王福根教你理清腰腿痛的诊疗思路（Wang fugan has taught you how to sort out the diagnosis and treatment of lumbar pain）.doc

王福根教你理清腰腿痛的诊疗思路（Wang fugan has taught you how to sort out the diagnosis and treatment of lumbar pain） 1. Distinguish the categories According to the theory of soft tissue foreign science, human pain is mainly caused by the soft tissue damage in the lumbar spinal canal. These two types of damage can be isolated or mixed, and can be distinguished by clinical history, physical examination, imaging characteristics and electromyography. This is critical to the selection of clinical therapies. (1) characteristics of the medical history 1. Static pain and exercise pain. Lumbar vertebra tube outer soft tissue damage due to muscle cramps, muscle contracture degeneration adhesion of pathological changes, if the body in a certain position for a long time, especially the state of repose, certainly will aggravate ischemic damage, eventually led to increasing of lesions in soft tissue aseptic inflammation. In this case, the body can only carry out proper activities or walk to improve the blood supply of the soft tissue in the waist, and the pain can be alleviated gradually. The inflammatory response of the epidural capsule and the outer fat connective tissue of the nerve root sheath in the lumbar spinal canal can only be controlled or subducated by the use of a braking posture (no longitudinal pressure on the spine). Any activity in an upright position can only aggravate the aseptic inflammation of the soft tissue of the nerve sheath, because the protruding disc or thickened yellow ligaments are the stimulus of the dural sac and the nerve root. The more the movement increases the pain, sometimes the expression is the sudden pain after the movement, only can alleviate the pathological stimulation in the reclining. 2. The effect of increased abdominal pressure on pain. Spinal canal lesions due to the increase of cerebrospinal fluid pressure on the nerve root or stiff backbone direct pressure effect, when the nerve is in a state of irritability, naturally because pain forcibly defec