허리 디스크라니!! ?? 라고? 랄까? (허리 통증의 비밀)

물리치료사.PT재석
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#허리디스크 #허리디스크운동 #허리통증
안녕하세요!!! PT재석입니당 ㅎㅎ
오늘은 허리 통증에 대한 이야기!!
많은 분들이 허리디스크라면.. 무서워합니다 ㅠㅠ
하지만!!
생각보다 허리의 문제는 추간판탈출증이 아닌 경우들이 많으니..
내용을 확인하여주세용!! ㅎㅎ
So the disc is going forward.
If you have an inflammation, it hurts.
The back disc is not the only part of the back pain.
Hello, I'm physical therapist PT Jaeseok.
Today, I'm going to explain while looking at the PPT data.
There are a lot of videos about back pain in my video.
But there are a lot of questions about the back disc in the comments recently.
There are a lot of concerns.
So I thought I should explain it once.
Back disc, back pain, neck disc.
I'm going to talk about my neck in a row.
The first topic.
Back pain is a disc?
So I'm going to talk about our misunderstandings and truths.
I'm going to talk about whether back pain is always an extra escape.
So today, I'm going to talk a little bit about general pain.
And I'm going to talk about the structure of the back, pain, and back disc.
I brought some of my lecture materials.
Everyone, there is pain.
It includes back pain, neck pain, or any pain.
In order to have pain, we need to feel the pain stimulated by the pain receiver in the research organization.
What it is, we feel these pains around bones, membrane, or joints.
If you feel something like hyperexistence jointitis,
The sensory receiver should feel that I'm sick and send it to my head.
You have to send your head through your head and spine.
That's how you know you have a headache.
There are conditions for that.
What it is is that the blood vessels are essential.
It's always like this where the blood goes through.
It doesn't hurt if you pinch your hair.
It doesn't hurt if you poke your nails.
Why? Because there are no blood vessels, no sensory cells, and no sensory receptors.
So, in order to feel pain, the blood vessels should go and the sensory cells should live.
So you can have pain in your bones or joints.
And muscle or tendon damage.
There's something like this, right?
This is a picture of a torn MRI.
And a neurological problem.
A disc.
The disc popped and popped and popped back a lot.
It's a picture of a year after it's absorbed.
She's a patient.
I think she's a 22-year-old woman.
I think she was in her early 20s.
So there are a lot of causes for various problems.
There are a lot of causes for problems.
So, basically, if you want to feel pain,
Ah, the sensory, our pain receptors need to be stimulated.
There's one thing to note here.
A lot of people say their joints hurt.
They say their joints hurt.
There are a lot of times when that expression is a little vague.
First of all, the joint.
Especially in the case of cartilage.
We have cartilage, right?
What? Between the upper leg and the lower leg.
What's there?
There's a cartilage like this.
There's a little blood vessel on both ends.
If you go to the middle, the more you go to the middle, the less blood vessels are distributed.
It's gone.
What does that mean?
One of the things I said a little while ago.
Blood vessels are essential.
You can't satisfy this.
Where?
In cartilage.
You can't feel pain in cartilage.
It's called a semicircular plate.
Something on the knee.
Or the joint cartilage that surrounds it.
You can't feel pain in places like this.
Instead, there's something like that.
Fibroma.
A cartilage-wrapping fibroma.
It's like water.
It's like oil on your knees.
Distribute that.
Or bone membrane.
What is a bone membrane?
There's a bone.
There's a membrane that wraps around the bone.
It's a corneal cell.
There's a blood vessel like our skin tissue.
It hurts.
So when the bone is injured,
When the cartilage is worn and worn,
When the bone is injured,
That's when it starts to hurt.
That's when the pain comes from the damage.
And that means it's accompanied by inflammation.
General pain, especially joint pain,
It's often accompanied by inflammation.
What happens when you have inflammation?
Fibroma.
There's something like a cartilage.
You know, we're kneeling.
