BACKGROUND The spontaneous resorption of lumbar disk herniations(LDHs)has been widely reported.However,the majority of these reports analyze the resorption of LDHs that were displaced backwards or downwards.There have...BACKGROUND The spontaneous resorption of lumbar disk herniations(LDHs)has been widely reported.However,the majority of these reports analyze the resorption of LDHs that were displaced backwards or downwards.There have been few reports on the spontaneous resorption of upwardly displaced L4/5 LDH that has caused femoral nerve symptoms.CASE SUMMARY A 55-year-old woman presented to our hospital with acute pain in her left leg.She had been suffering from recurrent lower back pain for approximately 1 year and began to feel pain accompanied with numbness at the anterior aspect of her left leg 7 d previously.On examination,a typical L4 nerve stimulation was noted.An upwardly displaced LDH at the L4/5 level was revealed by magnetic resonance imaging.The patient attained complete relief of her symptoms after 10 wk of nonsurgical treatment and the upwardly displaced herniation almost entirely disappeared.There was no recurrence during a follow-up of 2 years.CONCLUSION Clinicians should be aware that the nerves disturbed by LDHs vary according to the direction of the herniations and the probable resorption of upwardly displaced LDHs should be considered before making a decision on surgery.展开更多
Protrusion of the lumbar intervertebral disc is a common disorder frequently encountered in clinic. With TCM massage and the maneuver of manual reduction, we have treated 82 cases of protrusion of the lumbar inter... Protrusion of the lumbar intervertebral disc is a common disorder frequently encountered in clinic. With TCM massage and the maneuver of manual reduction, we have treated 82 cases of protrusion of the lumbar intervertebral disc, with satisfactory therapeutic results reported in the following.……展开更多
目的:观察分期指导“导引固肾法”功能锻炼在腰椎间盘突出症患者中的应用效果。方法:将120例腰椎间盘突出症患者依据数字表法随机分为观察组、对照1组和对照2组各40例。观察组根据患者疾病分期,对应指导患者行“导引固肾法”功能锻炼;对...目的:观察分期指导“导引固肾法”功能锻炼在腰椎间盘突出症患者中的应用效果。方法:将120例腰椎间盘突出症患者依据数字表法随机分为观察组、对照1组和对照2组各40例。观察组根据患者疾病分期,对应指导患者行“导引固肾法”功能锻炼;对照1组行一般功能锻炼;对照2组功能锻炼动作同观察组,但不按疾病分期对应锻炼。出院后继续随访并指导3组患者行相应功能锻炼至3个月。分别在功能锻炼第2周及随访3个月时评估患者腰痛视觉模拟量表(visual analog scale,VAS)评分,于第2周时评估腰椎JOA评分及其改善率、显效率和1年内复发率,同时观察治疗前后炎症因子水平。结果:功能锻炼第2周VAS评分观察组为(1.79±0.33)分,低于对照1组的(2.26±0.52)分和对照2组的(2.10±0.37)分,3个月后VAS评分观察组为(0.73±0.40)分,低于对照1组的(1.25±0.43)分和对照2组的(0.94±0.47)分;2周后JOA评分观察组为(24.35±2.64)分,高于对照1组的(19.88±4.55)分和对照2组的(22.50±3.21)分;2周后总显效率观察组为92.5%(37/40),高于对照1组的57.5%(23/40),对照2组的75.0%(30/40);1年内复发率观察组为7.5%(3/40),低于对照1组的35.0%(14/40),对照2组的15%(6/40);观察组治疗后炎症因子水平低于对照组(P<0.05)。结论:腰椎间盘突出症患者按疾病分期行“导引固肾法”功能锻炼,临床疗效优于一般功能锻炼与不按疾病分期的锻炼,并能降低复发率。展开更多
The authors treated 62 cases of protrusion oflumbar intervertebral disc by pulling and turningmanipulations from February 1993 to February 1998.Another 50 cases were treated by traction as controls.Statistical data sh...The authors treated 62 cases of protrusion oflumbar intervertebral disc by pulling and turningmanipulations from February 1993 to February 1998.Another 50 cases were treated by traction as controls.Statistical data showed that pulling and turningmanipulations had much better therapeuticeffectiveness than traction(P<0.05).展开更多
Clinically, there is a higher incidence of protrusion of the lumbar intervertebral disc. It can cause a terrible pain. The author has treated 66 cases by massotherapy, who were confirmatively diagnosed as having protr...Clinically, there is a higher incidence of protrusion of the lumbar intervertebral disc. It can cause a terrible pain. The author has treated 66 cases by massotherapy, who were confirmatively diagnosed as having protrusion of the lumbar intervertebral disc by X-ray film and computer-aided tomography, with satisfactory results as reported in the following.
