Or moderate traction, should be effective. Please ask the surgeon to deal with it in a targeted manner and insist on reasonable treatment. I believe it will be relieved.

2. Is it necessary to stay in bed when you are sick? If you are still engaged in office work, what specific problems should you pay attention to?

Need to stay in bed and properly stretch the spinal joints. Not suitable for sedentary, you can walk around, and sleeping more is good for recovery.

In nature, when vertebrates such as cats, dogs, cows and horses walk, their spines will swing from side to side reasonably. Such animals not only seldom suffer from spinal diseases and diseases related to the spine, but also seldom suffer from arteriosclerosis, coronary heart disease, hemorrhoids, varicose veins of lower limbs and other diseases. Although it has evolved for tens of millions of years since human ancestors learned to walk upright, their spines, which were originally suitable for walking on all fours, have never fully adapted to the posture of walking upright. So the extra stress will be borne by the spine, especially the cervical spine and lower back lumbar spine without rib support.

The spine is the general hub of human health and is responsible for protecting the main trunk line of human communication-spinal nerve. In the human nervous system, there are 365,438+0 peripheral nerves extending from the spine and weaving into tens of millions of networks, which are distributed in all directions of the body and connected with trillions of neurons. If the 14 central nerve of the brain is compared to the headquarters of a group army, then the peripheral nerve network leading from the spine to the whole body is the command departments at all levels directly under the headquarters. The upper end of the network is connected with the headquarters, and the lower end is connected with trillions of neurons, that is, the hordes of this group army, forming the "information expressway" network of the human body.

Compared with young people, an important reason why middle-aged and elderly people are dull and dull is that the speed of nerve transmitting information and instructions is different. If the pressure in a certain part of human body exceeds 28 mm Hg, it will affect the normal function of neural network in that part. 80% of human chronic diseases are caused by neural network dysfunction due to the lack of good care or damage of the spine. Many unexplained coronary heart disease, gastroduodenal ulcer and so on. All of them are caused by the deformation and dislocation of lumbar vertebrae, thoracic vertebrae and cervical vertebrae. Cerebral blood supply insufficiency is also one of spinal diseases, which is caused by vertebral artery occlusion. The physiological activities of the brain depend on the cerebral microcirculation system in blood circulation, and the metabolic activities are carried out in an extremely complex and precise microcirculation network. Brain cells need a considerable amount of oxygen, accounting for about 20% of the whole body, and are particularly sensitive to hypoxia. Once the vertebral artery is blocked, the microcirculation blood flow decreases slightly, all the behaviors of the brain will be affected, and symptoms such as dizziness, fatigue, insomnia and memory loss will appear. Long-term cerebral blood supply deficiency will seriously endanger physical and mental health, and may develop into systemic diseases such as dementia. Cervical spondylosis can also cause angina pectoris and spinal related diseases, which should not be taken lightly. It should be pointed out that cervical spondylosis, scapulohumeral periarthritis, lumbar muscle strain, lumbar disc herniation and hyperosteogeny are all diseases related to the spine. The hunchback of middle-aged and elderly people is caused by the deformation and dislocation of the spine. The incidence of stroke in China is as high as 654.38+0.5 million every year, and 80% of the survivors have different degrees of hemiplegia. This is the sequela caused by acute cerebral hemorrhage or cerebral ischemia. The deformation and dislocation of spine is the chief culprit of cerebral ischemia. In recent years, the incidence of spinal diseases has shown an obvious upward trend, accounting for more than 50% of orthopedic diseases. Cerebral blood supply deficiency is also one of the spinal diseases, which should be paid enough attention to.

Back to the topic, spondylitis, also known as deformed spondylitis, is a degenerative disease of the spine, which is characterized by the formation of bone spines or bone bridges in the intervertebral space. And spondylitis is an infectious disease of vertebrae, including osteomyelitis and intervertebral disc spondylitis.

1. Vertebral diseases: Fibrocystic degeneration of intervertebral disc on the ventral side of intervertebral space, bone hyperplasia from cracks, forming bone spines or bone bridges. According to the degree of hyperosteogeny, the disease can be divided into five stages. Only a few cases have found that bone hyperplasia has penetrated into the spinal canal. Most cases have no symptoms at all. When hyperosteogeny obviously oppresses spinal nerves, there will be corresponding motor and sensory dysfunction, such as abnormal gait, incomplete paralysis, insensitivity, and spinal cord reflexes. The incidence of this disease increases with age. The most common sites are thoracic and lumbar vertebrae.

