Local displacement of intervertebral disc tissue exceeds intervertebral space. Let's take a closer look.

Symptoms of male lumbar disc herniation:

1, low back pain: More than 95% of patients with lumbar disc herniation have this symptom, including vertebral body type.

2. Radiation pain of lower limbs: more than 80% of cases have this disease, and the latter type can reach more than 95%.

3. Limb numbness: most of them are accompanied by the former, and only about 5% of the limbs are numb without pain. This is mainly because proprioception and tactile fibers in spinal nerve roots are influenced by * * * *. Its range and location depend on the number of nerve root sequences involved.

4. Cold sensation in limbs: In a few cases, about 5% ~ 10% people feel cold in limbs, which is mainly caused by sympathetic nerve fibers in spinal canal. Clinically, patients often complain of limb fever on the second day after operation, which is also the same mechanism.

5. Intermittent claudication: Its mechanism and clinical manifestations are similar to those of lumbar spinal stenosis. The main reason is the pathophysiological basis of secondary lumbar spinal stenosis in the case of nucleus pulposus protrusion; For congenital developmental spinal stenosis, the prominent nucleus pulposus aggravates the spinal stenosis, which is easy to induce this symptom.

6, muscle paralysis: paralysis caused by lumbar disc herniation is very rare, mostly due to different degrees of paralysis caused by nerve root damage. The muscle strength of the light person is weakened, and the muscle of the heavy person loses its function. Clinically, tibialis anterior, peroneal longus, extensor digitorum longus and extensor pollicis longus are involved in foot drop. It is innervated by the lumbar spinal nerve of quadriceps femoris, followed by the lumbar spinal nerve of gastrocnemius 1, etc.

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1 flexion method: Patients with severe pain, fidgeting and obviously limited activities in the early stage can use * * * to bend their hips, knees and knees, which can reduce the tension of nerve roots, reduce the * * * effect of intervertebral discs on nerve roots and effectively relieve pain. You can also kneel down and stick your head on your knees, or kneel down and lean your upper body against the folded bedding with your hips facing up, which can effectively relieve the pain.

2. Massage: Most of the patients' early pains are acute, and they are particularly sensitive to all kinds of * * *, especially pressing * * *, which is difficult for patients to accept. At this time, the patient's family members can use a very gentle touch method, or gently touch with their hands or palms from the back area to the heel through the clothes, and touch back and forth with the patient's just feeling. It can relieve patients' mental stress, distract attention and relieve muscle spasm.

Iron plate bow method: suitable for some patients with mild pain. The patient was lying on his back with a pile of bedding under his waist. Look at patients' self-comfort, every time 10 minutes, several times 1 day. After removing the bedding, the buckling mode can be changed.

4 One-leg traction method: the patient lies prone, holding the bedside, and the family members are at the end of the bed, holding the patient's ankle area and constantly pulling back. Traction strength is based on patient comfort.

5 Hyperthermia: Hyperthermia is suitable for patients whose acute phase has passed a few days after a cold or trauma. Take1000g of crude salt, fry in an iron pan, wrap several layers with cloth, and apply hot compress at a temperature that patients can tolerate. You can also use a thermos bottle instead. Be careful not to burn the panel.

Massage therapy: A few days after the onset of pain, muscle spasms can cause fatigue and soreness due to edema and inflammation of nerve roots. At this time, the patient's family can simply massage the patient's waist and lower limbs, which can promote blood circulation, relieve muscle spasm and relieve pain.

While receiving treatment, patients need daily attention to avoid getting worse. They should have a good sitting posture at ordinary times, and the bed should not be too soft when sleeping. People who work at their desks for a long time need to pay attention to the height of desks and chairs and change their posture regularly. People who need to bend over frequently in professional work should stretch their waist and chest regularly and use wide belts. It is necessary to strengthen the training of back muscles and increase the stability inside the spine. Those who use waistline for a long time need to pay special attention to the training of back muscles to prevent the adverse consequences of disuse muscle atrophy. If you need to bend over to take things, it is best to bend your hips and knees to relieve the pressure on the back of the lumbar intervertebral disc.

Preventive measures for male lumbar disc herniation;

First, strengthen exercise and keep fit.

The basic causes of lumbar disc herniation are lumbar disc degeneration, lumbar trauma and overwork. So through exercise, the bones and back muscles will be strong and the nervous system will react quickly. Therefore, in various activities, the movements will be accurate and coordinated, and the lumbar spine is not easy to be injured. At the same time, exercise is beneficial to reduce the lumbar load, delay the degeneration of lumbar intervertebral disc, and thus prevent the occurrence of lumbar disc herniation. The ways of exercise can vary from person to person and suit local conditions, such as doing radio exercises, aerobics, playing Tai Ji Chuan and other sports activities.

Second, keep the correct labor posture.

Correct posture can not only improve labor efficiency, but also prevent lumbar muscle strain and delay intervertebral disc degeneration, thus effectively preventing lumbar disc herniation.

Here are some common postures that help protect the lumbar spine:

Standing worker: Hips and knees are slightly flexed, preferably around 15 degrees. The abdomen naturally contracts, and bilateral hip muscles contract inward, so that the pelvis leans forward and the lumbar spine straightens.

Seating workers: Adjust the height of the chair so that the knees can bend and stretch freely, and the upper lumbar spine is close to the armchair to keep the spine straight. The chair seat plate should not be too narrow, and it should be able to support two thighs.

Chefs, barbers and other workers who need to bend over half due to the nature of their work should keep their lower back straight and their feet parallel to their shoulders, so that gravity falls on their hips and feet. When bending down to carry heavy objects, you should stretch your waist first, then bend your hips and squat down, then straighten your hips and knees hard, and straighten your waist to lift heavy objects; When lifting heavy objects collectively, you should hold out your chest, bend your hips first, and then lift heavy objects at the same time.