Oh, there's water on my knees.
Where's the inflammation?
MRI or something like that.
If you can see it on ultrasound,
Oh, I have inflammation.
I have inflammation in my real joint.
It can be expressed.
It's not just in our cartilages.
When the bone is injured, the bone membrane is damaged.
Especially like a herniated joint.
Something like this.
Herniated joint.
If you look at it,
This is the outside, this is the inside, this is the outside.
There's a cartilage on one side.
Joint cartilage.
So in this part,
In this case,
We...
What was it?
He went to do cartilage regeneration.
So the joint cartilage is injured.
You get herniated joint.
Then you can't see it here.
The bone itself can be black.
So you can see it on the MRI.
You can see some of the bones popping out of the X-ray.
So those things can be joint pain.
In cartilage, there is a high possibility that it is not joint pain.
And in general,
This herniated joint also
It can hurt when the inflammation is active.
If that's not the case,
Usually, there's a lot of tendon pain that's going to come out later.
I'll finish the joint pain first.
So joint pain.
The first herniated joint is the actual joint pain.
It's mostly on the knees.
It's not good to have a shoulder herniated joint.
It's not good to have a hip joint herniated joint.
Usually, it comes out of the knee.
The knee is a little easier to solve.
Adhesion herniated joint.
There's something like that on the shoulder.
In this case,
Adhesion herniated joint is a typical symptom.
So you can see these inflammation lumps.
On the MRI.
So it's actually a joint pain.
Another thing.
Intensive spinal inflammation.
There's something like this in the spine.
Intensive spinal inflammation.
How do you check it?
Do you have a herniated joint?
Where does it hurt?
I personally have a herniated joint syndrome.
People say a lot.
It's a herniated joint syndrome.
There are a lot of cases where the pelvic bone hurts.
That's what they say.
I've been treating it so far.
I've seen more than a thousand people.
I've hardly seen a herniated joint syndrome.
Most of the time.
Muscles, tendons, fascia around you.
It was this kind of pain.
Those of you who really doubted the herniated joint syndrome.
Go and take a CT scan.
If you take a CT scan of the herniated joint,
It looks like this.
It's black and black.
You can see the inflammation.
Intensive spinal inflammation.
It's because the beginning is a herniated joint syndrome.
And then later on.
You know the pain that hurts as you ride up your back?
That's a real inflammation.
If it hurts, it's an inflammation.
There's a herniated joint syndrome.
Herniated joint syndrome.
It's one of the things that hurts in the back.
But this is a herniated joint syndrome.
We can't tell if it's actually a herniated joint syndrome or not.
It's a prediction.
There's a joint between the bones called the herniated joint on the spine.
There's a joint between the vertebrae.
That's where the inflammation comes from.
So the herniated joint syndrome.
It's also a result of inflammation.
Getting hurt.
Inflammation.
So you feel pain.
So the pain caused by the actual inflammation of the joint.
There are cases of joint pain.
But more than these cases.
There are a lot more cases like this.
In fact, if you treat customers and patients,
The problem with the joint.
It's really a problem with the joint.
You can see it in the X-ray MRI.
There aren't that many people who are in progress.
Why?
It's because we're recovering from inflammation.
Inflammation from the joint.
As time goes by and there's less movement.
If we're careful and take medicine,
There are a lot of cases of recovery.
Instead, inflammation of the tendon.
Damage to the tendon.
There are a lot of cases where it doesn't recover well.
Why?
Because it's used repeatedly.
Damage to the tendon.
It's not completely damaged.
It's micro-damage.
I'm getting a little bit of stress.
Getting hurt.
So inflammation.
What kind of inflammation?
Inflammation of the biceps.
Inflammation of where?
Inflammation of the tendon.
That's what they say.
That's the tendon.
The Chinese character for tendon is geon.
So at the end of the muscle.
The middle of this muscle.
It's called belly.
The thick part of the middle of the muscle.
Belly fat.
