Is it good to lie flat with lumbar hyperostosis?

Written by Cheng Bin
Orthopedics
Updated on September 05, 2024
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In general, for patients with lumbar spondylosis, if there are no symptoms of sciatic nerve pain, lying flat is usually very effective, but it's best to sleep on a hard bed. If the patient's lumbar spondylosis has caused spinal nerve compression resulting in sciatic nerve pain, it is best for such patients to lie on their side. Side lying allows the knees and hips to bend, thereby reducing the tension on the sciatic nerve and effectively alleviating the symptoms of sciatic nerve pain. Additionally, for those with painful symptoms due to lumbar spondylosis, it is advisable to wear a lumbar support belt to protect the area.

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Written by Cheng Bin
Orthopedics
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symptoms of bone hyperplasia

Under normal circumstances, in the early stages of osteophyte formation, the condition mainly manifests as localized pain in patients, especially during periods of increased activity or exposure to cold, when the pain is more pronounced. If the osteophyte formation progressively worsens over time and occurs in the spine, it may lead to conditions such as cervical or lumbar spine diseases. This, in turn, causes patients to experience neck pain, back pain, and in severe cases, symptoms such as dizziness, numbness in the arms, unsteady walking, a sensation of walking on cotton, and even abnormalities in urination and defecation. Additionally, if the osteophyte formation occurs in the joints, it often leads to joint deformities.

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Written by Wang Cheng Lin
Orthopedics
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Can osteophytes be massaged?

Osteophyte, or bone spur, symptoms such as localized pain can be alleviated through massage. However, massage only serves as a relief and does not aim to treat the bone spur itself. Clinically, the treatment for bone spurs also focuses merely on symptomatic relief; it is impossible to completely eliminate bone spurs through oral medications or other physical therapies. Besides massage, options such as acupuncture, physiotherapy, oral non-steroidal anti-inflammatory and pain-relieving medications, as well as medications that promote blood circulation and remove blood stasis, can be used to relieve pain. Additionally, local injections, such as block injections, can also provide relief. However, it is important to remember that the dosage and frequency of block injections are limited; generally, one to two injections per month is the maximum. Excessive use of block injections can damage local muscles and ligaments, worsening the symptoms of bone spurs. (Please consult your doctor before using any medications and do not self-medicate.)

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Written by Wang Cheng Lin
Orthopedics
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Symptoms of the early stage of bone hyperplasia

The early symptoms of osteophyte formation mainly include pain and limited local movement. If these symptoms occur in the early stage of osteophyte formation and there is no further protection of the affected area, or if vigorous exercise or injury occurs, it can lead to a gradual worsening of the symptoms. Patients may develop conditions such as lumbar disc herniation, cervical disc herniation, and osteoarthritis, which can worsen the symptoms. Therefore, it's crucial to take early symptoms of osteophyte growth seriously and manage them carefully. For instance, first and foremost, rest is important to avoid strenuous activity. Secondly, the local application of non-steroidal anti-inflammatory and analgesic medications, as well as medications that promote blood circulation and remove blood stasis, can be used to alleviate local pain.

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Orthopedics
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Causes of bone hyperplasia

There are several reasons for the onset of bone proliferation in clinical practice, with the main considerations being the following situations. For example, as age increases, it can lead to bone proliferation in patients. Additionally, some patients may engage in heavy physical labor, and the repeated local friction and stimulation can also lead to bone proliferation. Furthermore, if a patient sustains a local trauma, it can similarly lead to bone proliferation. These are common causes of bone proliferation. In mild cases of bone proliferation, the symptoms are usually localized pain. In severe cases, it may cause joint deformities and even impinge on spinal nerves.

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Cervical vertebral hyperplasia surgical methods

In clinical practice, for patients with severe cervical spondylosis, such as those showing clear compression of the spinal nerves, exhibiting numbness, weakness, and pain in one or both arms, instability in walking, a sensation of stepping on cotton, or even abnormal urination and defecation, it is necessary to actively pursue surgical treatment. The surgery usually requires general anesthesia and involves the removal of the intervertebral disc, enlargement and decompression of the spinal canal, and vertebral interbody fusion with internal fixation. This should suffice. After the surgery, it is necessary to wear a neck brace for protection for about a month and a half, after which the neck brace can be removed to allow for appropriate activities.