Spinal surgery, let the boy "long" 19 cm – InfraredHeatingTherapy | lumbar spine/spinal stenosis/hip pain

Pan peng developed lumbago with left hip pain without obvious inducement 8 years ago and was diagnosed as ankylosing spondylitis. Pan peng seek medical treatment everywhere, many doctors told him that there is no way to cure, can only rely on drugs to alleviate the progress of the disease. After a period of drug treatment, pan peng's pain eased, but his condition continued to recur.

Because of the side effect of hormone kind medicine, pan peng is fat a lot, adolescent he is afraid to be laughed at by the classmate, did not take the medicine, from then on, the disease develops very quickly, carry also more and more camel. For five years, due to a hunchback, pan peng couldn't sleep on his back, couldn't raise his head, and was only 150cm tall. Go out at ordinary times, often have stranger eye to stare at him with strange kind of vision, the pan peng of 20 years old early is made by hump special self-abased. Graduated from the university, other students are busy looking for a job, pan peng is looking for a doctor, hope to find an expert can let him can hold his head high to be a man.

back surgery

Introduce via the friend, pan peng found south medical 3 hospital spinal surgery 2 area director li qingchu.

Li qing asks pan peng to treat ankylosing spondylitis by standard above all, cannot stop medicine without authorization. Under the action of biological agents and other drugs, pan peng's condition was well controlled without side effects such as obesity. After improving the preoperative examination of various indicators, li qingpreliminary performed an operation on pan peng: osteotomy and correction of posterior spinal deformity + pedicle screw internal fixation + fusion of bone graft, and the kyphosis "hill" which was originally close to 90 degrees was finally "leveled". After five years, pan peng was very excited to finally lie flat. Four days after the operation, he began to walk on the ground, looking in the mirror, looking at his straight body, he couldn't help asking the nurse to measure his height.169 centimeters, a full 19 centimeters higher than before surgery. Twelve days after the operation, peng peng was discharged from hospital.

Li qingchu introduces, ankylosing spondylitis incidence rate is higher, with the young person of 20 or 30 years old is main come on crowd, early discovery early treatment is the only way that disease of disease of prevention and cure aggravates.Ankylosing spondylitis still cannot be cured at present, but can delay disease development through normative treatment, if do not follow doctor's advice to stop medicine without authorization, be like the case of pan peng very likely, appear serious humpback deformity, continue to develop even the likelihood is paralytic.

To the youth male of 16-25 years old, if do not have inducement to appear lumbosacral ministry, hip joint is continued or intermittency ache, perhaps appear lumbar stiff and bend over, squat down difficult wait for a circumstance, should vigilance ankylosing sex spondylitis, must arrive in time rheumatic immunity division diagnose. For the patients who show signs of hump, they need to go to the spinal surgery department. The spinal surgeon can intervene in the early stage and adopt brace treatment to correct kyphosis as much as possible.

At the beginning of Li Qing

Chief of spinal surgery division ii

Chief physicianDoctoral supervisor

Proficient in and early implementation of various minimally invasive spinal surgery, such as: Alif under endoscope assisted minimally invasive lumbar spine fusion surgery, posterior quandrant minimally invasive surgical treatment of lumbar spinal stenosis, lumbar spine, posterior disc mirror mirror/intervertebral foramen and lumbar spinal stenosis disease treatment of lumbar intervertebral disc protrusion, microscope, minimally invasive anterior fusion/non fusion technology for each type of cervical spondylosis, minimally invasive percutaneous puncture, radiofrequency ablation treatment for fiber ring source sex lumbago, lumbar intervertebral disc protrusion prosthesis, minimally invasive percutaneous pedicle screw technique in the treatment of thoracolumbar fractures and lumbar fusion surgery, can independently accomplish all kinds of difficult and complicated spine surgery. Now, we have independently completed more than 8,000 minimally invasive spinal surgery, and more than 5,000 difficult and complex spinal surgery including various high cervical spine, scoliosis and spine revision, with the number of diagnosis and treatment and technical difficulty at the leading level in China.

Source: southern metropolis daily

Reporter: wang daobin

Photo source: department interviewed

back surgery

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.

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, the hand has lingering fragrance.

What are the symptoms of sciatica – InfraredHeatingTherapy | sciatica/back pain/sciatica treatment

Nowadays, many young people have a lot of problems in their lumbar spine and even sciatica due to working for a long time. Do you know the symptoms of sciatica? Do you know any exercises for sciatica? Do not know that does not matter, today small make up for you to introduce the knowledge about the treatment of sciatica, interested in hurry to look at it.

Symptoms of sciatica

Many people don't know what symptoms sciatica may have. It may be the cause of your back pain or leg pain.

1. Sciatica disc protrudes between lumbar vertebrae. Patients often have a long history of recurrent back pain or a history of heavy physical labor.

In addition to the typical symptoms and signs of rsciatica, there are also lumbar spasms, limited lumbar movement, and disappearance of volume forward flexion. X-ray film may have a narrowing of the involved vertebral space, and ct examination may confirm the diagnosis.

2. Cauda equina tumor, with slow onset and gradual aggravation. The disease usually starts with unilateral root sciatica and gradually develops into bilateral. The pain was significantly worse at night and the course of the disease was progressively worse.

Sphincter dysfunction and hypoesthesia in the saddle region were also found. Lumbar puncture showed subarachnoid obstruction and significantly increased amount of CSF protein, and even froin syndrome (CSF yellow, self-coagulation after placement), which could be confirmed by iodine hydrography or mri of spinal cord.

3, lumbar spinal stenosis, more common in middle-aged men, early often have "intermittent claudication", after walking lower extremity pain aggravation, but stoop to walk or rest after symptom relief or disappear.

When the nerve root or cauda equina is severely compressed, sciatica symptoms and signs can also appear on one side or on both sides, and the course of disease presents progressive aggravation. Treatment such as bed rest or traction is ineffective. The lumbosacral vertebra can be diagnosed by X-ray or ct.

4, lumbosacral radiculitis, due to infection, poisoning, nutritional metabolism disorders or strain, cold and other factors.

Generally, the onset is more acute, and the damage scope often exceeds the sciatic nerve innervation area, showing weakness, pain, mild muscle atrophy, in addition to the Achilles tendon reflex, knee tendon reflex is often weakened or disappeared.

