Old waist aches, should conservative treat still should this operation? News channel cctv.com – AllPainHealing | lower back pain/back pain/sciatic nerve

"Ouch! My old waist!" "This often by the elderly while holding waist side issued a lament, now has become many middle-aged" catchphrase ", but also from the mouth of young adults in their 30s and 40s.

What's wrong with the modern waist? Many patients struggle with the question of whether to treat their waists conservatively or operate on them.

Let's start with a case.

[cases]

Mr. Wang, an accountant, is known as an "iron abacus" by his colleagues because of his strong working ability and never making mistakes. His workload is large, working posture is also very single, often sitting in front of the computer for a whole day. As a result of long desk work, less than 40 years old his waist is not very good. His most noticeable sensation of late has been a sore back less than half an hour after sitting down to work, and a swelling in his left leg that didn't work with patches or massages.

After checking to the hospital, Mr. Wang is diagnosed as lumbar intervertebral disc herniation, the doctor suggests to do minimally invasive operation treatment, in order to get rid of the trouble of lumbago and leg pain. But Mr. Wang's friends hold the opposite view: "if you don't get it right, you'll be dead for the rest of your life. I heard someone had surgery on a lumbar spine and never stood up again!" This says, can frighten Mr. Wang, it is hard to choose to minimally invasive operation, but the waist leg pain that breaks out repeatedly is his heart disease.

1 "low back and leg pain" due to the lumbar spine disease

In the clinic, Mr. Wang is one of a number of patients with lumbering back problems. They ask all sorts of questions about whether my waist is going to be cured, whether I want to do it conservatively, what will be the after-effects of the surgery, etc. In conclusion, what patients want to know most is the choice between conservative treatment and surgical treatment.

This is probably what happens to everyone when they reach middle age. For example, whereas it used to be ok to drive for seven or eight hours on a road trip, now driving for more than an hour makes your legs ache. Before doing housework every day did not feel tired, now pull back to the waist straight not up. Serious people can't even sit down to attend a dinner party or play chess with old friends. They have to get up and move around several times. These signs, too, are beginning to show up in young people.

Everyone in life should have such experience: people around, many have complained of back pain, some of them 30 or 40 years old, let alone the elderly. Has waist disease become a public disease? This is not an exaggeration.

Lower back pain is associated with leg pain, which clinicians collectively refer to as "lower back and leg pain." According to statistics from the Chinese branch of the world pain physicians association, 1 out of every 10 patients who visit the hospital every year in China is a patient with low back and leg pain. The most common cause of these patients is known as herniated discs.

Low back and leg pain is a common symptom in clinical spectrum. In general, for patients with chronic lumbar disc herniation, lower back pain and leg pain tend to appear successively. Patients with early lumbago because of lumbar muscle injury, resulting in waist dare not bear weight. The weight bearing of the lumbar muscle can account for one third of the lumbar load, when the lumbar muscle strength is weakened or unable to bear normal weight, all the weight of the human body will fall on the disc, causing the disc to form herniation under the action of great pressure, thus pressing on the sciatic nerve and causing leg pain. Lumbago and leg pain can also occur at the same time, this is mostly due to the acute injury is more serious, such as lifting heavy objects beyond the waist muscles and disc bearing capacity, resulting in acute lumbar disc herniation and compression of the sciatic nerve.

Why are human lumbar discs vulnerable to injury

The lumbar intervertebral disc of the person is easy to injure, because be concerned with "person". This is not a tongue twister. Because human lumbar disc herniation is closely related to human upright walking.

When humans sit or stand, the lumbar spine bears almost all of the body's weight. In this respect, the quadruped, which is also a mammal, is fortunate in that it moves with its limbs to share the weight of its body and has little or no bearing at the waist.

Scientists found that the pressure on a human disc in the upright position is four times that in the supine position. The pressure when leaning forward in the sitting position is 7 to 8 times that in the supine position. Bending down to lift heavy objects is 10 times more stressful than in the supine position, which equates to a load of up to 220 kilograms on a lumbar disc.

Therefore, human physiology and lifestyle are indeed prone to lumbar disc injury. This is especially true for some professionals, such as accountants, drivers, teachers, it workers and heavy manual laborers, who are at higher risk of health problems in the lumbar spine due to their working posture and weight-bearing characteristics.

In fact, as a result of the long-term stress on the lumbar disc, humans begin to undergo degeneration in this area at the age of 20. A lumbar magnetic resonance imaging (mri) scan shows a herniated disc in the patient. At the same time, because of lumbar disc herniation, disc nucleus can overflow, contact with the immune mechanism of the body and immune response to produce pain, and secrete inflammatory substances leading to chemical stimulation and immune response, aggravating the symptoms of lumbar leg pain, this is called lumbar disc herniation.

What is the limit of surgical treatment

At present, there are three types of treatment methods for lumbar diseases: conservative treatment, minimally invasive surgery and open surgery. How do patients choose?

Generally speaking, the waist leg pain of inchoate or first attack is more because posture is bad, constant fatigue, exert oneself uncoordinated bring about. This kind of lumbar and leg pain is rarely related to lumbar disc herniation, mainly caused by lumbar back muscle tension or aseptic inflammation of the waist, which is commonly known as lumbar muscle strain. With timely conservative treatment, most people can recover their health.

Conservative treatments include topical plasters; The use of non-steroidal anti-inflammatory painkillers, such as fenbide, futalin, etc. Local physical therapy, such as ultra – laser irradiation, local massage. These methods can relieve muscle tension, promote local blood circulation, eliminate local inflammatory substances and play a therapeutic role.

