Orthopedic surgeon Peng Guangping said that the patient's examination revealed that the lumbar intervertebral disc herniated, causing redness and swelling due to nerve compression (shown in blue circle).
(Provided by Hsinchu National Taiwan University Branch)
[Reporter Liao Xueru/Hsinchu Report] 66-year-old Mr. Liu suffered numbness in his right thigh that extended to his calf for about 2 months. He went to a hospital near his home for drug control and rehabilitation. , so I went to the Department of Orthopedics in the Zhubei Branch of Biomedical Hospital of National Taiwan University Branch in Hsinchu for consultation. After evaluation and MRI examination, it was diagnosed as lumbar intervertebral disc herniation; because the patient had been treated with conservative treatment and failed, after communication, a spinal endoscopic intervertebral disc was performed. After resection, the patient's pain was relieved after the operation, and he was discharged from the hospital the next day.
Peng Guangping, a physician at the Department of Orthopedics at National Taiwan University Branch in Hsinchu, said that intervertebral disc herniation is a common disease in outpatient clinics. It usually occurs between the ages of 30 and 50, and more men than women. Nerve compression caused by nuclear protrusion.
In addition, the cause of sciatic nerve pain is not limited to physical oppression, but also due to inflammation of the intervertebral disc, which releases inflammatory substances, resulting in sensitive nerve pain. Symptoms include acute low back pain. Patients often need to bend sideways to relieve pain. There is radiating pain, and the pain location may be from the buttocks to the soles of the feet, which seriously affects the quality of life.
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Peng Guangping said that most intervertebral disc herniation does not require surgical treatment, and patients are not advised to rush to rehabilitation in the acute stage. They will first adjust their posture, rest in bed, protect the waist, and take non-steroidal anti-inflammatory drugs. After the period, about 80% of the patients will improve within 2 months after appropriate rehabilitation treatment to relax the muscles.
However, if the pain does not improve after the above treatment, or the initial pain has seriously affected life, or even complicated by pain in the lower limbs, muscle weakness, abnormal sensation in the buttocks, difficulty urinating, etc., surgical decompression should be performed. Better than 6 months.
Peng Guangping explained that many people are worried about spinal surgery, but with the advancement of medical technology, from traditional surgery in the past to minimally invasive surgery with the help of a microscope, to the current endoscopic spinal surgery, complications and recovery after surgery The speed has improved a lot.
The advantages of endoscopic spine surgery are less damage to the core muscles and soft tissues of the back, the wound is only about 1 cm, the length of hospital stay is reduced, and the patient acceptance is high.
Peng Guangping reminded that although spinal endoscopy is widely used, most patients can recover after conservative treatment. Not all patients with intervertebral disc herniation need surgical treatment, and not all spinal diseases can be improved through spinal endoscopy. It is recommended that the public maintain a good sitting posture and correct bending habits at ordinary times, which is the fundamental way to maintain the health of the spine.
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