sciatica – InfraredHeatingTherapy | sciatica/back pain/sciatica treatment

Sciatic nerve its root comes from lumbar 4, 5 segment and sacral 1, 2, 3 segment of spinal nerve anterior ramus. The five anterior ramus pass through the psoas major to form the sacral plexus and descend down this muscle. Most of the nerves of the sacral plexus merge into the sciatic nerve. It descends along the posterior wall of the pelvic cavity and passes out of the pelvic cavity into the buttocks at the inferior hole of the piriformis. The tibial nerve and the common peroneal nerve pass down from the posterior muscles of the buttocks to the middle and lower part of the thigh. Thus, the general sources of sciatica are first classified as root, plexus, and stem sciatica. At the same time, as a result of the sciatic nerve involved site and direct or not involved, three different sciatica, namely: radioactive, reflex, implicated. It is because of this that the manifestations of sciatica are numerous, diverse and complex, such as in the confusion, not to point out the real cause of the disease, to the treatment brought great difficulties.

01

Root sciatica (upper sciatica)

Common causes include lumbar disc herniation, lumbar spinal stenosis, soft tissue compression and inflammation at the nerve root outlet. The expression is the numbness of root of affected nerve innervate area, ache, acid bilges, fear cold to wait. Lumbar 4, 5 intervertebral disc herniation compression lumbar 5 nerve roots, often performance for the waist, hip back pain, thigh back side and leg anterolateral to foot back inside, thumb pain, hemp, acid, swelling, cold, etc. And lumbar 5 ~ sacral 1 intervertebral disc herniation compression sacral 1 nerve root, often performance for the waist, hip back pain, numbness, thigh back side, leg back lateral, dorsolateral to little toe, heel, sole pain, hemp, acid, swelling, cold.

02

Plexus sciatica (also known as middle sciatica)

The sacral plexus in the pelvic cavity is compressed or stimulated. Performance is leg ministry of lumbar buttock, much place, much segment, whole lower limb before, hind, lateral reach sufficient dorsum inside, lateral, sufficient heel, sole numb ache, acid bilges, fear cold to wait.

03

Sciatica (lower sciatica)

The main reason is that the sciatic nerve is compressed or stimulated in the path of the pelvic outlet and below.

Root sciatica

Common causes include:

1. Lumbar disc herniation;

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

3. Inflammation;

4. Congenital malformations.

Diagnostic point

1. Paravertebral tenderness, percussion pain and movement pain. At the same time, the posterior branch of the nerve root is involved.

2. Neck flexion test (+). As a result of the action of pulling dura sacula and root sleeve caused by.

When lumbar 4, 5 intervertebral disc herniation, lumbar 5 nerve root compression, pain performance for the buttocks, thigh back, leg anterolateral, foot back medial pain, numbness, and lumbar 5, sacral 1 intervertebral disc herniation, sacral 1 nerve root involvement, mainly in the ipsilateral leg posterolateral and foot back lateral and plantar hemp, pain symptoms. In the cervical spondylosis of the three vicious cycle: cervical disc degeneration and secondary changes in the peripheral tissue between the vicious cycle, also applicable to patients with lumbar protrusion. When there is lumbar disc degeneration, compression of the nerve root at the same time the anterior branch is involved, the posterior branch is also involved, and then the branch innervates the muscles, ligaments and other soft tissues of the paravertebral, which will cause pain and discomfort of these soft tissues and other symptoms. Speak conversely, the soft tissue of vertebra week, especially after the soft tissue such as muscle, ligament suffers strain, also can stimulate the hind branch of spinal nerve, reflex sex causes sciatica symptom.

The difference between radiation sciatica and reflex sciatica

Radiation sciatica sharp pain route clear route continuous

Reflex sciatica obtuse pain route obtuse route interrupted

In most cases, the degeneration of the intervertebral disc is an internal cause, and the peripheral soft tissue injury caused by wind, cold, dampness and strain is an external cause. The onset of lumbago and leg pain has several conditions:

1) sometimes, internal causes play a leading role, while external causes are not obvious. Some patients have no obvious symptoms of lower limb pain and discomfort.

2) in the other part of cases, external factors played a leading role, with extremely obvious symptoms of waist pain and discomfort, accompanied by lower limb symptoms;

3) there are some patients with obvious external causes, pain and discomfort in the waist for a long time, and internal causes have not changed a lot, so only low back pain and no 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 as follows:

Acute trauma in young patients

sciatica treatment

Young people, due to acute trauma, acute onset of disc fiber ring rupture, a short period of nuclear pulposus herniation, compression of nerve roots will occur in the following two situations:

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) when acute onset occurs, numbness, muscle atrophy, or saddle area numbness and incontinence, the curative effect of conservative treatment will decrease, and surgical treatment is the main choice.

Senile lumbar and leg 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, appendicitis.

