Tips for Love in Lumbar Vertebral Disease: After preventing the pain of lumbar Vertebral Disease, you should go to a specialist to correctly identify the symptoms of physical pain. In prevention, some simple methods can be effective. Pay attention to rest. Rest can release the pressure accumulated in various parts of the body, ensure the coordination of the body, and reduce the chances of various acute pains. Exercise your back muscles. Because about 70% of patients have lumbar disc herniation, we can reduce it by exercising our back muscles. Swimming is a good exercise. In addition, you can go to the gym and choose those instruments that specialize in exercising back muscles. In addition, there are five-point support methods (lying flat, elbows on the top of the head, heels supporting the weight of the body into an arch bridge) and walking backwards (fully exercising the back muscles). If the back is muscular, it is equivalent to wearing a natural belt around the waist, which can play an important role in protecting the back. [Edit this paragraph] Treatment of lumbar vertebra disease 1, drug therapy: taking medicine, injection and sticking plaster all belong to drug therapy, and drug therapy mainly has the functions of diminishing inflammation and swelling, relieving pain, promoting blood circulation and removing blood stasis, mainly including aspirin, indomethacin, ibuprofen, fenbid, antongding, voltalin (antipyretic, analgesic and anti-inflammatory drugs) for preventing lumbar vertebra disease. Dibazole compound Danshen injection (vasodilator), prednisone, dexamethasone (hormone), vitamins B 1, B 12, E, C, adenosine triphosphate, inosine (vitamin and nutritional drug), central muscle relaxants, diuretics and dehydrating drugs, etc. As far as the pathogenesis of lumbar disc herniation is concerned, drug treatment is not a permanent cure, but can only relieve symptoms and temporarily relieve the pain of patients, and the effect will be obvious in the early or acute stage of the disease. However, all drugs have different degrees of toxic side effects, so it is not suitable for long-term use. It can only play an auxiliary role. 2, physical therapy: massage, acupuncture, electrotherapy, cupping, laser, ultrasound, paraffin therapy, etc. This kind of therapy is mainly anti-inflammatory, analgesic, promoting blood circulation and removing blood stasis. For example, the neck and waist expert produced by Ye Jing Materia Medica Pharmaceutical Co., Ltd. is a neck and waist protection product with negative ion and far infrared effect, which is composed of magnets, tourmaline, nano-functional ceramic powder and special heat-sensitive materials. It has the functions of diminishing inflammation, relieving pain and improving blood circulation. 4. Surgical treatment: mainly used for those who seriously affect their life, work and rest, and those who are ineffective in non-surgical treatment. Surgery has changed the original tissue structure of human body and belongs to trauma therapy. The patient is in more pain. Surgery destroys human tissues, leading to changes in human tissue structure, which is easy to aggravate the lesions of other tissues. For example, some patients, after a period of operation, are easy to cause degeneration of other lumbar intervertebral discs or cause swelling or protrusion in different degrees, and are also easy to produce nerve adhesion or numbness of legs and feet, and lose consciousness, especially easy to cause hyperosteogeny or vertebral instability. So surgical treatment can only be used as a last resort. Lumbar disc herniation is a self-limiting or self-healing disease to a certain extent, so conservative treatment should be chosen as far as possible. 5, traction therapy: traction is one of the most effective measures to treat lumbar spondylosis. Through the principle of mechanical force and reaction force, the lumbar spine is pulled to widen the intervertebral space, so as to achieve: a, to reduce the pressure on the intervertebral disc, to promote the retraction of the intervertebral disc, and to reduce the stimulation and oppression on nerve roots and other tissues. B, eliminate inflammation and promote blood circulation. C, relieve muscle spasm and improve local blood circulation. The traditional traction method is carried out on the bed, which can only be carried out intermittently twice a day. Every time a patient gets out of bed and goes home or goes to work, the recovered nucleus pulposus will be compressed again under the pressure of upper body gravity, resulting in all previous efforts being wasted and repeated attacks. [Edit this paragraph] Lumbar disc herniation and lumbar deformity should be distinguished. Investigation shows that about 30% of