Some patients came to the hospital for treatment, and said nervously: "Director, my lumbar disc is herniated, the film looks so heavy, but I have no symptoms, do you want to do surgery?"
I look at the film, and then the physical examination, found that there is indeed no corresponding neurological signs, will tell the patient: "You, no need to do surgery, not lumbar disc herniation is just lumbar disc herniation." You need to change your bad habits and check them regularly."
The patient listened to the puzzle, what is the difference between the lumbar disc herniation and the lumbar disc herniation "syndrome"?
One more "symptom" word, it means that there are symptoms such as low back pain and lower limb pain, and imaging is only manifested as lumbar disc herniation, but the examination does not correspond to the symptoms and signs, which is allowed to be observed and conservatively treated. It is necessary to change bad living habits and strengthen low back muscle exercises, and some patients can be asymptomatic for a long time. If symptoms and corresponding clinical signs are present, combined with imaging results, if surgery is required, active surgery should be performed according to medical advice.
In addition, there are patients who come to the clinic and say very clearly: Doctor, I can ride a bicycle to a good distance, walk uphill, but stretch the waist will be waist pain, walking flat road can only be tens of meters away. My "lumbar disc herniation" is very serious, right?
In fact, what the patient said is very vivid, very typical, is the performance of "lumbar spinal stenosis". The complaint is severe, but the clinical signs are often not obvious and there is no restriction on straight leg elevation. This is also different from the lumbar disc herniation. Surgical treatment can achieve a more satisfactory effect.
Do you understand the difference between these concepts?
The doctor grasps the indications for surgery and only does the surgery that has indications.
#Health & Wellness ##Lumbar Disc Herniation ##Popular Science Medical ##健康知识 #