2. Vertebral spondylitis: Pathogenic blood-borne, traumatic or infected lesions spread directly, causing spinal infection. Interdiscal spondylitis mainly occurs at the intervertebral disc and vertebral endplate, and sometimes it is complicated with osteomyelitis.

Blood tests and x-rays can make a diagnosis.

treat cordially

1. Spinal diseases: treatment without cause. When symptoms or pain appear, you should rest as much as possible, give steroid hormone (prednisolone, 1mg/kg/ day, orally or by injection), and at the same time give anti-inflammatory and sedative treatment (indomethacin, 0.5~ 1.0mg/kg/ day, orally or rectally).

2. Spondylitis: If there are no symptoms of nervous system, antibiotics can be given for a long time (4~6 weeks). If antibiotics are not suitable or accompanied by symptoms of spinal cord compression, spinal cord decompression and spinal fixation should be performed.

Lumbar disc herniation:

Also known as "lumbar disc annulus fibrosus rupture". Intervertebral disc is the connecting part between vertebral bodies. There are 23 adult intervertebral discs except the first and second cervical vertebrae. This disease usually occurs between the ages of 20 and 40, and rarely happens to children. The elderly will not have typical nucleus pulposus protrusion. Clinically, the intervertebral disc between Lumbar 4-5 and Lumbar 5 and sacrum 1 is the most prone to pathological changes.

The fibrous ring of lumbar intervertebral disc is weak at the posterolateral side, and the posterior longitudinal ligament is uninterrupted in the whole length of the spine. However, from the plane below the first lumbar vertebra, the posterior longitudinal ligament gradually narrows, and the width between the fifth lumbar vertebra and 1 sacrum is only half of the original. The lumbosacral part is the part that bears the maximum dynamic and static force, so the narrowing of the posterior longitudinal ligament causes the natural structure to be weak, and the nucleus pulposus tends to protrude to the posterior side.

The causes of this disease are internal and external. The internal cause is the degenerative disease of the intervertebral disc itself or the developmental defect of the intervertebral disc; External causes include injury, fatigue and catching cold.

The blood supply of intervertebral disc is insufficient and the repair ability is weak. Moreover, in daily life and labor, intervertebral discs are often squeezed, pulled and twisted from all sides due to load-bearing and spinal movement, so they are prone to degeneration such as atrophy and weakening elasticity, which is the main factor of this disease.

1. Trauma includes sprain, fall, bump, chronic strain, etc. For people over 30 years old, due to the gradual degradation of their bodies, the structures such as lumbar fibrous ring and paravertebral ligament appear relaxation, aging and degeneration. Therefore, under the action of various external forces, two adjacent vertebral bodies can be twisted, resulting in the rupture of lumbar fibrous ring and the protrusion of nucleus pulposus. The prominent nucleus pulposus squeezes and stimulates the adjacent lumbar nerve roots, thus producing various signs such as low back and leg pain. In particular, the cumulative strain is an important reason for the fracture of optical fiber ring. Because the lumbar spine is physiologically lordosis, and the intervertebral disc is thin at the back and thick at the front, when a person bends forward, the nucleus pulposus moves backward. Due to the weight, the tension of muscles and ligaments, the nucleus pulposus produces a strong reactive elasticity, which is proportional to the bearing pressure. In this case. If this force is too large, or the annulus fibrosus itself is defective, it may cause the nucleus pulposus to break through the annulus fibrosus and bulge or protrude sideways, causing compression symptoms of nerve roots, cauda equina or spinal cord.

Generally, between the ages of 20 and 30, the annulus fibrosus begins to denature and its elasticity decreases. When stress is applied to these denatured or elastic fiber rings, such as lumbar sprain, it is easy to cause fiber rings to rupture. At this age, the nucleus pulposus can still maintain a colloidal state and expand, so it will be squeezed between cracks with the nucleus pulposus, which will affect the healing of cracks. At this time, even if the trapped fissure is small, the nucleus pulposus has not broken through the annulus fibrosus for the time being, but it may develop in the future because of the persistent existence of the fissure. If the annulus fibrosus fracture caused by sprain is large, the prominent nucleus pulposus can cause acute sciatica.

Between 30 and 40 years old, if the fibrous tissue in the nucleus pulposus increases, but it has not caused the narrowing of the intervertebral disc, then the resistance of the nucleus pulposus to degeneration will become greater than that in the semi-liquid stage, and the possibility of nucleus pulposus protrusion will become relatively smaller. Therefore, degeneration of nucleus pulposus is a protective mechanism of the body in some aspects.