Need what point reminds is, must carefully choose to massage. In clinical practice, the old person that companion has osteoporosis, because massage forces too much and bring about lumbar fracture, bone fracture is not uncommon. Above all, massage should choose regular medical establishment; Next, not all lumbago can undertake massage treatment, if lumbar spondylolisthesis, lumbar tuberculosis, lumbar tumour does not suit to undertake massage, when lumbago reason is not clear, do not want massage as far as possible, lest bring about illness aggravation, delay treatment.

For patients with chronic recurrent pain in the lower back and legs, first to the regular hospital imaging examination, such as ct, mri and other clear etiology. If a herniated disc is diagnosed, conservative treatment is often ineffective and surgery is ultimately needed to relieve or eliminate the pain.

In this case, the patient should not be afraid to seek medical advice. Modern medicine is changing, and surgery is not always what they think it is. Minimally invasive surgery, which has developed rapidly in recent years, is suitable for patients with early and intermediate diseases. The minimally invasive surgery does not require an operation. Under the guidance of the image, a special needle is used to puncture the disc herniation, and then the disc is melted and vaporized.

If long-term lumbago leg pain is not treated in time, the health harm to the person is great. When lumbar intervertebral disc disease aggravates, can produce intervertebral disc protrusion calcification, bony vertebra canal stricture, lumbar vertebra is medium above slippage to wait. At this point, the indications for minimally invasive surgery were exceeded, and only more invasive open surgery was performed. At present, the main methods of open lumbar spine surgery include artificial disc replacement, screw system implantation, etc., which have more complications than minimally invasive surgery.

Accordingly, the patient of long-term lumbar leg pain, should listen to the remedial proposal that professional doctor gives seriously. No matter conservative treatment, or minimally invasive surgery, open surgery has its clear surgical indications. For patients, it is indeed not necessary to do surgery at the beginning of early or acute stage lesions, but it is really not worth the cost to miss the conservative treatment period due to neglect of the disease, miss the optimal period of minimally invasive surgery due to fear of surgery, and finally have to do open surgery.

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Lumbar muscle strain has nothing to do with bone injury

Psoas strain is also known as psoas fasciitis, a sterile inflammation characterized by soft tissue pain and tenderness in the lower back. Cold, strain, trauma and other factors related, and bone injury has nothing to do. The main characteristics of psoas fasciitis include local superficial pain after fatigue or cold, local soft tissue tenderness, palpable painful nodules or cord feeling, imaging examination usually no abnormal findings. Symptoms can be quickly relieved by injecting anti-inflammatory painkillers into the inflamed area of fascia.

The difference between prolapse and herniation of a lumbar disc

Lumbar intervertebral disc is bulging or protrusion, according to the main lumbar intervertebral disc protrusion in imaging diameter measurement to determine. General disc herniation in the lumbar spine line within 3 mm is called extrusion, protrusion 3 mm to 6 mm is called herniation, protrusion more than 6 mm is called prolapse or prolapse.

Clinical treatment of disc protrusion or herniation should not be based on the size of disc herniation as the main basis of treatment, but should be based on the patient's symptoms and combined with imaging findings to develop a treatment program. Prolapse or herniation of intervertebral disc in early and middle stage are indications for minimally invasive surgery.

Prevent lumbar disease from developing early

Lumbar muscle strain, disc protrusion, disc herniation 3 have distinction, have connection mutually again, belong to the same disease of different stage, with lumbago or lumbago leg pain is main clinical manifestation.

The onset of lumbar muscle strain is relatively urgent, mainly manifested by low back pain. There is aseptic inflammation in the lumbar muscles. Imaging examination shows no signs of disc degeneration. However, if the lumbar muscle strain persists for more than 3 months, most of them will develop disc protrusion or herniation, and produce intractable lumbago with lower limb pain. Imaging examination has the same conclusion.

Therefore, for acute onset, lumbago obvious patients can first oral analgesic drugs or local physical therapy, if lumbago can not continue to alleviate more than 1 month or lower limb pain symptoms, should be timely to the hospital.

(author: deputy chief physician of pain department of Beijing xuanwu hospital)

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[weekly medicinal diet] "lumbago" patient's therapeutic prescription, eucommia ulmoides, panax notoginseng, dried ginger which is more suitable for you – AllPainHealing | back pain/herniated disc/lumbar spine

Traditional Chinese medicine holds that "medicine and food are homologous"

Because this food is same as Chinese traditional medicine, also have four gas five tastes, also can have what avoid to eat pay attention to. So, in daily life, patients with lumbar disc herniation should eat what, what not to eat should be based on their specific condition to make a certain choice, some food to pay attention to certain taboos, so as not to bring about lingering disease or aggravation.

severe lower back pain treatment home

Cold and wet low back pain

Cold and wet type of lumbar disc herniation patients should eat less food of great cold and fatty food.

Because the food of cold sex damages stomach Yin easily, affect the appetite of patient of lumbar intervertebral disc protrusion, go against the recovery of the disease; And fatty food easy to cause moisture evil, wet sticky, easy to make lumbar disc herniation lingering difficult to heal.

Small cock dried ginger soup: dried ginger 30 grams, sichuan grass wu 10 grams, wei lingxian 15 grams.

