In life, it is very common to have waist pain, and some people will have leg pain and leg soreness because of excessive exercise, and most of them will rest for a while. But Xiao Lin's situation was something special. As a dancer, she has always insisted on stretching her muscles and opening her back every day to do warm-up exercises, but recently she has always felt that her left leg is numb, and sometimes she will pull around her hips and feel a little pain.
At first she thought it was a strain, so she rested for a day or two, who knows if it still didn't get better. After a check in the hospital, it was diagnosed with lumbar disc herniation. Obviously, it is a one-sided leg tingling, how did it become a waist problem?
Many people have the impression that lumbar disc herniation is definitely a disease of the waist, and the symptoms will be more manifested as waist pain and so on. However, patients with true lumbar disc herniation may not only have lumbar discomfort, but also may have numbness and discomfort in the lower limbs and buttocks caused by intervertebral disc compression of the spinal cord and nerve roots.
Share 3 tips to self-test the lumbar disc
(1) Outrigger elevation test
The whole person lies flat on the bed, feeling that which leg is prone to soreness and numbness, and raises this leg with the assistance of others. If the leg is raised to about 70 ° to 80 ° there is no feeling, there will be no obvious discomfort, and there is generally no problem.
However, if the elevation angle is less than this value, there is a painful feeling around the buttocks or legs, and it may really be a lumbar disc herniation.
(2) Curved leg elevation test
Lie on the bed and then bend your calves backwards to raise the patient's thighs through the assister. In general, this leg can be raised upwards by about 10 centimeters without discomfort. However, if you can clearly feel the pain on the front side of the thigh when you lift it, and with the height of the lift, the symptoms become more and more obvious, you may pay attention to the problem of lumbar disc herniation.
(3) Observe walking posture
If it is low back pain and leg pain caused by lumbar disc herniation, abnormal gait may occur when walking. Patients may have an unconscious jumping movement while walking, and the body will unconsciously lean forward, which is a change that affects the curve of the lumbar spine after the lumbar disc herniation.
If it is just a common sprain and other problems, at most it is a one-sided limp when walking, which will not affect other changes in walking posture.
Of course, these three methods are self-testing for the presence of lumbar disc herniation. If you do develop similar symptoms after the examination, you can have further tests at the hospital to confirm the condition.
How is lumbar disc herniated clinically diagnosed?
First of all, to understand the patient's medical history, does the work require standing, bending over and carrying weights for a long time? How long does the disease last? The specific pain area, whether it will relieve the pain because of the specific posture, whether there are problems such as numbness and fatigue of the lower limbs.
Clinical diagnosis is then made by combining the patient's symptoms, clinical signs, and imaging studies, that is, magnetic resonance imaging or CT imaging. Diagnosis can only be made if the patient's straight leg elevation test and reinforcement test are abnormal after physical examination, and imaging tests are consistent with lumbar disc herniation.
After understanding these problems, Xiao Lin has been able to accept the fact that she has a waist protrusion. But she still felt very strange, aren't the lumbar protrusions all degenerative lesions? She was only in her early 20s, how did she suffer from a lumbar protrusion?
Lumbar disc herniation is a degeneration of the lumbar disc, but it is not the kind of disease that people think and only appears in the elderly. Its incidence age ranges from 20 to 50 years old, of which the male and female incidence ratio reaches 4 to 6:1.
Long-term waist labor overwork, sedentary and other occupational groups, may induce lumbar disc herniation after waist sprains and other behaviors; and high jump, long jump, dance students and other groups of people because of the large amount of activity, engaged in the activity itself is easy to cause damage, is also a lumbar disc herniation of the prone population.
In addition, there are some factors that may also make young people have lumbar disc herniation early, so check it out:
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- Patients with congenital lumbosacral dysplasia;
- people with a family history of lumbar disc herniation;
- People with accumulation of old lumbar spine injuries;
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People should protect the lumbar spine in a reasonable way to avoid lumbar spine injuries, resulting in lumbar disc degeneration and inducing diseases.
Changing the standing or sitting posture is one of the effective ways to protect the lumbar spine
White-collar workers who sit for a long time should get up every hour to move their waists, whether it is getting up to go to the toilet or pouring a glass of water can help people relax the lumbar spine. The best sitting position is to put your legs on the ground, and the height of the chair should ensure that the knee joint can be freely flexed and extended. The curve of the waist is best close to the back of the chair, avoid the state of bending over and hunched over, let the spine straighten, or put a cushion at the waist, adjust the waist curve appropriately, and also improve the discomfort such as low back pain caused by sitting for a long time.
If you need to stand and work, it is recommended to bend the knee joint and hip joint slightly to about 15 degrees, naturally close the abdomen, such a posture can make the lumbar curve straight, the pelvis lean forward. It is not easy to feel tired after standing for a long time, and it can also relieve the pressure on the lumbar spine when standing. If you can stand for a while and walk around, twisting your waist from side to side, you can also better alleviate the discomfort.
Feeling unilateral leg pain but found to be lumbar disc herniation, young people should also put the protection of the lumbar spine in the heart, so as not to induce lumbar protrusion, affecting life and work.