what to do with herniated lumbar intervertebral disc?

Urban chronic diseases: what to do with herniated lumbar intervertebral disc?
 Urban chronic diseases: what to do with herniated lumbar intervertebral disc?
Many people have experienced low back pain, and looking for exercises for back pains to get rid of it In our daily life, frequent use of waist strength can cause lumbar spondylosis. With the development of society, the incidence rate is still on the rise. There are many reasons for low back pain. (Want to know Back Pain Tips Stretches to Relieve Ache and Muscles Physical Therapy?)  If YES then check it out there , now if proper diagnosis and treatment are not carried out, not only will it not get better, it may get worse.

I actually got a herniated lumbar intervertebral disc!

Lumbar intervertebral disc herniation is refers to a disease that causes the intervertebral disc in the spine to degenerate with age or under the action of external forces, compressing ligaments, nerve roots, and spinal cord, resulting in pain, numbness of hands and feet, etc.

Lumbar disc herniation often occurs in the neck, chest, and waist, with the waist having the highest incidence. In particular, the intervertebral discs between lumbar 4 to lumbar 5 and lumbar 5 to sacral 1 account for the majority of cases.

The intervertebral disc is composed of the nucleus pulposus and the fibrous annulus surrounding the nucleus pulposus. The swelling, rupture, and protrusion of the intervertebral disc causes the nucleus pulposus protruding from the fibrous annulus to compress the spinal nerve roots and produce severe pain.

The main cause of low back pain

1) People who sit and stand for a long time, such as staring at computers, teachers, drivers, etc. for a long time.

2) Excessive weight-bearing and bending activities of manual workers, such as moving workers, athletes, etc.

3) Cold and dampness. Cold or dampness can cause small blood vessels to constrict, muscle spasm, increase the pressure of the intervertebral disc, and may also cause degenerative intervertebral disc fissure.

What are the symptoms of lumbar disc herniation?

The directions of lumbar disc herniation and prolapse are left and right, front and back, up and down, because of the mechanics principle, there are many cases that protrude backward. When the nerve root is compressed, it will cause sciatica, numbness in the hands and feet and other symptoms.

There are many cases of illness caused by obvious trauma, but there are also many cases of sudden waist and neck pain of unknown cause. There are also cases of gradual and unconscious pain. It becomes difficult to bend over and leaning forward. When you stand up, coughing or sneezing can make the pain worse. It can cause sciatica and upper limb pain symptoms. When the lower limbs are kept straight and lifted up, the nerves are also stretched at the same time, which will aggravate the pain. Symptoms such as weakened muscle strength and numbness of the fingers and toes may also occur. About numbness of legs and feet Numbness in the legs and feet is often caused by various symptoms of back pain.

  1. Numbness of legs and feet caused by sciatica
  2. Numbness of legs and feet caused by lumbar disc herniation
  3. Numbness of legs and feet caused by lumbar spinal stenosis
  4. Numbness of legs and feet caused by spondylolisthesis

Treatment of numbness in legs and feet

If the waist has begun to ache and numb, the first thing to do is to rest. In most cases, when the nerves are compressed and the symptoms have already occurred, it is absolutely impossible to forcibly endure the pain, numbness and do excessive exercise. Continued compression will not improve the symptoms, but will worsen the condition. It is necessary to calm down immediately when there is severe pain, but when the pain is relieved and improved, it is also important to actively do some exercises to strengthen the muscles around the spine.

Urban chronic diseases: what to do with herniated lumbar intervertebral disc?
 Urban chronic diseases: what to do with a herniated lumbar intervertebral disc?

In addition, it is also important to correct the posture in daily life using waist belts, etc., and to readjust your eating habits. Dietary life is closely related to waist pain. There are complex sugars that can promote muscle activity and protect nerves, and calcium and vitamin D, which are helpful for bone health, must be actively ingested.

Treatment of lumbar disc herniation

  • Non-surgical treatment methods:

Drug therapy, nerve block therapy, physical therapy (traction therapy, electrotherapy, thermotherapy, water bed, etc.) This treatment method can relatively reduce the compression of nerve roots, thereby effectively alleviating the pain caused The role of. The cost is relatively cheap, but continuous treatment is required.

If non-surgical treatment cannot be relieved, surgical treatment can be selected

  • Surgery treatment method:

Surgical treatment is a treatment method strongly recommended by doctors. Its advantage is that there is very little trauma, almost no wounds are left, and it can be discharged on the same day after the operation.

The Department of Low Back Pain Treatment has a team of doctors, including not only orthopedic doctors but also brain surgery and endoscopy specialists. Doctors who specialize in low back pain treatment will first conduct an initial consultation, and after understanding the symptoms and causes, decide on symptomatic treatment based on different symptoms. In the treatment of low back pain, 

The following three commonly used minimally invasive surgical treatment methods

Hybrid laser therapy

Hybrid laser therapy refers to the latest therapy that combines the advantages of "percutaneous laser disc decompression", also known as PLDD and "ozone therapy".

