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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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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.
Doctor xu ping (left) anchor rui jie (right)
Coordinating editor | anchor rui jie
Correspondent | zhou zhao
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