinal ligaments, hyperplasia and bypass between the spine, and severe deformity and curvature. It's very difficult to treat and it leaves a legacy.

Early is the best time for treatment, most patients do not understand the disease early, despise the severity of the disease or choose to use western medicine to maintain treatment, thus leading to the continuous development of the disease, the development to the advanced stage of the disease aggravation such as in this period can not get regular effective treatment, the consequences are very serious.

The examination of spondylitis

1. Laboratory inspection

Erythrocyte sedimentation rate increases much, kind rheumatic much negative, hla-b27 much strong positive.

2. X-ray examination

Early perivertebral joint protrusion, sacroiliac joint space blurred; In the middle stage, limited spinal activity and ankylosis, silkworm erosion-like changes in the sacroiliac joint, bone destruction of some ligaments, and vague space of the facet joints of the square vertebra. The late sacroiliac joint is fused, the spine is bambus-like, and the spine is straight and hunchback is bambus-like.

3. Computed tomography (ct)

For those patients who are clinically suspected but cannot be diagnosed by X-ray, ct examination can be performed, which can clearly show the sacroiliac joint space and facilitate the determination of whether the joint space is widened, narrowed, stiff or partially stiff.

4. Magnetic resonance imaging (mri) and single-photon emission computed tomography (spect)

Scientists in the United States studied 36 patients,24 with inflammatory lower back pain and 12 with mechanical stress.

Use spect

Found that 38% of sacroiliac arthritis inflammatory lower back pain, and mechanical group had no found. Mri and spect inspection found positive rate increased significantly. At the same time under the inflammatory backache backache is under 58% and mechanical sacroiliac arthritis in 17% of patients. So researchers think that twinkle mri and spect imaging sacroiliac joint filmmaking, very can help early diagnosis and treatment, from this perspective is superior to ordinary X-ray, but expensive, not recommended as a routine examination

Please friends, must care about their own physical conditions, strive to do early detection, early treatment. Don't be afraid of disease. Please have confidence, and make up with a good understanding of spondylitis, we can beat the patients, regain health.

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Frequent back pain may be one of these reasons – InfraredHeatingTherapy | sciatica/back pain/back pain treatment

Is a lot of people in life will encounter a problem, when the pain, will let a person feel very helpless and uncomfortable. Small make up to tell you what is the cause of back pain, back pain how to do and back pain treatment. Interested friends together to understand it.

What reason is backache backache

1. Back pain caused by periarthritis of shoulder

Periarthritis of shoulder will cause shoulder, with the development of the disease, the pain range will continue to increase, some patients will appear back pain.

2. Back pain caused by cervical spondylosis

This can occur if the posterior ramus of the spinal nerve in the fourth, fifth, and sixth vertebrae is pulled when degenerative changes occur in the cervical spine.

4. Implicated pain caused by visceral diseases

Pelvic diseases of department of gynaecology, prostate disease and other diseases can cause low back pain, kidney disease: such as stone tumor, renal ptosis, renal pelvis and peritoneum disease such as abscess, hematoma can cause back rush, liver and heart disease can be caused.

5. Back pain caused by respiratory system

Many respiratory diseases, such as pleural adhesion, lung cancer and tuberculosis, may also cause shoulder back pain, but generally in the back, back or shoulder blade.

1, walking,

Ten thousand steps a day, health is guaranteed, brisk walking is the simplest, most convenient, but also the safest exercise, stride small step, walk slowly, walk more or less, can be self-regulated.

Effect: exercise the body across to the waist coordination, can effectively prevent and alleviate sitting caused by the back pain.

2, on high

(1) find a ladder or high platform (a chair will do).

(2) first step on the high place, the body slowly forward pressure.

(3) keep your knees, legs and body straight. Keep the other foot straight as well.

(4) after feeling the movement to the waist, hip and knee, change feet to continue.

Function: the overall coordination of activities from main to back has a significant effect on preventing hunchback.

3, waist

1. Open your feet about twice as wide as your shoulders. 2, knees squat slightly, the upper body straight. 3, double palms to protect both sides of the waist, upper and lower friction waist. 4. Turn your body to the right and left without moving your feet.

Effect: relieve back pain, can effectively prevent lumbar disc protrusion and other diseases.

1. Adjust your posture

More than 80 percent of people don't sit or sit properly, putting more or less strain on their spine and lower back. It seems, not only to look good, more is to health. Of course, is not to say that all day long to make like a soldier on guard like brother, or should relax a little pelvis forward, straight, knees slightly bent, two legs open, with hip width, feet toes slightly apart, this is the best standing posture. And the shoulder opens back, natural droop, can effectively prevent hunchback.

Massage stimulates muscles and tissues, promotes blood circulation, speeds up metabolism, soothes muscles and nerves, and helps bone marrow and muscles absorb nutrients and vitamins. This will strengthen your back and make it harder for pain to creep in. Targeted massage and correction can also reshape light posture, improve muscle tension or. Although not covered by medicare, it's worth a try if you have the chance.