2. Pelvic trauma, injury or inflammation of the iliopsoas and piriformis, and sacroiliac arthritis

3, tumor

4. Prostatitis

5. Diabetes

6, infection,

Diagnostic points:

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

The sciatic nerve radiates pain to the lower extremities

B. thigh n: pain radiating into the front of the thigh

C. superior gluteal n: radiating pain into the sacral region

D. subgluteal n: pain radiating into the buttocks

E. Obturator foramen n: alternating or concomitant radiating pain to the knee

F. Pudendal nerve: pain radiating into the perineum

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

Among them, b and e are the lumbar plexus and all have nerve fibers from the lumbar 4 nerve root.

2. Percussion pain in the lumbosacral region and complaint of "comfort"

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

Pelvic problems

Dry sciatica

1. "circular jump" deep tenderness, accompanied by radiation resulting in pain and numbness of lower limbs and feet. Sixty percent of the patients were accompanied by popliteal and peroneal pain, and no significant tenderness, percussion pain or motion pain in the lower back.

2. Rotation test of lower limbs (+), about 10% piriformis muscle was damaged, and external rotation test (+).

3. Dry localization symptoms, including sensory movement and reflex disturbance in the dominant areas of tibial n and total peroneal n.

4. Foot numbness (over 90%).

sciatica treatment

There are 12 causes of dry sciatica

Piriformis injury – causes sciatica

Gluteus medius injury – gluteal pear syndrome – sciatica

Characteristics: tenderness and abnormal changes in the gluteus medius, accompanied by sciatica symptoms, at this time, through the piriformis mediators, sciatica symptoms will appear, clinical analysis: two-thirds by the gluteus medius injury caused sciatica symptoms, 1/3 by piriformis injury caused sciatica symptoms. The symptom that causes above is more typical radioactivity sciatica, another kind of circumstance: injury of gluteal medium muscle itself, gluteal medium muscle by the branch of sciatic nerve on buttock n is innervated, the injury of gluteal medium muscle affected gluteal upper nerve, from this, reflex sex causes sciatic nerve symptom.

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. WeChat public platform: spinal health alliance

Go thinking according to the train of thought of this electrophysiological circuit, so, the symptom of labyrinthian sciatica, hemp can step by step manage give order to come.

Lumbar 3 transverse process syndrome

Clinical significance of lumbar third vertebra transverse process syndrome:

A. in the early stage of this sign, it can cause ipsilateral gluteal muscle spasm, gluteal muscle spasm, piriformis spasm — sciatica

B, intermittent claudication: the reason is caused by gluteal muscle spasm – gluteal muscle and piriformis spasm – gluteal muscle pain spasm

This is an ischemic intermittent claudication of the artery, unlike intermittent claudication in spinal stenosis, as shown in the table below:

Narrow lameness – short distance to begin lameness – feeling of beginning lameness: numbness pain radiating along the route of the sciatic nerve or femoral nerve – relief posture: must be completely squatted for a while while sitting or standing

Superior gluteal artery ischemic claudication – longer distance to begin claudication – sensation of beginning claudication: muscle soreness and weakness with mild numbness – relieved posture: may be relieved by sitting, standing, leaning for a moment, or squatting

Treatment: for patients with lumbar spinal stenosis, sacral therapy is better. A high cure rate can be obtained by simultaneously loosening the nerve root and the nerve root.

For patients with lumbar 3 vertebra transverse process syndrome, the effect of acupotomy is excellent. Generally one to two can be cured.

C, transverse process syndrome will cause ipsilateral gluteal muscle atrophy to the later stage.

04

Damage to three myofascial areas can cause dry sciatica

A. paracral region:

B. posterior iliac region: posterior 1/3 iliac crest region;

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

These three areas are stressed, directional, active, and prone to injury affecting the relevant lumbogluteal muscles and then affecting the sciatic nerve stem sciatica.

05

Posterior femoris descending bursitis – sciatica

These five symptoms were previously known as residual symptoms of lumbar disc herniation. I think, when lumbar protrusion disease, often have above 5 diseases concurrently.

06

It affects the common peroneal nerve

The medial margin of the biceps femoris tendon affects the common peroneal nerve. Ankle can not lift, feel powerless.

07

A small backward shift of the fibula head affects the common peroneal nerve

08

Anterolateral leg discomfort

Anterolateral leg discomfort (heavy, swollen, acid, pain, numbness) symptom persistence, similar to the compartment high compression syndrome.

09

Popliteal fossa and the back of the leg pain, swelling, discomfort

The popliteal and posterior sliding bands affect the tibial nerve.

10

Superficial peroneal n fascia outlet clamping

Position: about the middle and lower 1/3 of the lower leg, fascia outlet at the fibula, adhesion, tension and compression n, traction n, typical peripheral n compression syndrome.

11

The medial terminal branch of the deep peroneal n is jammed

Numbness, discomfort, and pain in the first, second, or third digits of the metatarsophalangeal joint and volar. Position: dorsal side of first and second metatarsophalangeal joint, proximal one vein.

12

Tendinitis of flexion toe

The 1st and 2nd digits were the most, treated by stricture tenosynovitis.

