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 Wang Cheng Lin
Orthopedics
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Causes of lumbar vertebral hyperostosis

The first reason is aging of the human body. As the body ages, the lumbar spine inevitably exhibits degenerative changes due to wear and tear from movement, and the majority of people over 60 show the formation of bone spurs in X-ray images. The second reason is injury caused by overexertion. Overexertion, due to excessive workload and excessive activity, aggravates the degeneration of the lumbar spine, leading to the formation of bone spurs. The third reason is a history of trauma. Trauma to the lumbar area during one's youth can lead to bone proliferation in the lumbar spine in middle and old age. The fourth reason is improper posture. Bone proliferation in the lumbar spine in young patients is mainly due to maintaining the same posture for long periods, improper posture, and sleeping on soft beds, all of which can lead to bone proliferation over time. These are the main reasons for bone proliferation in the lumbar spine currently observed in clinical settings.

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Written by Li Jin
Orthopedics
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How to deal with cervical spondylosis?

Cervical spondylosis is primarily caused by degenerative changes in the cervical spine, chronic strain, and other factors, leading to cartilage damage. After damage, calcium deposition occurs around the bone joints, thus causing bone proliferation. Treatment for cervical bone proliferation is not necessary if there are no symptoms. When bone proliferation causes neurological and vascular irritation symptoms, such as pain, numbness, and weakness, treatment is needed. Treatment recommendations include resting, using anti-inflammatory and analgesic medications, and medications that nourish nerves. Treatments can also be combined with hot compresses, physical therapy, and traction. These methods can help improve symptoms. If the symptoms are severe and significantly impact daily life, surgical treatment may also be considered. (Please follow the guidance of a professional physician when using medications.)

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Written by Cheng Bin
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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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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Symptoms of lumbar hyperostosis

The symptoms of lumbar spondylosis mainly include localized pain and limited mobility. This condition can be alleviated through conservative treatments such as massage, acupuncture, electrotherapy, and magnetotherapy to relieve localized pain. Alternatively, block therapy can be used for relief. It is important to note that block therapy rapidly reduces pain symptoms, but its duration is limited. Also, the frequency of using this method is strictly limited to a maximum of 1-2 times per month because the injection contains a high concentration of steroids, which can damage local muscles or ligaments and potentially worsen the pain. (For specific medication use, please follow the guidance of a doctor and do not self-medicate.)