Keep warm

Keeping warm can also relieve tension and pain: taking a hot bath or sauna not only improves circulation but also relaxes muscles and nerves. Irradiate infrared ray lamp, apply the ointment that promotes blood circulation, the effect is quite good also. However, avoid heat therapy for rheumatism and sciatica, which can backfire and exacerbate symptoms, while cold showers are a good idea.

4. Try acupuncture

Recently, acupuncture and moxibustion is rising in the clinical treatment of back diseases in modern medicine at home and abroad. Disc joint nerve block, vertebra joint strain, lumbago sacral pain and so on are all suitable. After all, professionals know more about acupuncture points and the severity. Most acupuncture treatments within half an hour are covered by medicare.

The best way to nip back problems in the bud is with two words: exercise! In principle, any kind of exercise will do, and the most important thing is not to sit still all day, or the bones will become rigid. Find your favorite activity and stick to it every day. While working, can also consciously stretch, twist neck, nod.

Conclusion: feeling, can get up and walk around more, or waist, etc. There are many reasons for lumbar acid. It is necessary to find out the reasons in time and respond positively. If the occurrence of a long time back pain can not be relieved, try acupuncture and is also a very good method, pay attention to rest in life is an effective measure to prevent waist disease.

Millions receive wrong treatment for back pain: study – InfraredHeatingTherapy | lower back pain/back pain/chronic back pain

Only about half of americans with chronic back pain were assigned to exercise, the series reported.

"In many countries, the positive effect of pain relievers on lower back pain is limited, but there is little emphasis on evidence-based interventions such as exercise," said study co-author Nadine foster.

She is professor of primary care musculoskeletal health at keele university in the UK.

A study last year reported that back pain was the leading cause of disability in almost all high-income countries, as well as in central and eastern Europe, north Africa and the Middle East, and parts of Latin America.

Worldwide, disability caused by chronic back pain has increased by more than 50% since 1990, a trend that is expected to continue as the number of older people increases.

Low back pain mainly affects working-age adults, and few specific causes are known.

Although most cases are transient, about one-third of patients have recurrent bouts of low back pain within a year. This is increasingly seen as a long-term condition, researchers say.

They say patients and health care professionals need to be educated about the causes and effects of lower back pain and the effectiveness of different treatments.

source

https://consumer.healthday.com/bone-and-joint-information-4/backache-news-53/millions-get-wrong-treatment-for-back-pain-study-732152.html

Yoga standing forward bending, treatment of shoulder neck, waist pain, let you 60 years old does not look old! – InfraredHeatingTherapy | back pain/neck pain/backache

If someone told you that a 16-year-old child has cervical spondylosis at a young age, you would not be surprised, because these "geriatric diseases", which used to only appear in the elderly, have spread to younger people in recent years, so now people are really not surprising.

What causes young people to suffer from spinal problems and often back pain? Besides the bad living habits of young people nowadays, they are often bent over and lack exercise. Also has the very big relation with the diet, including likes to drink the carbonated beverage, likes to eat the Fried product and so on. The combination of these two causes seems to make it quite normal for young people to suffer from the diseases of old age.

That how treats these backache backache, cervical vertebra trouble, besides paying attention to dietary life habits, the most important thing is to strengthen exercise, exercise than you eat more health care products are also effective.

Today, xiaojia recommends a set of yoga postures to treat the symptoms of neck, shoulder and waist pain, which can not only make young people rejuvenated, but even people aged 60 will not look old at all

Efficacy: many people use running to lose weight, but also adhere to the very good. After running weight is light, also thin, but the muscle that discovers crus seems to be more developed, have some effect aesthetic feeling really.

So after strength exercises, be sure to stretch and massage the lower leg muscles to relieve tension and discomfort. Standing up and bending is the best way to stretch and massage the calf muscles.

In addition to stretching and massaging the calf muscles, the main function of standing forward bends is to relieve shoulder and neck pain and relieve shoulder and spine pain caused by fatigue.

Practice: 1. Stand in the yamagata pose, exhale, and place your hands naturally at your sides.

2. Inhale and bend forward without bending your legs. Do a 90-degree forward bend first. Ease up. To continue.

3. Do a 120-degree forward bend. Let the tail vertebra of your body bend down and straighten your spine.

4. Slowly bring the tip of your nose to your knees and straighten your legs. Beginners can half-bend their knees.

5. Hold for 30 seconds, get up and return to the mountain pose and take a break. You can stretch and stretch again. Practice 3-5 sets per day.

Notes: 1. In the practice of forward bending postures, the abdomen will be squeezed, for the abdominal organs have a certain massage effect, but do not practice just after eating. It's bad for the stomach, it increases the pressure on the stomach.

2. Patients with heart disease and asthma should complete the asana under the guidance of professional teachers.

3. Patients with high blood pressure should also be under the guidance of a professional teacher, as the forward bending poses bring the upper body and head down and increase blood circulation and blood pressure.