normal healthy people have disc herniation or protrusion, but have no clinical symptoms, while some people with low back pain or sciatica have normal imaging examination, which is a problem that needs to be discussed in medicine. In practical work, just because radiology or imaging examination shows that a certain intervertebral joint or intervertebral disc is diseased, it cannot be considered as the origin of pain. On the other hand, we can't arbitrarily think that there is nothing wrong with the lumbar spine just because no abnormality is found in the imaging examination. At this time, it is necessary to conduct a comprehensive analysis to find out the root cause of the disease. Spinal dysplasia is common in the upper and lower ends of the spine, that is, the upper neck and lower waist, which is manifested by the fusion of transitional vertebrae and adjacent vertebrae, the left-right asymmetry of spinal structure, and the defect of a certain part of the spine (such as spina bifida) and the appearance of redundant bones. Most of them are asymptomatic, and other diseases are often found through X-ray examination. With the increase of age, nervous system symptoms such as low back pain will gradually appear, which should be differentiated from lumbar disc herniation. Details are as follows. Transitional spine: At the junction of the cervical, thoracic, lumbar and sacral segments of the spine, they can "migrate" each other, such as lumbosacral, lumbosacral, thoracolumbosacral, etc. The most common site is lumbosacral region, which accounts for about 65,438+0/3 in X-ray examination of patients with low back and leg pain. Deformity of articular process: The directions of articular processes on both sides are often asymmetrical, which is more common in lumbosacral region, followed by L4 and L5. The direction and shape of articular process have a great relationship with the movement of spine. If the joints of the articular process are arranged in the same way, the activities of the spine in all directions will be coordinated. If the two sides are asymmetrical, it will make it difficult to coordinate the movements of the spine in all directions, resulting in strain of the joints, ligaments and surrounding muscles of the articular process, which in turn will cause low back and leg pain, and sometimes it will be accompanied by deformed intervertebral disc herniation in the supraarticular space. Spinous process deformity: Spinous process is the secondary ossification center, which is fused around 25 years old. The most common variation is: 1) contact with spinous process. When normal people stretch back at the waist, there is still a certain distance between two adjacent spinous processes. However, when the congenital spinous process is too long, the lumbar lordosis is excessive, the sacrum is in a horizontal position, or the intervertebral space is obviously narrowed due to intervertebral disc degeneration, the distance between two adjacent spinous processes becomes smaller. When the waist stretches back, the adjacent spinous processes collide with each other and rub constantly to form a pseudojoint, which is called contact spinous process. Over time, it can cause synovitis or traumatic arthritis and cause low back pain. When the waist stretches backwards, the pain will get worse. At this time, it is necessary to control the back extension of the waist, adjust the unreasonable posture, and reduce the impact of pathological spinous process, which is conducive to the regression of local congestion and edema. 2) spinous process of coracoid process. The coracoid process is more common in L5, and its spinous process is slender, and its distal end bends backward and downward into a beak shape, so it is called coracoid process. On the lateral X-ray film, the slender L5 spinous process can be seen. When the waist is stretched back, the coracoid process hits the sacral plate 1, causing local congestion and edema, or forming synovial sac, leading to low back pain. When the sacral nerve 1 is compressed, the pain radiates to the buttocks and lower limbs; If combined with sacral isthmus fissure, it can cause low back pain, perineal numbness, feeling of falling to the ground and abnormal urination function. The treatment is mainly lumbar immobilization and restriction of lumbar extension. 