After 40-50 years old, if the degeneration of nucleus pulposus, annulus fibrosus and cartilage plate is obvious, the disc atrophy changes widely, and the rupture and protrusion after injury are small, but it is not easy to cause typical sciatica. Unless the ruptured fibrous ring is squeezed into the spinal canal, it will not cause acute symptoms. If the degeneration of nucleus pulposus has reached the advanced stage, the fibrous ring is still intact, and the intervertebral space will be obviously narrowed, leading to spur or lip degeneration at the edge of the vertebral body.

2. Many patients with cold lumbar disc herniation have no history of injury or strain, but they have caught a cold and caught a cold. The reason may be that there is a developmental defect in the intervertebral disc, which makes the muscles of the lower back spasm and the small blood vessels contract, which affects the local blood circulation and then affects the nutrition of the intervertebral disc. At the same time, muscle tension and spasm can increase the pressure of intervertebral disc, especially for degenerative intervertebral disc, which can cause further damage and make the nucleus pulposus protrude. It belongs to the category of "arthralgia" in traditional Chinese medicine, with more men than women, and more manual workers than mental workers.

Performance diagnosis:

Patients can get sick because of an acute lumbar sprain, or they can get sick gradually after multiple lumbar injuries, and some even have to go through a chronic disease process of several to more than ten years. The typical manifestation of lumbar disc herniation is low back and leg pain. Some people are accompanied by numbness, swelling, chills, heaviness and tightness of the lower limbs. Most patients have low back pain first, then leg pain. A few patients have low back pain first, and then leg pain. Some patients can feel low back pain and leg pain at the same time. The heavier person feels more pain when coughing, sneezing and defecating forcibly, and gives a feeling to the lower limbs. Most patients get worse after cold and fatigue, but they get better after heating and rest. Patients have different degrees of limited movement due to different degrees of pain in the waist and legs, and there are certain obstacles in bending the waist forward, backward and the affected side. In severe cases, the hips will be twisted and the gait will falter. If the patient is ill for a long time, muscle atrophy may occur in the affected buttocks and legs. Tenderness points can be found beside the affected lumbar vertebrae, mostly between the fourth and fifth lumbar vertebrae, and between the fifth lumbar vertebrae and the sacrum. Most of the patients were positive in straight leg elevation test (let the patients lie on the bed and raise their straight lower limbs respectively, and the affected legs could not reach the height of healthy legs), palm strike test (beating the tender points hard, causing radial pain from waist to lower limbs) and gluteus medius compression test (tenderness 3 cm below iliac crest). If X-ray examination is carried out on patients, it can be found that the physiological curve of lumbar spine is straight, shallow and sideways curved, and the elderly can see signs such as disc herniation, intervertebral space stenosis and bone spur growth. If CT scan or MRI scan can be done, the diagnosis can be made. In recent years, many hospitals have carried out B-ultrasound examination, which also has high diagnostic value.

Rehabilitation treatment:

If it is suspected that a family member has lumbar disc herniation or has been diagnosed by the hospital, and the condition does not require surgical treatment and the illness time is not long, let the patient stay in bed for 3-7 days. This can often alleviate the disease, and if it is properly protected, it will not continue to develop. Conditional to go to the hospital system for treatment.

1. Family medication

If you are unconditionally hospitalized or temporarily unable to be hospitalized, you can consider using some drugs at home. For example, Da Huoluo Dan takes L capsules each time, 65438+ twice a day, and Bushen Shen Qiang tablets take five capsules each time, 65438+ three times a day. Zhuangguwanjie takes 1 capsule every time, 65438+ twice a day. People with severe pain can take painkillers, indomethacin and other drugs. Doctors guide medication (the same below).

2. Traditional Chinese medicine and folk prescription

(1) For patients with acute onset and severe lumbago and leg pain, 20g of peach kernel, 20g of Ligusticum chuanxiong, 20g of safflower, and10g of angelica, radix paeoniae rubra and radix rehmanniae can be used. Decoct with water, one dose a day, and take it in the morning and evening.

(2) Chronic lumbocrural pain and numbness of lower limbs, which are aggravated at night when the weather changes, are treated with 20 grams of Poria, 65,438+05 grams of Radix Angelicae Pubescentis, Taxilli, Eucommiae Cortex, Achyranthes bidentata, Radix Gentianae, Glycyrrhrizae Radix, 65,438+00 grams of Radix Saposhnikoviae, Rhizoma Chuanxiong, Radix Codonopsis, Radix Angelicae Sinensis, Radix Paeoniae Alba, Radix Rehmanniae and 3 grams of Asari. Take one dose of water decoction every day.