Sciatica, it starts at the end of the toe. Different parts of the journey, varying degrees and forms of compression or stimulation, can cause different manifestations of sciatica. If do not try to differentiate carefully in clinical practice, only monism will explain, with monism to guide the treatment of this disease, is not feasible, must be appropriate, in view of different conditions to develop different treatment plans, so that can really in the sciatica treatment to reach a new height.

No matter how good a treatment method is, it must be done with confidence, before the knife can be as god. Standard therapy with arc-blade needles works wonders for sciatic pain, but the knife works differently in different hands. If the reason of causing sciatica is not clear and the monism of lumbar protrusion disease is still used to guide the clinical treatment, there will be a lot of frustration.

Copyright notice:We pay attention to share, article, picture comes from network, copyright returns original author, if have objection, please inform small make up, we can delete in time.

, the hand has lingering fragrance.

Back pain, neck stiffness, 3 moves to help you ease the discomfort – InfraredHeatingTherapy | back pain/neck pain/disc degeneration

According to incomplete statistics, there are currently about 50 million white-collar workers suffering from cervical spondylosis in China. About 20% of them are seriously ill and need treatment, and about 2% need surgery to alleviate the disease.

losethebackpain

Yes, our bodies are extremely tense and stiff most of the time because of the long hours at the desk. "back pain and stiff neck" has become a common disease among office workers.

However, if we ignore it and allow it to develop, it will lead to the further development and deterioration of cervical spondylosis, which will lead to ligament, bone and disc degeneration, dizziness, upper limb numbness and other symptoms.

In more severe cases, limb spasms, discordation or sudden paralysis can occur.

It's hard to underestimate the dangers of cervical spondylosis, but if you were to suggest a yoga class, many people would say, "I'm too busy to take the time."

Today we bring you a group of yoga moves suitable for office workers, as long as you have a chair, you can easily practice and reduce the stiffness of the body, come to try.

1. Magic chair type variation

losethebackpain

Action point: sit on the edge of the chair, with your pelvis straight, hands across your chest, exhale and push your arms straight forward. Next time you breathe in, extend your arms up, while pressing your hips hard. Each time you breathe in, extend your arms up.

Gentle hint: for the shoulder and neck pain of friends, to slightly bend the elbow, let the shoulder of the upper part of the feeling as easy as possible.

2. Beef noodle hand pose

Action tip: sit in a chair, inhale with your right arm up, exhale with your elbow bent, press your right hand between your shoulder blades, hold your left hand on your right hand, put your hands behind your back, and hold for 8 to 10 breaths.

Tip: if you can't hold your hands together, you can use a strap.

3. Bird king style

losethebackpain

Action tip: raise your left leg, fold it over your right thigh, and place your left leg around your right calf. Similarly, fold your left elbow over your left elbow, wrap your wrists around it, point your thumb toward the tip of your nose, keep your pelvis and shoulders straight, and breathe 8 to 10 times.

Tips: for shoulder and neck pain or poor shoulder flexibility, you can put your hands together, do not need to cross and hook your legs, the top of the foot point can be.

Spinal cord tumor need not fear, the expert treats it like this! – InfraredHeatingTherapy | neck pain/disc degeneration/lumbar disc herniation

What is an intraspinal tumor?

Tumor of spinal cord, also known as tumor of spinal cord, refers to primary and secondary tumors growing in spinal cord and other tissues similar to spinal cord, including nerve root, dura mater, blood vessel, spinal cord and adipose tissue. Can divide into spinal cord inside and outside spinal cord tumor.

spinal stenosis

Are all spinal canal tumors scary?

Listen to what sublimation director how to say

Most intraspinal tumors are benign, and benign tumors in the spinal canal generally do not become malignant. So don't worry, most can be excised and cured.

spinal stenosis

1. The patient presents uncomfortable pain, which is manifested as progressive aggravation, and the pain will be aggravated when the patient is in bed rest.

2. Soon after the occurrence of pain, patients will have the occurrence of sensory disturbance of limbs, accompanied by obvious decreased muscle strength. Such as limb weakness, walking instability, severe cases will lead to paralysis.

3. With the progress of the disease, the nerve injury becomes progressively worse, and severe patients will also show laborious urination and even incontinence.

Shenzhen hospital of traditional Chinese medicine has such a tumor patient

Follow xinglin jun to have a look

What happened to him

spinal stenosis

In April 2019, Mr. Huang came to shenzhen hospital of traditional Chinese medicine due to neck pain, weakness of both lower limbs, and walking instability for several months.

spinal stenosis

After detailed medical history and physical examination, he concluded that the patient was caused by compression of cervical nerves.

After cervical magnetic resonance, sure enough, a large tumor was clearly seen in the spinal canal of the patient's 7th to 1st cervical vertebra.

spinal stenosis

Preoperative magnetic resonance imaging (mri) revealed a large tumor in the 7th to 1st cervical spinal canal

Because the patient's tumor is located at the junction of the cervicothoracic region, the patient may be paralyzed at any time if an operation is performed in this region. To be or not to be? < / p > < p > he sublimation director led by the minimally invasive spine team members are very disturbed, means to take a lot of risk, not to do is only to push the patient to despair.

