詭異的重度多層腰椎間盤突出合併症 - 新和診所|中西整合疼痛治療|三十年經驗

[詭異的重度多層腰椎間盤突出合併症]

58歲男性，職業鐵工，腰椎疼痛放射至左側大腿小腿數月，復健無效，影響生活至鉅，坐久也痛，站久也痛，睡覺也痛。已無法自理生活。經MRI 診斷為椎間盤多層突出 (自腰椎第二節至薦椎第一節)，因為合併脊椎側彎，保守治療已數月，外科建議開刀，經人介紹至本院看診。

經脈診合參，感到不易處理且不易成功，但看到病患不願開刀又疼痛難耐，非常有誠意且願意全力配合，就啟動療程了。

經五週的針刀微創減壓治療，腰部大幅改善，坐骨神經痛也舒緩許多，但多出兩側腓神經卡壓症。經局部治療後，也改善許多，往健康大道邁進。

The image findings are compared with previous study on 2019/9/11.
Suspect a 1.6 cm space occupy lesion at anterior aspect of central spinal canal (Ser/Img: 3/23). it’s not noted in previous study. Differential diagnosis includes: herniated intervertebral disc, sequestration, neurogenic tumor.
L2-3: bulging disc, degenerative joint disease with spur formation at bilateral interarticular joint, with mild to moderate spinal central canal stenosis, mild bilateral lateral recess encroachment.
L3-4: bulging disc, degenerative joint disease with spur formation at bilateral interarticular joint, buckling of ligamentum flava, with severe spinal central canal stenosis, bilateral lateral recess encroachment. L4 bilateral nerve root compression was suggested.
L4-5: Grade 1 spondylolisthesis. decreased intervertebral space, bulging disc, degenerative joint disease with spur formation at bilateral interarticular joint, buckling of ligamentum flava, with moderate spinal central canal stenosis, bilateral lateral recess encroachment. L5 bilateral nerve root compression was suggested.
L5-S1: decreased intervertebral space, bulging disc with mild bilateral lateral recess encroachment, without thecal sac compression.
Mild scoliosis of thoracolumbar spine.
The size, location, and signal of the spinal cord are normal in appearances.
A cyst in right kidney.