▲Dr. Yu Dajiu suggested that if you have sciatica, you should seek medical examination as soon as possible and return to normal life as soon as possible.

(Photo by reporter Chen Jianzhi)

Reporter Chen Jianzhi / Taichung Report

Mr. Chen, 59, from Taichung, has been engaged in transport work for a long time. In recent years, he has suffered from sciatica and even needs a wheelchair for transportation in the past year.

After the examination, it was found that there were multiple lumbar degeneration and vertebral foraminal stenosis that compressed the nerves. After evaluation by the doctor, he underwent diagnostic nerve block surgery and spinal endoscopic surgery. The postoperative symptoms improved greatly, and he could get out of bed and walk the next day. He was very happy to walk into the clinic by himself without using crutches.

In the past 3 years, Mr. Chen has often suffered from pain in the left buttock and numbness in both feet. He has tried medicine and rehabilitation, but the improvement is limited. In the past 1 year, the symptoms have become more serious. Not only the right buttock also hurts, but he also cannot stand for a long time. I couldn't sleep well at night, so I went to the orthopedic doctor.

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Yu Dajiu, an orthopedic surgeon at Chang’an Hospital, said that after an MRI examination, it was found that the 2nd to 5th lumbar vertebrae had degenerated and caused multiple nerve compressions. It is recommended to use spinal endoscopic decompression surgery, and the buttocks will no longer hurt on the day after surgery. , and other symptoms have also been greatly improved. When I returned to the clinic, I was able to walk without crutches.

Yu Dajiu said that because the patient’s lumbar spine was compressed by too many places, he first arranged for a diagnostic nerve block to locate the most serious part and achieve pain relief; then he arranged for a spinal endoscopic decompression operation, guided by an X-ray machine, using endoscopic The high-resolution imaging system dedicated to the mirror can magnify the lesion for surgery, and treat 3 parts at the same time. There are only 3 1 cm long wounds after the operation, and you can get out of bed and walk the next day.

The advantages of spinal nerve decompression surgery are small wounds

Yu Dajiu pointed out that spinal endoscopic surgery is a fast-growing spinal nerve decompression surgery method in recent years. The advantage is that the wound is only about 1 cm, and there is less structural damage to muscles and soft tissues. Get out of bed and walk around, and you can go home after 1-2 days in the hospital, which is safer and faster than traditional surgery.

Yu Dajiu reminded that long-term incorrect posture will cause inflammation and degeneration of the spinal joints, resulting in the formation of bone spurs, or spondylolisthesis. It is recommended to avoid bending over as much as possible during normal work or exercise.

When you want to move something, squat down first and then lift it up. When you sit, you should sit upright to avoid hanging your back. You can also put a cushion behind your waist.

▲Image examination showed that the lumbar nerve was compressed (red circle).

(Photographed by reporter Chen Jianzhi)

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keywords

• sciatica

• health care

• endoscopic surgery

• Lumbar degeneration

• nerve block

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