lumbar disc herniation refers to the pain of both lower limbs after different degrees of degenerative changes in various parts of the lumbar disc, especially nucleus pulposus , under the action of external forces, if the fibrous annulus of the intervertebral disc ruptures and the nucleus pulposus herniated nerves, it will cause pain in both lower limbs.
Lumar disc herniation is a very common disease. The main symptoms are lumbar pain, which often has radiated pain in the legs and numbness. No one is unfamiliar with the disease of lumbar disc herniation. According to statistics, the incidence rate of lumbar disc herniation is relatively high. Among them, lumbar disc herniation mainly occurs in the group of 20 to 50 years old, and the incidence rate in men is much higher than that in women.
For most patients with lumbar disc herniation, there is no need for surgical treatment. The data shows that at most about 20% of patients need surgical treatment. In fact, for most patients, as long as conservative treatment is treated, it can achieve better results.
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First of all, let’s understand the symptoms and manifestations of lumbar disc herniation?
The symptoms of lumbar disc herniation are lumbar pain, radiotherapy of the lower limbs, accompanied by numbness on one side of the lower limbs or both lower limbs, intermittent, lameness, and caudal equine nerve symptoms.
. Lumbar disc herniation is a common orthopedic disease. Due to the outer layer of the annulus fibrous fibrous and thick ligaments, it is stimulated by the herniated intervertebral disc or nucleus pulposus, and is produced through the sinus spinal nerves, causing lumbar pain and lumbar pain. It is the first symptom that most patients have, with an incidence rate of about 91%, and sometimes it is accompanied by buttock pain.
. The herniated intervertebral disc compresses the muscle marrow and will cause symptoms of radiation pain in the lower limbs. The limbs are mostly on one side. In an emergency, a few central or paracentral nucleus pulposus are prominent, which are manifested as numbness of both lower limbs.
3, Intermittent claudication : If the lumbar intervertebral disc partially herniated into the spinal canal, causing spinal canal stenosis , or after the fibrous annulus rupture, compressing the spinal cord or nerve root, it will affect the patient's standing or walking, and symptoms of intermittent claudication will occur.
4. Symptoms of caudal equine nerve: the nucleus pulposus protruding directly to the posterior, free intervertebral disc tissue compresses the caudal equine nerve, which is mainly manifested as urinary disorders, abnormal perineal and perianal sensation, and severe symptoms may occur such as uncontrollable urination and defecation, and incomplete paralysis of both lower limbs, which are least clinically rare.
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lumbar disc herniation. Do I have to undergo surgery? If conservatively treated, which drugs are best?
Most lumbar disc herniation does not require surgery, but some patients need surgery.
If the patient's symptoms are relatively mild, the course of the disease is short, or the condition starts to occur for the first time, the symptoms can be relieved by themselves after rest. This situation does not require surgical treatment. Drugs can be used, such as non-steroidal anti-inflammatory drugs, diclofenac sodium , etc. Physical treatments such as thermal therapy, electrotherapy, traction, etc. After the condition is stable, rehabilitation exercise can be carried out. These methods can achieve good results.
Some patients need surgical treatment. If the persistent dysfunction seriously affects life, there is no improvement after 3 to 6 months of non-surgical treatment. The first attack is severe, especially patients with obvious symptoms of the lower limbs, severe compression of the caudal equine nerve, accompanied by urination and defecation dysfunction, have single root nerve paralysis, foot sagging and muscle atrophy, and decrease in muscle strength, all need surgery to treat.
. For first time lumbar disc herniation, good treatment effect should be maintained. You should be absolutely lying on the bed for at least 2 to 3 weeks before you can get up and exercise under the protection of your waist and avoid bent food within three months.
. When your waist is sore, you can go to the rehabilitation department and the trauma department for physical therapy, massage and massage treatment, which can relieve muscle spasm , reduce pressure in the intervertebral disc, and relieve inflammation and edema of the nerve stems. However, pay attention to violent massage, so the condition worsens, so be cautious.
3. Traction treatment can be used in non-acute phases. Lumbar disc herniation traction treatment can increase the intervertebral space, reduce the pressure in the intervertebral disc, and restore the partial retraction of the herniated intervertebral disc, thereby reducing the stimulation and compression of the nerve roots, but it needs to be carried out under the guidance of a doctor.
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If conservatively treated, which drugs are best to take?
Lumar disc herniation is a common clinical disease. Oral drugs can relieve the symptoms of lumbar disc herniation to a certain extent. Specific drugs include: non-steroidal anti-inflammatory and pain-relieving drugs, neurotrophic drugs, and drugs to eliminate nerve root edema.
. Nonsteroidal anti-inflammatory drugs: Due to lumbar disc herniation, it is mostly caused by low back pain, low back pain, and even chronic pain such as lower limbs. In clinical practice, nonsteroidal anti-inflammatory drugs can be selected to relieve pain, such as diclofenac sodium, celecoxib, etc.
. Neurotrophic drugs: Some patients with lumbar disc herniation will experience neurovascular compression. If the compression is not particularly severe, you can choose neurotrophic drugs to nourish peripheral nerves such as methylcobalamin, vitamin B12, etc.
3. Drugs to relieve nerve root edema: Patients with acute nerve root compression need to be absolutely bedridden and conservative treatment. Hormonal drugs or Maizhiling tablets can be selected to improve the symptoms of nerve pressure and help alleviate the acute symptoms of lumbar disc herniation.
