可能的治疗取决于你的症状。找到几篇可供参考的文章。你得和你的医生结合你的工
作(主要是体位，姿势)讨论，考虑。
一般解释:
http://answers.yahoo.com/question/index?qid=20080408061658AAbGK9U
It means your disc is herniated or sticking out beyond its normal borders.
Neural compromise suggests the herniation is impinging or putting pressure
on the nerves exiting the spinal cord. This can be treated with NSAIDs,
physical therapy, rest, local heat and tincture of time. Also sometimes
steroid injections. Surgery is the court of last resort. Often these things
heal with time if you don't reinjure them. L5 and S1 are the numerical designations
of the vertebrae between which the herniation occurred. This is your lower
back and generally innervates the later and back part of your leg.
症状:
http://scholar.ilib.cn/A-zgjzjszz200203015.html
腰5_1椎间盘突出的临床特点
The Clinical characteristics of lumbosacrum disc herniation
<<中国脊柱脊髓杂志 >>2002年03期 崔华中 , 韩伟 , 孔抗美 , 宋沛松 , 王洪伟
, 欧阳甲
目的:探讨L5/S1椎间盘突出的临床特点以提高临床诊断正确率.方法:回顾分析188例
腰椎间盘突出病人的临床资料,对另96例L5/S1、88例 L4/5 椎间盘突出病人进行详
细临床检查并总结分析.结果:L5/S1椎间盘突出特点为:鞍区感觉(针刺、轻触、温度
觉)迟钝;括约肌功能减退;跪位踝反射减弱或消失;直腿抬高试验度数偏高;单足下蹲
试验常呈阳性等.结论:L5/S1椎间盘突出的临床特点有助于腰椎间盘突出的定位诊断
.
http://doc.xywy.com/wendaguidang/20071209/329492.html
诊断结论：腰5_椎间盘轻度后突
答复1:
腰椎间盘突出症可按年龄，性别，患病时间及突出部位的不同而表现出各种各样的
临床症状,常见临床表现如下:1.腰痛:90%以上的患者均有这种表现.其疼痛范围主要
是在下腰部及腰_部,以持续性的钝痛最为常见。平卧位时疼痛可减轻,站立位及坐位
时可以加重.下肢放射痛:疼痛可以沿着下腰部,臀部，大腿后侧,小腿后侧，小腿前
或后外侧放射至足跟.以放射刺痛为主.下肢放射痛可以先于腰痛发生,也可能在腰痛
出现后出现，这两钟情况因人而异.2，下肢感觉及运动功能减弱:由于神经根被损害，
导致其支配区域的感觉及运动功能减弱甚至丧失.常见表现有:皮肤麻木,发凉,皮温
下降等等,严重时可出现肌肉萎缩甚至肌肉瘫痪.3，马尾神经症状:表现为会阴部麻
木刺痛,排尿无力,排便使禁等.腰椎间盘突出症。关键看有无神经压迫症状：下肢疼
痛，麻木。影响日常生活。保守治疗【牵引。腰围保护。理疗。药物治疗】半年无
效，考虑手术治疗【激光。介入。开窗手术】。
http://www.emedicine.com/radio/TOPIC219.HTM
Clinical Details
Radicular pain is characterized as a unilateral, lancinating, dermatomal
pain. This is often exacerbated by coughing, sneezing, or Valsalva maneuvers.
It is also exacerbated by maneuvers that stretch the affected nerve root.
Passive straight-leg raising leads to stretching of the sacral and lower
lumbar roots and passive flexion of the neck stretches the cervical roots.
Spinal movements that narrow the intervertebral foramina (extension and
lateral flexion of the neck) can also aggravate root pain. This is common
with extradural lesions and rare with intramedullary lesions.
Clinical signs might include dermatomal hypesthesia or hyperesthesia, segmental
paresis, amyotrophy, reflex changes and fasciculations. In the case of a
lumbar disk, the patient might experience sphincter disturbances in addition
to a painful back and radicular pains. Bilateral symptoms and signs might
suggest that the disk material has protruded centrally, and this is more
likely to cause sphincter dysfunction than a lateral herniation.
