Can vertebral instability be cured?

summary

Most patients with low back pain are young adults. Acute attack, most patients in the process of twisting or bending into stretching, immediately produce unilateral or bilateral low back pain, activity waist pain is aggravated, and even to the buttocks, thighs and sacrococcygeal radiation. It usually does not involve the lower leg. Patients are often in a forced position, afraid of being touched or moved by others. In the early stage of nerve root effect, there may be nerve root effect, and lower limb pain may occur. Usually, the range involved is slightly small, and it is not scattered according to the distribution area of nerve root. When sacral nerve root 1 is tired, Achilles tendon reflex may be weakened or absent. What performance does lumbar instability have?

Can vertebral instability be cured?

1. When the signs of acute attack, the lumbar physiological twists and turns are not seen, the spinous process is arranged irregularly, and the affected facet joint has significant percussion pain and tenderness. Partial closure of the affected facet joint with procaine or lidocaine can reduce the pain. There was no abnormality in lower limb muscle strength and sensation.

2. Clinical manifestations and signs are seen in young adults. They often occur in the process of suddenly twisting or changing from bending to stretching. They are characterized by severe pain, significantly limited lumbar movement, significantly severe sacrospinal muscle, lumbar stiffness, tenderness and percussion pain in lumbosacral region. 5-10ml of 1% procaine was injected into the affected facet joints in the closed therapy. The symptoms were relieved or disappeared after a few minutes, which is helpful to the diagnosis of the disease.

3. X-ray examination showed changes of lumbar physiological tortuosity, and it was not easy to find facet joint displacement. However, dynamic lateral radiographs showed loosening sign and asymmetry of facets on both sides. Sometimes the articular process is embedded in the isthmus in the left and right oblique position. CT and MRI images can show the general situation of the bone and surrounding soft tissue of the vertebral segment.

matters needing attention

Normal physiological load means that the load does not lead to the damage of spinal cord or nerve root, nor does it lead to the development of pain and spinal cord deformation. Low back pain caused by instability of lower lumbar spine is a common and frequently occurring disease that affects human normal life and work.