The disease of lumbar disc herniation actually troubles a lot of patients. Many people are unable to control the development of their disease well in the first time even if they try many methods. Eventually they become unable to bend over and walk, which is very difficult to recover. Therefore, you must pay attention to go to the hospital for a lumbar spine X-ray examination when it happens. Lumbar disc herniation is caused by accumulated injuries based on degenerative changes, and the accumulated injuries will aggravate the degeneration of the intervertebral disc. Therefore, the focus of prevention is to reduce accumulated injuries. You should maintain a good sitting posture at ordinary times, and the bed should not be too soft when sleeping. People who work at a desk for a long time need to pay attention to the height of the table and chair and change their posture regularly. People who need to bend over frequently in their jobs should stretch their waists and chests regularly, and use a wide belt. The training of the waist and back muscles should be strengthened to increase the intrinsic stability of the spine. Those who use waist belts for a long time should pay special attention to the training of the waist and back muscles to prevent the adverse consequences of disuse muscle atrophy. If you need to bend over to pick up something, it is best to flex your hips and knees and squat to reduce pressure on the back of the lumbar disc. 1. Lumbar spine X-ray Simple X-rays cannot directly reflect whether there is a herniated disc, but degenerative changes such as narrowing of the intervertebral space and hyperplasia of the vertebral margins can sometimes be seen on X-rays, which is an indirect hint that some patients may have spinal deviation or scoliosis. In addition, plain X-rays can detect the presence of bone diseases such as tuberculosis and tumors, which has important differential diagnostic significance. 2. CT examination It can clearly show the location, size, shape of the intervertebral disc herniation and the compression and displacement of the nerve roots and dura mater sac. It can also show the thickening of the vertebral lamina and yellow ligament, hyperplasia of the facet joints, stenosis of the spinal canal and lateral recess, etc. It has great diagnostic value for this disease and is now widely used. 3. Magnetic resonance imaging (MRI) MRI has no radiation damage and is of great significance for the diagnosis of lumbar disc herniation. MRI can comprehensively observe whether the lumbar intervertebral disc is diseased, and through sagittal images at different levels and transverse images of the affected intervertebral disc, it can clearly show the morphology of the intervertebral disc protrusion and its relationship with surrounding tissues such as the dura mater sac and nerve roots. In addition, it can identify whether there are other space-occupying lesions in the spinal canal. However, it is not as good as CT scan in showing whether the protruding intervertebral disc is calcified. 4. Others Electrophysiological examination (electromyography, nerve conduction velocity and evoked potential) can help determine the scope and extent of nerve damage and observe the treatment effect. Laboratory tests are mainly used to exclude some diseases and play a role in differential diagnosis. |
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