Intervertebral disc herniation is a condition in which the nucleus pulposus of the intervertebral disc is herniated, compressing and stimulating the nerves and causing severe pain. In PLDD therapy, a puncture needle is inserted into the affected part of the intervertebral disc disease, and the optical fiber is introduced through the puncture needle and then a laser is emitted to cauterize the nucleus pulposus in the intervertebral disc and vaporize it.

There will be pain around the nerves that have been compressed for a long time, which may cause inflammation again. Therefore, the use of ozone to treat the nerve periphery can inhibit pain or inflammation.

In this way, the use of "hybrid laser therapy" can remove the root cause of nerve compression caused by the protrusion of the nucleus pulposus, and ozone can also be used to directly treat the area where inflammation occurs. The characteristics of the treatment: hardly bleeding or leaving a wound, local anesthesia, each operation time is about 20-25 minutes, and it can be discharged after 2 to 3 hours.

Percutaneous Laser Vaporized Intervertebral Disc Decompression (PLDD)

The operation is local anesthesia. A thin needle is inserted from the back to the herniated area of ​​the intervertebral disc. The laser fiber is inserted into the nucleus pulposus of the intervertebral disc through the fine needles. The heat radiated by the laser makes the nucleus pulposus hollow and shrinks the intervertebral disc. It can relieve and improve the pain and numbness caused by nerve compression. It is effective not only for prominent symptoms, but also for non-specific low back pain (low back pain whose cause is difficult to diagnose).

The characteristics of treatment: almost no bleeding or leaving wounds, local anesthesia, each operation time is about 15-20 minutes

Ozone ablation of intervertebral disc (PODD)

Through oxidation, the capacity of the intervertebral disc is reduced, which can reduce the compression on the nerves. It has an anti-inflammatory effect on the affected area, and patients who are not suitable for laser therapy (PLDD) may also use this therapy. Similar to hybrid laser treatment, ozone can be directly used to treat the inflamed area and it is very effective.

Use a mixture of ozone and oxygen to shrink the nucleus pulposus, and then use ozone to inhibit nerve root inflammation. It is a treatment method in which surgical therapy and non-surgical therapy are performed at the same time.

The characteristics of treatment: almost no bleeding or leaving wounds, local anesthesia, each operation time is about 15-20 minutes

In addition to the above three minimally invasive surgical procedures, there are three more severe surgical methods:

♥ Posterior discectomy (MED)

♥Microscopic discectomy (MD)

♥ Spinal Cord Stimulation (SCS)

Hospital precision inspection equipment

Using various inspection machines makes it easy to determine the cause of the patient's low back pain. According to the results of the examination, a more detailed description of the condition can be made with the patient.

MRI (1.5T manufactured by GE) (an instrument to find out the cause of low back pain)

MRI equipment uses a gradient magnetic field strength (1.5T) and a new type of coil (where the image signal is received) to achieve high-quality, high-speed imaging of various parts of the body at the same time, and can extract a wide range of highly precise images. The inspection time is about 20-40 minutes.

X-ray fluoroscopy machine (an instrument that uses X-ray transmission to confirm whether the puncture needle of the laser is inserted in the correct position during surgery)

Insert the laser puncture needle into the herniated area of ​​the intervertebral disc, and use X-ray to confirm the position. It is a machine used to accurately check whether the puncture needle passes through the annulus fibrosis of the intervertebral disc and is inserted into the center of the nucleus pulposus.

Laser instruments (instruments for cauterizing the nucleus pulposus in the intervertebral disc)

This hospital uses the latest equipment (Nd: YAG LASER). This instrument can achieve less harmful vaporization and has a good hemostatic effect.

X-ray machine (an instrument to find out the cause of low back pain)

This machine is suitable for X-ray diagnosis of chest, abdomen, bones, etc.

Traditional X-ray imaging is to record the image information on the film through X-ray fluoroscopy. After the development and fixing process, the image can be displayed on the photo. Computer X-ray imaging is different. It records the image information irradiated by X-rays on the imageboard, reads it by a reading device, calculates a digital image by the computer, converts it by an analog converter, and displays it on the screen. image.

CT scanner (to find out the cause of low back pain)

CT (Electronic Computed Tomography) uses X-rays to illuminate the human body 360 degrees, and the information obtained from the scan is calculated by a computer to form a cross-sectional image of the human body. The scanning range is wide, the time is short, and the inspection time can be reduced.

In the past, it was necessary to hold your breath for about 25-30 seconds when doing chest and liver examinations, while CT examination only took 5 seconds, and abdominal examination only needed to hold your breath once.

In addition, it has the function of automatically controlling the dose according to the part and body type to be inspected. The radiation can be controlled while maintaining the image quality, especially when a wide range of shooting is required in an emergency, or when the child is inspected, the radiation can be reduced.

High-speed image processing can easily make tomographic images or three-dimensional images from various angles. It is also possible to make high-quality 3D (stereoscopic) images of bones and blood vessels and provide images with a lot of information.

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