As long as we insist on long-term practice of standing forward flexion yoga posture, you can backache, neck and shoulder problems to say goodbye, radiant life vitality ~ have wonderful understanding

Pain all the way from butt to foot! Discuss the cause and treatment of sciatica – InfraredHeatingTherapy | sciatica/sciatic nerve/herniated disc

Patients with sciatica know best what it feels like to 'numb all the way to the foot.' Many people have heard of sciatica, but most people don't know that sciatica is a symptom, not a disease. Just as stomach pain is a symptom, there are many possible causes behind it, such as tension and gastroenteritis, so is sciatica. The most common causes are disc herniation, lumbar spondylolisthesis and bone spurs.

sciatica treatment

Radiculopathy is the cause of the pain

Sciatic nerve is a large nerve of lower extremity, by the 4th, 5th lumbar vertebra and before 3 sacrum assemble and become, so called sciatica, what point to is to go up along sciatic nerve to conduction and the ache feeling below, ache limits can be spread downward along the side after ham, reach crus normally, painful even to sufficient back or sole.

Most people think that sciatica is caused by the sciatic nerve itself, but this is a myth. It is the lesion of the nerve root that is the most common source of pain.

Nerve root refers to the source of the nerve from the spinal cord, such as disc herniation, lumbar degeneration, spinal stenosis, tumors, etc., can cause nerve root compression caused pain.

1 herniated disc

Disc herniation is one of the common causes of sciatica. The disc consists of a cartilaginous nucleus pulposus with a central nucleus pulposus surrounded by a strong fibrous ring. Human body 80% force can impact vertebra, intervertebral disc has cushion pressure function, but long-term force can make fiber annulus ruptures, nucleus pulposus protrudes compression spinal nerve.

There are intervertebral discs between the vertebrae, each disc may occur disc herniation, the neck and lumbar movement, especially the fourth, fifth lumbar vertebra and the first sacrum stress the most, most often appear disc herniation.

Vulnerable people: 30 to 50 years old is a vulnerable age, especially overweight, improper posture of sitting office workers, wearing stiletto heels, weight lifting workers, are at high risk.

Treatment methods: generally speaking, 90% of patients with moderate rest for three months, discomfort will improve, the rest of the symptoms did not alleviate patients, doctors with conservative therapy, such as restricted activities, anti-inflammatory analgesic drugs and physical therapy assisted. Less than one in ten patients needs surgery.

sciatica treatment

Lumbar spondylolisthesis

Lumbar spondylolisthesis is another cause of sciatica. The lower lumbar spine is the only support that supports the body weight at the back. As the intervertebral disc that connects the vertebrae in the middle, if the upper and lower bones cannot be grasped, the spine will flow like dirt and rocks. The upper segment slides to the front of the lower spine, causing compression or pulling of nerve roots. The patient lies flat, vertebra returns a place to just can alleviate, once stand for a long time again can face intervertebral disc to be unable to hold vertebra, generation takes out painful, numbness feeling.

Good hair crowd: the reason of lumbar spondylolisthesis can be divided into acquired nature and congenital, among which the day after degenerative spondylolisthesis is the most common, good hair in the elderly over 65 years old, among which female patients more than male, may also be traumatic spondylolisthesis, because of serious injury, such as fracture, vertebral plate fracture, cause spondylolisthesis. Congenital is the rarest, these patients are because of congenital lumbar vertebra structure is abnormal, and easy to produce slippage.

Treatment: according to statistics, about 3% to 12% of the population have lumbar spondylolisthesis, and only about 5% to 10% of them need surgical treatment due to severe symptoms. The treatment of lumbar spondylolisthesis is also conservative and can be assisted by the use of a back frame to strengthen the back and reduce the occurrence of upper and lower spinal movement.

After the symptoms are relieved and the pain is no longer, it is recommended that patients do core muscle training three times a week to share the spinal burden with the strength of chest muscles, back muscles and abdominal muscles.

sciatica treatment

3 a bone spur

There is also a common cause of sciatica is a bone spur, often occur in cervical vertebra and lumbar vertebra place, vertebral cartilage loss of moisture, elasticity gradually, between the spinal joint surface under pressure to increase, as the two tuo stacked up and down the dough, vertical extrusion, the dough will protrude in horizontal direction, joint edge, grow some bone spurs, bone spurs to our spinal cord or nerve compression, can cause nerve root of pathological changes, cause pain, numbness.

Most people develop bone spurs when they are older than 45. More men than women develop bone spurs, but symptoms begin around age 65.

Treatment method: 15% to 25% of patients with symptoms will choose to seek medical treatment, mainly conservative treatment, but when the active treatment has not improved for more than half a year, or during the treatment, the pain symptoms become more serious and the muscle strength becomes worse, surgical treatment should be considered.

Avoid sciatica. Office workers remember to give themselves time off

Should maintain good sitting posture at ordinary times, such as to extract heavy objects or tie shoelaces, remember to squat instead of bending. In addition, avoid sitting for a long time. Office workers should give themselves time after class and suggest standing up and stretching every 30 minutes or one hour to relax their muscles. Proper training of abdominal muscles, back muscles and other core muscles, conducive to the stability of the spine.