5, from the lumbosacral department along the buttocks, big leg, lower leg lateral side has been to the foot metatarsal radiation of persistent or paroxic severe pain.

Root sciatica is mainly pain in the proximal sciatic nerve, which can be aggravated by walking and increased pressure in the abdominal cavity (such as sneezing, coughing, stool, etc.). Dry sciatica is marked by distal pain.

6. The sciatic nerve distribution area, such as the area outside the lower leg and dorsal foot, often has acupuncture, numbness and other senses. Most of the objective sensory obstacles are not obvious.

The elderly may have mild muscular atrophy during the disease stage, and the positive side lassege sign (positive for those with pain and resistance when the straight leg is raised less than 70°).

7. Tenderness points can be found along the sciatic nerve: paraspinal points of the lumbar spine (on the plane of lumbar spinous process 4 and 5, 1.5cm away from the midline); Gluteal point (lateral tuberosity to middle point of ischial tuberosity line); The middle point of the plantar.

8. When patients suffer from sciatica, they may suffer severe pain, which always keeps the patient in a unique posture. The pain mainly focuses on the outside of the lower leg and the foot.

9. The pain will be more severe when the patient does some postures after the disease, such as bending the waist, bending the knee and landing on the toes. When the patient does these postures, the pain will be worse because the patient will exert more effort.

Exercise for sciatica

In fact, sciatica can be treated with exercise, but be sure to stick with it. Here are some exercises for sciatica.

The causes of sciatica vary. Sciatica of the vast majority of patients is secondary to the sciatic nerve local and peripheral structural lesions of the sciatic nerve to stimulate compression and damage, known as secondary sciatica; A few are primary, that is, sciatic neuritis.

Sciatica has brought great pain and inconvenience to patients, and the proper strengthening of lumbar leg function exercise, will obtain good therapeutic effect.

To this end, we introduce a few simple exercise methods for you, you might as well try.

Side leg

The patient stands with both hands supporting the wall, swinging his legs to the right and left in turn, without touching the ground.

Straight leg up

The patient lies on his back, straighten his left and right legs in turn and lift them up, gradually increasing the lifting Angle as the exercise deepens.

On the bike

The patient is in the supine position, and his/her legs pedal in turn, with a step that increases gradually.

Lift a leg is sitting

Sit with your legs close together or with a thick book between your legs. Sit on your knees, heel to heel, holding the stool in your hand. Lift your leg over your navel and lower it immediately. At the beginning of the affected leg may not be raised very high, adhere to exercise after the affected leg will gradually increase the degree of elevation.

Sit flat leg

The patient sits up with his feet on the ground and his toes on stilts. His hands lie flat on his thighs. Then he bends forward and pushes his hands toward the feet. At the beginning of practice, it is difficult to push your hands to your feet.

Squat jump swap

With both hands holding the stool or fixator, the patient crouches with the left leg bent and the right leg as straight as possible.

Additional, the patient still can use hot towel or cloth before going to bed everyday, pack on hot salt, hot compress waist or coxal, but temperature cannot too high, with comfortable advisable. This may also help relieve sciatica.

Treatment of sciatica

1. After suffering from this syndrome, patients often feel severe pain in their thighs, calves and feet. Bed rest is necessary to relieve the pain. Do not get out of bed for mild activities until the pain has abated.

2. If the pain lasts for a long time and is severe, it is important to find out the cause of the pain and treat it according to the cause. Such as rheumatism, lumbar disc herniation, bone hyperplasia and other diseases caused by sciatica, must actively treat the primary disease, in order to alleviate pain.

3. If the pain is severe and affects the normal life and rest, analgesics or tranquilizers should be taken appropriately. However, they should be taken in accordance with the amount prescribed by the doctor.

4. If patients are in the acute stage of sciatica, or suffer from extensive adhesion, they can take hormone drugs for a short period of time to play the role of anti-inflammatory and analgesic. Long-term medication should be avoided to avoid adverse reactions.

5. Patients can cooperate with physiotherapy, acupuncture or massage during treatment, which can play an auxiliary role in treatment and promote recovery of the disease.

Sciatica treatment folk prescription

Bi zhiting tong tang

This medicine can play the role of clearing damp analgesia, but also can tonifying the kidney and blood, the main drugs for live alone, angelica sinensis, mulberry parasitic, salvia miltiorrhiza, wanghuixing, suberect spatholobus, radix cyathulae, eucommia ulmoides, radix aconitae, eucommia ulmoides, radix aconitae, woodworm, wind prevention, tubie worms, asarum asarum, system aconite, licorice.

Strong tendon bundle bone pill

Angelica, Fried eucommia ulmoides, sichuan cut, jixue rattan, salvia miltiorrhiza, earthworm and other drugs ground into powder and made into a pill, take 5 grams of rice wine every morning and evening can be sent to service.

Conclusion: do you know that a lot of pain and discomfort are caused by sciatica? Therefore, if you suffer from sciatica, you should actively treat it. You can try the exercise methods recommended in the article and also try the folk remedies.

Shanghai otolaryngology department, breast surgery, spinal surgery, hepatobiliary surgery, gastrointestinal surgery experts sit – InfraredHeatingTherapy | lumbar disc herniation/spinal stenosis/lumbar spinal stenosis

June

On the morning of Saturday, June 29,Department of otolaryngology, the first affiliated hospital of Shanghai jiaotong universityProfessor wangjieConsultation room 316, area c, floor 3, louqiao hospital

Booking hotline:

13957738518 (deputy chief physician zhang yu)

0577-88059166, 88883131,

In July

On Saturday, July 6,Shanghai ruijin hospital breast centerProfessor li yafen"Shanghai famous hospital", area c, floor 5, louqiao hospital

13506663311 (deputy chief physician zeng yong)

Sunday, July 14,Department of spinal surgery, Shanghai huashan hospitalProfessor shaxinlei"Shanghai famous hospital", area c, 5th floor, louqiao hospital

13806540909 (deputy chief physician wang fengfeng)

13777780201 (deputy chief physician zheng yuanbo)

On Saturday, July 20,Shanghai ruijin hospital breast centerThe professor huang"Shanghai famous hospital", area c, 5th floor, louqiao hospital

On the morning of Saturday, July 20,Shanghai Oriental hepatobiliary hospitalProfessor cheng shu-qun"Shanghai famous hospital", area c, 5th floor, louqiao hospital

(deputy chief physician hu yiren)

On Tuesday, July 23,Department of gastrointestinal surgery, Shanghai ruijin hospitalProfessor zheng minhua"Shanghai famous hospital", area c, 5th floor, louqiao hospital

(chief physician tong xiaochun)

Expert introduction

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wangjie

Chief physician

1984.6 graduated from the medical department of Shanghai second medical university

1984.7 worked in the department of otolaryngology of Shanghai first people's hospital

1992.4-1994.3 studied in the department of otolaryngology of suogu hospital affiliated to Japan independent association medical university.

