Causes of lumbar vertebral hyperostosis

Written by Wang Cheng Lin
Orthopedics
Updated on September 02, 2024
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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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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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How to exercise with lumbar spondylosis?

For patients with lumbar spondylosis, it is recommended to exercise through swimming. Swimming exercises the muscles in the lower back and since the body is in a non-weight-bearing position during swimming, it does not aggravate the symptoms of lumbar spondylosis. Remember not to engage in exercises that put weight on the waist, such as playing ball, running, or participating in marathons. These activities should be avoided as they can increase the burden on the waist, exacerbating the degree of spondylosis. They may also lead to complications such as lumbar disc herniation and spinal stenosis, causing gradual increase in lower back pain and symptoms of numbness in the lower limbs.

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At what age does bone hyperplasia occur?

Bone hyperplasia occurs around the age of 30, after the body has completely stopped developing. Bone hyperplasia often occurs in joints and is caused by repetitive pulling of bones by tendons and ligaments, resulting in minor bone damage followed by a protective response. Generally, there are no obvious symptoms for bone hyperplasia and it does not require treatment. No non-surgical methods can eliminate bone hyperplasia; only in cases where the bone hyperplasia is particularly large and affects the joints or daily life, surgical methods to remove bone spurs may be considered.

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What should I do if the bone hyperplasia becomes inflamed?

Bone hyperplasia inflammation generally refers to the situation where the bone hyperplasia irritates the surrounding tissues, resulting in aseptic inflammation. The symptoms of bone hyperplasia inflammation mainly manifest as pain and limited mobility in the affected areas. For the treatment of this condition, it is important to rest initially. Anti-inflammatory and analgesic medications can be used to improve symptoms. Other treatment methods such as hot compresses, physical therapy, and injections can also be effective in improving bone hyperplasia inflammation. When symptoms are severe and cause movement restrictions severely impacting daily life, surgical methods can also be considered for treatment. (Please use medications under the guidance of a doctor.)

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Is it good to lie flat with lumbar hyperostosis?

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.