Practice: add 500 ml of water to the medicine and boil it into 250 ml. Slag adds water 250 milliliter again, boil 125 milliliter, put the liquid medicine that has been boiled successively inside bao, add small cock 1 to go bowel miscellaneous again, cook together, add right amount of wine when face food (5 add skin wine or angelica wine is better). Take the meat and soup in two times.

Efficacy: suitable for cold and wet lumbago, nourishing and strong.

Hot and humid back pain

Hot and humid type of lumbar disc herniation patients should pay special attention not to eat a large amount of rich flavor of food and sour, hot, sweet food,Especially sweet food must eat less.

Nutritious sweet food tends to nourish Yin and at the same time easy to turn wet and produce evil, making the already poor qi more stasis, blood flow is not free, aggravating the disease, such as fat meat, chicken, etc. Sour taste has the effect of convergence in the theory of four qi and five flavors of Chinese medicine. Hot food can help the body heat evil… Internal and external factors work together to cause lumbar disc herniation lingering difficult to recover.

Red bean coix seed porridge with wax gourd: 100g red bean, 100g coix seed and 150g wax gourd.

Qi stagnation blood stasis type lumbago

Patients with lumbar disc herniation of qi stagnation and blood stasis should avoid eating bitter, cold and acidic food and fatty food.Avoid excessive edible heat, xin, gan, warm taste of food and high protein, high calorie food.

Bitter and cold food is not conducive to the movement of qi, acidic convergence, not conducive to the movement of qi huoxue, fatty food and high protein high calorie food easy to change the formation of moisture evil, hinder qi, on the lumbar disc herniation patients is adverse. Excessive hot and spicy food is easy to cause Yang sheng in the body, which leads to the phenomenon of "strong fire eating qi" in traditional Chinese medicine theory. It is not advisable for patients with qi stagnation and blood stasis.

Panax notoginseng rehmanniae lean meat soup: panax notoginseng 12 grams broken, raw ground 30 grams, jujube 4, lean pork 300 grams.

Practice: into the casserole, add the right amount of water, the fire boil and change to a small fire to cook for 1 hour until the lean meat cooked rotten, put the right amount of salt.(drink soup and eat meat, 1 dose every other day)

Efficacy: promote blood circulation and remove blood stasis, relieve pain.

Liver and kidney deficiency type lumbago

Liver and kidney deficient lumbar disc herniation patients pay attention to diet acid, bitter, cold food.

Sour food often with cold, often called acid cold, acid cold is not conducive to Yang. Bitter into the heart, the heart in the five elements is fire, the kidney is water, fire and water in the normal situation can supplement each other, to achieve the harmony of water and fire, but the fire is too strong is likely to dry Yin water, not conducive to tonifying Yin. Cold character condenses collect astringent, gram temperature, the product that eats cold and cool not only cannot invigorate kidney Yang, still have the likelihood to make kidney Yang day see decline.

Pork waist soup of eucommia ulmoides: 20 grams of eucommia ulmoides, 15 grams of weiling xian.

Practice: grind the powder separately, mix well, then take the pork kidney (pig kidney) 1 to 2, open, wash away the blood, then put in the powder; Spread evenly after close tight, a total of people into the bowl, add a little water, with a pot device fire long steam. Eat its pork kidney, drink its soup, 1 dose daily (pregnant women avoid using).

Function: it is mainly used for the herniation of lumbar intervertebral disc caused by deficiency of liver and kidney.

severe lower back pain treatment home

Fruits and vegetables

For lumbar spine patients with little or no exercise at ordinary times, their gastrointestinal motility is relatively slow compared with other exercise patients, so it is more necessary to arrange a reasonable diet in daily life.

Eat more fruits, vegetables and soy products and less fatty meat.This causes defecate dry easily, bring about defecate force, lumbar vertebra load is overweight, aggravate lumbago thereby, cause lumbar disc to protrude.

Foods rich in calcium

severe lower back pain treatment home

Calcium is the main component of bone, so get enough of it.Bones also need to be metabolized in adulthood, as well as to calm the mind and ease the pain of a herniated disc.

Foods high in calcium include:Milk (milk, yogurt, cheese), the king of calcium, high in content and easy to absorb.100mg/100ml, 250mg calcium can be added to a pack of 250ml pure milk.Soy products, dark green leafy vegetables, nuts.

Foods rich in vitamin e

severe lower back pain treatment home

Vitamin e has the function of dilating blood vessels, promoting blood circulation and eliminating muscle tension, as well as relieving the pain of lumbar disc herniation.

Foods rich in vitamin e include:Sesame, peanut, soybean, peanut, walnut, melon seeds, animal liver and cream corn are rich in vitamin e. Some fruits also contain a lot of vitamin e, such as mulberry, grape, banana, tomato and kiwi.

Foods rich in vitamin c

severe lower back pain treatment home

Vitamin c can enhance the strength of the lumbar disc fiber ring, eat more vitamin c can also achieve the relief of lumbar disc herniation symptoms.

Foods rich in vitamin c include:Sweet potato, potato, rape flower, green pepper, cabbage, celery, tomato, kiwi, lemon, orange, grapefruit, strawberry, grape.

Foods rich in protein

severe lower back pain treatment home

Protein is an indispensable nutrient for the formation of muscles, ligaments and bones.The food that lumbar disc protrusion sufferer eats still should contain sufficient protein.

Foods high in protein include:Pork, chicken, beef, liver, fish, shellfish, cheese, milk, eggs, soy, soy products.

Foods rich in b vitamins

severe lower back pain treatment home

B vitamins are the nutrients needed for nerve work, not only to relieve the pain caused by a herniated disc, but also to relieve fatigue.