How is sciatica to return a responsibility after all? – InfraredHeatingTherapy | sciatica/back pain/sciatic nerve pain

The sciatic nerve is derived from the anterior ramus of the spinal nerve at the 4th and 5th lumbar and 1st, 2nd, and 3rd sacral segments. From the above 5 anterior branches pass through the psoas major, synthesize the sacral plexus, and descend along this muscle. Most of the nerves of the sacral plexus merge into the sciatic nerve. Descending along the posterior wall of the pelvic cavity to the inferior orifice of the piriformis muscle through the pelvic cavity into the buttocks. In the posterior gluteal muscles down to the lower middle thigh divided into tibial nerve and common peroneal nerve. Thus, the general sources of sciatica are first classified into root, plexus, and dry sciatica. At the same time, sciatica presents three different types of sciatica due to the location and direct involvement of the sciatica nerve. Just because of this, the manifestations of sciatica are various, different and very complex, such as going into the trance, can not point out the real cause of the disease, bring great difficulty to the treatment.

01

Root sciatica (also known as superior sciatica)

Common causes include lumbar disc herniation, lumbar spinal canal stenosis, and soft tissue compression and inflammation at the nerve root outlet. It is manifested as numbness, pain, acid distension and coldness of the affected nerve root. Lumbar 4, 5 intervertebral disc herniation compresses lumbar 5 nerve root, often show for lumbar, buttock hind ache, ham hind side and crus anterolateral to sufficient back inside, the pain of thumb, hemp, acid, bilge, cold. And lumbar 5 ~ sacral 1 intervertebral disc herniation compresses sacral 1 nerve root, often show for lumbar, the ache of buttock hind, numbness, thigh hind side, crus posterolateral, sufficient backside arrives the ache that toe, sufficient heel, plantar, hemp, acid, bilge, cold.

02

Plexus sciatica (also known as midcourse sciatica)

It is caused by compression or stimulation of the sacral plexus in the pelvic cavity. Expression is leg ministry of leg of leg of waist buttock, much place, much section, whole lower limbs before, hind, outboard reachs sufficient back inside, outboard, sufficient heel, plantar numbness aches, acid bilges, be afraid of cold to wait.

03

Dry sciatica (also known as inferior sciatica)

Root sciatica

Common causes are:

1. Lumbar disc herniation;

2. Compression and injury of nerve roots (spinal canal stenosis, slippage, rheumatoid, tuberculosis, osteoporosis, etc.);

3. Inflammation;

4. Congenital malformation.

1. Paravertebral tenderness, percussion pain and motor pain. The posterior branch of the nerve root is affected by compression of the nerve root.

2. Neck bending test (+). As a result of the action of pulling the dura and root sleeve.

When lumbar 4, 5 disc herniation, lumbar 5 nerve root compression, pain performance for hip, thigh back, leg anterolateral, foot back medial pain, numbness, and lumbar 5, sacral 1 disc herniation, sacral 1 nerve root involved, mainly in the lateral side of the same side of the leg and foot back lateral and plantar numbness symptoms. In the three vicious cycles of cervical spondylosis, the vicious cycle between the degeneration of the cervical disc and the secondary changes of the perivertebral tissue is also applicable to the explanation of lumbar protrusion patients. When there is lumbar disc degeneration, compression of the anterior branch of the nerve root is affected at the same time, the posterior branch is also affected, and the latter branch innervates the muscles, ligaments and other soft tissues around the vertebra, causing pain and discomfort of these soft tissues and other symptoms. On the contrary, the soft tissues around the vertebra, especially the muscles, ligaments and other soft tissues are damaged by strain, will also stimulate the posterior branch of the spinal nerve, reflex cause sciatica symptoms.

Radiation sciatica acute pain route clear route continuous

Reflex sciatica blunt pain route blurring route interrupted

In most cases, the degeneration of the disc is the internal cause, and the perivertebral soft tissue injury caused by wind, cold, wet and strain is the external cause.

1) sometimes internal factors play a leading role, and external factors are not obvious. Some patients have no obvious symptoms of lower back tapping pain, but only symptoms of lower limbs;

2) in other cases, external factors play a leading role, with obvious pain and discomfort in the back, accompanied by lower limb symptoms;

3) in some patients, the external causes are obvious, the pain and discomfort in the back have been existing for a long time, while the internal causes have not changed much, so only the back pain without lower limb symptoms.

Different stages of performance

In clinic, we found that there are a lot of waist suddenly sickness patients are first on the basis of a trauma and waist pain, lower limb symptoms gradually after a few years later, these changes are also a variety of symptoms appear, seemingly random, actually, there are rules, is the same disease, namely lumbocrural pain in different stages of the performance.

The explanation for this phenomenon is:

1. Young patients with acute trauma

sciatica treatment

In young people, as a result of acute trauma, acute onset leads to disc annulus rupture, nucleus pulposus herniation within a short period of time, and compression of nerve root, the following two conditions may occur:

A) when is given priority to with pain, numbness of mild, that at this point is given priority to with oppressed nerve root surrounding adipose tissue, adipose tissue in the aseptic inflammation and stimulate the nerve root, led to severe pain, and nerve root of conformity is not serious, release the nerve root by rest, physical therapy, needle knife mouth, mouth and so on, release the inflammatory tissue around nerve root, accompanied by a week of vertebral muscle ligament damage, taps pain obviously, stimulate the release or when it is necessary to add line needle knife with a moderate amount of sacral therapy, can be quickly recovered.

