Lumbar 4-5 disc herniation is one of the most common types of lumbar disc herniation, because the body is most stressed by the lumbar 4-5 vertebral body when the human body is sitting, so this segment is prone to intervertebral disc herniation. According to statistics, in clinical practice, about 85% or even more of lumbar disc herniation occurs in lumbar 4-5.
When a herniated disc in the lower back 4-5 compresses the cauda equina nerve, patients may experience a range of symptoms. Low back pain is a common symptom of a herniated disc in the lower back 4-5 that compresses the cauda equina nerve, usually presenting as pain on one or both sides of the lower back, sometimes radiating to the buttocks and thighs. The nature of the pain may be sore, tingling, or burning, and in severe cases, it may interfere with the patient's normal life.
Patients may also experience numbness and weakness in the lower extremities due to compression of the cauda equina nerve. Numbness may extend from the buttocks and thighs to the calves and feet. At the same time, patients may experience symptoms of intermittent claudication after walking or standing for long periods of time. As the disease progresses, patients may experience symptoms such as difficulty walking, muscle fatigue, and in severe cases, muscle atrophy in the lower limbs.
When the cauda equina nerve is severely compressed, it is manifested as sensory abnormality, if the patient has abnormal urine and bowel movements, unable to control himself, such as difficulty in defecation, frequent urination, urgency, incomplete urination, urinary retention, incontinence and other symptoms, has reached the indication for surgery.
Surgical planning should be based on the results of evaluation and diagnosis. The goal of surgery is to relieve compression of the cauda equina nerve, restore nerve function, and prevent further damage. The choice of surgical modality is individualized and may need to take into account factors such as the patient's age, health status, and severity of injury.
After surgery, the patient will be observed in the recovery room to ensure that vital signs are stable. Patients may need to stay in the hospital for a period of observation, and common complications include infection, bleeding, thrombosis, etc. If the patient experiences any discomfort or abnormal symptoms, they should report it to their doctor promptly.
*Training is an important part of cauda equina nerve injury surgery. Early training can help patients regain muscle strength and sensory function. This may include physical, occupational, and psychological counseling.
In addition, it is also necessary to combine traditional Chinese medicine to further improve the recovery process from internal conditioning. During the process, the doctor will follow up regularly to understand the patient's recovery, and the doctor will adjust the plan and training program according to the patient's recovery to help the patient get the best results. Follow-up is an important part of the process for hand patients with cauda equina nerve injury. Through follow-up, patients receive ongoing professional guidance and support to ensure the best possible outcomes and quality of life.
For diseases such as cauda equina nerve injury, it is very important to be prompt. If left unchecked, it can lead to more severe conditions, making it harder to recover and harder to recover. Therefore, once you find symptoms of cauda equina nerve damage, you should seek professional medical help as soon as possible and receive a suitable plan to achieve the best results. At the same time, patients also need to maintain a positive attitude and cooperate with the doctor's ** and advice, in order to ** as soon as possible**.