Foods rich in b vitamins include:Millet, soybeans, peanuts, root vegetables (broccoli, cabbage, lettuce, etc.), pig liver.

Director he sublimation profile

severe lower back pain treatment home

He xuesheng, chief physician, professor, doctoral supervisor, director of spine department, shenzhen hospital of traditional Chinese medicine. Honored as excellent party member of shenzhen health and health committee of the communist party of China, national "guo chunyuan type good doctor", shenzhen excellent traditional Chinese medicine, shenzhen hospital of traditional Chinese medicine "top ten medical workers", shenzhen good doctor and so on. Presided over the "clinical research on the treatment of compression fracture of thoracolumbar vertebral body with over-extension traction and elastic compression" project, won the second prize of science and technology progress award of Chinese medical association (201002-35 lc-39-r-oi).

She is good at the diagnosis and treatment of difficult diseases in the department of orthopedics, spinal cord and related diseases, osteoporosis. He is good at spine surgery. In 2008, he started percutaneous foraminal endoscopic (peld) minimally invasive surgery for lumbar disc herniation and spinal stenosis in China early, and peld and med minimally invasive surgery for cervical and lumbar degenerative diseases. Currently, more than 6000 cases of lumbar disc herniation and lumbar spinal stenosis have been treated by endoscopy, with rich clinical experience and exquisite surgical techniques. She specializes in the surgical treatment of spinal cord nerve injury, correction of spinal deformity, minimally invasive treatment of osteoporotic vertebral body fracture, etc. He has published 2 sci papers (spine1) and more than 40 professional papers.

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

Between the waist dish highlight, waist aches, how does aching hemp of lower limbs do? Just one move, say goodbye to the pain – pain healing | back pain/herniated disc/lumbar spine/for back pain/disc degeneration/lumbar disc herniation/pain relief

Although I majored in clinical medicine in college, I had only a partial understanding of the disease. After a week or so of bed rest and oral medication, the pain basically disappeared.

I thought I was cured, but later I found that it was just the beginning. Later I found that I could not take a bus for a long time, carry heavy things, be tired or sit for a long time, otherwise I would suffer pain. About a year later, gradually began to numb leg, thigh and calf began to pain. A little careless attack, sometimes night pain difficult to sleep. Try all kinds of treatments, all of which are temporary relief.

Because of the reason of the body, can't run around again, returned to zhengzhou in 2005, by the teacher's introduction, entered the province pharmaceutical industry association work, mainly responsible for the province more than 100 pharmaceutical enterprises contact statistics and other work. In the later period of time, the work was relatively easy, but suffered a lot from pain, so I made up my mind to learn about lumbar protrusion and cure my lumbar protrusion. Since then, in my spare time, I have relearned relevant orthopedic literature and books, visited orthopedic experts, and learned about various aspects of lumbar disc herniation.

Finally, I found the right way. Now I have not suffered from lumbar disc herniation for more than three years, and there is no recurrence of fatigue or sitting for too long. Today I will give you a detailed talk about the pathogenesis of lumbar disc herniation, common treatment errors, and scientific treatment methods, hope to help the vast number of lumbar friends.

First let's review the physical structure of the disc:

As shown in the figure below, the disc is a cushion composed of the nucleus pulposus wrapped by the annulus fibrosus in the middle of the two lumbar vertebrae. It plays an important physiological role in connecting the upper and lower vertebrae, cushioning pressure, maintaining the physiological curvature of the spine, and maintaining the height of the spine.

Two basic causes of disc herniation:

(1) lumbar disc degeneration:

Fiber ring around the nucleus pulposus, nucleus pulposus is moisture content 80% the left and right sides of semi-liquid state, with factors such as the growth of the age, the nucleus pulposus water content decreased, may cause disc degenerative diseases, intervertebral disc of water loss will cause vertebral instability, loose, causing compression of intervertebral disc, in addition, the fiber ring degeneration causes of its lower tenacity, bulging caused even tear.

Career factors:

Professional and lumbar (off) the close relationship between, for example, needs to work sitting for a long time, such as office workers or workshop workers, drivers, has been in a sitting position and turbulence state, so that when work, the pressure in the intervertebral disc is 2 to 3 times, while standing work strength porters, work the pressure on the intervertebral disc can be increased to more than 30 kpa/cm2, the pressure can cause serious damage to intervertebral disc.

Six major causes of disc herniation:

On the basis of disc degeneration, something that can induce a sudden increase in intervertebral space pressure causes the nucleus pulposus to pass through the annulus fibrosus into the front of the spinal canal, leading to increased herniation and symptom onset. These factors are mainly as follows:

(1) increased abdominal pressure:

In clinical practice, about one third of cases had definite factors that increased abdominal pressure before onset, such as severe cough, sneeze, breath-holding and forced defecation, which could increase abdominal pressure and disrupt the balance between vertebral segments and spinal canal.

(2) improper waist posture:

Whether sleep or in daily life, work, when the waist in flexion, such as to suddenly try to rotate, easy to induce nucleus pulposus protrusion.

(3) sudden weight bearing:

Make lumbar load increase suddenly, cause lumbar sprain possibly not only, also cause nucleus pulposus to protrude easily.

(4) :

The whole ligament system is in a state of relaxation during pregnancy.

(5) lumbar trauma caused degenerated nucleus pulposus to protrusion;

(6) cold and wet;

Cold or moisture can cause small blood vessel contraction, muscle spasm, increase pressure on the disc, may also cause degenerative disc herniation.