After careful consideration, he shengsheng finally decided to operate on the patient.

spinal stenosis

After the multidisciplinary consultation of neurosurgery and anesthesiology, the patient was finally sent to the operating room and waited for the beginning of the new life under the careful planning and preparation of director he.

Under the strong cooperation of huang zengping, director of anesthesiology department and li jinxing, deputy director of neurosurgery department, with the help of modern medical equipment owned by the department, such as all-imported operating microscope, high-speed drilling, intraoperative neuroelectrophysiological monitoring instrument, etc.In the end,The operation was over!

spinal stenosis

Director he sublimated carefully to peel off the tumor tissue under the microscope

Over the course of more than five hours, he successfully removed the tumor from the spinal canal, defusing the risk. Postoperative pathological examination confirmed that this was intraspinal synovial hyperplasia with synovial cyst.

spinal stenosis

spinal stenosis

<< slide to the next picture >>

The patient was able to get out of bed the next day with intact nerve function.

spinal stenosis

spinal stenosis

Director ho said:

spinal stenosis

Do not delay, to avoid the tumor on the nerve compression caused irreversible functional damage,Such as weak hands and feet, limb numbness, defecation dysfunction and even sexual dysfunction.

For tumors located in the spinal canal of the cervical vertebra, the treatment needs to be more active, and the technical requirements are relatively higher. The tumor compresses the high spinal cord and is prone to paralysis in the late stage.

The minimally invasive neurosurgical technique of posterior median approach combined with lamina reduction and fixation or hemilamina technique can completely remove the tumor under the microscope, maintain the stability of the spine to the maximum extent and promote the recovery of patients.

spinal stenosis

What sublimation

spinal stenosis

Director of spine department, chief physician, professor, doctoral supervisor, shenzhen hospital of traditional Chinese medicine.

Europe and the United States, visiting scholar of minimally invasive spine, spine minimally invasive expert committee of the standing committee of China association of Chinese medicine, orthopedics branch committee member of China association of Chinese medicine, combined Chinese and western medicine society of China orthopedics branch of intervertebral disc degeneration and restoration expert committee, deputy director of the committee, the Chinese society of traditional Chinese and western medicine combined with the orthopaedic endoscopic minimally invasive spine group of the standing committee, the Chinese society of traditional Chinese and western medicine combined with spinal medicine professional committee, China international exchange association for the advancement of health care spinal endoscope, rehabilitation medicine association of guangdong province spinal pain and endoscopic technology professional committee, deputy director of the committee, Combine traditional Chinese and western medicine in guangdong province institute of orthopaedics minimally invasive professional committee of the standing committee, guangdong combine traditional Chinese and western medicine academy spinal medicine professional committee of the standing committee, spine surgery branch of guangdong medical association members, traditional Chinese medicine doctor association orthopedic surgeon branch committee of guangdong province, shenzhen to learn the professional committee member, deputy chairman, osteoporosis of shenzhen federation of Chinese medicine professional committee vice chairman, medical tube center spine quality control center of shenzhen, shenzhen orthopaedic society of spinal committee member, the shenzhen minimally invasive spine group deputy team leader.

He led the project of "clinical research on the treatment of thoracic and lumbar vertebra compression fracture by over-extension traction and elastic compression", which won the second prize of science and technology progress of Chinese association of traditional Chinese medicine (201002-35 lc-39-r-oi), and won the title of "guo chunyuan type good doctor" in China, "excellent doctor of traditional Chinese medicine of shenzhen", and "top ten medical workers" of shenzhen hospital of traditional Chinese medicine.

He is skilled in the treatment of difficult diseases in orthopedics and traumatology, spinal cord and related diseases, osteoporosis. She is good at spinal surgery, minimally invasive surgery for lumbar disc herniation and spinal stenosis by percutaneous foraminal foraminal (peld), minimally invasive treatment for cervical and lumbar degenerative diseases by med, surgical treatment for spinal and spinal nerve injury, correction of spinal deformity, minimally invasive treatment for osteoporotic vertebral fracture, etc. He has published 2 sci papers (spine1) and more than 40 professional papers.

Scroll up and down for more

Editor in charge:

The waist ache? Is lumbar intervertebral disc herniation or lumbar muscle strain? – InfraredHeatingTherapy | sciatica/back pain/sciatic nerve

A look: no leg pain

It is reported that the pain of lumbar disc herniation is divided into three kinds, one is only backache, two is only leg pain, three is both backache and leg pain. As lumbar disc herniation occurs in the lumbar 4/5 and lumbar 5/ sacral 1 intervertebral space, and the sciatic nerve is from the lumbar 4, 5 and sacral 1-3 nerve roots, so lumbar disc herniation patients have sciatica, or some from the hip, gradually radiate to the thigh posterolateral, lower leg lateral, foot back and plantar lateral and toe leg pain.

The difference is that psoas strain is usually only lumbago, so the first thing to look for is leg pain.