Administrative position:

Shanghai first people's hospital; Shanghai first people's hospital otolaryngology head and neck surgery deputy director

Social part-time job:

Member of otolaryngology head and neck surgery committee of China association of non-public medical institutions

Chinese traditional and western medicine otolaryngology professional committee member tinnitus expert committee member

Member of vertigo medicine committee of Chinese research hospital association

Standing member of otolaryngology professional committee of Shanghai integrated traditional Chinese and western medicine

Specializes in: ear microsurgery, ear endoscope surgery, facial nerve microsurgery, nasal endoscope surgery, traumatic optic nerve contusion treatment, minimally invasive treatment of lacrimal duct obstruction.

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Ya-feng li

Chief physician, deputy director of breast disease diagnosis and treatment center of ruijin hospital affiliated to Shanghai jiao tong university medical college. Chinese anti-cancer association of professional committee of the breast cancer, 5, 6 Olympic committee, Shanghai expert member of technical appraisal for medical accident dispute, the Shanghai association of breast cancer, deputy director of professional committee members, the Chinese medical doctor association surgeon branch breast surgeon committee, the third session of the theory and practice of surgery magazine editors. Good at breast disease diagnosis and treatment.

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Amoi ray

The Chinese medical doctor association members, the orthopedic surgeon branch of minimally invasive spine branch of the Chinese medical doctor association member of the orthopedic surgeon branch of spinal pain branch, Shanghai medical association branch of orthopedic specialist of the minimally invasive group members, the Chinese medical association branch of bone science youth commissions minimally invasive and intelligence committee members, the Chinese research society of orthopaedic hospital innovation and transformation of the professional committee of digital minimally invasive spinal surgery group members, the standing committee and the of Shanghai association of traditional Chinese and western medicine combined with spinal branch of the minimally invasive spine group deputy head, of Shanghai association of traditional Chinese and western medicine combined with minimally invasive bone of the spine group deputy head, spinal cord branch of Shanghai rehabilitation medical association member, Aospine domestic lecturer.

Engaged in orthopedic clinical work for decades, familiar with the diagnosis and treatment of various diseases in spinal surgery, especially good at minimally invasive spinal surgery.

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Yellow o

Doctor of surgery, master of oncology, senior chief surgeon. In 2004, I began to receive clinical and skill training of breast diseases in the affiliated tumor hospital of fudan university. In 2009, I participated in the preparation of the present breast disease diagnosis and treatment center of ruijin hospital. Now he is the senior deputy chief physician of the surgery department of the center, and now he is employed by professor li yafen as the leader of the third group. She is good at radical surgery for breast cancer, breast cancer reservation surgery, breast plastic reconstruction after breast cancer surgery, minimally invasive breast surgery, breast cancer axillary surgery, and systemic treatment and follow-up after breast cancer surgery. Participated in the compilation of 7 monographs on mammary glands. From 2009 to 2010, she was engaged in the research of breast cancer drugs and basic theoretical exploration in the "state key laboratory" of Shanghai institute of materia medica, Chinese Academy of Sciences. Presided over three national projects, Shanghai projects and academy projects, and participated in 7 other national and major projects. He has published more than 30 articles in domestic journals and more than 20 sci papers in international journals, among which 11 articles have been published as the first author in breast cancer research and treatment, BMC cancer and other internationally renowned journals. Participated in Shanghai medical aid to yunnan (nujiang lisu autonomous prefecture, yunnan, 2011-2012). Every year regularly in the national breast disease training class conference lecture "breast cancer surgical treatment progress" and "breast cancer chemotherapy", and the national breast cosmetic minimally invasive surgery training class to do surgery presentation and lectures. At present, there are more than 1800 minimally invasive surgeries and 1000 breast cancer surgeries. It has rich clinical experience in adjuvant chemotherapy, endocrine therapy and targeted therapy.

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Cheng woodlot

Chief physician, professor, doctoral supervisor, special professor of cheungkong scholars of the Ministry of Education, winner of national outstanding youth fund, special allowance of the State Council, "young and middle-aged experts with outstanding contributions" of national talent project, leading medical talents in Shanghai. Currently, he is the director of the sixth department of extrahepatic surgery of Oriental hepatobiliary surgery hospital affiliated to the second military medical university, the director of the diagnosis and treatment center of portal vein thrombous cancer and the innovation team of portal vein thrombous cancer of the second military medical university. Selected "national outstanding youth fund", "top talent of military innovative talent project", "Shanghai new 100 people plan", "Shanghai outstanding academic leader", "Shanghai shuguang scholar" and other talent projects.

Long engaged in liver surgery and liver metastasis tumor clinical and basic medical research, especially for diagnosis and treatment of hepatic carcinoma with portal venous tumor emboli with unique technology and experience, for complicated and difficulty of huge hepatocellular carcinoma, with portal venous trunk/inferior vena cava tumor emboli liver, caudate lobe of liver cancer, liver mun resection of liver cancer high success rate in China.

back specialist

corder

Chief physician, professor, doctoral supervisor, the incumbent ruijin hospital affiliated to Shanghai jiaotong university school of medicine, director of gastrointestinal surgery, endoscopic surgical world union director, the chairman of the Asian endoscopic and laparoscopic surgeons, laparoscopic and endoscopic surgical surgery branch of Chinese medical association, director of the committee members, the China association of professional committee of laparoscopic colorectal cancer surgery group leader, Shanghai minimally invasive surgical director of the center for clinical medicine. He is also the editorial board member and deputy editor of important academic journals such as Chinese journal of surgery, Chinese journal of general surgery, Chinese journal of practical surgery, Chinese journal of gastrointestinal surgery, Chinese journal of minimally invasive surgery, journal of surgical theory and practice, and journal of laparoscopic surgery.