Therefore, patients with disc herniation, must pay attention to the above factors.

Four categories of lumbar disc herniation:

As shown in the figure above, surgery is usually necessary only for the dissociation type, and most of the swelling and protrusion can be treated conservatively to eliminate the symptoms. Even with dissociation, only about 20% of patients require surgery.

The most common misconceptions about lumbar disc herniation

Myth 1, pain numbness is caused by lumbar disc herniation compression of the nerve

Mistake 1. Many people think pain is caused by nerve compression, but it's not true.

Most of the pain and numbness is caused by aseptic inflammation and edema following compression. If the edema and inflammation go away, the pain will go away, despite the pressure. Many people still have pain after minimally invasive surgery because the sterile inflammation in the lesion has not been eliminated, or because the minimally invasive surgery has increased the presence of sterile inflammation.

Mistake 2. Someone says a herniated disc can be repositioned.

A herniated disc is impossible to reposition through massage or even surgery. This is the consensus of the medical community, do not believe the exaggerated propaganda of the charlatans. Once a disc annulus ruptures, it is unable to heal because there is no blood circulation in the annulus and no ability to heal itself.

3. Surgery can be used to root out a herniated disc

Currently, the commonly used methods include conventional open surgery, minimally invasive diskoscopy, and percutaneous aspiration. These methods have advantages and disadvantages, but they all have a high probability of failure and recurrence rate. According to statistics, more than 30% of postoperative symptoms will not ease. Recurrence rates are also very high. Because when a disc is removed, the pressure on the disc is distributed to the adjacent disc, greatly increasing the likelihood that other discs will herniate.

Mistake 4. Lumbar process can be completely cured.

This is also unrealistic. In clinical practice, drug symptoms disappear, can be considered as a cure. Whether or not it will recur depends largely on lifestyle. We've talked a little bit about that, but it also suggests that there's no cure for lumbar processes.

We read these four wrong understanding, in the future treatment will have a choice, do not have to do useless work. Our goal should be to eliminate symptoms and minimize the chance of recurrence, not to pursue a complete cure. What we're talking about today is how to eliminate symptoms, how to minimize recurrence.

Three keys to addressing herniated disc symptoms:

Key points 1. Eliminate aseptic inflammation and edema

As long as the inflammation and edema of the lesion are eliminated, 98% of patients can completely eliminate the symptoms. If the inflammation is eliminated completely, it is not easy to relapse.

Point 2, strengthen the toughness and strength of waist muscle

Between the waist dish outstanding patients mostly the waist muscle and ligament relaxation, is the traditional Chinese medicine "reinforced bone", want to maximize reduce the incidence of lumbar tu recurrence of symptoms, to increase the strength of the muscle ligament, increase the intensity of muscle, ligament of the lumbar spine, thereby increasing the stability of lumbar spine, reduce dislocation, maximum to prevent recurrence.

Point 3, increase the nutrient supply of the disc, increase the water content of the nucleus pulposus

Since the root cause of this disease is the loss of water in the nucleus pulposus, it is important to increase the nutrient supply and water content of the disc. This can control the degeneration of the disc and annulus fibrosus, increase the elasticity of the lumbar disc, control the progress of the herniation, and reduce the risk of recurrence.

If there is a method that can do the above three points, it can fundamentally and effectively solve lumbar disc herniation. I have encountered such a method after nearly a decade of lumbar disc herniation.

Get acquainted with li xianjie, inheritor of provincial intangible cultural heritage project

Provincial pharmaceutical industry association has many member enterprises. At a meeting a few years ago, I got to know Mr. Li xianjie, a person in charge of a pharmaceutical enterprise. During the conversation, I was informed that I was suffering from lumbar disc herniation, and then I was presented with two boxes of plasters. I've used a lot of plasters before and I've lost faith in them. But see is so many honor once, still stick to try.

I insisted on putting up the cold xiao tai pain-relieving paste for a week, without any reaction, unlike other plasters that would send cold or heat, so I called li xianjie to give feedback on the problem, and he suggested me to continue to put up the paste. When sticking to stick to apply for a month, the waist has not felt for many years, all symptoms have disappeared. I am a student of western medicine, never despise Chinese medicine, I always think Chinese medicine is pseudoscience, think plaster is only to alleviate symptoms. However, I have been using it for several months without any symptoms, which makes me very interested in Mr. Li xianjie's negative xiao tai painkillers. (it has been more than three years since I used "cold xiao tai" to eliminate the symptoms of lumbar protrusion. I have never had a recurrence of long periods of driving, lifting heavy objects, strenuous exercise or sitting for a long time.)

In December 2015, Mr. Li xianjie organized the establishment of the first national plaster association — zhengzhou plaster association, which is approved by the civil administration, science and technology association in charge of the formal industry association. I had the honor of being asked to be the vice President of the association.

Since it is to participate in the plaster association's work, it is more necessary to understand the plaster industry. In the establishment of the association for more than a year, chairman li led us to work together with the saic standards committee to develop the country's first black plaster industry standards, filling the black plaster no uniform standards blank. By taking part in this work, I gained a deeper understanding of black plasters.

Cold xiao tai pain-relieving was originated from li's prescription for back pain in qing dynasty, which was listed as a provincial intangible cultural heritage protection project in henan in 2015.