Clinical Data
Among the 66 cases in this series, 49 were male and 17 female, ranging in age from 26 to 59 years, averaging 36.2 years. All the patients had got lumbago and unilateral ischialgia, with the left side affected in 37 cases and the right side in 29 cases. The leg pain radiating to lateral malleolus was found in 28 cases, to dorsum of the foot in 24 cases, and to the toes in 14 cases. Intermittent claudication was present in 22 cases, numbness of the affected foot in 16 cases, pain exacerbated when coughing in 35 cases, scoliosis in 21 cases, and positive Lasegue's sign in 48 cases.展开更多
Fifty-six cases of the protrusion of the lumbar intervertebral disc in the treatment group were treated by drug-penetration and oral administration of traditional Chinese decoction plus traction, and the other 35 case...Fifty-six cases of the protrusion of the lumbar intervertebral disc in the treatment group were treated by drug-penetration and oral administration of traditional Chinese decoction plus traction, and the other 35 cases in the control group by oral administration of Chinese decoction and traction. The results showed that the cure rate in the treatment group was 83.9%, and that in the control group was 57.1%, with a statistically significant difference between the two groups (P<0.01), indicating that the former is a more effective therapy for protrusion of the lumbar intervertebral disc.展开更多
文摘BACKGROUND The spontaneous resorption of lumbar disk herniations(LDHs)has been widely reported.However,the majority of these reports analyze the resorption of LDHs that were displaced backwards or downwards.There have been few reports on the spontaneous resorption of upwardly displaced L4/5 LDH that has caused femoral nerve symptoms.CASE SUMMARY A 55-year-old woman presented to our hospital with acute pain in her left leg.She had been suffering from recurrent lower back pain for approximately 1 year and began to feel pain accompanied with numbness at the anterior aspect of her left leg 7 d previously.On examination,a typical L4 nerve stimulation was noted.An upwardly displaced LDH at the L4/5 level was revealed by magnetic resonance imaging.The patient attained complete relief of her symptoms after 10 wk of nonsurgical treatment and the upwardly displaced herniation almost entirely disappeared.There was no recurrence during a follow-up of 2 years.CONCLUSION Clinicians should be aware that the nerves disturbed by LDHs vary according to the direction of the herniations and the probable resorption of upwardly displaced LDHs should be considered before making a decision on surgery.
文摘 Protrusion of the lumbar intervertebral disc is a common disorder frequently encountered in clinic. With TCM massage and the maneuver of manual reduction, we have treated 82 cases of protrusion of the lumbar intervertebral disc, with satisfactory therapeutic results reported in the following.……
文摘目的:观察分期指导“导引固肾法”功能锻炼在腰椎间盘突出症患者中的应用效果。方法:将120例腰椎间盘突出症患者依据数字表法随机分为观察组、对照1组和对照2组各40例。观察组根据患者疾病分期,对应指导患者行“导引固肾法”功能锻炼;对照1组行一般功能锻炼;对照2组功能锻炼动作同观察组,但不按疾病分期对应锻炼。出院后继续随访并指导3组患者行相应功能锻炼至3个月。分别在功能锻炼第2周及随访3个月时评估患者腰痛视觉模拟量表(visual analog scale,VAS)评分,于第2周时评估腰椎JOA评分及其改善率、显效率和1年内复发率,同时观察治疗前后炎症因子水平。结果:功能锻炼第2周VAS评分观察组为(1.79±0.33)分,低于对照1组的(2.26±0.52)分和对照2组的(2.10±0.37)分,3个月后VAS评分观察组为(0.73±0.40)分,低于对照1组的(1.25±0.43)分和对照2组的(0.94±0.47)分;2周后JOA评分观察组为(24.35±2.64)分,高于对照1组的(19.88±4.55)分和对照2组的(22.50±3.21)分;2周后总显效率观察组为92.5%(37/40),高于对照1组的57.5%(23/40),对照2组的75.0%(30/40);1年内复发率观察组为7.5%(3/40),低于对照1组的35.0%(14/40),对照2组的15%(6/40);观察组治疗后炎症因子水平低于对照组(P<0.05)。结论:腰椎间盘突出症患者按疾病分期行“导引固肾法”功能锻炼,临床疗效优于一般功能锻炼与不按疾病分期的锻炼,并能降低复发率。
文摘The authors treated 62 cases of protrusion oflumbar intervertebral disc by pulling and turningmanipulations from February 1993 to February 1998.Another 50 cases were treated by traction as controls.Statistical data showed that pulling and turningmanipulations had much better therapeuticeffectiveness than traction(P<0.05).
文摘Clinically, there is a higher incidence of protrusion of the lumbar intervertebral disc. It can cause a terrible pain. The author has treated 66 cases by massotherapy, who were confirmatively diagnosed as having protrusion of the lumbar intervertebral disc by X-ray film and computer-aided tomography, with satisfactory results as reported in the following.
Clinical Data
Among the 66 cases in this series, 49 were male and 17 female, ranging in age from 26 to 59 years, averaging 36.2 years. All the patients had got lumbago and unilateral ischialgia, with the left side affected in 37 cases and the right side in 29 cases. The leg pain radiating to lateral malleolus was found in 28 cases, to dorsum of the foot in 24 cases, and to the toes in 14 cases. Intermittent claudication was present in 22 cases, numbness of the affected foot in 16 cases, pain exacerbated when coughing in 35 cases, scoliosis in 21 cases, and positive Lasegue's sign in 48 cases.
文摘Fifty-six cases of the protrusion of the lumbar intervertebral disc in the treatment group were treated by drug-penetration and oral administration of traditional Chinese decoction plus traction, and the other 35 cases in the control group by oral administration of Chinese decoction and traction. The results showed that the cure rate in the treatment group was 83.9%, and that in the control group was 57.1%, with a statistically significant difference between the two groups (P<0.01), indicating that the former is a more effective therapy for protrusion of the lumbar intervertebral disc.
