Monday, October 11, 2010

The cause of lumbar herniation

 One: the cause of lumbar herniation:

(1) degenerative disc changes: causes degenerative changes in lumbar intervertebral disc is mainly due to chronic accumulation of strain. Common in the 30 years of age, degeneration of lumbar intervertebral disc degeneration fibers, elastic reduction, thinning, brittle, nucleus dehydration, tension reduction, in this based on some external event or a sudden increase in intradiscal pressure can make the fibers ring rupture, prominent nucleus.

(2) Trauma: about 1 / 3 of patients with varying degrees of trauma history. Common form of injury when moving heavy objects waist bending overload weight, psoas muscle has not been fully active in the case of moving or move heavy objects, various forms of lumbar sprain, long bend and suddenly Zhi Yao, hip the ground to fall down, etc. These injuries can be the disc nucleus in a moment of tension over the annulus pressure stress, resulting in fiber rupture, rupture of the nucleus from the Ministry of outstanding.

(3) sudden increase of pressure inside the lumbar disc: no significant history of trauma patients, but in severe coughing, sneezing, constipation, caused by spurts of time. Some patients are caused due to cold or wet. Because of cold or wet can cause the small blood vessels, psoas muscle reflex spasm, so that increased pressure disc that may cause fibrous ring rupture.

II: clinical manifestations of lumbar disc herniation:

lumbar disc herniation more common in young adults 20-40 years of age, accounting for 80% of the number of patients, men were more than women. 95% of lumbar disc herniation occurs in the first 4 to 5 lumbar and 5 sacral intervertebral space 1, can be the following clinical manifestations.

(1) low back pain: the majority of patients with trauma, cold or over-exertion history. Onset, often before the performance of back pain in varying degrees, the light is only dull pain and soreness, severe difficulties in turning bedridden. Lumbar or lumbosacral pain mainly in the next, the reason is mainly because of pain after the stimulation of the annulus outer disc and posterior longitudinal ligament of the vertebral nerve fibers in the sinus arising. Pain location deep, difficult to locate, usually dull pain, tingling or radioactive pain. Low back pain by gradually reducing bed rest or subside. Weeks later, Jiangan side leg radioactive pain, standing, walking, coughing, sneezing and forced toilet, the back pain worse. The general conservative treatment, symptoms can be alleviated or even disappear. After the waist again, sprains, cold or fatigue, the symptoms can re-recurrence. This repeated recurrence, the symptoms were progressive increase, gradually extended attack, attack intervals gradually shorten, or even no remission.

(2) Spinal posture changes: lumbar disc after about 90% of patients with different degrees of functional scoliosis, scoliosis is to reduce the prominence of nerve root compression of a protective measure .

(3) lumbar activity limitation: decreases lumbar lordosis (commonly known as Light activities were expressed as the waist hair plate, spinal extension and lateral bending to the suffering, the activity limitation is more obvious; severe bedridden, turning difficult, and even fell down at the bed day and night.

(4) lower limb radiation pain: the lumbar intervertebral disc occurred in the lumbar sacral 1, 4,5 and 5 lumbar intervertebral space, the sciatic nerve was 1-3 from the lumbar and sacral nerve roots 4,5, Therefore, many patients with lumbar disc or sciatica hips first, gradually radiating to the posterolateral thigh, lower leg lateral, dorsal and lateral plantar and toe. Outstanding common cause of central bilateral sciatica. When coughing,UGG shoes, sneezing, and urine and other intra-abdominal pressure when the transmission of power as increased lower extremity radiating pain increased. Leg pain emphasis on low back pain is one of the main signs of disc herniation.

(5) and strong test positive straight leg raising test: This is an important diagnosis of the disease screening method. The former method is to check the knee straight, and in this position will be checked into his leg elevated to 90 ° that is not carried to the side of the sciatic nerve referred pain occurs when you can think positive. The latter check is to be pain in the limbs straight leg raising is not the pain, the full passive dorsiflexion, if there is positive sciatica.

(6) numbness and paresthesia: lumbar disc, the nerve root can cause localized contact area involves sexual repression and oppression, the body of the nerve root compression caused by fibrous and vascular ischemia and hypoxia Therefore, nerve root involvement dominated region pain, numbness and other abnormal feelings. 4,5 lumbar intervertebral disc can affect L5 nerve root and the emergence of thigh, lateral leg, dorsal foot numbness dorsal lateral and toe abnormalities, weakness, toe dorsiflexion. L5 S1 disc can affect the dorsal 4,5 toe paresthesias. If the disc herniation oppression or stimulate the paravertebral sympathetic fibers, can cause reflex contraction of lower extremity vascular wall of the lower extremities cold, cold, dorsal artery weakens and so on. Involvement of cauda equina cauda equina syndrome occurs, such as numbness in the perineal area, two will be dysfunction, sexual dysfunction. And in patients with cough, sneeze the pain increased.

