Lumbar disc herniation.
It is a spinal disease that is caused by lumbar disc degeneration, partial or complete rupture of the fibrous annulus, resulting in protruding nucleus pulposus stimulating or compressing nerves, and the clinical manifestations are often as follows: low back pain, sciatica, radiating pain in the lower limbs, scoliosis, and reduced mobility of the lumbar spine, which is more common in people aged 20 to 50.
What is "percutaneous foraminoscopy"?
Percutaneous endoscopic lumbar discectomy peld is a percutaneous puncture insertion of a working cannula at the herniated disc site under the guidance of a C-arm machine or CT, and an endoscope is inserted, and the herniated nucleus pulposus, nerve root, dural sac and hyperplastic bone tissue can be clearly seen under the direct vision of the endoscope. Radiofrequency electrode repair of broken fibrous rings, relieve nerve compression, and loosen nerve root adhesions.
Percutaneous foraminoscopic discectomy advantages:
It can be operated on local anesthesia;
Direct endoscopic vision, clear surgical field;
Precision technology;Rapid pain relief;
Small trauma and less bleeding;
It does not destroy the anatomical structure of the spine, and interferes with the normal structure of the spinal canal and the spine with little interference
Fast recovery, high patient comfort, and low hospital costs.
Can I recover quickly after surgery and do it once and for all?
The answer is no, on the patient's road, the success of the operation is only half of the success, and the other half lies in the careful maintenance and scientific exercise after the operation. The short-term postoperative maintenance determines the quality to a large extent, and the long-term postoperative maintenance and exercise determine whether the postoperative maintenance and exercise are the best and the length of the cycle.
How long does it take to get out of bed after surgery?
Tips to remind.
Intervertebral foraminoscopy surgery is a relatively minimally invasive surgical method, the damage is relatively small, 24 hours after surgery, you can wear the waist circumference to get out of bed and walk appropriately, the waist circumference is about 6 weeks, so as not to cause muscle disuse atrophy, 1 month after surgery, bed rest is the mainstay, strengthen functional exercise, and prevent deep vein thrombosis of the lower limbs.
* Exercise principles.
*Exercise is suitable for people, according to age, the physical condition and tolerance of the patient to determine the intensity of training, do not blindly pursue the intensity of exercise.
Here's how.
The first stage: 24 hours after surgery, recumbent straight leg elevation exercises, lower limb flexion and extension exercises, ankle dorsal extension and plantar flexion exercises.
Straight-leg raises increase quadriceps muscle strength.
Straight-leg raises to exercise Xi).
Ankle pump exercise prevents deep vein thrombosis of the lower extremities.
The second stage: the pain of the wound is reduced, and the lower back muscles can be exercised in the 5-7 days after surgery: lie on the prone bed, put your arms on your sides, stretch your legs, and then lift your head, upper limbs and lower limbs upwards vigorously, do not flex the elbows and knees, always keep them straight, such as swallows, for 3 5 seconds, and then relax the muscles for 3 5 seconds for a cycle, and repeat the exercise 20 40 times, so that the individual does not feel tired.
Functional exercises for the lower back muscles enhance the strength of the lower back muscles.
Movement 1: Lie on your stomach on the bed with your legs together and lift).
Movement 2: Head and upper limbs raised).
Action 3: Raise your limbs and head at the same time).
Stage 3: 30 days after surgery: use the waist circumference correctly, practice Xi getting out of bed under the condition of wearing the waist circumference, and practice the Xi method by standing, that is, when standing, the feet are shoulder-width apart, the hands are crossed on the waist, the chest is raised and the abdomen is raised, and the lumbar back muscles are contracted. Walk in the correct posture, raise your head and chest, tuck your abdomen, and sit upright without bending over.
How long will it take to get back to work?
After all, the protrusion is removed during the operation, and the trauma site is at the pivotal position of the human body's load-bearing, such as the load-bearing wall of the ** house, which requires a certain period of bed rest, and it is recommended that you can resume work 1-3 months after surgery, but because there are large individual differences in the patient's intervertebral foraminoscopy after surgery, only if the postoperative recuperation is appropriate, the long-term effect can be good, so it is recommended to rest for a period of time after surgery and then resume work.
How to exercise scientifically?
Try not to participate in strenuous running and jumping sports after surgery, such as playing basketball, football, and badminton, which can easily cause aggravation of the condition, lead to postoperative ** and reoperation.
So what kind of exercises can be done?
Jogging, swimming, and patients can also do appropriate planks and other exercises to enhance the strength of the lower back muscles, but the amount of exercise should be gradual, with a certain interval in the exercise, to avoid overwork of the waist.
What should I do if I still feel pain after surgery?
Mild pain after surgery and 3-5 days after surgery can be treated with oral non-steroidal anti-inflammatory drugs and nutritional neurological drugs** under the guidance of a doctor to relieve the symptoms of postoperative pain and numbness. If the pain is still not relieved or even aggravated after 3 months after surgery, or the clinical manifestations of ipsilateral disc herniation of the original surgical segment appear, it is necessary to see a doctor in time.
Other life notes:
Avoid weight-bearing and sleeping in soft beds;
Avoid waist rotation exercises and other forms of exercise;
Establish a good lifestyle, change your sitting posture frequently, and don't sit for long periods of time
When leaning over to pick up objects, you should bend your knees and squat down to pick up the objects.
Author: Kong Weina, Pain Department.
Editor: Yang Xinrui, Propaganda Section.
Review: Zhang Di, Propaganda Section.