Two see: tenderness point

For patients with pure back pain, some patients with lumbar disc herniation have tenderness in spinous process or spinous space. The tenderness point is mainly located beside spinous process, 1.5 to 3cm away from the midline, namely the middle back. It may appear when tenderRadiating pain in the lower extremities along the nerve rootscars only

In patients with lumbar back strain, there is usually no tenderness between lumbar spines and local tenderness of the lumbar back, i.e. the muscles on both sides of the lumbar back away from the midline of the back.Especially for the pain location is not clear, pressure is not obvious tenderness point, it is more likely to be caused by lumbar disc back pain, professional called lumbar discogenic back pain.

In terms of pain, lumbar discgenic lumbago presents as dull pain, while lumbar back muscle strain is acerbity, perceptual pain, or even severe pain.

Three see: activity is limited

Patients with lumbar back muscle strain generally have little effect on lumbar mobility, usually in the morning when getting up or sitting up for a long time, lumbar back pain induces aggravation, on the contrary, activities can be significantly relieved after.

But patients with lumbar disc herniation often appear forward, back, left, right and other bending difficulties in at least one direction.

Four look: imaging examination

It is identified by X-ray, ct or mri. In patients with lumbar disc herniation, positive and lateral X-ray of lumbar spine often shows lumbar scoliosis, corresponding narrowing of vertebral space, uneven width on both sides, osteophyte formation, etc.

Lumbar back muscle strain refers to the chronic injury of lumbar muscle, fascia and ligament soft tissue. The main clinical manifestations are lumbago.

Ct or mri can accurately detect the degree of lumbar disc degeneration, determine whether lumbar disc herniation.

Figure 1: lumbar disc herniation vs lumbar muscle strain

herniated disc relief

Resolve the prominent nucleus pulposus

Is the treatmentThe lumbar disc protrudesThe key to

Expert introduction: lumbar disc herniation pain, lower limbs radiation pain, numbness foot weakness and other a series of symptoms, because the lumbar disc fiber ring rupture, the nucleus pulposus extrude nerve and other tissues caused by. Solved prominent medullary nucleus this one key problem, the lumbar dash forward symptom that produces nature disappeared. Intervertebral foramen technology is a minimally invasive operation under the view of cold light source, and the removal process of nucleus pulposus can be clearly seen on the screen, with no hidden dangers.

Surgery is introduced

Surgery under perspective through skin puncture, the intervertebral foramen in the complete, small skin incision (0.8 to 1.0 cm), the spinal canal without interference, the intervertebral foramen microscopically take prominent degeneration, the nucleus pulposus trauma is small, not by the destruction of vertebral muscle, ligament, does not affect the spinal stability, through the intervertebral foramen mirror into the spinal canal and nerve root, can be observed clearly under endoscopic direct to take out the highlight the degeneration of nucleus pulposus tissue.

herniated disc relief

In addition to radical resection of the herniated or prolapsed nucleus pulposus, bone hyperplasia can be removed, spinal canal stenosis can be treated, and damaged annulus fibrosus can be repaired with radiofrequency technology. Because the intervertebral foramen mirror spine of minimally invasive surgery technology is outside of the fiber ring, so you can to maintain the integrity of the fiber ring and keep the stability of the spine, to the same type of surgery minimally trauma to the patient, the best effect of minimally invasive surgery for the treatment of lumbar disc, by foreign experts called intervertebral disc herniation of the spine ultimate therapy.

"

The main

advantage

"

1. Low incidence of micro-invasion, bleeding and infection;

2. Extremely low risk of nerve injury and thrombosis;

3. Directly remove the diseased tissue and rapidly relieve the preoperative pain symptoms;

4. Mild postoperative pain and high patient comfort;

5. The postoperative recovery is rapid, with an average of 4-6 weeks to resume normal life and work.

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

Click on the audio

Listen to more health

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

896 experts to

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!

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

Often back pain discomfort, may have these reasons, if you have, need to pay attention! – infrared heating therapy | lower back pain/back pain/herniated disc/lumbar spine/lower back/disc degeneration/spinal stenosis/degenerative disc disease

8 common risk factors for lower back pain

smoking

obesity

Sit or stand for long periods of time

Age (> 55 years old)

High intensity physical labor

Poor posture when sitting or standing

Psychological factors such as job dissatisfaction and anxiety or depression

Improper lifting, frequent lifting, or heavy lifting

The impact of these 8 risk factors on lower back pain is not negligible.

Classification of low back pain

1) musculoskeletal: including muscle strain, muscle spasm or osteoarthritis; Disc herniation/prolapse, spinal stenosis, compression fracture

2) inflammatory: ankylosing spondylitis, reactive arthritis, psoriatic arthritis, inflammatory bowel disease

3) malignant tumors: metastases from the lung, breast, prostate, thyroid or other sites of cancer in the bone

4) infectious: osteomyelitis, abscess

lower back pain remedies

The waist structure

lower back pain remedies

The waist is made up of bones, muscles, nerves and other tissues that together form the waist and help us do things like stand and bend. The bones in the lower back, called the lumbar spine, work together to form the spine. The vertebrae are stacked one on top of the other, and the nerve roots come out of the spinal cord and go through the space between the sides of the vertebrae. Back pain is caused when the spinal cord or nerve roots are compressed or damaged.