7: intermittent claudication: the disc herniation nerve root compression, nerve root caused by congestion, edema, inflammation and ischemia, when walking, the spinal canal obstruction of the vertebral venous plexus congestion, increased neural spinal root of the congestion level and the expansion of blood vessels, but also increased the emergence of nerve root compression and pain of intermittent claudication.

8: muscle paralysis: Lumbar disc herniation longer of nerve root compression, nerve root ischemia and hypoxia can cause neurological degeneration and paralysis, muscle paralysis. Part of unilateral or bilateral lower extremity muscle weakness, muscle atrophy with prolonged disease, or foot drop, foot droop thumb.

III: prevention of lumbar disc herniation

for lumbar disc herniation, focusing on prevention. So, how to prevent lumbar disc herniation or to prevent the recurrence of it? Attention to the usual standing, sitting, working posture and sleeping position is reasonable, correct bad posture and habits, exercise, and enhance physical fitness, particularly in strengthening the back muscles function of exercise, because the appropriate exercise can improve muscle blood circulation, promote metabolism, increase muscle and strength response, release the soft tissue adhesion, the internal balance of the spine to correct the imbalance and the external balance to improve lumbar stability, flexibility and durability to achieve the good effect of treatment and prevention, and in the cold rainy season should keep warm, to prevent the recurrence of the disease.

four: the treatment of lumbar disc herniation:

the treatment of disc herniation is a medical problem, although the treatment of lumbar disc herniation that now many ways, a lot of advanced treatment lumbar disc herniation medical instruments and equipment have been brought forth, are the local heating by mechanical stretch and temporarily improve local blood circulation to the treatment, but the real effect is not so ideal. Treatment of low back pain

ancient Chinese physicians have extensive experience, before people goes, the natural prevalence of the gasification, while the whole body paralysis who were stasis, stagnation, died of self-healing. the occasional heal, governance is also easy to be successful also. Yu Clinical experience since people know their strength Su Sheng, little of this, very few patients. Whenever it is back pain, leg pain, long unhealed by modulating complement its strength in order to circulate, several years of ills, may readily be effective also.

in acute edema of the nerve root compression by the serious symptoms of severe low back pain, can not turn over in bed, the waist slightly to pain Ziyaliezui activities. Must first eliminate the treatment of local edema. WESTERN with local injection of lumbar spinous process, anti-inflammatory analgesic ibuprofen to eliminate local soft tissue edema. If the symptoms do not ease the addition of intravenous infusion of dehydration, intravenous dexamethasone. Acute edema of the disabled pelvic traction, manual therapy, to avoid the symptoms increase.

effect of Chinese medicine to use Adjustable panacea Modified (SM Angelica 30 grams of rice fried rice wine 16 grams to 30 grams of frankincense myrrh oil 16 grams to 16 grams of saffron oil virgata 9 grams of oven dried 18 grams of scorpion a little) on Qiwei Total milled powder bottling use. Note: The Scorpion little flooding can not be cooked with salt, nine out of ten of its active ingredients are to the water.

each taking 3-6 grams three times a day.

2: remission consolidation therapy:

acute period, with a strong element Kin Yun San Peibu strength, chills Tongmai, circulation and pain relief, nourishing benefits tendons, Phlegm swelling, kidney and bones. Can improve blood circulation around the annulus to increase the cartilage surrounding the supply of nutrients to improve the absorption of nutrients nucleus, relieve muscle spasm, and promote nerve root inflammation and bleeding of the absorption, the lifting of the nerve root stimulation to promote disc adjacent to the repair of injured nerves and fibrous ring. Degeneration can also activate cells, promote the formation of intervertebral disc at the fiber wrapped, to strengthen the fiber rupture disc fixed, to anti-retroviral effect. Both the root causes to be received satisfactory results. So far has cured many patients with lumbar herniation, many of them around the patients who underwent surgery. The failure of patients to surgical treatment as well as lumbar spinal stenosis and lumbar spine bone hyperplasia or complex complicated lumbar spinal disease are also effective.

