Herniated Intervertebral Disc 椎間盤突出(英文) | 衛教單張
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Herniated Intervertebral Disc 椎間盤突出(英文). 2022/5/16. Intervertebral disc is a structure between the vertebral bodies in spine.
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HerniatedIntervertebralDisc椎間盤突出(英文)
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HerniatedIntervertebralDisc椎間盤突出(英文)
2022/5/16
Intervertebraldiscisastructurebetweenthevertebralbodiesinspine.Herniatedintervertebraldiscoccurswhentheouterfibrousringrupturesduetodegenerationortrauma,causingthenucleuspulpousofintervertebraldisctoprotrudetospinalcordcavityandcompressthenerves,whichleadstolowerlimbpainandsciatica.
Nervecompressionusuallytriggersnumbingpainandlackofstrength.Thelocationsofnumbingpainaredifferentbasedonthenervesthatarecompressed.Sciaticaisnotanameofadisease,butasymptom.Thisisasymptomofapainspreadtothelowercalvesfromlowerbackorhips.
Herniatedintervertebraldiscisthemostcommoncauseforsciaticainadultswith1%ofincidentratebetweentheages20to50.95%ofherniatedintervertebraldiscoccurbetweenthefourthandfifthlumbarvertebraandbetweenthefifthvertebraandthefirstsacralvertebra.
Thetypicalsymptomsofherniatedintervertebraldiscarebackpainwithsharplowerlimbstingingpainandnumbness.Thesesymptomsgetworsewhensitting,coughing,andsneezing.Difficultiesurinatingandbowelmovementmayoccurwhennervecompressionissevere.
Whenadoctorisconcernedaboutherniatedintervertebraldisc,lumbarvertebraCTorMRIisrequiredforaccuratediagnosis.Treatmentsmaystartoncethediagnosisisconfirmed.
Non-surgicaltreatmentsincludetakingpainmedicine,rehabilitation,usinglumbarbrace,spinalepiduralinjection,andnerverootinjection.Thesetreatmentsmayrelievemostpatients’pain.Surgeryisrecommendedifthepainisnotimprovedafter6monthsofnon-surgicaltreatments.However,immediatesurgicaltreatmentisrecommendedwhenabnormalurinationandbowelmovementoccurornervesymptomsdeteriorateandcauselackofstrengthinlowerlimbs.
Manybreakthroughsonsurgicaltreatmenthavebeenmadeduetotheprogressofmachinesandtechnology.Butthemosttraditionalandclassicsurgeryisstilllaminectomyanddiscectomy.Mostsurgeriesarecompletedwithendoscopebecauseofitsprogressinrecentyears.Theadvantagesofusingendoscopeincludesmallwound,lessmuscledamage,andquickerrecovery.However,noteveryphysicianisqualifiedforendoscopesurgeryduetoitshighertechnicalrequirements.Moreover,endoscopesurgerydoesnottreatallherniatedintervertebraldisc.Therefore,doctorswillchoosethebestsurgicalmethodbasedondetailedevaluations.
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