(3) For patients with recurrent illness, weak constitution, general weakness and shortness of breath, cinnamon, linderae, Eucommia ulmoides, Radix Rehmanniae, Radix Paeoniae Rubra, Cortex Moutan, Radix Angelicae Sinensis, Rhizoma Corydalis, Semen Persicae and Radix Dipsaci are given 65438±00g. Take one dose of water decoction every day.

3. Family massage

Massage is one of the most effective methods to treat this disease. People with financial ability should go to the hospital for systematic massage treatment. If you can't go to the hospital for treatment, you can also try family massage. At present, there are many books on massage, which can be referenced. The following briefly introduces several technologies.

(1) Patients can rest on the hard bed and insist on doing bed exercises. Lie prone on a hard bed or kang with your limbs fully extended. First, the masseur rubs the waist with the palm of his hand for 2-3 minutes, focusing on the affected side of the waist to relax the muscles and activate the bones and muscles.

(2) Finger press the paraspinal tenderness point 1-2 minutes to relax the meridians and relieve pain.

(3) Push it from shoulder to hip for more than ten times along both sides of the spine, and the skin will be reddish, so as to promote qi circulation and blood circulation.

(4) Pressing the thumb between the hip and calf for a moment can make the patient feel sore, so as to dredge the meridians and promote blood circulation.

(5) Massage the affected leg and palm for 3-5 times, and massage the pain points several times by gravity to relieve spasm and relieve pain.

(6) The patient lies on his back, and the massager holds the affected leg and ankle with both hands. He bends his knees and hips first, and then suddenly pulls hard and repeatedly to relax the sciatic nerve and improve the blood circulation of lower limbs.

4. Home care

For patients who are seriously ill and can't take care of themselves, they need proper care from their families to take care of their diet and daily life.

5. Rehabilitation exercise measures

When the condition is relieved, you can gradually increase rehabilitation exercise:

(1) Walking backwards for 1-2 hours every day, with slight fatigue after walking, but no aggravating symptoms.

(2) The waist bends back and forth 10-20 times. Don't use violence or do waist rotation.

(3) Lie on your back and hold the lower limbs for 20 times.

(4) Lie on your back in bed and push your legs upward 10- 15 minutes.

(5) Lie on your back on the bed, support your body with elbows, feet and head, and push your abdomen up hard for a while, then put it down and repeat it several times.

(6) Sit-ups 10-20 times.

Precautions:

Many people easily mistake this disease for "piriformis injury syndrome" and "sciatica", which delays the diagnosis and treatment. Therefore, once you have low back pain, you should try to go to the hospital for diagnosis, treatment and maintenance. After diagnosis, patients should wear waistlines when standing or walking, do not sit on the sofa and sleep with Simmons bed for a long time, and pay attention to rest and warmth.

Common sense of prevention:

1. When moving, lifting and carrying heavy objects, do what you can, don't use violence, and don't twist your waist when loading. Pay attention to protect the waist during sports, physical exercise, labor and construction to avoid injuries such as falls, bumps and sprains.

2. Office workers should not be sedentary. They should take a break 1 hour after work 10-20 minutes, or change their posture to keep their backs straight for a while, especially sedentary sofas.

3. People suffering from lumbar muscle strain should pay attention to exercising the lumbar muscles to avoid catching cold at the waist.

4. After acute lumbar sprain, you should stay in bed absolutely, which can not only avoid the aggravation of the disease, but also play a role in preventing lumbar disc herniation.

Related drugs:

1, tramadol hydrochloride tablets

Tramadol and Chimandine are used for moderate to severe acute and chronic pain. Relieve the pain caused by lumbar disc herniation.

2. dexamethasone acetate injection

Indications are allergic and autoimmune inflammatory diseases. Such as connective tissue disease, rheumatoid arthritis, severe bronchial asthma, dermatitis and other allergic diseases, ulcerative colitis, acute leukemia and malignant lymphoma.

When treating lumbar disc herniation, lidocaine should also be used as an anesthetic.

In addition, inviting experienced Chinese medicine practitioners for targeted drugs and rehabilitation treatment may reach 1. Anti-inflammatory and dehydration effects, eliminating aseptic inflammation such as adhesion and exudation around the focus, dehydrating and shrinking the edema of prominent tissues, and fundamentally relieving the oppression and stimulation of nerve roots. 2. Internal traction is also called autonomous traction. If some components in the medicine can increase the tension of muscles and ligaments around the spine, make the spine integrate and keep it in a normal physiological state, it will be beneficial to the recovery and restoration of tissues. Then exercise therapy is carried out, and the exercise method after rehabilitation is formulated, with the aim of preventing recurrence, relieving worries and ensuring health. Patients can take medicine and exercise at home under the guidance of doctors. This can greatly reduce the trouble and economic burden of patients and their families.