Professor corder pioneered in east China area for laparoscopic cholecystectomy, and in the domestic leader in laparoscopic colorectal surgery, laparoscopic adrenalectomy, laparoscopic hernia repair and so on, has conducted more than 15000 cases, more than 40 laparoscopic surgery, laparoscopic surgical treatment of biliary disease and colorectal cancer in the international advanced level. He has published more than 90 papers, edited three monographs and participated in the compilation of six. The project "clinical and basic research on laparoscopic colorectal surgery" led by him won the second prize of science and technology progress of Shanghai, and the project "clinical and basic research on laparoscopic surgery" won the third prize of science and technology progress of Shanghai. He was awarded the title of Shanghai top ten outstanding youth and the silver snake award of Shanghai health system. Enjoy special subsidies from the State Council.

back specialist

alyson

Wenzhou people's hospital

Wenzhou women and children's hospital

Zhejiang otolaryngology – head and neck surgery branch, Chinese medical association

Graduated from wenzhou medical university in 1994, studied in the department of otolaryngology of the second affiliated hospital of zhejiang medical university in 1997, attended the study class of endoscopy of zhongshan medical university in 1998, and the study class of allergic rhinitis of fudan university in 2005

Scientific research achievements: scientific research project of wenzhou science and technology bureau (y20060283) "dust mite drops" for the treatment of allergic rhinitis caused by dust mites, 2007-2008, presided over, the project has been concluded; Participated in many scientific research projects of wenzhou science and technology bureau, wrote and published more than 10 medical papers.

Expertise: individualized treatment of allergic rhinitis: immunotherapy (desensitization therapy), selective pterygial nerve blocking therapy, anterior sieve nerve blocking therapy and drug therapy; Endoscopic minimally invasive surgery for chronic rhinitis, sinusitis, nasal polyps, benign nasal tumors, nasal septum deviation, refractory epistaxis, chronic dacryocystitis, etc. Minimally invasive surgical treatment of tonsils, adenoids, epiglottis cysts and osahs was performed by low temperature plasma technique. The vocal nodules and vocal polyps were operated by microsurgery. Treatment of sudden deafness, vertigo and tinnitus.

Louqiao courtyard: all day on Monday

Xinhe courtyard: all day on Tuesday

Special outpatient service: room 316, area c, floor 3, louqiao hospital district, Saturday morning

back specialist

jamesd

Wenzhou people's hospital

Wenzhou maternal and child health care hospital

Deputy director of breast surgery, deputy director of tumor surgery, deputy chief physician. Member of tumor committee of wenzhou branch of Chinese medical association, member of wenzhou branch of zhejiang anti-cancer association, member of oncology branch of wenzhou association of integrated Chinese and western medicine. He studied further in the cancer hospital affiliated to fudan university and the second affiliated hospital affiliated to the medical college of zhejiang university. Introduce Shanghai ruijin hospital breast center team, jointly set up wenzhou people's hospital breast diagnosis and treatment center. Presided over 2 municipal level projects, participated in the completion of a number of municipal science and technology bureau projects, published more than 10 papers in national, provincial and above journals.

Specializes in: breast, thyroid, parathyroid disease and the treatment of soft tissue tumors.

Outpatient service:

Xinhe courtyard: all day on Monday

Louqiao courtyard: all day on Tuesday

back specialist

Wang Dafeng

Orthopedic deputy director, deputy chief physician

Good at: cervical spondylosis, lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, spinal fracture and other diseases of the treatment of the spine minimally invasive surgery has certain experience

Xinhe courtyard: all day on Wednesday

back specialist

Zheng Yuanbo

Associate chief orthopaedic physician

Good at: diagnosis and treatment of spinal injury fracture, cervical spondylosis, disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, spinal tumors and other spinal diseases. Especially the lumbar minimally invasive surgery has more experience.

Louqiao courtyard: all day on Friday

back specialist

Hu Yi people

Wenzhou people's hospital

Liver cancer comprehensive diagnosis and treatment center, deputy director, deputy director of general surgery, deputy chief physician. Member of hepatocellular carcinoma committee of Chinese medical doctor association, won the award of zhejiang provincial new medical star, and was selected to wenzhou 551 talent project. He studied further in Cleveland medical center, Shanghai changhai hospital and Oriental hepatobiliary surgery hospital, and introduced professor cheng shuqun's team from Shanghai Oriental hepatobiliary surgery hospital to jointly establish the comprehensive diagnosis and treatment center of liver cancer in wenzhou people's hospital. Published 6 sci papers as the first author or corresponding author, hosted 1 national natural science foundation project and 3 municipal department-level projects, won the third prize for scientific and technological progress in wenzhou, and obtained 5 invention patents.

Specialize in:

Xinhe hospital: Wednesday morning

Louqiao courtyard: Monday morning

TongXiaoChun

Wenzhou people's hospital

Specializes in: gastrointestinal tumors, hepatobiliary surgery diseases, abdominal hernia and other minimally invasive and comprehensive treatment.

Advanced study hospital: Shanghai changhai hospital, Shanghai 8th five hospital, Shanghai ruijin hospital

What can save your back pain? The first OLIF operation was carried out in jinjiang hospital – InfraredHeatingTherapy | back pain/lumbar spine/spinal stenosis

back surgery

Bring aboutPreoperative lumbar spine anterior and lateral radiographs

Jinjiang hospital contacted zhang yuzhu, director of shulan medical consultation. Zhang is a famous expert in spinal surgery from the first affiliated hospital of zhejiang university school of medicine. After detailed analysis of case data, zhang suggested performing oblique lateral lumbar interbody fusion plus posterior lumbar pedicle screw fixation.

back surgery

back surgery

Under the guidance of director zhang yuzhu, director wang xudong's team of the second department of bone surgery successfully performed oblique lateral lumbar interbody fusion (olif)+ posterior lumbar pedicle screw fixation system for the patients as planned. This is also the first case of olif operation in our hospital. The day after the operation, the patient could walk on the ground.

back surgery

back surgery

Bring aboutPostoperative lumbar spine anterior and lateral radiographs

The power of medical technology can be seen in the relieved smiles of patients and their families. We would also like to express our sincere gratitude to zhang yuzhu and other experts from shulan medical for their strong technical support for the construction of orthopedic department in our hospital. Their exquisite technique and rigorous attitude will surely promote our department of orthopaedics to keep pace with The Times, realize rapid and leap-forward development and benefit the people of jinjiang.

