Lumbar disc herniation has what manifestations?

Written by Na Hong Wei
Orthopedics
Updated on September 19, 2024
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Lumbar disc herniation has the following clinical manifestations. First, lower back pain accompanied by unilateral radiating pain in the lower limbs. Second, numbness in the localized area. Third, weakness in the toes. Fourth, decreased temperature in the affected limb. Upon examination, the first finding is a reduced natural anterior curve of the lumbar spine, which we refer to as a flat or board-like back. Second, it can also cause the lumbar spine to bend to one side, possibly toward the affected side or the healthy side, depending on the location of the herniation. Third, there is a fixed tender point beside the lumbar spine, which plays an active role in diagnosis and treatment. Fourth, due to pain, there is a limitation in the movement of the lower back; normally, the lumbar spine can flex 45 degrees forward, extend 20 degrees backward, and bend 30 degrees to each side. If these ranges of motion are not achievable, it indicates a significant limitation in lumbar activity. Fifth is the neurological localization examination, which primarily involves different sensory disturbances, motor disturbances, or muscle atrophy depending on the site of compression. There are also some special tests, like the straight leg raise test, reinforcement test, healthy side leg raise test, as well as the neck flexion test and femoral nerve stretch test. Lastly, additional diagnostic tests like CT or MRI can provide specific information on the location and stage of the lumbar disc herniation.

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Written by Na Hong Wei
Orthopedics
1min 24sec home-news-image

How to exercise with lumbar disc herniation

For patients with lumbar disc herniation, self-exercise is a very important and effective treatment method. First, it is important to maintain the correct sitting posture, sit up straight without leaning sideways, and avoid sitting for extended periods. It is also necessary to keep the waist warm to prevent catching cold. Second, it is necessary to strengthen the exercise of the back muscles, especially the erector spinae and multifidus, with exercises such as single-leg bridges, double-leg bridges, and the "little swallow" exercise. Third, maintain the correct posture in daily life, such as when lifting or holding objects, to avoid increasing tension in the waist and causing unnecessary damage. Fourth, regarding rest, it is crucial to lie on a firm bed and possibly add a thin pad under the waist to keep the hips and knees in a certain alignment, ensuring the waist muscles can fully relax. Fifth, always wear a waist belt during exercise. The waist belt is one of the most important orthopedic supports, serving to immobilize and protect the waist, limiting movement during activity to solidify the effects of earlier treatments. Therefore, patients with lumbar disc herniation must develop a complete and reasonable treatment plan at a regular medical institution and normal physiotherapy institution.

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Written by Cheng Bin
Orthopedics
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Can a second surgery be performed for lumbar disc herniation?

Firstly, it should be clarified that for patients with lumbar disc herniation, if the condition recurs after surgery, a second operation is completely feasible. This is because there are many intervertebral discs involved, including L3-L4, L4-L5, and L5-S1, all of which can lead to lumbar disc herniation and subsequently cause symptoms of back and leg pain. Even if the patient has already undergone surgery for L4-L5, it cannot be guaranteed that L3-L4 or L5-S1 will not develop disc herniation. Therefore, it is possible for patients with lumbar disc herniation to undergo a second surgical treatment.

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Written by Lv Yao
Orthopedics
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How to diagnose a lumbar disc herniation?

Lumbar disc herniation often occurs due to degeneration of the lumbar spine, where the nucleus of the disc protrudes through the ruptured annulus fibrosus backward, compressing the spinal cord or nerve roots. This results in pain in the lower back, limited mobility of the lumbar region, and symptoms such as numbness, pain, and weakness in the lower limbs. For lumbar disc herniation, it is recommended to visit the orthopedic or spine surgery clinic of a standard hospital. Diagnosis should be confirmed with a physical examination by a doctor, along with imaging tests such as CT or MRI. These tests help determine the presence and extent of the disc herniation, and the affected segments. The treatment approach should be chosen based on the severity of the herniation.

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Written by Nie Lei Sheng
Orthopedics
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What role does embedding therapy play in lumbar disc herniation?

Thread embedding therapy for lumbar disc herniation is a category of Traditional Chinese Medicine treatment. Its function is similar to acupressure, acupuncture, and moxibustion, primarily involving the insertion of absorbable threads into specific acupoints or meridians to continuously stimulate and regulate these areas. This treatment is based on Traditional Chinese Medicine theory. Some patients may achieve good results, but others may not find it effective. It is advised that patients with lumbar disc herniation should seek treatment at a legitimate hospital. While thread embedding therapy can be attempted, it does not guarantee good results for all patients. Oral medication may be necessary, and in severe cases, surgical intervention might be required.

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Written by Su Zhen Bo
Orthopedics
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How to perform traction for lumbar disc herniation?

In clinical practice, patients with lumbar disc herniation undergo traction as a common treatment method. During traction, patients should be instructed to lie on their back and then use a pelvic belt for traction. By pulling the lumbar vertebrae, this can reduce the pressure within the spinal canal, alleviate nerve root bleeding and edema, and allow the lumbar muscles and muscle groups to fully relax, thereby relieving the clinical symptoms of the patient. The specific traction weight should be determined according to the patient's body weight and the correct direction of traction should be chosen. For mild lumbar disc herniation, traction can be performed twice a day. For severe cases, continuous traction should be adopted, along with lumbar electrotherapy, physiotherapy, the external application of plasters that activate blood circulation and remove blood stasis, and the intravenous administration of drugs with dehydrating and blood pressure lowering effects.