Is cervical spondylosis and lumbar spondylosis difficult to treat? Is minimally invasive surgery suitable for the elderly? The key is to treat it well?

Lumbar disc herniation is a common disease in middle-aged and elderly people. Due to degeneration and injury, the intervertebral disc between human lumbar vertebrae protrudes from the weak lateral rear, compressing the adjacent nerve roots and causing sciatica. Low back pain radiates to the lower limbs through the buttocks, accompanied by numbness, which is aggravated when coughing, which brings serious inconvenience to work and life.

"As long as three points are kept in mind in the treatment of lumbar disc herniation, satisfactory results can be achieved." Li Jin introduced, first, the treatment of lumbar disc herniation should be early, so as not to miss the best treatment opportunity; Second, the treatment of lumbar disc herniation should choose a reasonable method. Physical therapy methods such as medicine, massage and traction can't cure the symptoms, and surgical treatment is risky and traumatic, and it is easy to leave sequelae. At present, the treatment method generally recommended by the medical community is also the minimally invasive treatment method currently carried out in our hospital, that is, the micro-innovation technology of intervertebral foramen mirror; Third, after treatment, we still need to pay attention to prevent recurrence, strengthen back muscle exercise, enhance back muscle strength, and reduce the burden on the spine.

It is reported that Qianjiang Renai Hospital has carried out minimally invasive professional diagnosis and treatment of spinal diseases for two or three years, and has formed a mature treatment model in the treatment of cervical and lumbar vertebrae, which has eliminated the pain for the majority of patients with cervical spondylosis and lumbar spondylosis. In particular, the newly developed micro-innovative technology of intervertebral foramen mirror in 20 18 is called magic therapy by patients, which makes patients who are wandering between conservative treatment and surgical treatment see the hope of recovery.

Li Jin introduced that the minimally invasive treatment of lumbar disc herniation with intervertebral foramen mirror technology has many advantages. First of all, this operation is minimally invasive, with an incision of about 6 mm, local anesthesia, less bleeding and quick recovery. /kloc-you can leave the hospital in 0/0 days. Secondly, the operation can achieve the effect of open direct vision surgery without the trauma of posterior open surgery; Finally, because the minimally invasive treatment of intervertebral foramen mirror technology is different from traditional surgery, it can avoid the scar of traditional surgery, so it can well remedy the problem of traditional postoperative recurrence of lumbar intervertebral disc and reoperation, and the postoperative recurrence rate is almost zero.

So far, more than 10 patients have received this treatment and achieved satisfactory results.

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What are the common diseases of lumbar spine?

Due to the diversification of working environment, incorrect sitting posture and frequent bending, people's lumbar injuries are increasing, and lumbar diseases are also coming.

What are the common diseases of lumbar spine? Li Jin told reporters that lumbar spondylosis is indeed a disease that plagues people's daily lives. Common lumbar diseases include lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, lumbar muscle strain and so on. Lumbar disc herniation is the most common. Li Jin explained that the main reason is that after different degrees of degenerative changes have taken place in various parts of the lumbar intervertebral disc, under the action of external factors, the fibrous ring of the intervertebral disc ruptures, and the nucleus pulposus tissue protrudes (or protrudes) from the ruptured part in the back or spinal canal, resulting in stimulation or compression of the adjacent spinal nerve roots, resulting in a series of clinical symptoms such as low back pain, numbness, pain in one or both lower limbs, and fatigue.

"Lumbar 4/5 and 5/ sacrum 1 have the highest incidence of lumbar disc herniation, accounting for about 95%." According to Li Jin, lumbar disc herniation is mainly caused by disc degeneration. On the basis of degeneration, excessive waist load and improper posture are the main factors inducing the disease. Long-term bending, heavy physical labor and incorrect sitting posture are easy to cause lumbar disc herniation.

How to judge whether you have lumbar disc herniation?

So, how do citizens judge whether they have lumbar disc herniation? Li Jin reminded that lumbar disc herniation generally has the following clinical symptoms: First, low back pain, which is the first symptom of most patients. Patients usually have low back pain, sometimes accompanied by hip pain; The second is radiation pain in lower limbs. Most patients have prominent lumbar 4 ~ 5 and lumbar 5 ~ sacrum 1 space, which shows sciatica. Typical sciatica is radiation pain from the lower back to the hip, the back of thigh, the outside of calf and the foot, which will be aggravated when the abdominal pressure increases such as sneezing and coughing. Most of the limbs with radiation pain are on one side, and only a few patients with central or paracentral nucleus pulposus protrusion show symptoms of both lower limbs; Third, the symptoms of cauda equina, the nucleus pulposus directly protrudes or protrudes backward, and the free intervertebral disc tissue compresses the cauda equina, mainly manifested as dysuria, perineum and perianal sensation. In severe cases, symptoms such as incontinence and incomplete paralysis of both lower limbs may occur.

How to prevent lumbar disc herniation?

Li Jin said that in daily life, we should pay attention to the following points:

1. Avoid being overweight.

2. Sit well 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.

4. We should strengthen the training of back muscles and increase the stability inside the spine. People who use waistlines for a long time need to pay special attention to the exercise of back muscles to prevent the adverse consequences caused by disuse muscle atrophy.

5. If you need to bend over to take things, it is best to bend your hips and knees to reduce the pressure on the back of the lumbar intervertebral disc.

6. Timely examination: The most effective way to prevent the disease is to go to the hospital for a definite diagnosis and examination in time when there is low back pain, limited bending and inappropriate waist.