How is left thigh bilge painful to return a responsibility?
summary
The skin of anterolateral thigh was acupunctured, accompanied by abnormal sensation, such as ant walking, burning, cold and numbness. At the beginning of the disease, the pain is intermittent, gradually becomes persistent, and sometimes the pain can be very severe. Clothing friction, action force, standing or walking for a long time can make abnormal feeling worse. During physical examination, the sensation, pain and temperature of anterolateral thigh skin decreased or even disappeared. Some of them were accompanied by skin atrophy, but no muscle atrophy, normal tendon reflex and no movement disorder. What are the causes of the above symptoms? Let's share my experience with you.
How is left thigh bilge painful to return a responsibility?
Patients often have a long history of repeated low back pain, or heavy labor history, often in a lumbar injury or bent down after acute onset of labor. In addition to the typical symptoms and signs of radicular sciatica, there are also lumbar muscle spasm, limited lumbar motion and loss of anteflexion. There may be obvious tenderness and radiation pain in the intervertebral space of disc herniation. X-ray film may have involved intervertebral space narrowing, CT examination can be confirmed.
The onset of cauda equina tumor was slow and gradually aggravated. At the beginning of the disease, it was usually unilateral sciatica, and gradually developed into bilateral sciatica. The nocturnal pain was obviously aggravated, and the course of disease was progressively aggravated. Sphincter dysfunction and hypoesthesia of sellar region were found. Lumbar puncture showed subarachnoid obstruction, increased protein content in cerebrospinal fluid, and even froin sign (yellow cerebrospinal fluid, self coagulation after placement), which could be confirmed by myelography or MRI.
It is more common in middle-aged men, often with "intermittent claudication" in the early stage. The lower limb pain is aggravated after walking, but the symptoms are relieved or disappeared after bending down or resting. When the nerve root or cauda equina is seriously compressed, the symptoms and signs of sciatica on one or both sides can also appear, and the course of disease is gradually aggravated, and the treatment of bed rest or traction is ineffective. Lumbosacral X-ray or CT can confirm the diagnosis.
matters needing attention
Lumbosacral radiculitis is caused by infection, poisoning, nutritional and metabolic disorders or strain, cold and other factors. Generally, the onset is more acute, and the damage range often exceeds the sciatic nerve innervation area, showing weakness of the whole lower limb, pain, mild muscle atrophy, in addition to Achilles tendon reflex, knee tendon reflex is often weakened or disappeared.