Lumbar interbody fusionInterbody fusion (lif) is a classic operation for the treatment of degenerative disease of the lumbar spine. Anterior lumbar interbody fusion (alif) was the earliest application, while posterior lumbar interbody fusion (plif) was the most classic and widely used. In recent years, with the development of surgical techniques towards precision and minimally invasive, a number of minimally invasive intervertebral fusion surgery methods have emerged, mainly including minimally invasive transforaminal lumbar interbody fusion (mis-tlif), extremely lateral lumbar interbody fusion (xlif) and oblique lateral lumbar interbody fusion (olif).

Various lumbar interbody fusion procedures

back surgery

Each lumbar fusion approach

back surgery

Inclined lateral lumbar intervertebral bone graft fusion (oblique has interbody fusion, olif) recently, the international application is more a way of new minimally invasive lumbar spinal fusion surgery. A small incision similar to appThe endicitis operation was made on the side of the abdomen, generally about 5cm. The operation was carried out in this area by placing a working passage between psoas major and abdominal aorta through the intermuscular Spaces of the external oblique, internal oblique and transverse abdominal muscles into the extraperitoneal space.

The advantages of olif

It does not enter the peritoneal cavity, thus greatly reducing the incidence of complications such as abdominal organ injury, peritoneal adhesion and vascular injury.

The operation area is in front of the spinal canal, without exposing the spinal canal, thus avoiding the interference of the spinal membrane and spinal cord in the spinal canal.

During the operation, the facet joint, spinous process, interspinous process ligament and posterior longitudinal ligament were not destroyed, the psoas were not stripped, and the psoas major was not incised. These structures play an important role in maintaining the physiological and mechanical stability of the lumbar spine.

The complication rate of olif nerve injury was low.

Larger intervertebral fusion apparatus can be used to improve the height of intervertebral space and the balance of sagittal position.

The operation time is short, the bleeding is little, the pain is light, the hospitalization time is short, the postoperative recovery is fast.

Indications for olif mainly include

Degenerative lumbar spondylolisthesis, discogenic low back pain, lumbar spinal stenosis, lumbar segmental instability, adjacent segmental degeneration after lumbar surgery, degenerative scoliosis, revision of lumbar surgery, intervertebral infection, trauma, tumor, etc.

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Lingcheng district people's hospital successfully cured patients with traumatic kyphosis – InfraredHeatingTherapy | back pain/spinal decompression/lumbar spine

Dazhong · poster news September 17, Texas (Correspondent section chang yong) recently, the second department of bone department of lingcheng district people's hospital of dezhou successfully cured a case of traumatic kyphosis of the spine and paralysis of both lower limbs.

On July 26, 2019, lingcheng district people's hospital bone department 2 admitted a "troublesome" patient. The 67-year-old woman has been suffering from alzheimer's disease, high blood pressure and severe senile osteoporosis for several years. She developed back pain, inability to get out of bed and standing and walking three weeks ago. Two team bone to ask medical history, physical examination and imaging examination, diagnosis of the lumbar spine pathological compression fracture, senile severe osteoporosis and lumbar spinal stenosis disease, incomplete double lower limbs paralysis, protruding after traumatic spinal deformity, hypertension, alzheimer's disease and other diseases, can only live life lie in bed, not surgery could no longer stand up. In addition, deep vein thrombosis, lung infection, bedsores and other complications can lead to death. Lingcheng people's hospital recommended posterior spinal decompression, bone graft fusion and orthopedic internal fixation.

The old man suffered from alzheimer's disease, commonly known as dementia, and was unable to communicate with others. Surgery is a challenge for both the elderly and the doctor. After repeated consultation from family members and consultation from outpatient departments of several hospitals, we finally decided to give up the conservative treatment of surgery and was discharged on July 28, 2019.

Ling cheng district people's hospital, director of the second department of bone Yang zhenlei carefully examine the patient image results show

On August 21, 2019, the elderly man's eldest son appeared again in the office of Yang zhenlei, director of the second department of bone science. Classics inquiry is informed old person can lie in bed only after coming home, a variety of methods such as plaster are of no help, eat reduce body worse and worse with each passing day. The three sons finally decided to operate on the old man. < / p > < p > lingcheng district people's courtyard bone team in the face of such a patient, know that life is a great responsibility. After admission, the old man had a low blood potassium level of 2.69mmol/l, and his general condition was poor. Therefore, he adjusted various physiological indicators actively, conducted preoperative case discussion, invited multi-disciplinary consultation, and made full preoperative preparation. On August 28, 2019, the patient was subjected to posterior spinal lamina decompression, bone graft fusion and orthopedic internal fixation under general anesthesia.

After the attending physician duan changyong and the chief nurse sun yuting led the nursing team of meticulous care, lie in bed for more than 2 months of the elderly miraculously stood up. Looking at the old man who has functional exercise in the corridor, the family showed the long-lost smile. Exclamation ground say: "know operation result is so good, did an operation to the old man early! My sincere thanks go to the medical staff of lingcheng district people's hospital."

Responsible editor: wang xiubo

[hot line of famous doctor] lumbar intervertebral disc gave a problem, does minimally invasive treatment depend on spectrum? & amp; Focus on our "brain" health – InfraredHeatingTherapy | back pain/leg pain/spinal stenosis

This is the question most patients want to ask. Objectively speaking, there is no "best treatment", because each patient's disease stage is different, and the treatment should not be the same.

Different patients should adopt different treatment methods according to different stages of disease development:

Conservative treatment should be used first;

left

If conservative treatment fails, minimally invasive surgery with minimal trauma can be considered.

If the patient is not suitable for minimally invasive surgery, then consider open surgery

This "step by step" approach is the most responsible for the patient.

So let's talk about disc stenosis.

