Lumbar Disc Herniation (LDH)
Conditions
Interventions
Sponsors
Kunshan Hospital of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
20 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. There is a history of lumbar trauma, chronic strain or exposure to cold and dampness. Most patients have a history of chronic low back pain before the onset of the disease. 2. Low back pain may be accompanied by radiating numbness of the buttocks and lower limbs, and the pain will increase when the abdominal pressure increases (such as coughing and sneezing). 3. Scoliosis, the physiological curvature of the lumbar spine disappears or is reversed, there is tenderness in the paravertebral part of the lesion, which can radiate to the lower limbs, and the lumbar spine movement is obviously limited. 4. Hyperesthesia or sluggishness in the nerve innervation area of the lower extremity, and muscle atrophy may occur in the elderly. The straight leg raising or strengthening test was positive, the knee and Achilles tendon reflexes were weakened or disappeared, and the strength of the hallux dorsiflexor or plantar flexor was weakened. 5. X-ray examination can show: scoliosis, disappearance of lumbar lordosis, possible narrowing of the diseased intervertebral disc, and osteophyte hyperplasia on the adjacent edge. CT examination can display: the location and degree of intervertebral disc herniation, and determine the condition of lumbar spinal stenosis; MRI examination can show: intervertebral disc degeneration or high signal area behind the annulus fibrosus, nucleus pulposus protrusion, dural sac and nerve root compression, in addition, it can be differentiated from intraspinal tumors, and imaging examinations are helpful to confirm the diagnosis and select reasonable treatment methods. 6. Aged between 20-60 years, no gender restrictions. 7. Sign the informed consent form, be willing to accept the rehabilitation treatment plan, and the clinical diagnosis and treatment process conforms to medical ethics standards.
Exclusion criteria
Exclusion criteria: 1. Patients with lumbar spondylolisthesis of degree II and above with lumbar spondylolisthesis or obvious lumbar instability. 2. Patients with obvious lumbar spinal stenosis, ligamentum flavum hypertrophy or calcification. 3. Patients with symptoms of cauda equina nerve injury such as abnormal urination and numbness in the saddle area. 4. The patient has a history of tumor, tuberculosis, blood disease, infection and other diseases and related drug allergies. 5. The patient's lower extremity motor ability deficit, obvious increased muscle tone, tendon hyperreflexia, ankle clonus, etc. reflect the manifestations of upper motor neuron or spinal cord lesions. 6. The patient's gait appears weak, flustered, swaying, or ataxia and other suspicious central, spinal cord or skeletal muscle lesions. 7. Patients with serious cardiovascular, cerebrovascular, liver, kidney and other serious life-threatening primary diseases, poorly controlled diabetes and mental illness. 8. The patient's constitution is weak or accompanied by severe osteoporosis. 9. Pregnancy, lactation and menstruating.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oswestry Disability Index;Medical Outcomes Survey Short Form-36;p38MAPK and MCP-1 protein factors;Muscle tension/tenderness;fMRI; | — |
Countries
China
Contacts
Public ContactDai Dechun
Kunshan Hospital of Traditional Chinese Medicine
Outcome results
None listed