3) Rod-shaped spinous process. The floating spinous process in sacral spina bifida occulta is fused with L5 spinous process, which looks like Chu Jiu, so it is said that its pathological changes and treatment principles are similar to coracoid process. Subtle spina bifida: It is a developmental disorder of cartilage center or ossification center in embryonic stage, bilateral pedicle posterior parts do not heal, and there are different degrees of cracks in vertebral lamina and spinous process. It mainly occurs in the lower lumbar vertebrae and the upper sacral vertebrae. When only the bones are involved, it is called recessive sacral fissure; If accompanied by meningocele or myelocele, it is called dominant spina bifida. Generally, only one segment is involved, and there is only one crack in the light, and the lamina is completely missing in the heavy case. Subtle spina bifida is covered by fibrous tissue, and the skin of lumbosacral region may have pigmentation, hair or lipoma-like changes, which are generally asymptomatic. However, the lumbosacral region of adults is overloaded, and some ligaments and muscles around it lack attachment points or are not firmly attached, which is easy to form lumbosacral strain. The principle of treatment is to adjust posture and strengthen back muscle exercise in daily life and work to make up for its congenital defects. [Edit this paragraph] The etiology and clinical manifestations of common lumbar diseases are 1, and disc herniation (bulging): the incidence rate in the population is 15.2%. Its pathogenesis is mainly due to the degenerative changes in different parts of lumbar intervertebral disc, especially the nucleus pulposus. Under the action of various external forces, the annulus fibrosus of intervertebral disc ruptures, and the nucleus pulposus protrudes from the rupture, so that the adjacent nerve roots and spinal cord are stimulated or compressed, resulting in low back pain, pain and numbness in one or both lower limbs, and even incontinence and paralysis. 2. Osteoproliferation: With the increase of age, degenerative diseases occur in the lumbar spine and surrounding soft tissues. Due to soft tissue lesions, muscle traction or avulsion, bleeding and hematoma, spiny hyperosteogeny will form after a long time; The formation of bone spurs also produces mechanical stimulation to soft tissues, compresses nerves, causes edema and deformation of nerve roots, and produces symptoms such as low back and leg pain. Such a vicious circle makes the condition worse. Although there are many common treatment measures, the curative effect is not ideal. Repeated illness, sometimes good or bad, can not be cured. 3. Lumbar spinal stenosis: A clinical syndrome in which the bony or fibrous structure of the lumbar spinal canal changes for some reasons, resulting in one or more lumen stenosis in one or more segments and compression of cauda equina nerve or nerve root. The main causes of lumbar spinal stenosis are congenital and acquired differences from China. The so-called congenital spinal stenosis refers to the development of spinal canal stenosis, which is easy to cause symptoms under the same tissue degeneration and hyperplasia. Acquired factors include hypertrophy of ligamentum flavum, hyperosteogeny of vertebral body, osteophyte of facet joints, epidural adhesion, lumbar disc herniation and so on. Caused by degeneration and injury, resulting in lumbar lumen stenosis. Among them, hypertrophy of ligamentum flavum and prolapse of lumbar intervertebral disc are the most common causes. For patients with lumbar disc herniation, whether they can exercise depends on the patient's condition. Generally speaking, during the acute episode of lumbar disc herniation, you must rest on a hard bed and take appropriate treatment measures. Sports are absolutely forbidden. Patients with acute episode of lumbar disc herniation in remission or with mild symptoms can take part in exercise appropriately, but they should exercise slowly, control the amount of activity appropriately and step by step. Don't do strenuous exercise, choose exercise. At the beginning, we should choose sports with relatively small waist activity and load, and take protective measures such as wearing a belt or waist during sports. Among many sports, swimming is more suitable for patients with lumbar disc herniation. However, attention should be paid to the correct swimming posture and the water temperature in the swimming pool should not be too low, and sufficient preparation activities should be carried out before swimming. Swimming time should not be too long, and there should be a certain interval during exercise to avoid excessive waist fatigue. As long as the symptoms of lumbar disc herniation are aggravated, you must rest and exercise after the symptoms improve. We must not blindly adhere to activities. In a word, proper physical exercise for patients with lumbar disc herniation can not only enhance the blood circulation of the waist and relieve lumbar disc herniation, but also enhance the strength of back muscles, enhance the stability of the lumbar spine and reduce the recurrence of lumbar disc herniation.