Home economics and life sciences One Theme : Deep lumbar spinal stenosis and sciatica / Morio Matsumoto / Kota Watanabe

Product description ※Please note that product information is not in full comprehensive meaning because of the machine translation.

Home Economics and life environment studies
[Introduction to Contents]
● Health of Legs and Waist, Important Ahead of the Advent of the 100-Year Life Era
As the proportion of the population aged 65 or older in Japan approaches 30%, it is important to have healthy legs and waist in order to continue to live independently and participate in society.
lumbar spinal stenosis, which is common among older people, is a disorder of the lower back that severely limits daily activities due to pain or numbness in the lower back or legs.
Many people give up what they want to do because of aging because it becomes difficult to go to the station or supermarket, let alone travel or sports.
● There have been dramatic advances in treatment in recent years.
The technology for diagnosis and treatment of lumbar spinal stenosis is very advanced.
Conservative therapy such as various drugs, exercise therapy and block therapy will be the first choice. If there is no effect, we will consider minimally invasive surgery to reduce the burden on the patient as much as possible.
Pain and numbness in the legs and lower back are relieved, and many people have recovered their usual daily life.
● Based on long-term efforts at the Keio University Hospital.
This book provides an easy-to-understand explanation of what kind of disease lumbar spinal stenosis is, the process to diagnosis, specific treatment methods, expected results and risks, etc. based on efforts at the Keio University Hospital Orthopedic Department.
● Questions frequently asked by patients are listed in a Q & A format.
Provides specific and easy-to-understand answers to various questions asked by patients with lumbar spinal stenosis.
Please make use of this book so that you can regain the health of your legs and waist by appropriate examination and treatment, and live a meaningful and enjoyable life again.
Table of Contents
Introduction / KUJI / Page Views
Diagram of the backbone Anatomy of the human skeleton, side view of the spine, S-shaped curve, cross-section of the spine, diagram of the spinal canal, and diagram of nerves
Chapter 1 Do you have such symptoms?
5.8 million people! "lumbar spinal stenosis" is increasing / Slippers coming off easily, stumbling … / Leg pain is the main symptom, one side pain / Various symptoms appear in a wide range of the hip and lower limbs / Walking becomes impossible after a while, and it recovers after rest / Numbness runs when the hip or back is turned back / Lower back pain becomes worse when moving / Numbness and paresthesia from the hip to the legs / Weakness in the legs and low back / Urination and stool while walking / Burning sensation in the perineal region
Chapter 2 Greeting Speech What are the recent trends and points?
What is the pathology of lumbar spinal stenosis? / The backbone supports the upper body and protects the spinal nerves / The biggest causes of narrowing of the spinal canal are classified into three types according to aging / differences in structure of nerves / symptoms of the spinal canal ● Radiculopathy ● Cauda equina ● Mixed ● lumbar disc herniation ● Lumbar Spondylolysis / Lumbar Spondylolysis ● Degenerative lumbar spondylolisthesis ● Symptoms similar to spinal canal stenosis appear in degenerative scoliosis / arterial and other neurological disorders ● Peripheral Arterial Disease ● polyneuropathy ● Diabetic Neuropathy
From the visit to the examination in Chapter 3 "lumbar spinal stenosis" From the visit to the examination in Keio University Hospital
From the visit to the examination in Chapter 3 "lumbar spinal stenosis" From the visit to the examination / To convey the symptoms to the doctor as accurately as possible / To be done in the examination room ● Inquiry ● Inspection ● Palpation ● Neurological examination (◎ Tendon reflex examination / ◎ Perception examination / ◎ muscle power test /◎ pain provocation test) / To be done in the examination room ● Inquiry ● Inspection ● Palpation ● Neurological examination (◎ Tendon reflex examination / ◎ Perception examination / ◎ Examination for pain provocation test in the examination room) / To be done in the examination room ● Plain X-ray ● Plain CT (computed tomography) ● Magnetic resonance imaging (magnetic resonance imaging) ● myelography examination (Myelography) ● Examination other than imaging