The location of the ruptured disk determines where a person has symptoms.
Most ruptured disks are in the lower back and cause low back pain. If the
ruptured disk presses on a nerve, pain may be felt in the buttocks, legs,
and feet. This pain, which usually affects only 1 leg, is known as sciatica.
L5 root involvement causes weakness in foot and toe dorsiflexion, whereas
a S1 lesion leads to depressed or absent ankle jerk and weakness of plantar
flexion. In either case, restricted movement of the spine, local tenderness,
paraspinal spasm, and/or a positive Las□ue sign (which is observed on a
straight leg-raising test) may be evident. Involvement of L4 root results
in a depressed or absent knee jerk and can cause weakness and atrophy involving
the quadriceps and occasionally the adductors as well.
影像:
http://www.medi-fax.com/atlas/spinedegenerative/case5.html
Left L5S1 Extruded Disc.
Contributor:
Dr. Chris Ekong
Case 5
Age: 39
Sex: Female
History: Sudden onset of severe left hip pain radiating down the left leg
3 months ago(August 1999). She could barely walk 2 months after the onset
of symptoms.
Examination:
Initial examination showed SLR of 60 degrees on the left, decreased sensation
in the left S1 dermatome, and absent left ankle jerkTreatment:
By the time the CT scan was done 3 months after the onset of the symptoms,
the symptoms completely resolved. The patient returned to normal activities.
治疗:
http://www.austindrx.com/files/YochumProfile_PROOF.pdf
Intervention and Outcomes: The patient was provided spinal decompression
treatments following the written protocols for the DRX-9000 unit. Care was
provided by various doctors and locations. Relief of symptoms began following
the first treatment, and eight weeks of follow-up
care provided 100% reduction of symptoms. Neutral seated (weight-bearing)
MR images were repeated approximately 7.5 months following initiation of
treatment. These images revealed complete reduction of the previously visualized
L5/S1 discal herniation.
作(主要是体位，姿势)讨论，考虑。
一般解释:
http://answers.yahoo.com/question/index?qid=20080408061658AAbGK9U
It means your disc is herniated or sticking out beyond its normal borders.
Neural compromise suggests the herniation is impinging or putting pressure
on the nerves exiting the spinal cord. This can be treated with NSAIDs,
physical therapy, rest, local heat and tincture of time. Also sometimes
steroid injections. Surgery is the court of last resort. Often these things
heal with time if you don't reinjure them. L5 and S1 are the numerical designations
of the vertebrae between which the herniation occurred. This is your lower
back and generally innervates the later and back part of your leg.
症状:
http://scholar.ilib.cn/A-zgjzjszz200203015.html
腰5_1椎间盘突出的临床特点
The Clinical characteristics of lumbosacrum disc herniation
<<中国脊柱脊髓杂志 >>2002年03期 崔华中 , 韩伟 , 孔抗美 , 宋沛松 , 王洪伟
, 欧阳甲
目的:探讨L5/S1椎间盘突出的临床特点以提高临床诊断正确率.方法:回顾分析188例
腰椎间盘突出病人的临床资料,对另96例L5/S1、88例 L4/5 椎间盘突出病人进行详
细临床检查并总结分析.结果:L5/S1椎间盘突出特点为:鞍区感觉(针刺、轻触、温度
觉)迟钝;括约肌功能减退;跪位踝反射减弱或消失;直腿抬高试验度数偏高;单足下蹲
试验常呈阳性等.结论:L5/S1椎间盘突出的临床特点有助于腰椎间盘突出的定位诊断
.