The plasters on market now are jumble, a lot of businessmen register a trademark to look for a small factory to stick a brand to come out swagger and cheat, bring about the plasters market of the whole country very disorder. Now 99% of black plaster on the market are made of hot melt adhesive with capsaicin generic black plaster, the gel is soft, is also very thin, like rubber bands, elastic, a lick taste very spicy, stick in the body will be hot hot, this is typical of false plasters, it don't add in any Chinese native medicine ingredient, because he is hot melt adhesive substrate.

This kind of hot melt glue on the market now false plaster occupies the share of 99% above, this kind of plaster cost is low, the cost that stick is controlled in 2 wool to 4 wool money, businessman layer upon layer has sudden profits, and common people cent is not clear true false. And li shi plaster cold xiao tai is made with pure Chinese medicine, the cost is more than 30 times of hot melt adhesive plaster. Mr. Li xianjie organization to establish plaster association is also to standardize plaster industry, increase self-discipline, let do plaster manufacturers more conscience and ingenuity.

Cold xiao tai pain-relieving paste is the real traditional black plaster, is the use of more than 200 years of heritage of the prescription, with sesame oil and pure Chinese medicine boil, with hair and pig skin as adhesive, no elasticity, do not add capsaicin, so there is no spicy, paste will not be hot.

The ingredients of panax notoginseng, rhizoma chuanxiong and angelica can promote blood circulation and remove blood stasis, dredge channels and collaterals, promote blood circulation and nutrition supply of the focus, and eliminate edema and inflammation of the focus. Kusnezoff monkshood, nux vomica, the composition such as live alone can acetanilide detumescence, Chinese prickly ash can remove lesions of moisture, borneol can promote the penetration of drugs, the formula is very complex (revealed only partially ingredients), craft is exquisite, the whole process of stewing need a week or so, like this in real comfort stewing plasters enterprises in henan province is a handful, a model of originality of conscience.

After a period of study, found that cold Xiao Thai XiaoTongTie can eliminate aseptic inflammation and edema caused by disc herniation, enhance toughness and strength of the waist muscle, increase the nutrition of intervertebral disc, increase water content of nucleus pulposus, thus effectively relieve symptoms caused by herniated intervertebral disc, the maximum at the same time reduce the rate of recurrence, is severely, such products in the domestic is also a handful, is the Gospel of patients with lumbar disc. And this is the most important part of the three points I mentioned above to address the symptoms of disc herniation!

From July, 2016 to may, 2017, more than 1,000 cases of patients with chronic medical problems were observed in dozens of domestic medical institutions, and the statistical remission rate reached 95%. The paper will be published in professional journals in the near future.

Mr. Li xianjie told me that due to the complicated technology, it is not possible to produce the "cold xiao tai" stickers made by the ancient method in large quantities in industrial production lines. In order to ensure the quality of the products, the limited supply is still available. Recently opened the channel of e-commerce, but also to the country's waist sudden patients friends a chance to relieve pain.

At the end of last year, cctv.com interviewed me in a special way. I think good things need to be Shared with everyone. Of course, enterprises need to sell goods for profit, but it is more meaningful to relieve pain for the vast number of waist protruders. Hope this article is helpful to broad waist dash forward friend.

How can I buy a good morning tea?

Xiao tai in taobao opened a shop: taobao search for xiao tai xiao can be.

Of course, "read the text", go straight to the "buy it on a cash on delivery basis".

Below is the way to buy on taobao. Enter a cold xiao tai pain relief search, the best according to the sales priority ranking, the largest sales is the official shop of li shi plaster manufacturers, the price and quality can be guaranteed the most.

Reading this, people often ask me, "is this really useful?

In order to solve your concerns, cold xiao tai pain relief paste (cold xiao tai pain relief paste does not contain capsaicin and does not anesthetizing nerves, which is different from pain-relieving paste paste) promises: if you do not feel any effect box improvement after 7-15 days of continuous paste, you can contact customer service, and give you a refund. Of course, it's very rare to receive returned goods, if you don't have the confidence to say so, so we can rest assured to buy.

Recommend everybody to buy buy the combination of a cycle that buys 2 to send 1, you will get 3 boxes, 8 stickers of a box, 24 stickers in all, very advantageous, calculate come down a box just 112 yuan. Family members and friends also have this aspect of trouble can buy 3 get 2 combination, more cost-effective.

Activity limit time, bid farewell to the trouble of lumbar dash forward from today!

point

Lumbar disc herniation how to treat, ask diagnosis, image, check body these foundation cannot ignore! – pain healing | lower back pain/back pain/sciatic nerve/leg pain/lower back/back pain and leg pain/disc degeneration/lumbar disc herniation

To each patient more careful, more patience, more responsibility. May my smile be a ray of warm sunshine in your pain.

Is lumbar disc prolapse at present and many of the quality of life conditions, was upset because this question is because if there is no suitable scheme for symptoms to analysis to deal with, is mentioned just to take the treatment of lumbar disc prolapse, recovery rate is not high, often times attempt leads to patients' lost confidence, and the conventional treatment of western medicine hospital medicine mainly, minimally invasive surgery, patients with the latter price is too high also dare not easily to try. Write down what I usually do today!

So how should undertake the treatment ability of lumbar disc herniation is a bit better? First must be resistant to his temper, to do a detailed interrogation and examination, analysis of symptom is a problem caused by which parts, then the method to take (and to relieve symptoms caused by radiation pain points, this will increase the rate of recovery, the doctor is different from other industries, not the pursuit of quantity to the pursuit of quality, see 100 patients recovered 10 a day, less rehabilitation accepts 10 a day, meaning more!