B) in the case of acute onset, numbness and muscular atrophy are the main causes, or numbness in the saddle area and incontinence of urine and feces occur, the curative effect of conservative treatment will decline, and surgical treatment is the main choice.

2.Senile lumbago pain

Senile lumbocrural pain, often a waist pain first, after a few years or even decades to develop symptoms of lower extremity, this kind of situation is usually due to vertebral weeks after the soft tissues such as muscle, ligament strain, the pain, the pain causes muscle spasm, pain and the spasm, between the two is a vicious circle, constantly aggravate each other symptoms. Intervertebral disc under normal circumstances under physiological load, and slowly the physiology degeneration, and the additional load caused by tense muscles, long-term role in intervertebral disc fiber ring, the annulus degeneration acceleration, after several years of strain, finally began to damaged, like worn out skin of basketball, the tank from the weak, herniated, oppression to the nerve root, so he had a lower limb symptoms of sciatica (symptoms). Sciatic nerve in patients with symptoms is very complex, various performance and chalking, both symptoms, waist and buttock leg symptoms, both radioactive neuralgia, and reflective, referred neuralgia, simple treatment of a certain cause often cannot obtain completely heal, and to make a treatment for multiple causes one by one.

Plexus sciatica

Cause:

1. Chronic pelvic inflammatory disease and appendicitis.

Pelvic injuries, iliopsoas and piriformis injuries or inflammation, and sacroiliac arthritis

3, tumor

4, prostatitis

5. Diabetes

6, infection,

1, dry pain, that is, at the same time with multiple nerve stem involvement symptoms

A. sciatic nerve radiates pain to the lower extremities

B. femoral n: radiating pain to the front of the thigh

C, superior buttock n: radiating pain to the sacral area

Lower buttocks n: radiating pain to the buttocks

Obturator foramen n: alternating or simultaneous radiating pain to the knee

F. Pudendal nerve: radiating pain to the perineum

G. Posterior femoral cutaneous nerve: radiating pain to the back of the thigh

Among them, b and e are lumbar plexuses with nerve fibers from the nerve root of lumbar 4.

2. Pain of percussion in lumbosacral area and report "comfort"

3. Knee tendon reflex and heel reflex weaken or disappear at the same time

4. Pelvic problems

Dry sciatica

1. Deep tenderness in the "circular jump", accompanied by pain and numbness of lower limbs and feet caused by radiation. 60% of the patients were accompanied by popliteal pain and common peroneal nerve pain, and there was no obvious tenderness, percussion pain and movement pain in the waist.

2. Lower extremity rotation test (+), about 10% of piriformis muscle was damaged, external rotation test (+).

3. Symptoms of dry localization: sensory motor and reflex disturbance in the tibial n and peroneal n dominant area.

4. Plantar numbness (more than 90%).

sciatica treatment

There are 12 etiologies of dry sciatica

Piriformis injury – leading to sciatica

Characteristics: tenderness and abnormal changes in the gluteus medius muscle, accompanied by sciatica symptoms, at this time, through the piriformis muscle intermediary, sciatica symptoms, clinical analysis: 2/3 of the gluteus medius muscle injury caused the sciatica symptoms, 1/3 of the piriformis muscle injury caused the sciatica symptoms. The above symptoms are typical radioactive sciatica, another condition: gluteus medius muscle itself injury, gluteus medius muscle by sciatic nerve branches superior gluteus n, injury of gluteus medius muscle affects the gluteus medius nerve, thus, reflexive caused sciatic nerve symptoms.

We can imagine the nervous system into the home of circuit system, the main damage, the branch will be affected by severe, in turn, a single electrical problems arise, other electrical appliances also can appear a certain degree of influence, but this effect is smaller, as hip muscle injury caused by itself in the sciatica is often not typical, fuzzy.

According to this electrophysiological line of thought to think, so, the intricate sciatica, numbness symptoms will gradually straighten out the clue.

Lumbar 3 transverse process syndrome

A, at the beginning of this sign, can cause ipsilateral gluteus muscle spasm, gluteus medius, piriformis muscle spasm – sciatica

Intermittent claudication: the reason is to cause gluteal muscle spasm – gluteal muscle and piriformis muscle spasm – gluteal muscle pain spasm

This is an ischemic intermittent claudication of the artery, different from the intermittent claudication of spinal stenosis, as shown in the following table:

Lameness of spinal stenosis — short distance to begin lameness — sensation of beginning lameness: radiating numbness and pain along the sciatic nerve or femoral route — relieved posture: must be completely squatted, sit for a while, or stand for no relief

Ischemic claudication of the superior gluteal artery — claudication begins with a longer distance — claudication begins with a feeling of muscle soreness and weakness accompanied by mild numbness — relieved posture: sit, stand, lean for a moment to relieve, squat can also be

Treatment: for patients with lumbar spinal stenosis, sacral therapy is effective. A high cure rate can be obtained by releasing the nerve roots in and out of the nerve roots at the same time.