Every two vertebrae are separated by a disc that ACTS as a cushion or shock absorber, protecting the bone and cushioning it. Excessive wear on the disc can lead to a herniated disc, which usually heals over time.

The vertebrae are held together by ligaments and muscles that allow the vertebrae to move together as the spine bends forward, backward, and left and right. Improper lifting and heavy lifting can cause minor ligament and muscle damage, as well as lower back pain.

Disc degeneration and bone spurs are common during normal aging and usually do not cause any symptoms. In clinical practice, many people have degenerative disc disease on x-rays or other imaging tests without pain or other symptoms. While many people still attribute low back pain to disc degeneration or arthritis, it may also be caused by muscles, ligaments or other causes.

Low back pain is rarely caused by serious spinal problems, such as infections, tumors or cauda equina syndrome, compression fractures, and so on. How do you self-screen for serious back pain related illnesses?

Preliminary screening of red flags

lower back pain remedies

Therefore, in addition to the disc, bone, joint, muscle, ligament, nerve and other damage or imbalance can also cause lower back pain, and of course, the eight risk factors mentioned in the beginning of the article should not be ignored. Most people with low back pain get better within four to six weeks, and consult a physical therapist or doctor if the pain doesn't go away. A physiotherapist or physician is able to diagnose low back pain based on information gathered from the history and physical examination and imaging.

Every day tilt on the sofa to play mobile phone, 39-year-old man almost hemiplegia! The spinal cord is just one line… – infrared heating therapy | herniated disc/disc degeneration

The mri showed that,

Herniated discs, bone spurs,

The spinal cord is severely compressed,

Spinal nerve is pressed so that only a thin layer remains!

Fortunately, Mr. Li received timely medical treatment and recovered well after the operation. He will be discharged in a week. Doctors recommend maintaining a good sitting posture, correcting bad habits, and never lying down and looking at your phone for long periods of time.

Below small make up also to give you a wake-up call!

Recently, huai 'an more than a 4-year-old girl le le

Being taken away by family members,

But when I got home,

When the mouth is askew and the eyes are not closed,

After careful examination,

Doctors determined that the little girl had "facial paralysis."

And the culprit:

Winter wind!

After treatment, currently lele's symptoms improved significantly. According to experts, facial paralysis is a condition in which a person's face is subjected to cold wind, which causes nerve compression and induces facial nerve palsy.

Except you can't lie down and look at your phone

The head plays the mobile phone also to pay attention to!

When you're playing with your phone, you lower your head at an Angle of about 60 degrees, which puts 27 kilograms of pressure on your cervical disc, the weight of a 7-year-old.

Bad living habits make cervical vertebra burden heavier and heavier, leading to various problems.

When the neck is active, the two vertebrae will open and close at various angles, and the cervical disc will cooperate with the vertebrae to change shape, which can cause strain and compression over time.

Four craters in the neck.

The first pit: bad posture

Spend the day staring at your computer screen, and then take a break from your desk at noon. The neck is in an abnormal curve and lasts for a long time, leading to long-term muscle tension, pulling on the cervical vertebrae, wear and hyperplasia of the vertebrae, and the beginning of bone spurs. Cervical discs begin to deform and herniate.

Rescue measures:

1. Don't play with your phone for too long and hold it higher.

2. If you need to sit for a long time, you should maintain a neutral cervical spine, adjust the height of the computer monitor, look straight at the eye, drooping shoulders naturally, and supporting the waist.

3. Stretch your neck. Recommend 2 moves.

Look left and right up and down. Imagine yourself standing in the middle of a vertical cross. Look left, look right, look down.

Action two: ten o 'clock ten o 'clock exercise. Stand or sit up with your arms in a "10:10" position, chest up and breathe in deeply.

If you experience dizziness or neck discomfort during exercise, stop immediately.

Second pit: wind, cold, wet

Blow after sweating; Winter indoor short sleeves, exposed neck outside. This one cold one hot, the muscle does not adapt, produces the spasm; Blood vessels suddenly contraction, blood circulation is not to force, "waste" can not be discharged, vascular permeability increases, white blood cells run around the cervical vertebra, aseptic inflammation produced.

Solution: in summer, avoid fan, air conditioning directly to the neck blowing; Keep your neck warm in winter. Go outside and wear a scarf.

Third hole: the pillow is too high

If the pillow is too high, the neck is propped up like the head is bent, and the back muscles are stretched, which over time can accelerate disc degeneration.

Save method: the height of pillow should be able to maintain the physiology before protruding of cervical vertebra, the height of proposal adult pillow is in 8 centimeters ~10 centimeters, choose the ingot treasure that low both sides is tall among the choice, material is ventilated, soft hard moderate pillow is better.

The person that habit supine sleeps, the palm width that pillow height should and oneself is about; The person that habit side lies, height should be about the same as one side shoulder.

If you're used to lying on your back, it's ok not to use pillows. The cervical vertebra is in normal physiological curvature and the muscles are relaxed. But if you're used to lying on your side, you must have a pillow.