What does an interview involve?

1. Name, gender, nothing to say further!

2. Age. The degree of spinal degeneration varies in different age groups. It is normal for older people to have bone hyperplasia and disc degeneration without causing symptoms.

3. Professional, is very important, the pain of lumbar disc prolapse produce a lot from the work, such as a stevedore, long distance drivers, the former more trauma, the latter is more bad long-term accumulation, we have to from his regular habit to analyze his most easy to damage of the muscle group, pointed out that he lives in the wrong place, even reduce the similar problems from happening again.

4. If the time of pain is short, the recovery time will be relatively short, because there will be fewer secondary problems caused by pain, which is relatively easy to deal with. For example, in a patient with chronic lumbar disc herniation, there may be tension and tenderness in the muscles due to chronic pain, asymmetric muscle strength on both sides that may cause strain of the psoas, or chronic radiating pain in the hips and legs that may cause problems with the piriformis or gluteus medius in the buttocks.

5. The trigger of pain, which is also important, can help doctors determine whether it is an acute trauma. Or is it a gradual accumulation that happens to happen that the last straw that breaks the camel's back causes symptoms. The acute one only needs to deal with the recent problems and can be improved soon. The lumbar disc herniation caused by gradual accumulation should be analyzed from his living habits in a comprehensive way to find, remove and correct.

6. Medical history: have you ever had any back pain before? The injury may not have occurred at that time, and the symptoms caused now may be related to it. Should also consider whether patients with diabetes, serious heart disease, infectious diseases, etc., although there is no direct relationship with the lumbar disc, but diabetes will affect the recovery time, serious heart disease some methods can not be used, infectious diseases to prevent.

7. What kind of treatment have you done? After surgery, it is definitely different from those who have not had surgery.

Ct and mri are necessary

It is necessary to do a ct or mri of lumbar disc herniation in order to further diagnose the size of lumbar disc herniation and the compression of dural sac and nerve root. The most important point is to exclude some serious diseases that may cause the same lumbago and leg pain, such as tumor inside spinal canal, lumbar vertebra tuberculosis, serious osteoporosis and so on, or when checking the body may also exist a certain risk. Of course, if the symptoms do not conform to the manifestations of lumbar disc herniation, especially only low back pain, such as clear facet joint disorder caused by the symptoms, direct manipulation can be corrected, can not do ct.

Physical examination is the most important!

1. No physical examination doctor is not a good doctor, especially in terms of sports system rehabilitation, if a doctor tells you, lumbar disc prolapse he don't even have a body check, will recommend you to take medicine or plaster, or look at the images suggest you or minimally invasive surgery, regardless of the doctor technology is good, must be an irresponsible! Physical examination of lumbar disc herniation is not a substitute for ct, mri or emg.

2. Physical examination can tell us the core location of lumbar disc herniation pain, identify some diseases of lower back pain and leg pain, reduce the chance of misdiagnosis, find the key points of recovery, and then remove these pain points and radiating points, this kind of recovery will be more stable.

3. How to do physical examination? Probably many people immediately think of the straight leg-raising test, but I said is not the body, the body while it is possible to provide further information to confirm, but not clear, because many people do test negative, but there is still a lumbar intervertebral disc protrusion, for example, often practice yoga is generally won't appear the straight leg-raising positive.

4. The physical examination I must do is mainly to consider the lumbar disc herniation after the diagnosis and imaging examination exclude other problems. First of all, patients are asked to lie on their stomach and open about 2cm between the upper and lower spines of the corresponding discs in the waist. Pressure is applied to see whether pain and radiation sensation corresponding to normal symptoms can be generated. If there is pain, it can be diagnosed and then the radiative pain can be relieved by "actual reduction". If there is no tenderness, even if the symptoms are consistent, ct also has lumbar disc herniation, and it cannot be immediately diagnosed as lumbar disc herniation. To check whether there is tenderness and radiating pain in the buttocks corresponding to the normal symptoms, if it appears in the buttocks, then it is necessary to remove the painful point in the buttocks and the compression stimulation of the sciatic nerve. Both sides can be pressed with the same force to analyze whether it is pain or routine tenderness. Both tenderness and radiative pain should be treated together, or only partial relief of symptoms may result in no further progress.

5. There is also a part of one of the early time due to the strain, the waist muscles strength can't penetrate the deep highlight and tenderness of nerve root stimulation of nucleus pulposus, relax the waist muscle can go ahead, after all, the waist muscle tension and we need to restore a key, relax in the early part of the body from radiation feeling of patients will be peace when the corresponding symptoms, then just like ordinary patients.

6. If the patient only has pain in the lower back and legs, and no tenderness or tenderness symptoms do not correspond to feelings at times, then I suggest that the patient should not rush to diagnose lumbar disc herniation and blindly treat according to lumbar disc herniation. Should let a patient inspect a few doctors more, diagnose the symptom that what respect reason causes first, respect a patient namely respect oneself, cannot find the reason to talk about what treatment?

Nature is always "one thing falls into one thing", there is it has its grams. Lumbar disc herniation is not a terminal disease, must be able to recover, after recovery also want to love themselves well, the body is the basis of everything, when young to give up health to obtain wealth, when old to give up all wealth to restore health!