For patients with lumbar 3 transverse process syndrome, acupotomology is very effective. Generally one to two can be cured.

C, transverse process syndrome will cause ipsilateral gluteus muscle atrophy in the later stage.

4

Damage to three myofascial areas can cause dry sciatica

A. paracral area:

C. External gluteal area: outer margin of gluteus maximus, slightly posterior to the greater trochanter.

These three areas are stressed, oriented, and active, and are prone to injury affecting the related lumbar and gluteus muscles and then the sciatic nerve trunk sciatica.

05

Bursitis of the descending posterior femoris muscle group – sciatica

Previously referred to as the five symptoms of lumbar disc herniation residual symptoms. I think, when lumbar dash forward disease, often amalgamative have afore-mentioned 5 kinds of diseases at the same time.

06

It affects the common peroneal nerve

07

A slight shift of the fibula head backwards affects the common peroneal nerve

08

09

10

Location: around the middle and lower 1/3 of the lower leg, there is fascia outlet at the fibula, adhesion tension and compression n, and typical peripheral n compression syndrome occurs when pulling n.

11

Feeling numbness, discomfort and pain in the first, second or third digits, metatarsophalangeal joints and palmar. Location: dorsal side of the first and second metatarsophalangeal joint, near a vein.

12

Sciatica, from where it starts to the end of the toe. Different parts of the journey, different degrees, different forms of compression or stimulation, will cause different manifestations of sciatica. In clinical practice, it is not feasible to use monism to explain and guide the treatment of this disease without careful differentiation. Therefore, different treatment schemes should be formulated according to different conditions, so as to reach a new height in the treatment of sciatica.

No matter how good a treatment method is, it must be done with confidence, before the knife can be god. The standard treatment for sciatic nerve pain does work wonders, but the knife works differently in different hands. If the doctor first causes the sciatica the reason not to be clear, still USES the western medicine lumbar process monism to guide the clinical treatment, certainly will suffer the very big setback.

"Jingji stunner", which is very difficult to learn, is used to get the disease out of hand

[case 4] the clinical trial of domestic electric spinal cord stimulation therapy ended six painful years after the car accident – InfraredHeatingTherapy | chronic pain

At the end of June, Chen jisheng underwent the operation successfully. According to the son who accompanied him, his pain was significantly reduced in the two days after the operation, and he will no longer have sleepless nights because of the pain, which obviously exceeded the family's expectations.

Chen jisheng will enter the debugging stage of parameters next, after several days of observation, the patient's physical condition and mental state have reached the best state since the disease. The children were also delighted. They said they expected their father's condition to improve day by day. Instead of walking like other patients, they hoped that he could gradually get rid of his dependence on drugs and resume his normal life.

In an interview, vice President wang jin said that spinal cord electrical stimulation is the standard treatment for chronic intractable pain abroad because it is minimally invasive, non-destructive and controllable, and benefits tens of thousands of patients every year. The most common indications include intractable pain after spinal surgery, brachial plexus injury, pain after spinal cord injury, post-herpetic neuralgia, and diabetic neuralgia. The domestic products independently developed by tsinghua university have a high technical starting point and are believed to benefit more patients.

Domestic electrical stimulation of spinal cord enters into clinical practice, which indicates that the cutting-edge achievements in the field of medical and industrial integration in tsinghua university have been tested in practice. With the successful completion of the first subject surgery, we hope that more patients with pain will see the light of new hope in the future.

News link:

Wang Jin

Chief physician

Deputy director of Beijing tsinghua changgung hospital

Professor of neurosurgery, university of Washington school of medicine

Swedish medical center chief of neurosurgery

Haiju talents of Beijing municipal government, special overseas expert of neurosurgery department of Beijing tiantan hospital affiliated to capital medical university

Expertise: for all kinds of brain and spinal cord spinal lesions, minimally invasive treatment of brain tumors, comprehensive treatment of glioma, tumor biopsy stereotactic surgery, minimally invasive surgery, damaged complex surgical decompression/fixed degenerative disease of the spine, spinal cord tumor surgery/treatment, ring pillow deformity/chiari malformation, and Parkinson's disease, tremors, myoclonus, epilepsy, intractable pain, nerve regulation treatment of tourette 's syndrome.

spinal stenosis treatment

Gui-huai wang

Chief physician, professor, doctoral supervisor, director of neurosurgery

Specialty: good at treating all kinds of brain and spinal cord diseases. Spinal cord tumor, syringomyelia, ring pillow deformity, foramen magnum tumors, spinal cord malformations, spinal cord, spinal trauma, spinal vascular disease, cervical spondylosis, lumbar disease, brain tumors, cerebrovascular disease, brain trauma, functional disease, hydrocephalus, after cranial tumor, such as various kinds of intractable pain, especially good at the microsurgical treatment of intramedullary spinal cord tumor, neck, lumbar vertebrae disease of microsurgery and endoscopic therapy.