Thick one.
If you go from belly to the end,
There's a tendon between here.
The part where the muscle and the bone are connected.
It's called a tendon.
The tendon is included in the muscle.
You can think of it.
The end of the muscle is called a tendon.
We're here.
Like the end of a pen is called a corner.
The end of the muscle is called a tendon.
But that part is thin.
It's thin, so it's easy to tear.
It's damaged.
The tendon is originally tough.
It's tough, but it's thin.
If the belly doesn't stretch in the middle,
The middle is moving by hand.
If the middle doesn't stretch,
The tendon at the end continues to stretch.
It's torn, it's fractured, and it's damaged.
Then it hurts.
There's a wrist, for example.
There's also a biceps tendon.
Especially on the knee.
The quadriceps on the knee should move the knee bone.
As the quadriceps hardens,
The tendon below.
If you move the tendon excessively,
Then what happens?
It's the main pain of knee pain.
There are problems with the tendon.
So there are more problems with the tendon than with the joint.
And there are also neurological problems.
Neurological problems.
For our nerve pressure.
Not nerve or pressure.
Microsclerosis, inflammation.
The nerve itself is inflamed.
That's why it hurts.
For bones, discs, muscles, etc.
When the nerves are constantly pressed for the tendon.
Here's a typical example.
The left skeletal nerve.
Between the muscles called the ideal muscles and other muscles.
We press the left skeletal nerve.
If you press it, the left skeletal nerve is pressed.
The pain comes down to the legs.
You can't feel it.
Or you can't exercise.
Sometimes there are people like that.
The left skeletal nerve is the pain of imagination.
I have a left skeletal nerve.
If you have a left skeletal nerve,
I take care of it.
You know the hip muscles, right?
I don't take care of the ideal muscles and hip muscles.
When I'm busy or keep doing it.
The hip muscles keep standing for a long time.
It's stressful.
If you don't stretch and massage,
You press the left skeletal nerve.
Then my little toes.
It's a little dull at first.
It's getting dull.
The little toes don't move.
I'm losing my strength.
Exercise nerves.
The sensory nerves are damaged.
Exercise nerves are damaged.
And then it starts to hurt.
I have no sense.
It's like a rubber glove.
And then it gets worse.
It's really uncomfortable.
And then the muscles that I press.
I stretch the muscles.
If you massage and stretch,
It disappears dramatically in 5 to 10 minutes.
That's the left skeletal nerve.
Not just the left skeletal nerve.
The hip muscles around you.
Overall.
Upper double, lower double.
Intracranial, extracranial.
Peritoneal.
And the peritoneum that wraps around it.
It's because these things are solid overall.
Not just the left skeletal nerve.
So there's actually a left skeletal nerve.
And a lot of customers.
A lot of people who come to me.
That's the symptom.
It's also called the left skeletal nerve.
But not that.
Today's main topic.
What's there?
There's a back disc.
It's moving.
Back disc.
Shall we take a look again?
Friend, stop.
We have a back disc.
I'll take a look.
He's my customer.
If you look at the back MRI,
Here it is.
Between number 4 and number 3.
Between number 5 and number 4.
You can see it's sticking out.
It's sticking out like this.
MRI has a cut cut cut.
If you go down from the top.
I saw a bone.
I saw a disc.
I saw a bone.
Repeatedly.
If you look at the part where the disc sticks out.
Here on the right.
You can see it sticking out.
So if you look at the MRI.
We can understand all the bones, discs, and nerves.
So there's a disc.
There are discs.
There are actually discs.
There are a lot of painful cases.
Number 4 and number 5 here.
Usually, if the disc pops out and becomes a problem.
3, 4 or 4, 5, 5, 1.
Especially 4 and 5, 1.
This is a skull.
It's a skull.
Skull S1.
And number 5 on the waist.
Number 4 on the waist.
Number 3 on the waist.
Here.
The movement of the pelvis.
The part where the movement of the waist comes out excessively.
