Lumbar disc herniation will compress the spinal cord and nerve roots, so if it gradually worsens, it can lead to weakness in the lower limbs, affecting normal walking. In severe cases, it can lead to paraplegia. In addition, it can also affect urination and defecation. incontinence. Of course, lumbar disc herniation is not untreatable. When the symptoms are mild, conservative treatment can be used. External application - lumbar vertebrae - post-conditioning, lumbar traction, Xiaoyanfei exercises, etc. can be used to improve the symptoms and prevent aggravation. For severe symptoms, it can be treated Prompt surgery can avoid the serious complications mentioned above.
Symptoms of lumbar disc herniation
1. Pain in the waist or legs can often be relieved after resting in bed, but the pain reappears after getting out of bed for a period of time.
2. The pain worsens when walking and cannot stand completely upright. Most patients with lumbar disc herniation need to hold the painful side of the waist with their hands. The pain suddenly worsens when coughing, sneezing or lifting heavy objects.
3. Have waist pain or unilateral lower limb pain after trauma above the waist.
4. The early symptoms of lumbar disc herniation can be manifested in low back pain mostly located on one side of the lower waist. Leg pain is mostly radiating pain on one side from the buttock to the distal end. Patients with lumbar disc herniation may accompanied by numbness.
5. Pain or numbness in the unilateral saddle area (the part where the bicycle is in contact with the seat) or on one side (bilaterally) of the outside of the calf, the outside or inside of the dorsum of the foot, or pain and numbness at the same time.
The main harm of lumbar disc herniation
First of all, if you suffer from lumbar disc herniation in life, the symptom that will appear is waist pain, and the main manifestation is lower back pain. Dull pain in the lumbosacral region of the lumbar muscles. If you choose to lie down at this time, the pain symptoms will be relieved, but it will worsen after activity. If it is severe, it will be spasmodic and severe.
Secondly, radiating pain or numbness in the lower limbs will also appear in the early stages of lumbar disc herniation. If the pain occurs at this time, the main areas of pain are along the buttocks, thighs and back of the calf to the base of the foot or the instep. The tingling is radiating, and if it is severe at this time, it is like an electric shock. In addition, mechanical compression often causes numbness or coldness in the lower limbs.
Finally, the sensory and motor functions of the lower limbs are weakened. At this time, it is mainly due to damage to the nerve roots, which leads to the weakening of the sensory and motor functions controlled by the patient. If it is serious, it will be lost, resulting in Patients often experience skin numbness, coldness, and decreased skin temperature in daily life.
Complications of lumbar disc herniation
1. Adhesions and scars: Adhesions and scars often occur in the exposed part of the dura mater after nerve roots and laminectomy at the surgical site, leaving Have low back pain or nerve root radiating pain.
2. Infection: Infection is one of the most common complications of all surgical operations. In addition to being likely to be complicated by surgical incision infection, lumbar disc removal surgery may also cause intervertebral space infection.
3. Formation of lumbar osteophytes: Osteophytes are often formed when the adjacent edges of the degenerated intervertebral disc are degenerated. The osteophytes in the intervertebral foramen and the larger osteophytes on the posterior longitudinal ligament will compress the nerve roots. Signs of lumbar disc herniation appear.
4. Causes instability of the lumbar spine: Degeneration of the retrodiscal joints in the three-joint complex of the lumbar spine may affect each other, making the lumbar spine unstable and unable to maintain the stability of the spine, vertebrae and joints. Proliferation occurs in the facet joints, and eventually fibrous or bony ankylosis occurs.
5. Injury to large blood vessels: The most common injury is to large blood vessels on the posterior abdominal wall during posterior surgery.
6. Organ damage: Blood vessel damage may also be accompanied by damage to other organs, such as the bladder, ureter or small intestine. Once discovered, laparotomy should be performed immediately and damaged organs should be repaired promptly to avoid peritonitis.
7. Spinal instability: Some patients have leg pain that disappears but low back pain persists after surgery. When taking functional X-rays of the lumbar spine, there are obvious abnormal spinal activities.
Daily care for lumbar disc herniation
1. Pay attention to the balance between work and rest at work, maintain correct posture, do not sit or stand for long periods of time, and do preparatory activities before strenuous physical activities.
2. You should have a good sitting posture and rest in bed. The bed should not be too soft when sleeping. Maintain the physiological curvature of the spine.
3. Lumbar disc herniation can be adjusted. When exercising, you should pay attention to gradual and perseverance.
4. Lumbar disc herniation is a disease of the sports system. The principle of prevention requires reducing exercise and relaxing.
5. Low back muscle training should be strengthened to increase the internal stability of the spine. People who use waist circumference for a long time should pay special attention to low back muscle training. If you need to bend down to retrieve something, it is best to squat with your hips and knees bent to reduce the pressure on the back of the lumbar intervertebral disc.