Subject recruitment

Introduction to electrical stimulation of the spinal cord

Spinal cord electrical stimulation (SCS) is the "ultimate" therapy for chronic intractable pain. It USES minimally invasive means to block the transmission of pain signals, minimize pain and improve patients' quality of life. It has been used in clinic since 1967, and now about 80,000 cases are implanted every year internationally. Due to the high price of imported products, China's research institutions, represented by the r&d team of tsinghua university, are working hard to develop domestic products to relieve pain for more patients.

Project introduction

The department of neurosurgery, tsinghua changgung hospital, Beijing, affiliated to tsinghua university, is conducting a multi-center clinical trial for patients with chronic pain (spinal cord electrical stimulation for chronic intractable pain in trunk and/or limbs, registration no. Nct03858790). The program will use minimally invasive methods of spinal cord electrical stimulation to treat chronic pain patients who have been unable to respond to traditional analgesic methods.

Chronic pain generally refers to pain that lasts for more than 3 months due to various causes. The pain can involve the trunk and limbs in various places, and the nature of the pain includes pain like involvement, electric shock, acupuncture, tearing, burning, crushing, swelling and numbness. The specific reasons may be intractable pain after spinal cord surgery, pain after avulsion of brachial plexus nerve, pain after avulsion of lumbar plexus nerve, pain in residual limb, pain in phantom limb, pain after spinal cord injury, neuralgia after herpes zoster, pain after tumor surgery, etc.

Intractable pain refers to the poor efficacy of traditional therapies, including drugs, physiotherapy, acupuncture and radiofrequency. Patients with chronic persistent pain often sit up all night in pain, and chronic sleep deprivation can lead to severe physical exertion, declining health, and declining quality of life.

Subject enrollment conditions

1. Chronic trunk and limb pain for more than 3 months;

2. Pain seriously affects sleep, and conservative treatment such as medication is ineffective;

3. Above 18 years old, below 75 years old;

4. Can complete the follow-up and questionnaire evaluation requirements;

5. Understand the plan, participate voluntarily and sign the informed consent.

The rights of subjects who are successfully enrolled

1. Free spinal cord electric stimulator implantation;

2. Blood routine, liver function, blood sugar, renal function, immunity before treatment, and x ray examination are free of charge;

3. Provide certain subsidies for postoperative follow-up visit.

In addition, during the participation, we do not require you to stop using any western medicine treatment methods and measures, and do not require you to add additional treatment items except for spinal cord electrical stimulation therapy. You only need to take western medicine and return to the doctor on time according to the treatment standards.

Contact us

Telephone: Dr Lu 13269102295

Email address: lya02121@btch.edu.cn

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Master these 4 yoga moves to create a young and vibrant back – InfraredHeatingTherapy | back pain/backache/lower back

As the old saying goes: the predecessor is as thick as a mountain, the back as thin as paper. The back has two most important meridians, and the bladder meridian is the largest clearing damp detoxification channel. If back is adipose too thick, oppressive bladder classics, can cause drainage detoxification not free, toxin accumulates, oedema, fat wait for a disease. A few yoga asana movements, let you clear back meridian, back practice more thin, the body will be more and more light.

Yoga is an ancient method of body and mind cultivation from India. It can strengthen the back by bending, stretching, twisting, pushing and squeezing postures. In today's busy society, young people need to pay more attention to their back health, and a few minutes of yoga every day can give you a good back condition.

how to cure back pain

Yoga and back

A large part of the reason why people now strengthen their back exercise is to pursue the pleasing appearance. And people with big backs make people look older. The idea is not just physical, but physical. The back is not only reflects the posture temperament key, but also the body young key.

In the emperor's inner Canon, it says: "those who have channels and collaterals are determined by life and death. General rule no pain, pain without pain, channels and collaterals unblocked without trace ". We can tell a lot about a person's health by the state of their back. Back covered with the size of meridian countless, connecting the viscera. Chinese traditional medicine (TCM), which has been handed down since ancient times, also attaches great importance to the back.

how to cure back pain

The upper part of the back is heart and lung area, heart and lung function is poor, chest pain chest frowziness, respiratory system is bad need to massage on the back; The middle part of the back is mainly composed of liver, gallbladder, stomach, spleen and kidney. There are backache and dyspepsia problems that need to be paid attention to. The lower part of the back has the large intestine, the female uterus, and the bladder area. Problems with this part can include poor metabolism, edema, poor urinary system function, menstrual cramps, and inaccurate cycles.

Asana yoga began thousands of years ago to seek treatment for pain. The movement of the body depends on the support nerve in the spine to control, some movements of yoga can balance autonomic nerve, alleviate some neurosis; Through the change of postures, accelerate blood circulation, solve the problems of poor blood flow, liver qi stagnation, intestinal obstruction, etc. The stretching of static action, further massage back, get through channels and collaterals, relax the nervous state of the whole back, strengthen kidney function, enhance cardiopulmonary function, in addition to strengthen metabolism, eliminate constipation, clean up intestines and stomach.

how to cure back pain

Explanation of postures

Omni-directional motion massages to the back each step muscle and the meridian, can promote the body to detoxify, the body is non-toxic can the skin compact, the face is ying embellish. The next few back massage yoga action, we seriously study, through daily practice to keep their own forever a youthful back state.

