How is disease of instability of lower lumbar vertebra to return a responsibility?

summary

Lower lumbar instability is not only an independent disease, but also a symptom of many lumbar diseases, or one of the clinical manifestations. Low back pain caused by instability of lower lumbar spine is a common and frequently occurring disease that affects human normal life and work. According to foreign literature, about 50% of adults in western countries have suffered from low back pain, and about half of them need to see a doctor. Let's share my experience with you.

How is disease of instability of lower lumbar vertebra to return a responsibility?

Most of the patients with mild clinical symptoms are not obvious, while those with severe symptoms present spondylolisthesis, but it is called "pseudo spondylolisthesis" because it is not accompanied by spondylolysis of vertebral arch. Among them, low back pain and sciatica are the main symptoms of lumbar instability,

Fear of standing, like to rely on: due to the relaxation of lumbar vertebrae, most patients are unwilling to stand for a long time, or rely on the body on the spot when standing. We can borrow the place to rely on to reduce the load of waist. May have acute attack: patients may have a history of chronic low back pain, attack often has obvious trauma incentives. There may or may not be neurological symptoms.

Root pain symptoms: if the degree of loosening of the vertebral segment is large, it is easy to cause the spinal nerve root to be pulled and root radiation pain symptoms appear, but the symptoms disappear immediately or significantly reduce after lying down. General pain: different severity, short duration, after rest, braking and physical therapy can be relieved in 4-5 days, but easy to relapse.

matters needing attention

(1) Avoid the rotation of the waist to reduce the shear force on the unstable segment（ 2) Lose weight, prevent excess weight is limited in the abdomen, in order to reduce the pull on the lordosis of the spine（ 3) The waist brake is used to reduce the pressure on the unstable segment（ 4) To train and encourage patients to carry out abdominal and back muscle functional exercises for a long time, so as to restore the stability of unstable segments with strong lumbar and back muscles.