Can back pain always be a herniated disc? Not necessarily. There are many reasons for back pain. Kidney disease will, but there is usually an abnormal urinalysis and kidney function tests. Obstetrics and gynecology disorders will also, but there is usually discomfort in the lower abdomen. Generally, if you exclude the above mentioned diseases, the low back pain caused by long term bending and working, in the early stage will usually be lumbar muscle strain. What is the case of lumbar disc herniation? When the lumbar pain persists and is difficult to relieve; and the symptoms of numbness in the legs appear, it is possible that the lumbar disc is herniated. Causes of lumbar disc herniation Lumbar disc herniation can occur with long-term bending movements, including manual labor, housework, or long-term sitting office workers and students. What is the difference between a bulging disc and a herniated disc? A mild herniated disc is called a “bulging disc”, which is characterized by the bulging of the disc that was originally in the shape of a kidney (Fig. 4a) in the depression of the renal hilum, which can be interpreted as the bulging tummy-like shape of a chess piece. A localized, abrupt, non-rounded disc bulge is called a “bulge”. Generally, “bulging” is the early stage of herniated disc, which can be relieved by non-surgical treatment; while “herniation” cannot be relieved after 3-6 months of non-surgical treatment, surgery is often required to remove the protruding discs that produce compression. How to prevent lumbar intervertebral disc herniation 1, first of all, to avoid long-term uninterrupted lumbar intervertebral stress activities, such as prolonged play mahjong, Internet, watching TV, sedentary, labor, etc.. Every 1 hour to get up and move once, such as radio gymnastics, tai chi, or just give yourself 5 minutes to kick your legs and move your waist. 2, followed by taking the correct sitting, standing, working posture (so that heavy objects as close as possible to the body’s center of gravity line), to reduce the stress between the lumbar vertebrae. Why do these actions The human lumbar intervertebral discs began to degenerate and dehydrate after the age of 30, and accordingly the stress on the fibrous annulus around it and the posterior articular synovial joints increased, and degeneration also occurred. The result of degeneration is that the lumbar spine is less stable during activities, and nerve irritation leads to low back pain. In addition to the spinal stabilizers mentioned above, the human body also has dynamic stabilizers in the form of the lumbar peripheral muscles (including the psoas major, psoas square, erector spinae, etc.). These paravertebral muscles are critical to maintaining the stability of the lumbar spine, especially after the static spinal stabilizers (intervertebral discs, annulus fibrosus, and synovial joints) have failed. The paravertebral muscles are like the diagonal rigging around the mast of a sailboat or the stabilizing wire traction lines around a utility pole. The mast and pole can only be stabilized if the cable ties are strong and sturdy. In the same way, only by building strong lumbar muscles can we stabilize the degenerated lumbar spine structure and prevent further lumbar instability, disc herniation and nerve root compression. For patients who have only low back pain with no or mild numbness in the legs, non-surgical treatment is recommended. The purpose of non-surgical treatment is to eliminate the edema of the nerve root and reduce the local inflammation; relax the muscles of the lumbar segment and reduce the pressure in the intervertebral disc; eliminate the inflammatory reaction in the muscles of the lumbar segment and break the vicious circle. Methods include: 1, rest, but not absolute bed rest. Acute attacks can be considered bedridden, the purpose is to relax the spasm of the lumbar muscles, reduce the stress on the intervertebral disc. However, prolonged bed rest (more than 2 weeks) will lead to relaxation of the lumbar muscles, which will make it difficult to play the role of stabilizing the lumbar spine once getting up and further aggravate the symptoms. The latest international view is “combination of static and dynamic”. That is, the acute period of pain rest brake, pain relief wear support out of bed appropriate activities, in order to relieve lumbar muscle spasm, rebuild the human body lumbar muscle dynamic balance purpose. 2.Protective lumbar girdle application. Rigid lumbar girdle can play the role of “ligament outside the body” to help stabilize the lumbar spine. 3.Physiotherapy, massage, massage, hot compresses can play a “blood circulation, eliminate blood stasis, anti-inflammatory pain” purpose. 4, traction is effective in relieving lumbar muscle spasm, is a passive measure to relieve nerve root compression, temporarily effective. 5, can be supplemented with medication, including anti-inflammatory pain relief – flurbiprofen babu cream (Zephyr) and other creams and oral medications such as celecoxib (Celebrex), etoricoxib (Ankangxin), to reduce swelling – MaiZhiLing, to relax the muscles – ethylpiperidinone (Miaoli Sodium), nutrient nerves – Methylcobalamin, and blood circulation and blood stasis of the proprietary Chinese medicines – Tendon and Bone Pain Relief Pills and so on. For patients whose conservative treatment is ineffective for 3-6 months; whose pain and nerve root damage symptoms are progressively worsening; and whose quality of life is seriously affected, surgical treatments such as intervertebral disc removal can be performed.