A girl with lumbar disc herniation “mix and match” lumbar tuberculosis

Changsha Evening News, February 24 (all media reporter Yang Weiran, correspondent Feng Yuan, Chen Siyu) The 16-year-old flower girl Xiao Sun has had low back pain for more than a year. She has been treated as a lumbar disc herniation and has been hospitalized repeatedly. However, a little pain relief soon “comes back”. Recently, she was so sore that she could not stand up straight, and the usual treatment methods had little effect, so she thought of going to the hospital for a re-examination. It was found that Xiao Sun not only suffered from lumbar disc herniation, but also suffered from lumbar tuberculosis.

“I always thought it was lumbar disc herniation, but I didn’t expect to have lumbar vertebral tuberculosis. The pain was really unbearable for me!” Recalling the pain experience over the past year, Xiao Sun couldn’t help but look over his shoulder. tears. Earlier, Xiao Sun was diagnosed with lumbar disc herniation in the school physical examination. Since then, every time she has low back pain, she treats it as a lumbar disc herniation, and after the pain subsides, she continues to go back to school. However, this time, the low back pain was menacing, and after the usual treatment, there was no obvious effect. Re-examination, the original combined suffering from lumbar tuberculosis. Recently, the parents brought their little grandson to the Hunan Provincial Chest Hospital for further treatment.

The medical team of the Department of Orthopedics (Department of Integrated Traditional Chinese and Western Medicine) of Hunan Provincial Chest Hospital immediately formulated an individualized treatment plan for Xiao Sun after learning about Xiao Sun’s condition. At present, Xiaosun has received precise treatment, the pain has gradually eased, and the condition has improved.

“Although lumbar disc herniation and lumbar tuberculosis both cause pain, they are two completely different diseases.” Director and Deputy Chief Physician of the Department of Orthopedics (Department of Integrated Traditional Chinese and Western Medicine) in the hospital Xiao Jingnan introduced that lumbar disc herniation is the degenerative changes of various parts of the lumbar intervertebral disc. Under the action of external factors, the annulus fibrosus of the intervertebral disc ruptures, causing the adjacent spinal nerve roots to be stimulated or compressed, resulting in low back pain. , radiating leg pain and other symptoms. Lumbar vertebral tuberculosis is a disease caused by Mycobacterium tuberculosis infection. The main symptoms are dull pain or soreness in the lower back. The pain is aggravated by exertion, coughing and before going to bed. When the lesion invades or compresses the spinal cord or nerve root, radiating pain may occur. The nature of the pain is completely different, and the treatments are different. Therefore, when patients have low back pain, they should go to the hospital for accurate examination to clarify the cause and then treat the symptoms.

Xiao Jingyan reminds that if the patient has local pain in the lower back, accompanied by low-grade fever, fatigue, night sweats, weight loss or cough, and expectoration of sputum for more than two weeks, and bed rest cannot be relieved, be alert to the occurrence of tuberculosis , should go to a regular hospital for a systematic examination as soon as possible, must not blindly delay so as not to delay the disease. As long as early detection, early diagnosis, and standardized diagnosis and treatment are accepted, the therapeutic effect is ideal.