Lumbar intervertebral disc herniation, how to see an expert wonderful treat – pain healing | back pain/herniated disc/leg pain/severe back pain/lumbar spine/lower back/disc degeneration/lumbar disc herniation/spinal stenosis/lumbar spinal stenosis

Nowadays, lumbar disc herniation has become a high incidence, and for many patients, it can be alleviated by regular conservative treatment.

But also have a part of the person to protrude heavier, especially free type lumbar intervertebral disc is protruded, often bad through conservative treatment effect, need operation to treat at this time.

In the past, people are very afraid of surgery, from the psychological think that surgery is "major surgery".

However, with the development of intervertebral foraminal technology, lumbar disc surgery has become increasingly minimally invasive, patients with lumbar disc herniation do not have to worry about a major surgery.

Pain in the lower back and legs can be easily relieved by making a small 7mm hole in the body surface, inserting a 6.5mm diameter channel into the surface of the herniated disc and removing the herniated disc by grasping the forceps.

Intervertebral foramina was pioneered in 1999 by professor Anthony yeung of the United States (young's technique) and developed in 2002 by professor Thomas hoog land of the German spinal surgery society. As early as in 2008, he shengsheng, director of the second department of orthopedics (spine) of shenzhen hospital of traditional Chinese medicine, took the lead in the treatment of lumbar intervertebral foramen for lumbar intervertebral protrusion and lumbar spinal stenosis. In 2010, he was the first to adopt endoscopic technique in the treatment of high lumbar disc herniation, which was first reported in the Chinese journal of bone injury.

After a long period of clinical practice, any director of the success for the treatment of lumbar intervertebral foramen mirror, the side of the lower lumbar spine, the central type lumbar intervertebral disc protrusion and central type lumbar intervertebral disc protrusion of lumbar intervertebral, high pass lumbar intervertebral disc protrusion, hernia lumbar intervertebral disc protrusion, recurrent lumbar intervertebral disc protrusion, adolescent lumbar intervertebral disc protrusion, multiple segmental lumbar intervertebral disc protrusion percutaneous endoscopic precision decompression in the treatment of degenerative lumbar spine stenosis disease, before and after the successful completion of the intervertebral foramen surgery more than 5000 units, has accumulated rich experience in operation.

Especially for extreme type prolapse of lumbar, lumbar disc prolapse with hole mirror surgical treatment difficulty is very big, the risk is extremely high, many doctors to stay at a respectful distance from sb, some doctors choose to open surgery directly screw rod fixation treatment, any director in the success of the intervertebral foramen in the treatment, on the basis of free type lumbar disc is successfully carried out in recent years, extreme free type lumbar intervertebral foramen mirror treatment high emergence, achieved good effect.

Recently, group 1 of spine, department 2 of shenzhen hospital of traditional Chinese medicine applied spinal endoscopy through interlamellar approach to treat extremely severe prolapsed lumbar lumbar disc herniation, and achieved good surgical results.

Uncle liu recovered through minimally invasive surgery

Let's see his recovery story

Uncle liu, 69 years old, was treated in shenzhen hospital of traditional Chinese medicine for severe back pain and radiating pain in the right lower limb for 2 years.

Since he was diagnosed with lumbar disc herniation two years ago, he has been suffering from pain in his lower back and legs repeatedly due to the fear of surgical treatment.

A week ago, because back pain, right leg pain is unbearable, they came to shenzhen hospital of traditional Chinese medicine to find any sublimation director seeking minimally invasive surgery.

Because uncle liu's lumbar disc herniation is a very severe prolapse type of lumbar disc herniation, minimally invasive intervertebral forceps surgery is very difficult to treat, and the risk is unusual.

After careful consideration and discussion, the minimally invasive spinal team led by director he sublimation finally decided to boldly attempt to extract the 4-5 extremely severe prolapsed lumbar nucleus pulposus tissue under spinal endoscopy through the interlaminal approach.

Preoperative magnetic resonance imaging (mri) revealed a very severe downward dissociation of the lumbar 4/5 disc

During the operation, free nucleus pulposus tissue was successfully extracted through the interlamellar approach

Mass of free nucleus pulposus tissue

Preoperative (left) and postoperative (right) comparison showed that the free nucleus pulposus tissue was removed clean

Postoperative right lower limb pain disappeared, straight leg elevation can be immediately elevated

In recent years,Department 2, shenzhen hospital of traditional Chinese medicine (spine)Under the leadership of director he, the operation quantity of intervertebral foramen has been increasing continuously for several years.

In order to further improve the surgical technology and exchange experience, director he has been to Germany, the United States, Malaysia and other major cities in China since 2016 to exchange and learn about the intervertebral foramen technology, which has won wide appreciation from colleagues at home and abroad.

please

Invited to the Atlantic spine center of the United States for exchange and study

Invited to Malaysia for exchange study

Study abroad

Currently, the minimally invasive technique of lumbar intervertebral foramen represents a new concept of minimally invasive spinal surgery, which can perform disc herniation, intervertebral foramen formation and fiber ring repair at all levels from the cervical vertebra to the l5 s 1, he said. The satisfactory effect of the operation can reach 95%.

Because of its many advantages, the international field of minimally invasive spine surgery has been recognized as the leading role of intervertebral foramen in this field. In the future, with the continuous development of new instruments, advanced imaging equipment and sophisticated robot system, intervertebral foramen is expected to promote a new revolution of minimally invasive spinal surgery.

Xinglin jun reminds everyone again

Seek immediate medical attention for minor ailments

Choose a reasonable treatment according to your doctor's advice

Don't neglect

Small ailments become big problems

What sublimation

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

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

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

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