Loss of normal lordotic alignment may induce pathologic changes in the spine from load bearing, and accelerate degeneration of the functional motion units. This surgery is not very common and includes a complete replacement of the lumbar intervertebral disc to relieve nerve root compression and replace it with an artificial implant.The functional and clinical importance of lumbar lordosis is being recognized increasingly. Depending on the extensiveness of the surgery and the amount of bone removed, the surgical segment may be fused with the adjacent motion segment to provide stability. Trimming and/or removing a part of the facet joints and/or bony overgrowths to relieve nerve root compression.
The opening for the spinal nerve root (intervertebral foramen) is enlarged by trimming bony overgrowth, relieving nerve compression. See Lumbar Laminectomy Surgery for Spinal Stenosis (Open Decompression) The lamina (area of bone at the back of the vertebra) is removed in order to provide more room for the cauda equina. See Microdiscectomy (Microdecompression) Spine Surgery A portion of the bone adjacent to the nerve root may also be trimmed to relieve compression. A small part of the disc material near the nerve root is taken out. The goal of lumbar spine surgery is typically aimed at relieving compression of a nerve root and/or the cauda equina. Self-care measures, such as using correct posture while standing, sitting, walking, lying down, and lifting items off the floor is important to maintain a normal spinal curvature, minimize stresses, and facilitate healing. See Lumbar Epidural Steroid Injections for Low Back Pain and Sciatica Fluoroscopic (x-ray) guidance with radiopaque contrast dye is used for correct needle placement and helps to improve diagnostic accuracy and decrease procedural risks. Risks of these injection procedures include hematoma, bleeding, and/or nerve damage. Spinal nerve pain from 元 may be treated with steroid injections in the epidural space or into the 元-L4 facet joint. See Chiropractic Treatments for Lower Back Pain Chiropractic adjustment of the lumbar spine may help relieve pain stemming from the 元-L4 motion segment. See Physical Therapy for Low Back Pain Relief
SPINE ALIGN IMAGES TO ROOT MANUAL
Physical therapy is usually performed under the guidance of a physical therapist and may include exercises, stretches, manual therapy, massage, and/or other treatments. Exercise and physical therapy can help strengthen neck muscles, improve posture, and increase the range of motion after an 元-L4 injury. See Using a Back Brace for Lower Back Pain Relief Using a back brace after an acute injury, such as fracture, may help promote healing of tissues and prevent further injury. See Medications for Back Pain and Neck Pain
Before using any medication, read warning labels carefully. Both over-the-counter (OTC) and prescription medications are used to treat pain stemming from 元-L4, including nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, tramadol, and/or corticosteroids. Treatment of the 元-L4 motion segment usually involves one or more of the following methods: Tumors, infections, and/or other causes of severe nerve root compression with significant neurological deficits may be treated surgically. The 元-L4 spinal motion segment is typically treated with nonsurgical methods.