Correct pain in the back of understanding
A lot of people may had experience of pain in the back.
Diagnostic standard, treat principle, unify, cause same the intersection of pain in the back and patient, different doctors diagnose the difference; The same diagnosis, treatment means is different; It is the same as a therapeutic method, results are different.
Quite have a little in the face of this kind at present " Confused" Current situation,what shall we do about pain in the back is it since ordinary people have with in a single day?
Hold on March 20 " The first China international lumbar vertebrae surgery skill meeting " Go, reporters have interviewed conference president, the general hospital first chief of affiliated hospital research institute of dept. of orthopedics of entire PLA Professor Hou ShuXun of PLA, prevent on pain in the back, treatment and people have understood the mistaken idea that pain in the back realized in detail one by one.
---The newest investigation - --
80% of the adults have had pain in the back
Lumbar vertebrae disease is clinical common disease, frequently-occurring disease, the morbidity is second only to cold, it is great social concern and main health problem that all countries face.
The statistics show, 80%% of the adults have had medical history of pain in the back; In U.S.A., more than 4 million workers lose the job because of pain in the back, and the disease patient of lumbar vertebrae of our country has already topped 200 million, and there is tendency of rising constantly, the patient of pain in the back accounts for more than 1/4 of the orthopaedics clinic patient, the huge expenses making a diagnosis and giving treatment in lumbar vertebrae disease have caused the enormous financial burden to individual and the society.
"Pain in the back is too common, so solve the problem of pain in the back, not merely for improving people's life quality of great importancely, and for saving social hygiene resources, it is significant to improve the level of workforce of the whole society. " Hou ShuXun says.
---The cause of disease is understood - --
Pain in the back sitting out
Hou ShuXun introduces, " people often say and sit down and have a rest, think that it is a kind of rest to sit, but an exception to lumbar vertebrae, at the time of the position of sitting, the pressure that the waist intervertebral disc bears is very large. "
Research indicates, the human body in the seat, if keep the correct position of sitting, the pressure in the waist intervertebral disc is flat 6 times when lies in the location; If position of sitting bad, if upper part of the body lean forward for a long time, pressure know the hurricane rise to flat 11 times when lies the location in the intervertebral disc then.
"The position of sitting of working in front of the computer is often incorrect, will forget to adjust the body gestures in time while working tensely, so make the waist intervertebral disc in high-pressure state year in year out, retreat and change, tear the lumbar vertebrae very easily, the intervertebral disc is outstanding. " Hou ShuXun says.
Meanwhile, the seat work makes dorsal muscles in pulling state for a long time for a long time, it is extremely apt to cause the waist back muscle to strain, cause the destruction of chronic pain in the back and lumbar vertebrae stability, the morbidity that has further strengthened protrusion of the intervertebral disc of the waist is possible. Add a lot of young people under the pressure of the pressure of the competition, spirit is often in highly tense state, make the automatic nervous system function of the organism disorderly, influence the physiological function of the lumbar vertebrae.
The treatment has not sought unity of standard
Hou ShuXun says, there is a folk adage " patient's pain in the back, the doctor has a headache " among the people ,Explain pain in the back in difficulty on of treating from one side.
"A patient's pain in the back, go to three hospitals and diagnose, perhaps there are three results, this is because the diagnosis and treating the standard which does not have unity of pain in the back at present. " " like cold, cough, through some symptoms, can know the condition that Hou ShuXun says, diagnose bases, but pain in the back is no good. "
ShuXun Hou think most pain in the back can conservative treatment is gone on and treated through not performing the operation non-, only 20%- 30% of the people need the operation. A lot of pain in the back and the intersection of muscle and damage of ligament, neural around the root inflammation react and vertebra in charge of internal the intersection of blood and the intersection of dynamics and the intersection of person who change and factor have something to do, these can not be solved through surgery, pointed conservative treatment such as massage, draws, manipulation, it is effectual in a considerable amount of patients of pain in the back that the medicine part is injected etc.. But Hou set up merit emphasize the treatment had better go on under the guidance of doctor.
---Four major mistaken ideas - --
Is there pain in the back to go to the hospital to go for inspection?
Most people will often meet pain in the back, whether then have pain in the back, must go to the hospital to check?
Hou ShuXun introduces, to ordinary people, pain in the back of some types needs to go to the hospital to check, the ones that are sure standardly.
There is simple pain in the back spraining the history clearly; The pain position is not clear or pain in the back that the pain position often changes; Pain in the back present continuation, take a favorable turn occasionally, recur occasionally, pain that does not aggravate; Pain in the back is obvious while or just got up while having a rest, lighten after the activity; Thumping somely neither aggravate pain, relieve symptom instead, pain in the back of these types is generally not serious, can take a favorable turn progressively through the appropriate rest and treating.
Hou ShuXun thinks, following some patients of symptom should cause the attention, go to the hospital to check and go to a doctor in time: Pain in the back is unable with one side or lower extremities of both sides, numbness or pain; There is no violent pain in the back of traumatic history, do not dare to move about or aggravate after the activity; Limitation pain of the fixed position, and aggravate etc. gradually.
Often is pain in the back that a waist intervertebral disc is outstanding?
Hou ShuXun introduces, the reason of pain in the back is numerous, the intervertebral disc stresses one of the important reasons that is pain in the back, other factors can cause pain in the back, such as having lumbar muscle strain, traumatism, women's gynecological disease, male prostatitis, etc., even some belly diseases will cause the waist to ache too.
The waist intervertebral disc stresses pain in the back caused, its main symptom characteristic is shown as: And patient's pain in the back does not dare to straighten one's back with fleeing aching of one side or lower extremities of both sides, cough or sneeze, it is unable that some patients present numbness and muscle of the lower extremities, the serious one waist slope or the obstacle of defecation and urination appears to the side, CT or MRI can find the pith core deviated from to check.
Can massage make the waist intervertebral disc outstanding and reset?
Massage is mainly to play a role in loosening the soft tissue, can make tense muscles relaxed, improve the blood circulation, make symptom get certain relieving. Massage can also make the pith nuclear and neural the relation of the root changes, this kind of change may make symptom take a favorable turn, but it can not be reset through massage definitely once pith core is outstanding, because the vertebra interval is very large in pressure. So massage and massage can relieve some symptoms, but will be never meaning one will be reset among making outstandingly.
Must the expensive treatment be good?
Hou ShuXun thinks, in view of diagnosis of pain in the back and treating, there is progress greatly in recent years, have new understanding to the cause of disease of pain in the back too. With the appearances of new technology, new material, new apparatus, a lot of new surgery methods have appeared in treatment of pain in the back, this has undoubtedly improved to the diagnosis of pain in the back and treated competence, but some noteworthy inclination has appeared too, some doctors are on the choice of therapeutic method blindly " Ask greatly, look for novelty " .
What kind of operation method is adopted on earth, should proceed from the patient's actual conditions, synthesize patient's condition progress and long-term curative effect to consider objectively. There are new imagination and technology, it is rational theoretically, but craft and material have not reached the intensity imagined in theory now. If the plate is planted and changed, excise the plate among pathological change, change another plate among manpower among manpower, very good in theory, question change one what record can can keep the function for a long time as plate among body among material. In addition, a lot of new technology at the intersection of clinical research and stage still now, result of treatment might not well.
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