It's this part.
The disc on the waist tears well.
It pops out backwards.
As the disc fibers are torn.
It's sticking out.
If you look here, it's sticking out like this.
It's usually sticking out to one side.
It's sticking out backwards.
Right and left.
There are a lot of cases where it pops out in one place.
The back is where the ligaments are strong.
It's sticking out to the side.
It's sticking out to the right.
It's light.
It's sticking out to the right.
To the right back.
Then the right side should be numb.
You have to do it because the right side is numb.
It hurts.
Like that.
So there are people who get sick like that.
There are people who have a disc problem.
There is.
But there are more people than I thought.
There are a lot of cases where it doesn't pop out this much.
There are cases where it pops out a little.
When it pops out a little,
There are a lot more cases where the symptoms are not because of the disc.
How do you distinguish and talk?
This is how you do it.
We'll talk about the waist first.
I'm going to talk about the disc again.
The problems are the waist.
And the disc.
And the nerves.
There's a problem with the tendons and joints.
I'd like to explain that the waist disc is much smaller than I thought.
First of all, there's a high possibility that it's not a waist disc.
To talk about
I'll give you a brief explanation of the structure of the waist.
I'll keep it simple.
Waist.
First of all, there's a bone in the waist.
There's a long bone called the spine.
Spine, cervical vertebra, thoracic vertebra, lumbar vertebra.
There's a spine down there.
The disc in between.
And the muscles that surround it.
Wow, there's a lot of muscles.
There's a variety.
Those muscles move the spine.
Among the vertebrae, the waist is a little special.
How?
Because of the weight of the upper body.
More than the neck.
More than the back.
Because the waist has to support all the weight of the upper body.
The bone is big.
From waistbone 1 to waistbone 5.
The body part of the waist bone.
The body part of the vertebral body.
It's getting bigger.
And then...
And then the disc gets bigger.
Because the body is big, the disc that will hold it gets bigger.
As the disc gets bigger, the more fluid it has,
There's a story like that.
There's something to pop, so it pops.
It doesn't pop as well as I thought.
Why?
There's not much to pop.
It's thin.
In the case of the waist, the disc is very thick and big.
So there's something to pop.
As you get older, the fluid dries up.
As my body loses moisture, the fluid dries up.
And there are many cases where it doesn't pop as much.
You're a little old, so there's not much to pop.
It's already dry.
It's a little sad, but it doesn't pop.
But when I was young, I lived well.
As long as the disc isn't torn.
If the disc is already torn,
It'll rip better as you get older.
But if the disc isn't torn safely,
The less moisture, the less it'll rip.
There are things like that.
It's going to come out.
So once the disc pops, it doesn't pop.
Why?
Because there's no fluid to come out.
There are things like that.
So as we go down,
The body gets bigger and the disc gets bigger.
And then we move.
There are various movements in the waist.
Move forward, move back, move sideways, move in rotation.
There are various movements.
It's called the hip joint.
The joint from the back.
And the nerves that stick out to the side.
There's a movement of the disc.
There are curves like this.
The most important thing here.
How does the disc move?
We pull the waist back.
Then the pelvis goes forward.
The pelvis goes forward and the waist goes back.
So the waist is straightened.
If the waist is straightened backwards,
Then the back becomes narrow.
The back is narrow and the front is wide.
If the front is wide,
The disc goes from soft to narrow to wide.
From narrow to wide.
So the disc goes forward.
The waist is pulled back, but the disc goes forward.
This is why we do the Shinjeon exercise on the waist.
There are a lot of teachers.
The Shinjeon exercise.
There are a lot of Shinjeon exercises.
The disc goes forward.
The disc doesn't pop forward?
No, it pops.
It pops, but it doesn't pop.
It doesn't pop well.
Mainly the back, the back.
It's the weakest part, so it pops well.
It doesn't pop forward.
So we do the Shinjeon exercise on the waist.