Diagnostic criteria in Chapter 4 "lumbar spinal stenosis"
Diagnostic lumbar spinal stenosis lumbar spinal stenosis spondylolisthesis
It is important to prevent deterioration and alleviate disability / Start with conservative therapy / Drug therapy -- to relieve symptoms and increase blood flow ● Nonsteroidal antiinflammatory agent (NSAIDs) ● Acetaminophen (non-pilin antipyretic analgesic) ● Prostaglandin E1 preparations ● Neuropathic pain drugs ● Muscle relaxants ● Vitamin B12 preparations ● Serotonin-noradrenaline reuptake inhibitors (SNRI) ● opioid analgesics / nerve block therapy -- Local anesthetic to relieve pains ● Epidural block ● root block ● Effect of nerve block therapy / Physiotherapy -- Physical methods to relieve pains and restore motor functions ● Hyperthermia therapy / traction therapy ● Low-frequency electrical stimulation therapy ● Exercise therapy / orthotic therapy -- Lumbar stability, pain relief, posture maintenance
Chapter 6 "Surgery for lumbar spinal stenosis"
When surgery is selected / The basics of surgery for lumbar spinal stenosis are "posterior decompression" / intervertebral fusion surgery is required / Surgery that does not damage the muscles around the spine - spinous process of lumbar vertebrae longitudinal posterior decompression / Flow from admission to discharge / What is done before and after surgery? ● Preparation before surgery ● Condition immediately after surgery / Role and purpose of rehabilitation after surgery / Precautions after discharge ● Be aware of the effects and limitations of surgery
Chapter 7 Points of Attention in Daily Life
Precautions in Daily Life to live with peace of mind ● Maintain a correct posture ● Make a habit of moderate exercise / Contrivance in daily activities to relieve pain ● How to lift things that do not hurt your back and how to hold them ● Comfortable sleeping posture
Chapter 8, "lumbar spinal stenosis" and "sciatica" Q & A
Q1 What is the cause of sciatica? / Q2 My feet are numb. Is it lumbar spinal stenosis? / Q3 When I walk for a long time, my legs hurt and I have to stop. Is it lumbar spinal stenosis? Are there any other diseases? / Q4 My urine is weak. Is it related to spinal canal stenosis? / Q5 My legs often get cramp when I sleep at night. Is it related to spinal canal stenosis? / Q6 What should I be careful about in daily life? / Q7 Can I play golf or tennis? / Q8 Can I drink alcohol or smoke? / Q9 Should I lose my weight? / Q10 Will the cramp and numbness in my legs be cured by surgery? / Q11 How about using a cane or walking card when walking? / Q12 Can I carry heavy things? / Q13 Should I warm my lower back? Should I cool it down? / Q14 How about exercising at a sports gym? / Q15 Is there a specific medicine? / Q16 Can I cure it completely with block injection? / Q17 Should I wear a corset? / Q18 Can't lumbar spinal stenosis be cured without surgery? / Q19 When should I undergo surgery? / Q20 I can't walk a long distance because of pain and numbness in my legs and buttocks. Will I be able to walk after surgery? / Q21 What kind of operations are there? / Q22 What kind of hospital should I go for surgery? / Q23 Is the surgery for lumbar spinal stenosis painful? / Q24 I heard that the surgery is dangerous. Is it true? / Q25 My doctor recommended me to have a surgery to insert metal. Is it necessary?
Appendix : Notes to be compiled before the visit
[Biographies of authors]
President of Keio University Hospital
Professor of Orthopaedics, Keio University
Graduated from Keio University School of Medicine in 1986.
Studied at ALBANY Medical College in the United States.
In 2015, he became a professor and chief of the department of orthopedics at Keio University.
After serving as Deputy Director of Keio University Hospital, Director of Keio University Hospital since September 2021. In 2019 and 2020, he became president of the Japanese Society of orthopedics.