Spinal torsion

Sit on a yoga mat with your body straight and balanced, hands at your sides. Breathe in slowly, put your right leg on the outside of your left leg with both hands, and bring your right heel closer to your left hand. Exhale, start to turn the body, left hand on the side of the right leg, right hand backward put, inhale, stand back, exhale, right hand backward put drive the body to the right side of rotation, head also follow the body backward rotation; Each time you exhale, turn your body back; Take 4 breaths in a row, then switch sides and repeat.

how to cure back pain

Pay attention to the point

Focus on your hands and feet. Begin your twisting stretch at the bottom of your spine like a spiral vine. Watch your back and abdomen stretch and try to see if you can rotate a little more. Focus and feel the tension in your back. Keep your back straight throughout the process and increase the amount of twisting your body does with each exhale.

The cobra type

Lay your body on the yoga mat, relax your whole body, put your hands on your sides, and your body will be in a natural state. Slowly raise your arms, hands forward, elbows bent, palms at the sides of your chest; Inhale, the body began to slowly lift up, arm to the body support, according to their flexibility, do not over pressure their spine, eyes to the front; Lean your back slowly, pushing your neck back, and hold for 5 seconds while the back of your head pushes your head back. As we exhale, our bodies slowly descend, our arms begin to relax, and we return to the position of lying flat on the yoga mat.

how to cure back pain

Efficacy:

It helps stretch the muscles and ligaments in the back, making the back more elastic and the spine more upright, opening up the blood flow in the back; As the body stretches back to a relaxed state, blood flows through the kidneys, strengthening the kidneys and reproductive organs.

In practice, do not appear in the shoulders or shoulders hunched incorrect posture; Don't lift or lean back too much. Don't force yourself too much.

how to cure back pain

Cattle face type

Body sitting on a yoga mat, the small of the back straight, legs at the top left leg, don't have a gap between his legs, inhale, slowly lift arm back down the stretch back, this is the elbow pointed toward daylight, finger toward the ground, right hand began to bend the elbow in the back to touch your left hand fingers, maintain this pose for 10 seconds, feel the stretch of the back; Exhale, relax your body, let go of your hands, and we'll start on the other side, raise your right hand up, fingers on your left hand, fingers on your right hand.

how to cure back pain

Relieve shoulder tension, stretch back muscles, eliminate back fatigue, let a person more energetic.

When your legs are crossed, keep the instep of your feet on the floor and your knees in a straight line. If your hands cannot be clasped behind your back, use an elastic band or a towel.

The cat stretching

Kneel on the yoga mat with your hands and feet as wide as your shoulders, thighs parallel to the floor, and palms compacting the floor. Inhale and slowly lift your head up, eyes looking up with your head, pressing your waist down to form a u-shape. Exhale, pull your head in, pull your belly in, pull your chest in, arch your back up like a cat, look at your knees. Repeat this exercise 8 times, relaxing your body back into a position where your back is parallel to the floor.

how to cure back pain

Stretch back muscle and spine, eliminate back stiffness and fatigue, make spine more elastic; Nourish and strengthen the nervous system, improve blood circulation, enhance digestion; Helps to eliminate the dysmenorrhea of the female menstruation, and has the help to treating leucorrhea overmuch and menstruation not to move.

The neck should be raised as naturally as possible and should not be bent backwards. Notice how much your neck is leaning back to avoid accidents. Lower your abdomen as much as possible, and stop when you feel pain. Focus, fully feel the extension and compression of the spine, inhale as the spine sinks, exhale as the back arches.

how to cure back pain

swinging

As you breathe in, your legs begin to return toward your abdomen, your head toward your knees, and your hands around your knees, imagine yourself as a ball. Breathe out, and use the force of your abdomen to roll your body forward. Repeat 8 times and relax your whole body again.

This pose works the lower back, moves the pelvis, rolls back and forth to bring fresh blood to the pelvis, works the knee, thigh muscles, and back at the same time to tighten the muscles.

how to cure back pain

To practice this pose, imagine your body as a round ball, rolling back and forth in a straight line. Control their own body, as far as possible to ensure that the top of the head, toes do not touch the ground, avoid inertia too large to cause accidental damage.

Asana exercises need to be gradual, you may not be so standard at the beginning of the practice, but this time can not be impatient, yoga is about the balance of the body. Master the key points of every movement, motivate yourself to make progress, and finally achieve unexpected results.

how to cure back pain

conclusion

As the old saying goes: thin back, life long ten years; A full back makes a man three years older. A pretty face is the first thing people notice, but a straight, young back gives a lasting appeal. Through yoga practice back, can relieve back fatigue, relax back nerve, dredge back meridian; Long-term practice, can give you a young and energetic back state, posture more straight. You will also be more energetic and motivated to live and work because of the internal transformation of your body.

reference

Luo ye 2012, an attempt by yoga to treat back pain

"Yoga posture law" jiao Lin jiang

Analysis on deep channel dredging jiang xiaohua 2010

Application and exploration of meridian health therapy mo liping Chen yitong 2004

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