Pit 4: neck trauma

Neck trauma can aggravate cervical disc injury, even directly destroy the stability of cervical vertebra, and induce cervical spondylosis.

Solution: remember to fasten your seat belt and try not to sleep in the car when going out. Prevent neck injuries on a daily basis.

Massage can relieve cervical spondylosis, promote local blood circulation, relieve cervical pressure. However, spinal canal stenosis, severe disc herniation, cervical instability and other problems must be excluded before massage reduction.

Cervical spondylotic myelopathy absolutely prohibit gravity massage and reduction, otherwise easily aggravate the symptoms, and even lead to paraplegia. Even if massage and reduction therapy are required, it is best done by a trained professional.

Source: hefei health

Lumbar disc herniation conservative treatment, what is the outcome? – infrared heating therapy | herniated disc/lumbar spine/disc degeneration/lumbar disc herniation/spinal stenosis

The textbook indications for surgery are as follows:

Lumbar disc herniation, although the cause is lumbar disc degeneration and protrusion, but its victims are mainly compressed lumbar nerve root! Can conservative treatment, need not need operation, must ask the victim's feeling! The nerve root is compressed, it hurts, it becomes inflamed, it edema, it even loses function! If there is a loss of muscle strength and muscle atrophy, the nerves are already beginning to deteriorate.

Can conservative treatment stop the nerve damage? Does it restore nerve function? It is difficult to!!!!!

It's a race against time with nerve damage! If the nerve root compression is removed early enough, recovery is possible. If the pressure is too long, the nerve will be irreversibly damaged, and the strength of the lower limbs will not be restored after the operation.

To sufficient prolapse and defecate abnormally circumstance, clinical call "horsetail syndrome", if do not operate as soon as possible, bring about serious, the nerve injury that cannot restore very likely! It's worse than walking!

In ancient times, there was no surgery to choose from, and such a situation could result in permanent disability. Fortunately, modern medical technology is developing rapidly, and there are already very mature minimally invasive treatment schemes.

A personal point to make here is that when the textbook indications for surgery were developed, minimally invasive lumbar surgery was not very mature. At that time, lumbar surgery was very traumatic and expensive, so surgical treatment should be carefully chosen.

At present, minimally invasive spinal surgery represented by intervertebral foramen has been very mature, which can be completed under local anesthesia with small incision, small trauma and rapid recovery. Therefore, surgical indications can be carefully broadened.

Instead of waiting for the disc to absorb naturally, it can be removed by a very minimally invasive procedure.This is more conducive to the recovery of nerve function and the rehabilitation exercise of the waist (severe protrusion, because of severe pain is unable to carry out the lumbar back muscle exercise, and long-term conservative treatment in bed will make the lumbar back muscle further disuse atrophy).

lumbar spine

Do you need conservative treatment after surgery?

This is every postoperative patients need to pay attention to a problem! Patients often only care about after surgery: "postoperative lumbar disc herniation will not relapse?" But ignore the importance of continuing conservative treatment after surgery!

Lumbar disc herniation surgery, especially minimally invasive surgery, simply removes the herniated disc that compresses the nerve, and does not return the disc to its normal state. Even though the decompression was sufficient, the disc was abnormal.

lumbar spine

One way to think about it is that before each disc protrudes, it used to be normal. Normal lumbar intervertebral disc can protrude, let alone an abnormal interdisc? In this case, there is not only the possibility of recurrence of the intervertebral disc (global big data research proves that the probability of minimally invasive recurrence is about 3.6%), but also the accelerated degeneration of the intervertebral disc, disc collapse, osteophytes, spinal stenosis and other conditions are more likely to occur.

Therefore, surgery is only a part of the treatment, or even the first step! Postoperative also needs long-term conservative treatment!

Here again, lumbar disc herniation is a chronic disease, not a day or two to get, not a day or two can be good! Whether can restore, look at the fight of healthy qi and evil qi inside body completely!

lumbar spine

The so-called healthy qi refers to a healthy lifestyle and rehabilitation exercise for the waist, including rational use of the waist, waist and back muscle training (small swallow fly, swimming), weight reduction (reduce the body pressure on the disc) and so on.

Evil spirits: the wrong lifestyle that is harmful to the lumbar spine, including sitting and bending over. Don't look at these two points, actually affect all aspects of life!

Usually drive a car, watch a TV play, play games, and old friends to play mahjong, sat for a few hours! Usually carry basin water, wash a bowl, drag a ground, a careless have to bend for a while.

lumbar spine

When the healthy qi is greater than the evil qi, the disease is recovering constantly. If you can persist, you may never have any problems in the future.

When the evil is greater than the healthy, not only can't recover, but the progress of the disease is accelerating!

lumbar spine

Lumbar disc herniation, it is the disease that concerns a person lifetime! Good or bad, how the outcome, not only depends on the means of treatment, more depends on the patient's personal cognition and maintenance.