http://doc.xywy.com/wendaguidang/20071209/329492.html
诊断结论：腰5_椎间盘轻度后突
答复1:
腰椎间盘突出症可按年龄，性别，患病时间及突出部位的不同而表现出各种各样的
临床症状,常见临床表现如下:1.腰痛:90%以上的患者均有这种表现.其疼痛范围主要
是在下腰部及腰_部,以持续性的钝痛最为常见。平卧位时疼痛可减轻,站立位及坐位
时可以加重.下肢放射痛:疼痛可以沿着下腰部,臀部，大腿后侧,小腿后侧，小腿前
或后外侧放射至足跟.以放射刺痛为主.下肢放射痛可以先于腰痛发生,也可能在腰痛
出现后出现，这两钟情况因人而异.2，下肢感觉及运动功能减弱:由于神经根被损害，
导致其支配区域的感觉及运动功能减弱甚至丧失.常见表现有:皮肤麻木,发凉,皮温
下降等等,严重时可出现肌肉萎缩甚至肌肉瘫痪.3，马尾神经症状:表现为会阴部麻
木刺痛,排尿无力,排便使禁等.腰椎间盘突出症。关键看有无神经压迫症状：下肢疼
痛，麻木。影响日常生活。保守治疗【牵引。腰围保护。理疗。药物治疗】半年无
效，考虑手术治疗【激光。介入。开窗手术】。
http://www.emedicine.com/radio/TOPIC219.HTM
Clinical Details
Radicular pain is characterized as a unilateral, lancinating, dermatomal
pain. This is often exacerbated by coughing, sneezing, or Valsalva maneuvers.
It is also exacerbated by maneuvers that stretch the affected nerve root.
Passive straight-leg raising leads to stretching of the sacral and lower
lumbar roots and passive flexion of the neck stretches the cervical roots.
Spinal movements that narrow the intervertebral foramina (extension and
lateral flexion of the neck) can also aggravate root pain. This is common
with extradural lesions and rare with intramedullary lesions.
Clinical signs might include dermatomal hypesthesia or hyperesthesia, segmental
paresis, amyotrophy, reflex changes and fasciculations. In the case of a
lumbar disk, the patient might experience sphincter disturbances in addition
to a painful back and radicular pains. Bilateral symptoms and signs might
suggest that the disk material has protruded centrally, and this is more
likely to cause sphincter dysfunction than a lateral herniation.
The location of the ruptured disk determines where a person has symptoms.
Most ruptured disks are in the lower back and cause low back pain. If the
ruptured disk presses on a nerve, pain may be felt in the buttocks, legs,
and feet. This pain, which usually affects only 1 leg, is known as sciatica.
L5 root involvement causes weakness in foot and toe dorsiflexion, whereas
a S1 lesion leads to depressed or absent ankle jerk and weakness of plantar
flexion. In either case, restricted movement of the spine, local tenderness,
paraspinal spasm, and/or a positive Las□ue sign (which is observed on a
straight leg-raising test) may be evident. Involvement of L4 root results
in a depressed or absent knee jerk and can cause weakness and atrophy involving
the quadriceps and occasionally the adductors as well.
影像:
http://www.medi-fax.com/atlas/spinedegenerative/case5.html
Left L5S1 Extruded Disc.
Contributor:
Dr. Chris Ekong
Case 5
Age: 39
Sex: Female
History: Sudden onset of severe left hip pain radiating down the left leg
3 months ago(August 1999). She could barely walk 2 months after the onset
of symptoms.
Examination:
Initial examination showed SLR of 60 degrees on the left, decreased sensation
in the left S1 dermatome, and absent left ankle jerkTreatment:
By the time the CT scan was done 3 months after the onset of the symptoms,
the symptoms completely resolved. The patient returned to normal activities.
治疗:
http://www.austindrx.com/files/YochumProfile_PROOF.pdf
Intervention and Outcomes: The patient was provided spinal decompression
treatments following the written protocols for the DRX-9000 unit. Care was
provided by various doctors and locations. Relief of symptoms began following
the first treatment, and eight weeks of follow-up
care provided 100% reduction of symptoms. Neutral seated (weight-bearing)
MR images were repeated approximately 7.5 months following initiation of
treatment. These images revealed complete reduction of the previously visualized
L5/S1 discal herniation.