If you bend your back,
If you bend your body,
Then what happens?
The pelvis goes back.
If the waist is bent forward,
Then the back becomes wide.
The back becomes wide and the front becomes narrow.
The disc will go to the back.
It's going to pop out of the back.
It's going to pop or pop out.
It's not just going to the back.
Diagonally, sideways.
It's going to pop into a weaker part of the two.
So the movement of the waist,
The movement of the waist muscle makes the disc move like this.
The disc, the disc of the waist.
The disc of the waist is not all of the back pain.
Many people, many people, not many people.
In fact, many people already know about back pain.
In back pain, 8 to 80 to 90% of the time,
It's unusual, unusual pain.
10 to 20% are unusual diseases.
Some of the unusual diseases are escaping.
The disc of the waist is a part of it.
There are a lot of statistics and stories about this.
In fact, doctors and therapists know.
Many experts always hear this.
Ah, most of the back pain is an unusual disease.
In fact, I don't know.
It's hard to say for sure.
That's the general story of back pain.
And the disc of the waist is 10 to 20%.
Because I'm going to explain about that.
If the disc of the waist is a problem,
The disc of the waist is a structural problem.
It's the structure of the disc between the bones.
Because of this structural problem,
If the disc of the waist is sticking out from the MRI,
If you have inflammation, it hurts.
If you don't have inflammation, it hurts just by pressing it.
Anyway, if the disc of the waist is sticking out and it hurts,
You have to deal with these things.
What?
If it's a structural problem,
You have to be in pain over and over again.
First
Second, muscle movement.
It's not just a joint, it's a muscle movement.
Those things can't be improved by muscle or joint improvement.
And after the pain is solved,
If you don't have a surgery, a disc, or a surgery,
It can't be recurred.
When these three things are combined,
You can think of it as a problem with the disc of the waist.
I'm going to tell you one by one.
1. Action
When did you say the disc was sticking out?
I told you that the disc sticks out when you lower your body.
It sticks out when you lower your body.
It sticks out, but it's a constant action.
Or when you sit down, it's the same when you sit down for a long time.
There must be pain over and over again.
When the body is bent, the pain comes and the pain is reduced.
It has to come unconditionally.
It has to keep coming like that.
If we move and exercise to improve,
It's still going to hurt.
This is my YouTube video.
It's a video that has about 700,000 views.
I explain the exercises there.
People talk about this a lot.
I brought some of the comments.
Because when I talk about my patient, people don't believe me.
Comments are written by others.
I brought some of them.
I didn't lie. I just watched the video once.
90% of the pain is gone.
It's supposed to be gone.
In some problems, in the disc problem,
The pain shouldn't disappear.
And I feel like my back pain is relieved.
I shouted Eureka.
I couldn't even sneeze.
If you can't even sneeze,
If you can't even sneeze, you have a really bad back pain.
If you have a bad back pain, you can't cough.
Every time I cough, my abdominal pressure rises and I push my back back.
My back hurts so much.
I can't even sneeze.
In fact, there are a lot of people who sneeze and have a disc in their back.
There are more than I thought.
Last week, I couldn't sleep because of my back pain.
I took painkillers.
My pain is almost gone after watching the video.
My wife is amazing.
This kind of story, etc.
Here, the back disc is pushed back.
The back disc is pushed back.
I was shocked.
It wasn't comfortable when I washed my face.
I worked out, and it was so comfortable.
The back disc can't go in because I worked out a few times.
There's a video I showed you earlier.
It was a patient in charge of a customer.
The back disc goes in.
It can go in.
It's going in here.
It took less than a year.
When I took it a few months later,
I did a good job.
The back disc is still there.
It's been a year since I took it.
It's going in.
You can't push the disc.
It's already stretched.
The part where the fiber is torn and stretched.
It's already stretched.
If you force it, it'll come out again.
The bone gap naturally opens.
The back disc is drying up.
There are many various reasons.
There are many various various reasons.
