A hundred days after signing in, the first surgery shocked the world!

Ankylosing arthritis!!

How the patient chooses, Lin Feng did not interfere too much.

In any case, it is still necessary to arrange for hospitalization.

After all, the patient's current state can not walk on the ground at all, not to mention whether to move or not to operate, it is necessary to solve the situation that she cannot walk first.

The patient and his boyfriend also obediently followed Lin Feng's advice and were hospitalized!

"Doctor, how long will it take for me to be able to walk on the ground?" asked the patient lying on the hospital bed, with a worried face on his face.

"I can't be sure yet, it depends on how well you recover after treatment!" said Lin Feng.

The treatment plan is simple.

Physiotherapy plus oral NSAIDs.

The most important thing is to stay in bed!

Lin Feng specially explained to the nurse that he must keep an eye on it, so that the patient remains absolutely bedridden, and urine and urine must be solved in bed.

I have never experienced this kind of treatment, and the patient is ashamed and helpless.

It's so painful.

After more than a week of treatment, the patient's condition has also improved, and the pain in the lower back has been slightly reduced, but walking on the ground is still a challenge, and he must be supported by his boyfriend.

Lin Feng came to the ward and checked the patient's condition.

Under normal circumstances, I do not recommend that you choose surgery, unless it is a recurrent conservative treatment that does not work well. "

"However, your condition is too obvious, and the conservative treatment effect is not obvious, you can consider total laminectomy nucleus pulposus extraction, cut these things, you can reduce the compression of the nerve root, make room for the nerve root, and the pain will be significantly reduced." "

Even in this case, the patient is still reluctant to operate.

First, considering that the operation will be traumatic, there will be wounds on the body surface after the operation, which she cannot accept.

The second is that I have been in bed for so long, and if I have surgery now, the previous insistence is not in vain.

Hearing this answer, Lin Feng only shook his head and did not continue to insist.

A few days passed.

The patient's pain has finally improved a lot.

I was able to walk on the ground.

They were discharged.

Lin Feng did not stop either.

Perhaps after conservative treatment for a period of time, the patient may be fine.

......

Didn't think about it.

Less than four weeks passed.

The patient came to the hospital again.

It turned out that after discharge, the patient's pain was not completely reduced, and the symptoms were mild and severe.

You need to live with your waist every day, and some simple daily behaviors can be promoted, but not a little more complicated, let alone go back to continue to be a yoga instructor.

But over time, the patient's back pain worsened again.

The painful patient doubted life, and tears burst out.

During this period, the patient's boyfriend also found a lot of plasters and medicinal wine for her, and spent a lot of money, but there was no effect at all.

Finally came to the hospital.

The patients themselves know that conservative treatment is not effective now.

The resistance to surgery is also slowly fading.

After all, if you are not in good health, you can't work, and there are medical expenses to spend, and the pressure of relying on your boyfriend alone is still very great.

However, her boyfriend did not complain about this, which made her very moved.

Inside the clinic.

For the patient to come again.

Lin Feng was also a little surprised.

It has been so long that even conservative treatment should be almost fine.

How is it again.

"Doctor, we choose to have surgery!!" entered the consultation room, and the patient's boyfriend began.

"Don't worry!" Lin Feng waved his hand.

He felt something was wrong!

The patient does have a herniated lumbar disc, but it shouldn't be so serious.

It's been so long, it's not good yet.

He suspected there were other reasons.

"What's wrong, Doctor?" suddenly, the patient immediately became nervous.

I thought my problem had gotten worse.

"Don't be nervous!" Seeing that the patient was nervous, Lin Feng immediately soothed, and then continued: "Your lumbar disc herniation will not cause such serious pain, will you feel that the joints of your limbs are stiff when you get up every day?"

Hearing this, the patient hurriedly said: "Yes, it is so! I have to rub it for a long time every day, or move it to stretch out." "

Hearing the feedback given by the patient, Lin Feng immediately understood, and immediately said: "That's right! Stiff joints in the limbs are a manifestation of rheumatic immune diseases that invade the joints, which we call morning stiffness!"

Hearing this, the patient and her boyfriend were stunned.

Lumbar disc herniation, how to associate rheumatic immune diseases.

Don't wait for the two to ask.

Lin Feng continued to ask: "Your low back and leg pain, is the pain more obvious when resting, and the activity will be lessened?"

Lin Feng didn't care about this before, thinking that it was caused by the compression of the nerve, but now it seems that it has nothing to do with the compression of the nerve, but is caused by another disease.

"Doctor, what you said is very accurate!" The patient nodded repeatedly, she did feel this way before, but she didn't care too much, after all, it really hurts!

Finish speaking.

Lin Feng got up and began to check the patient's joint and limb movements.

It still hurts, but the patient endures it.

It was checked out quickly.

Lin Feng said: "It is very likely to be rheumatoid arthritis or ankylosing spondylitis!"

Just finished.

The patient hurriedly asked, "Doctor, are you mistaken, how can I have rheumatoid arthritis when I am so young?"

Lin Feng shook his head, then picked up the previous MRI film, and continued to say to the patient: "Look, your sacroiliac joint has changed, so I suspect it is mandatory arthritis!"

Forehead~~

The patient is a little confused!

There's a difference!

Or arthritis!

How can I have arthritis when I am young!

"Doctor, this can't be, right?" the patient's boyfriend asked immediately.

Lin Feng said softly: "I just suspect!

"Doctor, what tests are needed, we will go now!" said the patient's boyfriend immediately before the patient could speak.

He is well aware of the severity of ankylosing arthritis, which can be said to be terminally ill and there is no cure.

"First go for a CT scan of the sacroiliac joint, draw blood to check erythrocyte sedimentation rate, C-reactive protein, and an HLA-B27 gene test. Lin Feng said immediately.

Before, Lin Feng did not think about this aspect.

After all, the patient's MRI results show lumbar disc herniation.

Forced arthritis, that's much more serious.

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PS: Happy Spring Festival, I wish everyone to win big money by playing mahjong, he!

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