一直有腰痛的老毛病,上个月初开始就坐骨神经痛发作,无法走路,在家平躺了一个月,期间做了几次针灸,没什么效果,晚上疼的更是无法睡觉,腰,右侧屁股和腿都疼,脚也发麻。所以约了专科医生,配了点药, 做了MRI,但下次看医生要月底。谢谢哪位大神看的懂的能帮忙解释下报告的结果吗?我这是什么情况?心慌慌的,就怕一直这样起不来了。 FINDINGS: For purposes of counting, the last fully formed disc space is designated as L5-S1, and the first conical shaped vertebral body is estimated as S1. Maintenance of the lumbar lordosis. No focal aggressive marrow lesion is seen. No evidence of acute osseous abnormality. The conus is at the level of L1. There is no thickening of the cauda equina. The prevertebral soft tissues are unremarkable in appearance. L1-L2: No posterior disc abnormality. No facet arthropathy. No spinal canal stenosis or neural foraminal narrowing. L2-L3: No posterior disc abnormality. No facet arthropathy. No spinal canal stenosis or neural foraminal narrowing. L3-L4: No posterior disc abnormality. No facet arthropathy. No spinal canal stenosis or neural foraminal narrowing. L4-L5: No posterior disc abnormality. No facet arthropathy. No spinal canal stenosis or neural foraminal narrowing. L5-S1: Desiccated disc with mild stature loss. Shallow posterior disc bulge with superimposed probable right subarticular disc extrusion, measuring 1.1 cm in AP dimension and 1.3 cm in craniocaudal dimension. Resultant severe narrowing of the right lateral recess with probable contacting/impinging right S1 descending nerve root. Bilateral neural foramina patent. No significant spinal canal stenosis. IMPRESSION: 1. No acute osseous abnormality. 2. At L5-S1: Shallow posterior disc bulge with superimposed probable right subarticular disc extrusion, measuring 1.1 cm in AP dimension and 1.3 cm in craniocaudal dimension. Neoplasm cannot be entirely excluded and further assessment with MRI lumbar spine with and without contrast is recommended. Resultant severe narrowing of the right lateral recess with probable contacting/impinging right S1 descending nerve root, correlate clinically for radiculopathy. Bilateral neural foramina patent. No significant spinal canal stenosis.
FINDINGS: For purposes of counting, the last fully formed disc space is designated as L5-S1, and the first conical shaped vertebral body is estimated as S1. Maintenance of the lumbar lordosis. No focal aggressive marrow lesion is seen. No evidence of acute osseous abnormality. The conus is at the level of L1. There is no thickening of the cauda equina. The prevertebral soft tissues are unremarkable in appearance. L1-L2: No posterior disc abnormality. No facet arthropathy. No spinal canal stenosis or neural foraminal narrowing. L2-L3: No posterior disc abnormality. No facet arthropathy. No spinal canal stenosis or neural foraminal narrowing. L3-L4: No posterior disc abnormality. No facet arthropathy. No spinal canal stenosis or neural foraminal narrowing. L4-L5: No posterior disc abnormality. No facet arthropathy. No spinal canal stenosis or neural foraminal narrowing. L5-S1: Desiccated disc with mild stature loss. Shallow posterior disc bulge with superimposed probable right subarticular disc extrusion, measuring 1.1 cm in AP dimension and 1.3 cm in craniocaudal dimension. Resultant severe narrowing of the right lateral recess with probable contacting/impinging right S1 descending nerve root. Bilateral neural foramina patent. No significant spinal canal stenosis. IMPRESSION: 1. No acute osseous abnormality. 2. At L5-S1: Shallow posterior disc bulge with superimposed probable right subarticular disc extrusion, measuring 1.1 cm in AP dimension and 1.3 cm in craniocaudal dimension. Neoplasm cannot be entirely excluded and further assessment with MRI lumbar spine with and without contrast is recommended. Resultant severe narrowing of the right lateral recess with probable contacting/impinging right S1 descending nerve root, correlate clinically for radiculopathy. Bilateral neural foramina patent. No significant spinal canal stenosis.
真的是这样!我怀孕时候犯了坐骨神经痛,生了娃不见好,走路很艰难,看了好几次医生做了十几期PT,没啥大用处,后来别人介绍去针灸,三次就好了!而且也没犯过
我的肤浅理解是这样的,起因是坐姿不对加上长期坐着,腰椎那里没有支撑,最后两节腰椎从侧面看本来应该平行成等号,结果往小于号方向发展,就挤压到了神经,然后臀部下肢疼,做那个cobra瑜伽是给腰椎一个反作用力让那两节腰椎回到平行状态,睡觉垫枕头也是给腰椎一个支撑。缓解之后坐姿调整好,座椅靠背要用人体工学椅,后腰一定要有支撑。
希望对楼主有帮助。
基本上都是靠时间跟止痛药撑过去的。PT 有帮助,教你怎么用力,加强肌肉群。
时间会让压着神经的disc 缩回去。疼跟麻痹是因为bulging disc压着神经。
要是姿势不对,反反覆覆重发那可能到最后真的要手术了。
求枕头链接。
推荐一下几本书,Stuart McGill的back mechanic, Esther Gokhale的8 steps to a pain-free back,还有Cathryn Ramin的Crooked.
亚马逊上搜一下pillow under the waist会出来很多