Lumbar disc herniation is a common disease, and most patients will present with low back pain, with an incidence rate of about 91%. Because the outer layer of the annulus fibrosus and the posterior longitudinal ligament are stimulated by the nucleus pulposus, pain occurs in the lower back through the sinus vertebrae nerves, sometimes accompanied by buttock pain. Patients with lumbar disc herniation need to undergo the following examinations:

1. Lumbar spine X-ray plain film

Sometimes degenerative changes such as narrowing of the intervertebral space and hyperplasia of the vertebral body edges can be seen. , is an indirect reminder that some patients may have spinal deviation or scoliosis. In addition, plain X-ray films can detect the presence of bone diseases such as tuberculosis and tumors, which has important differential diagnosis significance.

2. CT examination

can clearly show the location, size, shape of the intervertebral disc, the pressure and displacement of the nerve roots and the dural sac, and can also show the Hypertrophy of the lamina and ligamentum flavum, hyperplasia and hypertrophy of facet joints, stenosis of the spinal canal and lateral recesses, etc., have great diagnostic value for this disease and are now commonly used.

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3. Magnetic resonance imaging (MRI) examination

MRI has no radioactive damage and is of great significance in the diagnosis of lumbar disc herniation. MRI can comprehensively observe whether the lumbar intervertebral disc is diseased, and through sagittal plane images at different levels and transverse images of the involved intervertebral disc, it can clearly display the shape of the intervertebral disc and its relationship with surrounding tissues such as the dural sac and nerve roots. , in addition, it can identify whether there are other space-occupying lesions in the spinal canal. However, it is not as good as CT examination to show whether the herniated intervertebral disc is calcified.

4. Others

Electrophysiological examination (electromyography, nerve conduction velocity and evoked potential) can help determine the scope and degree of nerve damage and observe the effect of treatment. Laboratory tests are mainly used to rule out some diseases and play a role in differential diagnosis.

Tips

1. In order to facilitate patients’ treatment, Xianning Matang Rheumatism Hospital also accepts letters (preferably sent by registered mail to avoid loss), remittances, and medicines ( If you are sending medicine for a follow-up visit, be sure to write down the patient’s name and the date of the first visit so that you can check the medical record). Patients with complex and serious conditions are recommended to come to the hospital for an in-person consultation.

2. Because Xianning Matang Rheumatology Hospital has a long history, cured patients all over the country, and has a good reputation, many local small clinics and hospitals in Xianning use the name of "Ma Tang" to do their work. It’s about deceiving patients, so in order for you to really go to the right place to see a doctor and see a good doctor