Here, I would like to quote director wei feng's remarks in my view on disease [6] :

"In my years of dealing with patients, especially young patients, I have found that the pain of the disease itself is only part of the problem.

"Illness is like a scar on my body, a weakness in my character. Whether I love it or hate it, it is a part of me, a part of my life." What is our purpose? It's a healthy, happy life. What is health? Not just physically, but mentally!" .

Take things as they come.

We can still live a healthy and happy life!

Editor in charge:

Lumbar disc herniation conservative treatment, what is the outcome? – infrared heating therapy | herniated disc/lumbar spine/disc degeneration/lumbar disc herniation/spinal stenosis

The textbook indications for surgery are as follows:

Lumbar disc herniation, although the cause is lumbar disc degeneration and protrusion, but its victims are mainly compressed lumbar nerve root! Can conservative treatment, need not need operation, must ask the victim's feeling! The nerve root is compressed, it hurts, it becomes inflamed, it edema, it even loses function! If there is a loss of muscle strength and muscle atrophy, the nerves are already beginning to deteriorate.

Can conservative treatment stop the nerve damage? Does it restore nerve function? It is difficult to!!!!!

It's a race against time with nerve damage! If the nerve root compression is removed early enough, recovery is possible. If the pressure is too long, the nerve will be irreversibly damaged, and the strength of the lower limbs will not be restored after the operation.

To sufficient prolapse and defecate abnormally circumstance, clinical call "horsetail syndrome", if do not operate as soon as possible, bring about serious, the nerve injury that cannot restore very likely! It's worse than walking!

In ancient times, there was no surgery to choose from, and such a situation could result in permanent disability. Fortunately, modern medical technology is developing rapidly, and there are already very mature minimally invasive treatment schemes.

A personal point to make here is that when the textbook indications for surgery were developed, minimally invasive lumbar surgery was not very mature. At that time, lumbar surgery was very traumatic and expensive, so surgical treatment should be carefully chosen.

At present, minimally invasive spinal surgery represented by intervertebral foramen has been very mature, which can be completed under local anesthesia with small incision, small trauma and rapid recovery. Therefore, surgical indications can be carefully broadened.

Instead of waiting for the disc to absorb naturally, it can be removed by a very minimally invasive procedure.This is more conducive to the recovery of nerve function and the rehabilitation exercise of the waist (severe protrusion, because of severe pain is unable to carry out the lumbar back muscle exercise, and long-term conservative treatment in bed will make the lumbar back muscle further disuse atrophy).

lumbar spine

Do you need conservative treatment after surgery?

This is every postoperative patients need to pay attention to a problem! Patients often only care about after surgery: "postoperative lumbar disc herniation will not relapse?" But ignore the importance of continuing conservative treatment after surgery!

Lumbar disc herniation surgery, especially minimally invasive surgery, simply removes the herniated disc that compresses the nerve, and does not return the disc to its normal state. Even though the decompression was sufficient, the disc was abnormal.

lumbar spine

One way to think about it is that before each disc protrudes, it used to be normal. Normal lumbar intervertebral disc can protrude, let alone an abnormal interdisc? In this case, there is not only the possibility of recurrence of the intervertebral disc (global big data research proves that the probability of minimally invasive recurrence is about 3.6%), but also the accelerated degeneration of the intervertebral disc, disc collapse, osteophytes, spinal stenosis and other conditions are more likely to occur.

Therefore, surgery is only a part of the treatment, or even the first step! Postoperative also needs long-term conservative treatment!

Here again, lumbar disc herniation is a chronic disease, not a day or two to get, not a day or two can be good! Whether can restore, look at the fight of healthy qi and evil qi inside body completely!

lumbar spine

The so-called healthy qi refers to a healthy lifestyle and rehabilitation exercise for the waist, including rational use of the waist, waist and back muscle training (small swallow fly, swimming), weight reduction (reduce the body pressure on the disc) and so on.

Evil spirits: the wrong lifestyle that is harmful to the lumbar spine, including sitting and bending over. Don't look at these two points, actually affect all aspects of life!

Usually drive a car, watch a TV play, play games, and old friends to play mahjong, sat for a few hours! Usually carry basin water, wash a bowl, drag a ground, a careless have to bend for a while.

lumbar spine

When the healthy qi is greater than the evil qi, the disease is recovering constantly. If you can persist, you may never have any problems in the future.

When the evil is greater than the healthy, not only can't recover, but the progress of the disease is accelerating!

lumbar spine

Lumbar disc herniation, it is the disease that concerns a person lifetime! Good or bad, how the outcome, not only depends on the means of treatment, more depends on the patient's personal cognition and maintenance.

Here, I would like to quote director wei feng's remarks in my view on disease [6] :

"In my years of dealing with patients, especially young patients, I have found that the pain of the disease itself is only part of the problem.

"Illness is like a scar on my body, a weakness in my character. Whether I love it or hate it, it is a part of me, a part of my life." What is our purpose? It's a healthy, happy life. What is health? Not just physically, but mentally!" .

Take things as they come.

We can still live a healthy and happy life!

Editor in charge:

More PainĀ Releif Information

Bitnami