Guess, L4-5 disc herniation.
The location of leg pain is not described, but according to the symptoms, it is difficult to walk and the big toe hurts. This should consider the pain in the lateral hip (gluteus medius muscle injury), the pain near the lateral leg, the foot surface, the big toe and the second toe, which is in line with the routine performance of L4-5 disc herniation and is also serious. After all, it has reached the nerve endings.
lateral curvature
The probability of L4-5 disc herniation and scoliosis is much higher than that of L5-S 1 disc herniation. For example, this kind of pain, especially muscle atrophy, indicates that the muscle injury in the nerve direction is also serious. I mentioned before that the injury of gluteus medius muscle can also cause nerve compression and induce hip and leg symptoms.
Myophilia
Maybe the leg thickness is different, and you will be afraid. Don't worry. If the symptoms are eliminated and the exercise is restored to a certain stage, the muscles can be restored and the muscles are highly plastic. Imagine those who exercise, with small muscles, can practice big. Normal practice is not difficult for them. Don't worry.
Intermittent claudication
Some people may be afraid. Lumbar disc herniation must be accompanied by imaging reports. Are lumbar spinal stenosis and intermittent claudication caused by spinal stenosis? Now the symptoms should still be caused by disc herniation or gluteus medius syndrome. Unilateral spinal stenosis is generally not considered, which is not the cause of surgery!
The course of disease is not long
Perhaps this month's pain will make people feel anxious and tortured, but it is normal for the course of lumbar disc herniation to exceed 1 month, especially when the treatment method is inappropriate, this time will be extended, but most acute pains generally do not exceed 2 months, and it will pass after 1 month. Keep it up and see another doctor!
Processing core
For the current treatment of this symptom, one is to relieve the pain point of the left lower back. Pressing this point will cause low back pain with leg pain consistent with the symptoms, which can be solved by "real method" reduction. Another key point is to deal with gluteus medius syndrome, that is, to eliminate the pain point of gluteus medius. Don't miss it!
Hello, if lumbar disc herniation is diagnosed and muscle atrophy has occurred, early operation is recommended. Conservative treatment may alleviate the symptoms to some extent, but the symptoms will persist or recur, and the quality of life will be greatly affected.
Lumbar disc herniation is one of the most serious pathological types of lumbar disc herniation. The annulus fibrosus of the intervertebral disc is completely ruptured, and the nucleus pulposus tissue is completely separated from the center of the intervertebral disc, protruding sideways to compress the nerve roots, which can cause pain and numbness in one lower limb. A long course of disease will cause muscle atrophy, and central protrusion will compress cauda equina nerve, which may cause defecation dysfunction and numbness in saddle area. If the lateral protrusion is huge, symptoms of cauda equina nerve and nerve root may also occur at the same time.
Once there is obvious muscle atrophy, it is generally believed that nerve function has been obviously damaged. Even if the compression on nerve roots is released in time, the nerve function will recover slowly or even completely.
Moreover, in general, the herniated nucleus pulposus will continuously oppress and stimulate nerves, resulting in nerve root edema and aseptic inflammation. After conservative treatment, edema and inflammation can subside, and symptoms can be partially relieved, but the prominent nucleus pulposus can not be reset, the continuous compression on nerve roots can not be relieved, and symptoms can not be completely relieved or recurred, which seriously affects the quality of life of patients.
The problems in the topic are also very common in real life. In addition to the symptoms of low back and leg pain, lumbar disc herniation will also cause leg muscles to atrophy for a long time, making it impossible to walk long distances. This has a great influence on our lives. How did this happen? Is there a good treatment? Tell everyone about it!
Why is this happening?
The situation mentioned in the title is analyzed for everyone. Lumbar disc herniation compresses sciatic nerve, causing pain and numbness in lower limbs. The symptom of big toe is generally a problem of five lumbosacral joints. Then you can only walk dozens of steps, which is the degree of lumbar spinal stenosis. And due to long-term development, there are symptoms of leg muscle atrophy. To sum up, it is a lumbar protrusion, five sacrums and a narrow problem.
Lumbar spinal stenosis refers to a series of diseases that cause spinal stenosis for various reasons, compress nerves and spinal cord, and thus cause a series of low back pain and neurological dysfunction. Its typical symptom is intermittent claudication, which means it can't walk far.
Why do muscles shrink?
This situation should be analyzed from two aspects.
1. For muscles, nerves play a leading role, direct muscle work and have a nutritional role. When nerves are compressed or stimulated, different functional disorders will occur. Over time, the dominant muscles will shrink.