Lumbar spinal stenosisIt refers to the various causes of spinal canal diameter shortened, pressure dural sac, spinal cord or nerve roots, resulting in the corresponding neurological dysfunction of a class of diseases. It is one of the causes of common lumbar diseases, such as low back pain and lumbago and leg pain. Rest often no symptoms, walking a distance after the emergence of lower limb pain, numbness, weakness and other symptoms, need to squat or sit down for a period of rest relief before continuing to walk. As the disease gets worse, the distance to walk is shorter and shorter, and the time to rest is longer and longer.

sciatica treatment

In recent years, with the aging of society, the incidence of lumbar spinal stenosis is increasing. Surgical treatment is often required for patients who do not respond to conservative treatment and experience increased pain. Spinal stenosis has undergone a series of processes such as traditional full laminectomy, bilateral fenestration, unilateral approach and bilateral decompression, becoming more minimally invasive.The earliest minimally invasive surgery was performed under the microscope, then the development of endoscopic technology, then operation under med, and then vista technology.

Lumbar intervertebral disc gave a problem, how should choose to treat a way after all? Which is more reliable? Welcome to join us on Friday, August 16th at 4:05 PM.

Cerebrovascular accident is a common disease that seriously threatens the health of human beings, especially the middle-aged and elderly. Even with the most advanced and perfect treatment methods, more than 50% of survivors of cerebrovascular accident can not fully take care of themselves. Cerebrovascular diseases are characterized by high morbidity, mortality, disability, recurrence and complications. Therefore, it is particularly important to prevent the occurrence of cerebrovascular disease.

After the autumn

Autumn rain and cold

cerebrovascular

Troubled times have followed

Hotlines from famous doctors have sent you a book on prevention

Come and collect

Keep measuring blood pressure

sciatica treatment

Have hypertensive, diabetic, arteriosclerosis and senile and infirm old person, want to measure blood pressure in time, adjust below doctor guidance medicaments, blood pressure is controlled in a reasonable level, prevent blood pressure fluctuation to cause cerebral infarction, cerebral hemorrhage to happen too big.

Pay more attention to exercise

sciatica treatment

Elderly people who love morning exercises should pay attention to timely increase or decrease clothing.Do not catch cold when morning exercise, exercise to pay attention to control the amount of activity and activity intensity.Must avoid hollow intense activity, after the activity, want to add moisture in time.

Don't let yourself

Be subjected to "cold stimulation"

sciatica treatment

Elderly people should pay attention to diet, especially hypertension patients, do not allow themselves to be "cold stimulation".If do not eat too many cold drinks, do not eat cold noodles, cold rice, etc.Also pay attention to not cold water bath, wash feet, sleep at night to pay special attention to keep warm.

What are the multiple cerebral blood vessels in autumn? How do we find it ahead of time? Welcome to join us on Friday, August 16th at 4:50 PM to hear what the experts have to say!

sciatica treatment

Kong fanlei is deputy chief physician of spinal department of people's hospital of xingtai. Current: vice chairman of the spine minimally invasive society of xingtai city, secretary of the spine and spinal cord professional committee of the rehabilitation medical association of xingtai city, deputy leader of the spine minimally invasive and disc repair group of the spine and spinal cord professional committee of xingtai city. Good at: minimally invasive spine, cervical and lumbar degenerative diseases, lumbar spondylolisthesis, spinal deformity, osteoporosis, spinal infection and other diseases diagnosis and treatment, especially good at vertebral body formation, diskoscope nucleus pulposus removal fiber ring repair, diskoscope spinal canal expansion treatment of lumbar spinal stenosis.

sciatica treatment

Gao jie, jizhong energy xingtai mining group general hospital, a deputy chief physician. Good at: accumulated rich experience in the diagnosis and treatment of dizziness, cerebrovascular disease, Parkinson's disease and peripheral neuropathy.

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Sciatica doesn't have to be a lumbar spine problem – InfraredHeatingTherapy | sciatica/back pain/sciatic nerve

Anatomically, a herniated disc compresses the nerve root, not the sciatic nerve. Compression of the nerve root results in dermatodynia, where each nerve root innervates a different segment. Sciatica also occurs when compression of nerve roots innervating the back of the thigh, the back of the leg, and the sole of the foot, including the 4th and 5th lumbar vertebrae and the 1st, 2nd, and 3rd sacral vertebrae. A lumbar disc herniation does not press down on the sciatic nerve, but it does cause sciatica, which is a problem of definition.

Where is the sciatic nerve?

sciatica treatment

The sciatic nerve is composed of the lumbar and sacral nerves and can be about 1 cm in diameter. After emerging from the pelvis through the inferior orifice of the piriformis, its trunk and terminal branches extend across the dorsal side of the lower limbs. The trunk is located deep in the gluteus maximus, passing between the greater trochanter of the femur and the ischial tuberosity, descending to the dorsal femur and branching into the dorsal thigh muscle group. The sciatic nerve is the motor nerve of the posterior femoris, calf and foot muscles, as well as the important sensory nerve of the calf and foot.

The main cause of sciatica

Sciatica caused by lumbar spinal stenosis

sciatica treatment

Sciatica caused by lumbar spinal stenosis is more common in middle-aged men. Early often have "intermittent claudication", the lower limbs ache after walking period of time aggravates, but the symptom after stoop walks or rest is reduced or disappear.

Sciatica caused by lumbar disc herniation

sciatica treatment

People with lumbar disc herniation often have a long history of recurrent back pain, or a history of heavy physical labor, often in a lumbar injury or bending after the acute onset of labor. In addition to the symptoms and signs of sciatica, it can also be accompanied by lumbar muscle spasm, lumbar motion restriction, etc., the intervertebral space of the disc herniation site can have obvious tenderness and radiation pain.

Sciatica caused by lumbosacral radiculitis

Lumbosacral nerve root phlogen has disease commonly more urgent, and damage limits often exceeds sciatic nerve innervation area, expression is whole lower limbs weak, ache, spend muscle atrophy gently, in addition Achilles tendon reflex, genu tendon reflex also often abate or disappear.

In addition, sciatica can be caused by spinal cord trauma, tumors, pelvic and pelvic disorders, etc.

