A normal human lumbar spine has an arc, also known as the physiological curvature of the lumbar spine. However, with age increase and greater stress in life, the lumbar spine will become deformed or even ruptured. This is mostly due to long-term sitting, standing, bad sitting habits, bending over to carry heavy loads, etc., which are all causes of damage to the lumbar spine. If not treated in time and the burden is allowed to continue for a long time, symptoms such as incontinence, numbness and swelling in the legs will appear. So what should we do in this situation? During clinical diagnosis and treatment, we often see patients describe it like this: I just have back pain when I wake up in the morning, but the pain goes away after I get up and move around for a while, and my waist cannot lean forward or backward. I understood as soon as I heard it and told him that this was most likely lumbar spondylolisthesis. The patient looked confused. What is lumbar spondylolisthesis? It’s better to ask him to go and shoot the film first and then explain it to him after he comes back! Lumbar spondylolisthesis is the sliding of the lumbar vertebrae forward (towards the abdomen), which makes the curve of the waist discontinuous and causes a series of reactions such as disc herniation, nerve root compression, ligament calcification, and spinal canal stenosis. The lateral lumbar film can clearly diagnose lumbar spondylolisthesis. The common causes of lumbar spondylolisthesis are as mentioned above. Now, due to changes in lifestyle, the waist muscles and ligaments are not strong enough, so the main cause of lumbar spondylolisthesis is degeneration, and trauma ranks second. Lumbar spondylolisthesis is divided into four degrees. The vertebral body is divided into four equal parts. The degree within 1/4 is I degree; the degree between 1/4 and 1/2 is II degree; the degree between 1/2 and 3/4 is III degree; and the degree exceeding 3/4 is IV degree. Treatment of spondylolisthesis Slippage within degree II can be treated with conservative correction and restored with the help of acupuncture and traction. In the later stages of treatment, it is also necessary to strengthen the lumbar muscle and ligament exercises. Surgery is recommended for grade II and above. People with lumbar spondylolisthesis can sleep on their backs, place a cushion behind their knees, and move their waist backwards to reduce the forward movement of the waist. Prevention of lumbar spondylolisthesis Pay more attention to changes in the waist, detect lumbar spondylolisthesis early, and it is best treated through manipulation. Exercise the waist muscles and ligaments more often to prevent lumbar spondylolisthesis. |
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