I have a lumbar disc that only hurts my waist, and I also have a lumbar disc that only tingles my legs, and there is also a lumbar disc that hurts the waist and tingles the legs when the waist hurts. It would be good if you could consider it broadly like this. [MUSIC] Hello, I am Director Lim Seung-bin of Seoul Bonjeong Clinic. [MUSIC] Usually, many patients with lower back pain come to the hospital. Most of the elderly patients have already been diagnosed and treated for various conditions in other hospitals before coming to us. Many patients over the age of 60 are known to have spinal stenosis. However, in reality, there are quite a few cases where this is not true. So, I would like to clarify some misunderstandings about this. Spinal stenosis cannot be definitively diagnosed without precise tests such as MRI or CT scans.

I have a disease, and oh, the reason is spinal stenosis. Literally, it means that the spinal canal through which the spinal nerves pass is narrowed. The spinal canal is not visible on X-rays, so when the disc space is somewhat narrowed, it is called disc narrowing, but spinal stenosis is often misunderstood. So, it's not exactly spinal stenosis, it's just that the disc has narrowed a bit, and there is a separate diagnosis called disc stenosis. If you understand this, it would be helpful. Additionally, to diagnose spinal stenosis, there should be intermittent claudication as a symptom. Intermittent claudication refers to the symptom of legs getting numb after walking a certain distance like 100m or 500m. For example, if you feel a little pain in your lower back, stiffness in the buttocks, or temporary numbness in the legs.

If you think that lumbar spinal stenosis cannot be diagnosed by the degree of symptoms, I would appreciate it. Lumbar disc disease includes cases where the waist does not hurt, and there are diseases related to lumbar disc. For example, when the lumbar disc moves backward and compresses the nerves, pain occurs along the direction of the nerve. Pain in the pelvis is called referred pain. Symptoms such as pain in the buttocks, thighs, calves, ankles are called radiating pain. There are cases where referred pain or radiating pain can be induced without pain. Therefore, even if the waist does not hurt, it is important to remember that there are cases where lumbar disc herniation can be diagnosed through X-ray examinations and tests, just by having symptoms of numbness in the right leg. It is well known that lumbar disc disease can cause symptoms throughout the leg, so even if only the lower back hurts, this is

It's not a disc, just a slight twist in the waist. Many people think it's just a simple muscle pain, like a sprain or muscle stiffness. Although it could be just a simple muscle pain in the waist, for me, the pain has reached a point where I need to visit the hospital. Most of the time, I believe there is some association with waist disc. In a broad sense, it can be seen as a waist disc condition. When a waist disc protrudes backwards and compresses a nerve, symptoms such as radiating pain and numbness in the legs can occur. However, if the disc itself does not protrude backward but remains in a somewhat degenerated state, the muscles may stiffen as a defense mechanism to protect the disc, appearing only as simple muscle pain. Therefore, sometimes it is diagnosed as disc internalization. In any case, in summary, even waist pain can be diagnosed as a disc.

It's saying that, if you combine it with the previous question, there is a lumbar disc that only hurts the waist, a lumbar disc that only causes leg numbness, and a lumbar disc that hurts the waist while causing leg numbness. It would be good to consider it broadly like this. Now, in the case of diseases related to the lumbar spine such as lumbar disc or lumbar spinal stenosis, symptoms like leg tingling and radiating pain are quite common. Due to this, many mistakenly attribute all leg pain to conditions originating from the waist, such as a lumbar disc. Among them, to explain a few cases that are not disc-related, feeling that something is sticking to the leg and pain like a mouse bite would be two examples. When there is a lumbar disc problem, leg numbness occurs because the nerve is compressed. However, even if the nerve is severely compressed, the leg cannot swell. Typically, when the leg sticks, it is not

I would like to report a problem with the circulatory system. One of the most typical issues is when blood circulation is not working well. When blood circulation is poor, symptoms such as leg numbness can occur. However, this does not cause sciatica coming down from the waist. Another symptom is leg cramps. Most of these cramping pains are considered to be caused by poor blood circulation. Usually, when lying down, unlike when walking, the leg muscles are not being used, which can lead to some blood stagnation in the legs. This can trigger momentary acute pain, sometimes even diagnosed as restless leg syndrome. It's important to note that this type of pain is different from radiating pain coming from the waist. Thank you. This has been Director Lim Seung-bin from Seoul Bon Jung Youngae Clinic. I will see you in the next video with more helpful information.

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