{"componentChunkName":"component---src-templates-about-case-study-js","path":"/about-chiropractic/cases/low-back-pain-degenerative-disc-disease","result":{"data":{"firestore":{"page":{"content":{"headerImage":"/_img/banners/faqs.jpg","en":{"html":"

Case History

Emily is 41 years old and has been a bank teller for over 20 years. She has 3 children (8 year old twins and a 2 year old). In a typical work day, she sits for more than 8 hours with little back support. She does not do any form of exercise, but is of normal weight. Over time, she developed pain in the right low back and pelvic region, especially after waking up in the morning. The pain persisted for more than 3 months.  

Emily had a hunched back posture with her hips protruding forward. She had very tight low back muscles, and the muscles of abdomen and buttocks were also weak. The spinal joints in her lower back were not moving freely, and an x-ray showed a reduced curvature in the lower back, moderate disc space narrowing, and bone spurs occurring at the edges of L5/S1 vertebrae.

Emily’s condition is prevalent in many office workers. She had a habit of sitting at the front end of her chair and rarely leaned back. This caused the back muscles to tighten up to support the upper body: over time, the muscles became stiff and painful, resulting in chronic muscle strain (overuse). Faulty posture and lack of exercise caused poor circulation and impeded normal tissue healing.  Furthermore, her two pregnancies would have added extra load onto her muscles and joints. When muscles are strained, they cause faulty joint mechanics in the spine, which speeds up the wear and tear of joints. This was evident in the narrowing of the disc and presence of bone spurs in the lumbar spine.

Diagnosis

Emily was diagnosed with Degenerative Disc Disease (DDD) related to chronic Lumbar Sprain / Strain.  

\"Degenerative

Treatment & Prognosis

Emily’s chiropractic treatment plan included spinal manipulation (adjustments) directed to the lumbar spine, dry-needling and interferential current therapy. After nine treatments, Emily was pain-free and had improved ranges of motion in her low back.  

As part of her treatment plan, Emily also learned stretching and strengthening exercises, as well as techniques for maintaining good posture at work. These tools enable Emily to maintain the results she achieved through treatment.

*As individual conditions vary, you are advised to consult a registered chiropractor for proper diagnosis and treatment.

","headerTitle":"Case #1 - Low Back Pain and Degenerative Disc Disease"},"ch":{"headerTitle":"個案一：腰背痛和椎間盤疾病","html":"

個案簡述

Emily 今年41歲，她任職銀行櫃員逾20年，並育有三名子女 － 兩名雙胞胎8歲大，另一名2歲大。Emily每天都要坐著工作逾8小時，而椅背的承托功能亦很差。她很少運動，但體重正常。久而久之，她的腰部和盤骨右側出現了疼痛，早上起床時尤為嚴重。疼痛持續時間已超過3個月。

檢查結果

Emily 的站姿很差，她的腰盤向前伸，凸了肚腩出來。這亦導致了寒背。她的腹肌和臀肌均軟弱無力，腰部肌肉則非常繃緊，故腰椎關節欠缺靈活性。X光照片顯示腰椎弧度不足、椎間盤呈中度變薄，L5/S1椎體邊緣出現骨刺。

腰背痛和椎間盤疾病的診斷和分析

經診斷，Emily 患有因慢性腰部扭傷／勞損引致的退變性椎間盤疾病。 Emily 的情況在文職人員中非常普遍。她習慣坐在座椅的前端，並很少向後靠。為承托軀體的上半身，背部肌肉會繃緊。日積月累會令肌肉僵硬和隱隱作痛，並引發慢性肌肉勞損。不良姿勢和缺乏運動不但會導致血液循環不足，亦會影響正常組織的復原。此外，兩次懷孕亦為她的肌肉和關節增加了額外的負擔。肌肉勞損導致不正常的關節活動，並加速了關節的損耗。這退化過程可見於椎間盤明顯縮窄和骨刺的形成。

\"因慢性腰部扭傷／勞損引致的退變性椎間盤疾病\"

腰背痛和椎間盤疾病的治療和進展

Emily 的脊科治療計劃包括：直接針對腰椎進行脊骨矯正、針法治療和干擾電流治療。經過9次治療後，Emily 的痛症消失，腰部的活動範圍亦提升了。

治療計劃還包括讓Emily學習伸展和強化運動，以及如何保持良好的工作姿勢。這些方法有助於她鞏固治療所取得的療效。

 

* 以上個案只供參考，因病情各異，建議找專業脊醫作正確診治。

"}}}}},"pageContext":{"type":"generic","pageId":"EAA6vmGy4i7rZO8AqGt8","isDefault":true,"localizedUrls":{"ch":"/ch/about-chiropractic/cases/low-back-pain-degenerative-disc-disease","en":"/en/about-chiropractic/cases/low-back-pain-degenerative-disc-disease"},"locale":"ch","title":"腰背痛和椎間盤疾病 | 診斷治療方法分享","description":"慢性腰部肌肉扭傷／勞損，椎間盤退化，脊醫的治療方法","keywords":""}},"staticQueryHashes":["228884901","2787134816","3271165500","435890736","819813452"]}