Dr. Nathaphon Littiranon, a spine specialist at S Spine and Nerf Hospital, revealed that due to his experience in treating patients with symptoms Spinal disc herniation As of 2017, most are patients aged 50 or older and present with back pain radiating down their legs. Along with numbness and weakness When compared with the current period The number of patients in the elderly group is still the same. But on the other hand, it turned out that the group of people who Young age When I went down, I had more of these symptoms.
As for the causes found in people of working age or in people who have it Young age which started the disease Spinal disc herniation especially because patients in this group often engage in inappropriate behaviors such as lifting heavy objects, sitting for long periods of time, looking down, and using the phone. or bending over to lift things
Dr. Nathaphon also found that the herniated disc was pressing on the nerve. or herniated disc nerve herniation It is caused by a herniated disc between the two bones that protrudes and presses on the spinal cord. causing the patient neck or back pain. If there is too much pressure, there may be a risk of disability. The most common symptoms are neck pain, low back pain, pain in the buttocks or hips that radiates down the legs. (The area of the sciatic nerve, which is the longest nerve in the human body), causes a feeling of numbness in the patient. or tingling like an electric shock, radiating down one or both legs or arms, causing problems when bending to lift objects or maintain balance. If the nerve is compressed for a long time, this will cause muscle weakness. Including the digestive system which has problems.
However, the treatment of patients Spinal disc herniation in a group of people Young age Dr. Nathaphon also revealed that when a patient has back pain and has taken painkillers for more than 1 month the symptoms have not improved. Your doctor will consider sending you for an x-ray and MRI to assess the severity of your herniated disc. or a herniated disc pressing on a nerve that treats pain Spinal disc herniation or herniated disc It will start with an injection to suppress the inflammation in the spinal nerve cavity. If the disc starts to swell or not much comes out your doctor may consider treating the problem area with laser ablation.
But every time Spinal disc herniation or moving and pressing on the nerve in large amounts Your doctor will perform spinal surgery using an endoscope. or endoscopic perforation with the PSLD technique (Percutaneous Lumbar Stenoscopic Decompression) in the back area or with the PSCD technique (Percutaneous Cervical Stenoscopic Decompression) in the neck area.
Dr. Nathaphon gave an example of a patient suffering from Young age The oldest person ever to receive treatment was 24 years old and his occupation was as a clerk. You have a habit of sitting and working in front of the computer for a long time, sometimes 3-4 hours at a time. A patient came to the doctor with hip pain radiating down the thigh. Have a history of treatments from elsewhere I had already taken medicine and physical therapy and had had some improvement. But when you stop the medicine I stopped doing physiotherapy and the pain came back. And the day this patient came for treatment That is, unable to walk and sleep. Initially, this patient was sent for an x-ray along with an MRI when the exam results confirmed that a herniated disc had been found. Therefore, a treatment plan was set up for endoscopic drilling to remove the thing that was pressing on the nerve. After the operation, the patient’s condition improved significantly. Able to stand up and walk from the first day after surgery.
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