Sharing of trioxic treatment for sciatica

sciatica treatment

sciatica treatment

Hakan somay et al. conducted a basic study and found that local injection of trioxy had a good protection and repair effect on the sciatica of mice. It is pointed out that trioxygen therapy can reduce chronic oxidative stress and improve blood circulation and oxygen supply by promoting the release of growth factors and cytokines. Trioxy inhibits inflammation and plays an important role in repairing peripheral nerve compression injury. The study was published in the American journal world neurosurgery. → get the original background message

Similar reports have been reported in China. Lu gili et al., department of spine and osteopathy surgery, baisi people's hospital of guangxi province, injected trioxygen into the nerve roots of the foraminal foramen in 68 patients with sciatica caused by lumbar disc herniation, and finally found that the pain symptoms of the patients were significantly improved and the level of inflammatory factors and McP-1 was reduced.

reference

[1] cui yanhong, zhang sai, Chen xuyi, cheng Ming, song xupeng, liu Yang. Research progress of sciatica [j]. Chinese medicine,2019,14(07):1114-1117.

[2] hakan somay,selin cultural emon,serap uslu,metin orakdogen,zeynep cingu meric,umit ince,tayfun hakan. The histological effects of ozone therapy on sciatic nerve crush injury in rats[j]. World Neurosurgery, 2017105.

[3] lu jili, lu wenzhong, wei wen, mai yin-wen, huang cheng-kua, hua shu-liang, long zhen-xue. Effect of ozone injection on sciatica induced by lumbar disc herniation and its effect on McP-1 and inflammatory factors [j]. Chinese journal of applied neurological diseases,2016,19(11):14-16.

From: trioxygen medical progress public number consultation: 400-882-6069

Can sciatica heal itself? What medicine to take to treat good? – InfraredHeatingTherapy | sciatica/back pain/sciatic nerve pain

A friend confided to me the other day that his mother had suffered from sciatica for a long time and had not been able to get better after taking a lot of drugs, which had seriously affected her life.

He asked me what I could do and what medicine I could take. Can the disease heal itself? I believe this is also a headache for many patients and families. To understand these questions, we first need to understand the pathogenesis of the disease.

sciatica treatment

Sciatica is primarily painful because it's been invaded

Sciatica is the most common type of peripheral neuropathy. It is mainly a pain syndrome that innervates the sciatic nerve and its nerve branches.

Many factors cause the occurrence and development of sciatica, but its low incidence of primary factors, mainly secondary lesions, namely the sciatic nerve pain not for their own reasons, but because of damage to the hair of pathological changes, including lumbar disc pressure is given priority to, also have lumbar spinal stenosis, lumbar spine, lumbar spine canal tumor invasion and so on.

The main clinical manifestations were pain in the waist, buttocks, or lower legs and feet in the direction of the sciatic nerve. The clinical symptoms are similar to arthralgia syndrome in Chinese medicine.

sciatica treatment

Does sciatica heal itself?

Sciatica is not a serious disease, but it hurts terribly; That pain over whether good? Does it heal itself?

My answer is: yes!!! This is called clinical recovery.

But sciatica is a symptom, not a disease. In order to relieve the symptoms of sciatica, the first thing to do is to treat the cause of sciatica. The cause of sciatica will not be removed, but will recur. It is also necessary to follow the doctor's advice and pay attention to maintenance in life, such as keeping warm and not overworking.

sciatica treatment

Cause sciatica pathogeny is very much, is there good remedial means?

Treatment of sciatica

Most of sciatica is caused by the lumbar vertebra, such as disc herniation, spinal canal stenosis and vertebral slide.oral medicine, acupuncture, massage and physical therapy are available. Oral drugs: western medicine usually adopts saids drugs, which are commonly used to relieve pain in clinical practice and have good clinical efficacy. However, long-term use of saids is very harmful to gastrointestinal tract, especially for patients with poor stomach. In addition, the drug can induce myocardial infarction and other cardiovascular diseases, the elderly with caution. Use only for a few days and never for a long time.

Chinese medicine can treat arthralgia syndrome, which can be classified as arthralgia syndrome.

Such as lumbago ning capsule, comprises nux vomica powder, frankincense, myrrh, radix glycyrrhizae, radix cyathulae, ground beetle, rhizoma atractylodis, ephedra, scorpion, batryticated silkworm, through its special pharmaceutical method, reduce side effects and keep its effective components, achieve acetanilide detumescence, evacuate the effect of cold evil, collaterals, can achieve the therapeutic effect of a long time. It is safe and can be taken over a long period of time.

Through a lot of clinical research and clinical practice, it has been proved that it is safe and effective to take the medicine in accordance with the instructions. Tips: strictly follow the instructions to take medicine, this medicine for lumbar disc herniation, lumbar muscle fibrositis, lumbar hyperplasia, chronic rheumatoid arthritis, sciatica, lumbar muscle strain and other diseases of significant efficacy, do not exceed the scope of the treatment of the instructions oh.

sciatica treatment

Results show that this medicine can effectively improve the local blood circulation, ease or remove a muscle spasm, improve nerve vascular muscle function, increase the local oxygen supply and cartilage disc infiltration of nutrients, promote tissue metabolism, to further promote the damage of the fiber ring and intervertebral ligament repair and around the nerve root inflammation subsidise, finally realizes the anti-inflammation, detumescence and analgesia.

References:

[1] zeng fan-jun, tu qi. Efficacy and safety of combined treatment of lumbar disc herniation with lumbago tongning capsule [j]. Drug evaluation and analysis in Chinese hospitals,2017,17(1):34-36. Doi :10.14009/j.issn.1672-2124.2017.01.011.

[2] wei chunfeng, huang xishun. Clinical observation of lumbar tongning capsule in the treatment of sciatica [j]. Chinese journal of practical neurological diseases,2016,19(05):114-115.

[3] expert group of spinal and spinal professional committee of Chinese rehabilitation medical association. Consensus of experts on diagnosis and treatment of acute/chronic non-specific low back pain in China [j]. Chinese journal of spinal and spinal cord,2016,26(12):1134-1138. Doi :10.3969/j.issn.1004-406x.2016.12.16.

[4] zhao baohua, zhang dongjun. Clinical study on the treatment of sciatica with lumbago capsule combined with triamcinolone [j]. Modern medicine & clinic, 2008,33(8):2103-2107. Doi :10.7501/j.issn.1674-5515.2018.08.054.

Some of the pictures in this article are from the network, if there is any infringement, please contact to delete.

Before treating back pain, there are 6 things to know, or else treat blind – InfraredHeatingTherapy | lower back pain/back pain/backache

Back pain, which most of us have experienced,

The pain can be very difficult to sit still,

It seriously affects our life and work.

then

How is lumbago to return a responsibility after all?

