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How should lumbar intervertebral disc protrusion keep fit? What are the precautions?
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What are the precautions for lumbar disc herniation?

1, what are the precautions for lumbar disc herniation?

1. 1. Take the correct posture of sitting, standing and standing to keep the physiological balance of the lumbar spine. The correct standing posture should be that the eyes are straight, the chest is straight, the legs are upright, and the distance between the feet is about the same as the width of the pelvis, so that the whole body's gravity is evenly transferred from the spine and pelvis to the lower limbs, and then from the lower limbs to the feet, so as to truly be "down-to-earth".

1.2, to avoid keeping the same posture for a long time. When people finish all kinds of work, they need to constantly change various postures to relieve the pressure on the waist. If they keep a certain posture for a long time, it may lead to local cumulative injury. Especially in bad posture for a long time, it is easier to induce this disease. The work intensity is high, and the effective physiological curvature of the spine can not be maintained during work, which is easy to cause long-term stiffness and spasm of the back muscles and increase the load of the lumbar intervertebral disc.

1.3, adopt the correct posture of bending down to pick up things and holding them to avoid excessive stress on the waist. When carrying heavy objects daily, try to bend your knees, bend your hips or kneel on one leg and a half, keep your body as close as possible to the heavy objects, keep your back straight and pay attention to your feet.

2. What is the cause of lumbar disc herniation?

2. 1, the degenerative change of lumbar intervertebral disc is the basic factor.

The degeneration of nucleus pulposus is mainly manifested by the decrease of water content, which can cause small-scale lesions such as instability and loosening of vertebral segments due to water loss. The degeneration of annulus fibrosus is mainly characterized by decreased toughness.

2.2. Damage is an important factor.

Long-term repeated external forces cause minor injuries and aggravate the degree of degeneration.

2.3, the weakness of the anatomical factors of the intervertebral disc itself.

In adulthood, the intervertebral disc gradually lacks blood circulation and its repair ability is poor. On the basis of the above factors, some inducing factors that can lead to the sudden increase of intervertebral disc pressure may make the nucleus pulposus with poor elasticity pass through the fibrous ring that has become less tough, thus leading to nucleus pulposus protrusion.

3. What are the manifestations of lumbar disc herniation?

3. 1, low back pain

It is the first symptom of most patients, and the incidence rate is about 9 1%. Because the outer layer of fibrous ring and posterior longitudinal ligament are stimulated by nucleus pulposus, low back pain is caused by sinus nerve, sometimes accompanied by hip pain.

3.2, lower limb radiation pain

Although high lumbar disc herniation (waist 2 ~ 3, waist 3 ~ 4) can cause femoral neuralgia, it is rare in clinic, less than 5%. The vast majority of patients are lumbar 4 ~ 5, lumbar 5 ~ sacrum 1, showing sciatica.

What is good for lumbar disc herniation?

1. Foods rich in protein include pork, chicken, beef, animal liver, fish, shellfish, cheese, eggs, soybeans and bean products.

2. Foods rich in calcium are: small fish, milk, cheese, yogurt, sesame, radish strips, leafy vegetables, laver and so on.

3. Foods rich in vitamin B include pork, eggs, animal liver, herring, sardines, salmon, soybeans, peanuts, sesame seeds, green leafy vegetables, corn and wheat bran.

4. Foods containing vitamin C include: sweet potato, potato, cabbage, flower picking, green pepper, coriander, celery, strawberry, persimmon, lemon, orange and so on.

5. Foods with high vitamin E content are; Eel, vegetable oil, almond, peanut, sesame, soybean, herring, fish seed, hairtail, etc.

How to treat lumbar disc herniation?

1, the first is conservative treatment.

Generally speaking, most patients with lumbar disc herniation can be relieved by conservative treatment, which includes short-term bed rest, medication and physical therapy. In physical therapy, I think Chinese massage should be the first choice. If after three months of regular conservative treatment, the purpose of remission is still not achieved, which will affect your life and work, then consider taking surgical treatment.

2. Minimally invasive surgical treatment

One. Minimally invasive surgery includes many kinds, such as plasma fibroplasty/discectomy/protease fusion/intervertebral foramen mirror and intervertebral disc mirror. Except for the certain effect of discoscopy, other methods are not respected by me, the surgical effect is not exact, the recurrence rate is high, and some methods are also risky and speculative.

3. Traditional surgical methods

Open surgery. With the continuous improvement of spinal surgery technology, the trauma of conventional surgery is getting smaller and smaller, and the general surgical incision is only about 3.5cm. Conventional surgery is carried out under direct vision, with simple operation, high safety, short operation time and complete clean resection. Surgery is often performed under microscope abroad, which greatly increases the safety of surgery.

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