Zhuang Yuan Jian Yun San: 180 grams of American ginseng small velvet virgata 90 grams 150 grams to 90 grams of steamed Panax September 90 grams dogwood (steamed through) 90 Ke Du Zhong (fried) 60 g saffron 60 grams of pangolin ( gun) 60 g Poria 60 g flour 30 g gecko scorpion tip 30 g Gui Zhi Tang (Gui Zhi TGP 60 Ginger 60 30 30 Zhigancao jujube 12) 200 ml water to cook gravy

take the first 12 join to fight for the meal taste mixed juice Stir Gui Zhi Tang, dried powder labeled sealed.

at 3-6 grams per serving, 3 times 15 days for a course of treatment. A material can be on the drug for 4 courses.

I used in practice this side of the cervical spine caused by intractable dizziness, upper limb pain or weakness, sciatica caused by lumbar effect is ideal, less recurrence after healing.

Zhuang Yuan Jian Yun San Peibu strength, chills Tongmai,UGGs, circulation and pain relief, nourishing benefits tendons, Phlegm swelling, kidney and bones. Can improve blood circulation around the annulus to increase the cartilage surrounding the supply of nutrients to improve the absorption of nutrients nucleus, relieve muscle spasm, and promote nerve root inflammation and bleeding of the absorption, the lifting of the nerve root stimulation to promote disc adjacent to the repair of injured nerves and fibrous ring. Degeneration can also activate cells, promote the formation of intervertebral disc at the fiber wrapped, to strengthen the fiber rupture disc fixed, to anti-retroviral effect. Both the root causes to be received satisfactory results. So far has cured many patients with lumbar herniation, many of them around the patients who underwent surgery.

this therapy on cervical spondylosis, lumbar surgery patients and the failure of lumbar spinal stenosis and lumbar spine bone hyperplasia or complex complicated lumbar spinal disease are also effective.

San Zhuang Yuan Jian Yun: American ginseng virgata 150 g 180 g 90 g small velvet steamed September 90 grams to 90 grams thirty-seven dogwood (steamed through) 90 Ke Du Zhong (fried) 60 g saffron 60 g pangolin ( gun) 60 g Poria 60 g gecko scorpion tip powder 30 g 30 g Gui Zhi Tang (Gui Zhi TGP 60 Ginger 60 30 30 Zhigancao jujube 12) 200 ml of water to cook gravy

take the first 12 join to fight for the meal taste mixed juice Stir Gui Zhi Tang, dried powder labeled sealed.

at 3-6 grams per serving, 3 times 15 days for a course of treatment. A material can be on the drug for 4 courses. Treatment of low back pain

ancient Chinese physicians have extensive experience, before people goes, stagnate. I do not know the natural gasification personal popularity, while the whole body paralysis who were stasis, stagnation,UGG boots cheap, died of self-healing. the occasional heal, governance is also easy to be successful also. Yu Clinical experience has been known strength Su Sheng people who have very little disease. Whenever it is back pain, leg pain, long unhealed by modulating complement its strength in order to circulate, several years of ills, may readily be effective also. br>
Xu Wei-zhi Pro Male 56 years old farmer 4 September, 2004 newly diagnosed

suffering from low back pain 5 years, of Hospitals in the province have been diagnosed with lumbar disc herniation with a narrow cone, the massage , traction, physical therapy and taking a variety of western medicine, when light weight, recurrent since been cured patients in family doctor with a flatbed truck pull. Status: consciously stiff lower back pain can not bend over, hands held onto the seat from the immediately surrounding objects need support to set up, right leg and hip pain over the same power, you need to walk 30 meters to stop for a while before you go. Consciously cool than the left leg and right leg had become thin, patient mood,UGG boots clearance, irritability, loss of confidence in treatment have been, weak pulse, weakness, tongue is pink, sticky thick white fur, loss of appetite is acceptable defecate unhappy at once. Yuan Qi card is exhausted, dampness and blood stasis. Prescription: Zhuang Yuan Jian Yun X5 bulk bags per 50 grams 5 grams three times a day.

9 20 April: 5 days after treatment began to improve stiff back, is now able to directly stand up, walk over 300 meters to go without rest, mental state improved markedly. Treatment: Following the top with a course of treatment.

10 5 November: walking alone to clinic patients, their sense of freedom of movement, has been able to work in the fields helping his family Shouqiu species of wheat was. Nursing and then two courses of consolidation therapy.

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