Main symptoms of lumbar disc herniation
1, back radiation pain: Lumbar disc herniation is different from Lumbar 4 ~ Lumbar 5 and Lumbar 5 ~ Sacrum 1, and the symptoms of lumbar disc herniation appear in professional hospitals for treatment.
2. Muscle paralysis and atrophy: Long-term nerve compression of lumbar disc herniation may lead to nerve paralysis or muscle paralysis, and such patients may also have intermittent claudication, scoliosis and scoliosis.
3. Abnormal sensation and numbness: This situation is usually caused by local compression or involving compression in the contact area of nerve roots caused by lumbar disc herniation, and the fibers and blood vessels of nerve roots are compressed and deformed, resulting in ischemia and hypoxia.
4. The main sign of lumbar disc herniation is low back pain, but there is no rootless pain. Some patients have chronic complications, such as foot drop and positive straight leg elevation test.
5. Disc herniation has many manifestations: pain in the front thigh, quadriceps femoris weakness, weakened knee reflex, increased protein content in cerebrospinal fluid, complete obstruction of spinal canal, etc.
6, disc herniation if it occurs in the front of the thigh pain, manifested as sciatica. Mainly due to the compression caused by the relationship between the protruding intervertebral disc and the nerve root.
Clinical manifestations of lumbar disc herniation
1. Low back pain: Most patients have a history of low back pain lasting for several weeks or months, or have a history of recurrent low back pain. The severity of low back pain varies, which will affect turning over and sitting. Generally, the symptoms are relieved after rest, and the pain can be aggravated by coughing, sneezing or defecation.
2, lower limb radiation pain: radiation pain in the sciatic nerve area of one side of the lower limb is the main symptom of this disease, often appearing when low back pain disappears or relieves.
3. Lumbar movement disorder Lumbar movement is affected in all aspects, especially hindsight disorder. A few patients were obviously limited in flexion.
4. Scoliosis Most patients have different degrees of scoliosis. The direction of scoliosis can indicate the relationship between the position of the protrusion and the nerve root.
5, numbness: the elderly with a course of disease are often subjectively numb. Most of them are confined to the posterolateral calf, instep, heel or palm.
6. The temperature of the affected limb drops. Many patients feel cold in their affected limbs. Objectively, the temperature of the affected limb is lower than that of the healthy side; Some dorsalis pedis arteries are also very weak, which is due to the stimulation of sympathetic nerves.
Matters needing attention in lumbar disc herniation
1, after waking up in the morning, I suddenly sat up and often had backache. After waking up, you should bend your legs in bed, do gymnastics from left to right, and then support your upper body with your arms before you get up.
In the toilet, when you stand up from your seat, you should stand up with your hands on the wall. Especially when standing up from a squatting position, it is easy to sprain the waist.
3. When the muscles of the body are not fully warmed up in the morning, sudden movements will cause low back pain, so we should start with some small things and take cautious actions. If you wash your face, put one foot on the low platform. Don't squat when you put on your shoes. Sit down and wear them.
4. When walking, push your abdomen hard. Don't put your legs together when waiting for the bus. It is much easier to put one foot on a low platform or a stone.
5. When going up the stairs, slowly lean sideways, one step at a time, which is less stressful than going up the stairs directly.
6. Sit in a chair in a correct posture at work, sometimes massage the acupoints of the waist, legs and soles, or do gymnastics to relieve the tension of the waist muscles.
7, it should be noted that sedentary will be bad for the waist, causing low back pain. When sleeping, either bend the hip joint outward or put a cushion under the leg to bend the leg and lie on your back. The pillow should be a little harder and lower. If there are gaps under the neck, you can fill them with a rolled towel.