Spine Causes, Symptom, Diagnosis!

1. Spine Causes, Symptom, Diagnosis! Most of the patients complaining of low back pain are lumbar sprains. It is a broad term for low back pain, and it is often the case when you try to lift a heavy object, and you can't move because of the moment when you try to lift a heavy object. Lumbar sprains are a common occurrence, but there are various conditions, from simple muscle damage to ligaments (commonly said to have stretched ligaments), and torn parts of the fibrous ring, the membrane surrounding the nucleus in the intervertebral disc. If only the muscle is injured, it can be treated within a few days, but if a part of the fibrous ring surrounding the nucleus in the intervertebral disc is torn, it may be the cause of herniation. Acute lumbar sprains, which are said to have a phlegm in the lower back or a sprained lower back, may develop into spinal disc disease or spinal canal stenosis, so it is very important to heal early. It is the most common diagnosis in clinical practice and can occur at any age, but it is common in the 20s to 50s and is divided into acute and chronic. It is a minor traffic accident, such as falling on the street or on the floor, bumping your back from the back while you are in a car, or direct trauma to the lumbar spine, lifting a heavy object in an inappropriate posture, bending your back excessively, or getting your stomach due to obesity. When pregnant, the center of gravity of the body is skewed forward, and excessive force is put into the muscles or ligaments around the spine to compensate. As such, when the ligaments or muscles around the spine are suddenly stretched or ruptured due to the excessive motion of the lower back, it is called an acute lumbar sprain. This is a diagnosis that is commonly heard when a person who has not exercised suddenly goes to the hospital because his back is twisted during heavy exercise. Traumatic changes in the fibroblasts, intervertebral discs, and other ligament tissue extension or rupture can result. A condition in which the muscles or ligaments around the spine are stretched or ruptured due to chronic repetition of the ligaments or muscles is called a chronic lumbar sprain. Chronic lumbar sprains account for most of the actual causes of back pain. It appears as a result of continuous mechanical stress applied to the lower lumbar spine due to a combination of unclear factors. Preceding factors include excessive weight, continuous occupational improper posture, abnormal lumbar curve, especially hyperextension of the lumbar spine, And congenital abnormalities in the spine structure. However, there is controversy among doctors as to whether it is medically possible to actually chronically sprained ligaments or muscles. Cause

2. The exact cause of the herniated disc is still unknown. However, the most likely cause is thought to be ‘the disk protrudes when excessive external force is applied to the denatured disk'. In the meantime, a lot of research has been done on which people are more likely to get herniated discs. However, other than the high risk for heavy-duty jobs, heavy-duty driving jobs, and smokers, nothing has been clearly proven. As you age, the frequency of disc protrusion increases. Because of this, some doctors refer to the herniated disc as an aging phenomenon that occurs with age. With age, the water content inside the disk decreases, causing the disk to lose its elasticity, which means that when excessive force is applied to the lost disk, the disk protrudes. However, since discs appear even in children of 10 years old, aging cannot be explained entirely. Symptom The two most prominent symptoms in patients with herniated disc are ‘low back pain' and ‘numbing and sore legs'. Depending on the patient, low back pain may be the main symptom, and leg pain may be the main symptom. However, most lumbar discs are characterized by more severe leg pain than low back pain. If you have low back pain without any symptoms of your legs, it is likely that there is a different cause than the herniated disc. In herniated discs, low back pain is often associated with pain in the hip as well as in the lower back. Pain in the legs is a form of radiating pain that starts in the lower back or buttocks and goes down to the instep or sole of the feet along the back and outside of the thigh and calves. In most cases, pain is felt in one leg or in one hip, but in severe cases, pain is felt in both legs. Patients whose nerves are severely pressed by a protruding disc show neurological symptoms such as numbness of the ankle or toe, and loss of sensation. Diagnosis ① ① Straight leg raising test This is the easiest way to diagnose lumbar disc. This is a test in which the patient is placed on a bed, and one leg is lifted alternately with the other leg while keeping the knee straight. You can do it simply at home. Normal people can lift their legs by more than 70 degrees, but with herniated disc patients, even a small lift can cause severe pain in the lower back, hips, and legs, so the angle at which they can lift is limited. The harder the nerve is pressed with the protruding disc, the more severely the angle is limited. When the disc protrudes to the left, the left lumbar nerve is pressed and there is a limit to lifting the left leg. If the disc protrudes to the right, the right lumbar nerve is pressed and there is a limit to lifting the right leg. Sometimes, when one leg is lifted, the other leg is severely ill. This means that the nerves are being pressed very hard.

3. ② ② Nerve test After determining whether it is a disc or not with a straight leg elevation test, the muscle strength, sensation, and nerve reflex of the lower extremity are examined to evaluate whether there is an abnormality in the function of the nerve. Patients whose nerves are severely pressed by the protruding discs develop neurological symptoms such as weakening of leg muscles, numbness, or poor nerve reflex function. ③ ③ Radiology Examination Through an X-ray examination, you can observe the narrowed spinal gap. CT scans, MRI scans, etc. can be used to check the extent and extent of disc prolapse.