It's impossible to get in dramatically.
I always tell my patients.
I can't put in the back disc.
That's why we're doing back disc surgery.
Thats why we're doing back disc surgery.
You can't use exercise.
You can't put the back disc in that way.
But in the case of this person, the pain has improved.
What is it?
It could be a different problem.
It may not be a disc problem.
He said his back hadn't been bent for years.
It didn't bend.
So it was better to straighten it.
So there are a lot of people who do it.
But after exercising, my back was bent and it got better.
It's about being grateful.
Sometimes there are people like that.
It's comfortable to straighten your back.
And it's good for the disc.
It is said that it is good for the back disc to exercise with a straight back.
But more people than I thought are not disc-related.
When you straighten your back, your back muscles are over-strained.
There are a lot of people whose back hurts more later.
I'll talk about that later.
So the third one.
So we exercised and the back pain was improved.
What does that mean?
It's bent.
It's bent more.
It's better.
That means it's not a back disc.
There are so many.
If there was a problem with my exercise,
I'm sure you wrote it in the comments.
He said his back was broken.
But that's a good chance.
I'm eating, and I'm eating, and I'm eating.
I'm hanging on my neck.
I'm telling you it's similar to death.
It's easier to break a rib in a cough.
It's easier to break a rib in an exercise.
Instead, you have to avoid really bad exercises.
I'll explain that bad exercise later.
So there are a lot of cases where this is solved.
There are a lot of cases where it's not a back disc.
Another thing.
Pain solution.
What did we do before?
If you do something like surgery, it won't happen.
Why?
The back disc doesn't move.
What?
I put my back in a pin.
I put it in.
If you put in one or two, you can say it hurts somewhere else.
But I put in all the artificial joints and discs.
I put it all in.
Then why does this person hurt?
Why does it hurt?
It hurts.
This person is also very sick.
It hurts.
He's my patient.
But it hurts.
Those people are very sick.
Why?
There are a lot of other problems.
Muscle problems in the waist.
Or the problem of the buttocks, the problem of the shoulders.
There are a lot of other problems.
There are other problems on the outside.
Not just the back disc.
There could be a lot of problems.
Yes.
So I understood that there could be a lot of back pain even if we don't have a back disc.
Because there are a lot of muscles, there are problems with these muscles.
The muscles protect and don't burst easily.
Yes.
I have to wrap it up with those things.
The video time is too long.
In the next video, in my next PPT,
There's a story about where it usually causes back pain.
So what I want to say in this PPT video is this.
Don't worry too much.
Yes.
There are tests on the back.
In my video, there are tests on whether the back is a disc or not.
And even if it's a back disc,
Even if the disc pops out,
Do I have to go to the hospital for surgery?
Do I need surgery?
There are tests like that.
The movement of the feet,
Touching the toes,
Sensory nerves and motor nerves.
If the motor nerves are damaged, you have to do the surgery quickly.
So don't worry too much about those things.
Instead, go to the hospital.
I'm not telling you not to go to the hospital.
I'm not saying there's no disc.
There are discs, there are cases where you have to do surgery,
And there are cases where you have to take care of it.
So I have to go to the hospital and check it out.
And when you exercise,
If you exercise in a range where there is no pain,
There are a lot of cases where it doesn't matter.
If you exercise while enduring back pain,
Then there can be real problems.
Instead, if you exercise in a range where there is no pain,
And if you do the necessary exercise,
There are a lot of cases where it doesn't matter.
Please refer to it.
There are a lot of cases where it's not a back disc.
If it's solved by exercise,
What?
Muscle problems,
There are a lot of problems and pain in the movement.
If you take good care of it,
There are a lot of cases where it gets better.
I wanted to explain that.
In the next video,
In the next video, the causes of back pain,
The main muscles of back pain,
Muscles?
I'll tell you about the exercises.
I'll wrap up today's video like this.
Please look forward to the next video.
Stay healthy.
Bye.