2. People don't want to exercise, because protrusion will cause pain. Walking and exercise are obviously reduced, and disuse muscular atrophy will occur for a long time.
How to treat it?
It has been treated for a month and the symptoms are obvious. You can go to the hospital for active and conservative treatment. If the following situations occur, you can consider surgical solution. The main way of operation is to relieve the compression on nerves.
1. The symptoms of leg pain are obvious, and conservative treatment can take effect in three months. 2. Have motor dysfunction. 3. When there is dysuria, you need emergency surgery, otherwise you can't recover. The walking distance with intermittent limping is a little over 200 meters.
Conservative treatment methods include: 1. Stay in bed to reduce the pressure on the lumbar spine. 2. Local hot compress, baking lamp, acupuncture, physical therapy and other treatments. Promote local blood circulation. 3. Traction therapy is an important method of Chinese medicine. 4. Drug therapy, the drugs mainly reduce swelling, diminish inflammation, soothe the nerves, promote blood circulation and remove blood stasis.
The symptoms in the topic are already very serious, so don't take them lightly. If you can't, you have to actively operate. After the operation, the nerves will be liberated and the muscles will slowly recover. I hope these can help everyone.
Analyze the main reasons:
1. Lumbar disc herniation compresses nerve roots, which in turn leads to nerve root damage and qi and blood stagnation. At first, there is radiation pain in the lower limbs, and after a long time, numbness will occur, and muscle atrophy will occur over time.
2. Some patients take too much medicine during the treatment, which leads to weakness and deficiency of both qi and blood.
3. Because the lumbar disc herniation causes radiation pain in the lower limbs, you may walk less.
Suggestion:
1. First, cure lumbar disc herniation.
2. Massage the relevant acupoints by hand to make the blood smooth as soon as possible.
3. Use Chinese medicine or herbal wet compress to help dredge meridians.
4. Take Chinese medicine orally to regulate the body and ensure sufficient qi and blood.
At first, I got lumbar disc herniation without treatment, and my waist was a little sore, swollen and weak. I continue to decorate, but it's getting worse. I feel pain in my big leg, pain in my small leg, numbness in my feet, weakness in my feet and weakness in my hamstrings. I think my foot is like a prosthetic foot. I used to be like this. If I had stopped earlier, I wouldn't have worked so hard. It's all because I have to support my family. If your friend has just started having low back pain, you really need to stop working and have a good rest. Just like me, I really don't know how to live in the future, let alone support my family. If I feel backache for a while, stop working and find the right medicine to treat it. The sooner I treat it, the better I will recover. If it takes a long time, it will be more difficult to treat and the recovery will not be so good. I hope it can be sent out.
Qi and blood can't nourish your muscles. Your muscles are shrinking and your waist is not good. Pull more muscles to regulate your qi and blood, spleen and stomach, and kidney.
Lumbar disc herniation is mainly due to the partial or total rupture of the fibrous ring wrapped around the outer layer of nucleus pulposus under the action of external force, and the nucleus pulposus protrudes from the spinal canal, compressing or stimulating nerve roots, dural sac, sinus nerve and cauda equina nerve, resulting in a series of symptoms such as low back and leg pain.
Symptoms of lumbar process mainly include:
1, caused by low back pain, compression or stimulation of sinus nerve.
2. Radiation pain of lower limbs, compression or stimulation of sciatic nerve or femoral nerve.
3, ponytail syndrome, perineum, anus numbness and discomfort, severe urinary incontinence, sexual dysfunction.
Most patients with lumbar disc herniation can be relieved or cured by conservative treatment, and only a few need timely surgical intervention.
Which ones need surgery?
1, patients with lumbar disc herniation with free or prolapse nucleus pulposus, patients with numbness of both lower limbs caused by huge central protrusion.
2. Patients with cauda equina syndrome have numbness in perineum and anus, incontinence and sexual dysfunction.
3. The patient has severe symptoms of irritation or oppression, such as decreased muscle strength of lower limbs, muscle atrophy, decreased reflex ability and severe low back pain.
4, conservative treatment for more than three months can not be alleviated, or patients with recurrent symptoms.
The protrusion of nucleus pulposus compresses the nerve root, which leads to the decrease of muscle strength and muscle atrophy of lower limbs. It is necessary to intervene in time to relieve the mechanical compression, otherwise it is likely to cause irreversible damage to the nerve root.
The biggest reason is that the femur and heel can cause pain in the foot plate. Don't operate. How about an operation? In life, many people have problems with their femur!
Don't wait for surgery, because if you continue conservative treatment, the nerve damage will be irreversible, and you may suffer for life.