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Non-surgical treatment of lumbar disc herniation 5

 
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PostWysłany: Śro 13:00, 06 Kwi 2011    Temat postu: Non-surgical treatment of lumbar disc herniation 5

Non-surgical treatment of lumbar disc herniation 58 cases observed


52%. Treatment time: 1 in 6 cases. 2 9 down. L0 3 down, 4 times n down, 5 times 5 Chi lI. 6 times in 6 cases, 7 l down. All were confirmed by CT scan diagnosis of sick (over 50 retroactive lumbar x-ray will be l-bit slice). Clinical manifestations (Table 22Ij. 58 patients with lumbar back x-ray film. There I5 ​​.18 narrowing down cases of lumbar intervertebral curve changes, CT scans of 22 patients were prompted to back L4-5 lumbar disc prolapse. With bad I Clinical symptoms and signs of decay is low back pain patients with effective pain marrow 5595 610 5595 Forced supine lumbar spinal Kwai Chung bend 3764 5290 back next tenderness wounded leg muscle activity limitation 58100 1729 Orange Chi leg sensory disturbance outside the 712 would I test positive l525 straight neck bent 58100 Achilles tendon reflex elevation eyelashes experimental treatment to reduce 12201.2 rest and 1.2.1 of the press brake hospital treatment, as far as possible in addition to bed rest, patients with severe diet, not technology and efficiency toilet 1998.11 Medical aspect from the bed. 1.2.2 lumbar traction: the supine position in patients with fixed pelvic traction set, and thorax were made against the traction, the traction is equivalent to patients with body weight or slightly increase or decrease, continued to 3O minutes, once a day until the symptoms ease. 1.2.3 anesthetics, vitamins, antibiotics, local injection of hormone drugs 1.2.4 Massage: Lumbar traction a short break after the massage therapy is the integrated use of rubbing, rolling push ramps and other techniques, each days once every four weeks for treatment. 1.2.5 back muscle exercise: the main function used for spinal Gui is still good by extension, l-2 times daily, long-term and exercise. 1.3 The effect of standard clinical cure: Symptoms signs disappeared, functional recovery, straight leg raising test 8O degrees above normal lumbar mobility. a significant effect: the symptoms and signs disappeared, straight leg raising test increased by 25 degrees or higher than before. improved: symptoms and signs of easing over the previous functional improvement. invalid: no change before and after treatment. 1.4 4O treatment were cured (69%), effective l5 (25%), improved in 2 cases (4), invalid 1 down (2), the total effective rate 98 , 48 straight leg raising test patients before and after treatment were significant changes (see Table I). Schedule l before and after treatment until 2 or even raise the discussion of lumbar disc herniation is a bone, acupuncture, massage and physiotherapy a common disease, the age, labor intensity, posture and spinal tolerance and other relevant, because the waist to the little joints and ligaments and other soft tissue and repeated injuries, chronic inflammation caused by stimulation of waiting for the final disc of the spine and caused damage soft tissue pathology demonstrated a clinical syndrome. normal disc are very flexible, able to resist the great pressure without breaking. but the degeneration of intervertebral disc tissue water technology and efficiency 1998 · ll reduction, loss of elasticity., resulting in its easy to break prominent,[link widoczny dla zalogowanych], acute or chronic injury, especially when you lift heavy objects bend arched, posterior disc annulus pressure increases prone to rupture, prominent lateral nucleus back, stimulation or low back pain caused by nerve root compression, etc. symptoms. according to their disease and pathology, we used the first to dehydration, blood pressure, swelling of the drugs, so that disc tissue has been highlighted by dehydration, regeneration of blood vessels and gradually eat out, or in the post under the posterior longitudinal ligament margin erosion smaller footprint. The patient bed rest, reducing upper body weight on the oppression of intervertebral disc lesions, thereby reducing nerve root compression, the nerve root edema, inflammation disappears become sensitive. intervertebral lumbar traction make widened 1.3 -2cm Roller Push and other techniques, can ease muscle spasm, improve blood circulation, relax the psoas full, including the elderly, frail patients, cardiovascular and cerebrovascular diseases, generally do not provide traction, reduction techniques and efforts should also vary desired effects of the treatment. On this basis, strengthening the back muscle exercise, and strive to Make its own muscle waist significant effect of combined therapy, we believe that the treatment of lumbar disc herniation is still the preferred non-surgical combined therapy, and sooner rather than later.


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