Dolor de espalda al agacharte ¿puede ser hernia discal lumbar?

Title: Back pain when bending over: Could it be lumbar disc herniation? Profile: Lumbar spondylolisthesis affects many individuals; understanding its causes and symptoms is vital for maintaining spinal health. Keywords: ['Spinal Health', 'Disease Prevention.']

In daily life, we often encounter people suffering from lower back pain. This type of pain may intensify after exertion and relieve with rest. Sometimes, it may also be accompanied by radiating pain in the buttocks or back of the thigh, as well as tingling or weakness in the lower limbs, and even manifest as a limp when walking, as if stepping on cotton, feeling a lack of firmness.

Some individuals have noted that the appearance of their waist shows certain anomalies, such as a reduction in the forward curvature of the lower back or asymmetry in the sides of the waist, among others.

Dr. He Feiping, Chief Physician of the Department of Spine Surgery at the Second People’s Hospital of Hunan Province (Provincial Neurology Hospital), stated that when experiencing symptoms such as lumbar pain, radiating pain in the lower limbs, numbness or weakness, decreased sensitivity, changes in spinal shape, and limited movement, it is important to be alert to the potential occurrence of spondylolisthesis. It is recommended to visit a qualified and specialized hospital for timely medical examination.

Lumbar spondylolisthesis refers to the slippage of one vertebra relative to an adjacent vertebra, which disrupts the normal structure and stability of the spine. Its hazards to the human body include back pain, neurological dysfunction, limited movement, spinal deformities, and psychological effects.

Therefore, we need to understand the causes that lead to lumbar dislocation to effectively prevent its occurrence or to identify and seek medical attention early, considering both physiological and pathological factors.

Physiological factors include both congenital aspects and age-related degenerative changes.

Congenital factors: Some individuals are born with congenital anomalies in the structure of the lumbar spine, such as abnormal development of the isthmus arch. The isthmus arch connects the vertebral body with the vertebral arch, and if there is abnormal development in this area, such as isthmic fissure, the stability of the vertebral body will be affected. As age advances and with the impact of daily activities, lumbar slippage is more likely to occur.

Degenerative diseases: primarily caused by aging, degeneration of the lumbar intervertebral discs, and degenerative diseases of the posterior joints, which is considered a common manifestation of lumbar spondylolisthesis.

Pathological factors include various causes such as trauma, diseases, etc.

Traumatic factors: An acute trauma (such as falls from heights or traffic accidents) can cause fractures in the lumbar vertebrae or injuries in the joints and ligaments, compromising the stability of the spine and resulting in acute dislocation. Mild repetitive injuries (such as hyperextension of the waist in athletes) can also trigger chronic dislocation.

Iatrogenic factors: refer to excessive decompression of the structures at the back of the spine during surgery, which can lead to instability in the spine and result in iatrogenic vertebral slippage.

Disease factors: Certain diseases can also indirectly lead to spondylolisthesis. For example, tumor lesions in the lumbar spine can damage the bone structure of the vertebrae, affecting the stability of the vertebral bodies. Infectious diseases of the lumbar spine, such as tuberculosis, can also damage normal spinal tissues, thus increasing the risk of spondylolisthesis.

In addition, patients with osteoporosis, due to decreased bone mass, have more fragile bones, which reduces the strength of the lumbar vertebral bodies and increases the likelihood of experiencing lumbar vertebral slippage.

Besides the common causes mentioned above, prolonged fatigue, excessive load, and pregnancy may also trigger lumbar spondylolisthesis. If similar symptoms of lumbar spondylolisthesis appear, timely examination at a hospital is necessary to address the problem promptly.

Hunan Medical Talk special contributor: Tang Lei, Spine Surgery Department, Second People's Hospital of Hunan Province (Provincial Neurology Hospital)

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