Why does the pain go back and forth?

How to check, how to treat ability to depend on a chart?

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Today, we talk about six problems related to lower back pain.

cure for lower back pain

What does the reason of lumbago have?

1Teenager or adolescent

Common are recessive spina bifida, transitional spine, lumbar scoliosis, lumbar tuberculosis, vertebral epiphyseal plate osteochondrosis (also known as Hugh's disease) and so on.

2Young adults

Mainly injury diseases such as lumbar muscle strain (more performance for chronic dull pain), lumbar soft tissue injury, fracture, lumbar disc herniation (in addition to lumbar pain, also can appear in lower extremity radiation-like pain). In addition, ankylosing spondylitis (manifested as low back pain, morning stiffness, limited lumbar movement in all directions, and chest dysfunction) is a common cause of low back pain in young adults.

3Middle-aged and old

It is mainly degenerative diseases such as lumbar disc herniation, lumbar spinal stenosis (the typical symptoms of intermittent claudication, that is, you need to stop for a moment to rest after walking for a while), osteoporosis, lumbar compression fracture, and may also be a variety of lumbosacral tumors (often manifested as increased pain at night).

cure for lower back pain

What examination can lumbago do?

1Imaging examination

X-rays can tell if there is a bone problem, ct can more accurately measure the distance between bone structures, and mri can more accurately reveal soft tissue conditions. One or more tests should be selected according to the patient's situation.

cure for lower back pain

2Laboratory inspection

For patients with fever accompanied by backache, the cause of fever should be firstly identified, and blood and urine routine and blood sedimentation examination, as well as necessary imaging examination should be conducted. Patients suspected of having rheumatoid arthritis should undergo three tests for rheumatism.

3Bone density test

For the elderly patients with back pain, bone mineral density examination can be performed according to the situation.

The choice of examination method needs to be decided by the doctor according to the patient's condition. Only through the necessary examination can the cause of backache be understood and misdiagnosis and treatment be avoided to the greatest extent.

How is lumbago treated commonly?

1Strain of lumbar muscles

Conservative treatment:Mainly for bed rest, can be combined with drugs (oral non-steroidal anti-inflammatory drugs, patches), physical therapy, acupuncture and moxibustion, etc. In the daily work life must improve the bad posture, many activities, strengthens the back muscle exercise.Surgical treatment:Psoas muscle strain generally does not require surgical treatment, but if numbness of hands and feet, pain, weakness, difficulty in defecating and urinating, numbness around the anus and other conditions occur, it is necessary to go to the hospital as soon as possible, which may require surgical treatment.

cure for lower back pain

2Lumbar disc herniation

Conservative treatment:About 90% can be improved by conservative treatment. Conservative treatments include bed rest, physical therapy, and lumbar and back exercises. Intraspinal injection is also feasible.Surgical treatment:Severe conservative treatment is ineffective and can be treated surgically. Surgical methods include open surgery (total cone plate decompression, half cone plate decompression, and other windowing operations) and minimally invasive surgery (intervertebral foramen). The advantages of minimally invasive surgery are: precision, small incision (only 7mm), short operation time and fast recovery.

cure for lower back pain

3Lumbar olisthe

Conservative treatment:If the degree of spondylolisthesis is mild and the symptoms and signs are not obvious, conservative treatment can be applied. Conservative treatment mainly includes: strengthening lumbar back muscle exercise, bed rest, hot compress, physiotherapy, application of non-steroidal anti-inflammatory drugs, weight reduction, and application of waist circumference or braces to increase lumbar stability. (click here for waist brace)Surgical treatment:Surgical treatment should be considered for patients with severe symptoms and no significant relief of symptoms after conservative treatment. There are many surgical methods for lumbar spondylolisthesis, such as posterior spondylolisthesis reduction, pedicle screw internal fixation, intervertebral fusion and so on. The principle is to reduce the spondylolisthesis by certain methods, and then fuse the adjacent vertebrae to prevent the spondylolisthesis again and restore the stability of the lumbar spine. If there are symptoms of nerve root compression, decompression of nerve roots and spinal canal is also needed to eliminate the pain and numbness of lower limbs caused by lumbar spondylolisthesis.

cure for lower back pain

4Lumbar spinal stenosis

Conservative treatment:Mildly conservative treatments include bed rest, oral medications (nsaids, dehydrants, nutritional neurologists), physiotherapy, rehabilitation exercise, and the use of waist circumference or braces to increase lumbar stability.Surgical treatment:If spinal canal stenosis is serious and conservative treatment is ineffective, surgical treatment is needed. The operation is mainly performed through incision at the back of the waist to decompression the spinal canal and relieve the compression on nerves.

cure for lower back pain

Should lumbar vertebra spur take out?

Most people develop bone spurs as they get older. In fact, bone spurs in the lumbar spine are a good thing. Only in a few cases, when bone spur presses on the nerve, the limbs suffer from continuous pain, numbness, or even limb weakness, surgical resection and decompression is required. For the spine, the protective effect of bone spur is often greater than the harm to the human body.

cure for lower back pain

Is there a cure for recurrence?

Chronic poor posture is an important cause of back pain. Correcting poor posture, combined with appropriate symptomatic treatment, can achieve long-term remission. However, attention should be paid after remission to prevent re-injury and prevent bad posture. If not, symptoms are likely to recur and worsen.

There is another important cause of back painDegenerative diseases,That is to say, with the growth of age, lumbar spine degenerates and becomes more prone to injury. However, no conservative treatment or surgical treatment can prevent this change, which is also a reason why lumbar spine disease is prone to relapse. Therefore, the effect we want to achieve in the treatment of low back pain is long-term relief.

What exercises can and cannot be done for back pain?

Recommended exercises:

cure for lower back pain

Back to the bridge

cure for lower back pain

Side of the bridge

cure for lower back pain

The cat camel type

What not to do:

Exercises that increase lumbar stress:Do sit-ups, stand and bend over to reach your toes.Quick waist twisting exercises:For example, playing badminton, tennis, golf swing, table tennis, etc., in this kind of sports, there are a lot of fast rotation movements that require the waist to drive the force, which virtually puts great pressure on the lumbar spine.

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