What are the considerations for conservative treatment of lumbar disc herniation?

1, pay attention to maintenance. Usually life should pay more attention to: three points of treatment, seven points of maintenance. 2, pay attention to the correct work, life posture, do not carry weight, heavy objects, participate in strenuous activities. 3, it is recommended that the mattress to soft and hard mattress is good, such as more rigid Simmons; 4, try to reduce bending, bending must be careful, especially after getting up in the morning, bending can first bend the knees, less bending. When carrying objects, squat first, then carry. 5, once you feel lumbar discomfort, immediately reduce the activities, keep the prone position in bed (as long as possible every day), generally 1-2 days to return to normal, in the prone position, you can do some hot compresses, the effect is better. 6, try not to sit on a short stool (including a short sofa), can stand, do not sit. 7, the acute period should be absolutely bedridden, the principle is to reduce the weight bearing of the lumbar region. Usually no more than 3 days, serious cases can be 1~2 weeks; long-term bed rest will lead to weakness of the lumbar back muscles and abdominal muscles, further reducing trunk stability, which in turn aggravates the pain. After the acute period, strengthen reasonable exercise training of the low back and abdominal muscles, and at the same time on the waist circumference. Waist circumference protection should not be too long, otherwise it will cause lumbar muscle atrophy. 8, when lying in bed can be supine, prone, some patients will feel more comfortable prone. You can move around in bed, such as turning over, passive or active limbs, the principle is to promote blood circulation, reduce inflammation, etc., but do not twist the waist. 9.Absolutely avoid bad posture in bed, such as lying in bed to read books, watch TV, etc. 10, traction treatment so that after a certain improvement in symptoms can do feiyan, swimming and other exercises, because traction for a long time, will feel the lumbar muscle weakness, vertebral instability, more likely to relapse. 11, traction has indications and contraindications, serious protrusion, spinal stenosis, heavy slippage, etc. do not traction, useless and may be harmful. 12, in the acute stage can be under the guidance of the doctor dexamethasone, mannitol, sodium hepaticoside, etc., oral non-steroidal, blood circulation and pain relief drugs. 13.Other available adjuvant treatment methods are: Chinese medicine, acupuncture, external medicine, sacral injection, epidural closure, etc., which should be chosen according to the condition. 14.Certainly need surgical treatment. Only less than 10% of patients need surgery. It is generally believed that surgery is needed in the following cases: (1) strict conservative treatment is ineffective (some patients are told that they are not suitable for conservative treatment at the first consultation, but they do not listen to the advice, adding to the pain and cost); (2) conservative treatment is effective, but the symptoms recur repeatedly and the pain is heavy (imagine: the status of recurrent attacks is difficult to be accepted by a person who has to provide for his family); (3) the first attack is severe pain, especially in the lower limbs The symptoms are so severe that the patient has difficulty in moving and sleeping, and is forced to be in a flexed hip and knee position, or even kneeling; (4) single nerve root paralysis (numbness, muscle atrophy, weakness, etc.) or cauda equina compression symptoms (urinary and fecal disorders, sexual function affected); (5) huge disc prolapse; (6) disc herniation with spinal stenosis, etc. 15.Establish the confidence to overcome the disease. If unfortunately the disease appears, believe in medicine believe in yourself. Treatment effect is not satisfactory? It may be that the right treatment method was not chosen.