Lumbar disc herniation treatment

(A) Drug therapy Drug therapy includes therapeutic drugs and symptom relieving drugs. Because the special structure of the lumbar intervertebral disc determines that many general drugs are difficult to have a therapeutic effect, so the general Chinese and Western drugs also only have a pain-relieving function and relieve clinical symptoms mainly, which cannot achieve the purpose of curing lumbar synostosis at the root. Because the blood supply in the lumbar intervertebral disc is congenitally insufficient, the intervertebral disc fibrous ring is basically no blood supply, and the nutrition in the intervertebral disc is based on the infiltration of the cartilage plate above and below, so general drugs have no therapeutic effect on lumbar disc herniation, and can only achieve the temporary effect of anti-inflammatory and pain relief. Drugs are divided into two kinds of internal and external drugs, internal drugs are commonly used in Chinese medicine, while the general western drugs are only used to relieve pain; external drugs, that is, topical creams, compresses, sprays, rubs, etc.; the role of external drugs are generally used to relieve pain. (B) traction treatment Lumbar disc herniation is divided into three types of bulging, protrusion and prolapse by the size of the herniation. Patients with lumbar disc herniation, at the first onset, are generally advised to first use traction therapy. Traction mainly pulls the intervertebral space with mechanical force, and reduces the internal pressure of the disc, so that the compression of the herniated material on the nerve is reduced. Traction is suitable for patients with bulging discs. Traction is not recommended for acute phase lumbar disc herniation. Because the patient in the acute stage, due to edema and inflammatory stimulation of the nerve root, will cause tension and spasm of the lumbar back muscles, if then traction will strain the lumbar muscle fibers, causing back pain and aggravating the clinical symptoms. (C) Physical therapy, massage therapy, acupuncture therapy Massage and acupuncture are the most commonly used methods to treat this disease. Physiotherapy includes electric therapy, infrared irradiation, heat therapy, etc. The main purpose is to relieve the clinical symptoms of the patient. Since most patients with lumbar synostosis are accompanied by chronic lumbar muscle strain, pear-shaped muscle tension, and muscle spasm caused by the nerves compressed by the lumbar disc herniation with the parts where the nerves travel through, physiotherapy, tui-na, acupuncture and other treatments can better relieve muscle tension and spasm. (iv) Closure therapy Closure therapy is divided into two application methods, one for intravertebral canal closure and one for nerve root closure. As the name implies, intraspinal closure is to inject drugs directly into the spinal canal, and nerve root closure is to inject drugs around the nerve roots. The injected drugs are mainly adrenal glucocorticoids plus local anesthesia. Under the action of hormone, it can reduce and eliminate the sterile inflammation and edema of the nerve root; the anesthetic drug is for pain relief and anesthetizes the nerve to make it less sensitive. (e) Acupuncture therapy Small acupuncture therapy is a new treatment method developed on the basis of acupuncture and closure therapy. Small acupuncture is a surgical instrument called acupuncture knife, which is used to perform extensive peeling and loosening on the painful points of patients with low back pain, and then inject into local anesthetic drugs plus hormone drugs to play the role of anti-inflammatory and pain relief. (f) Surgery Conventional open surgery includes: total laminectomy, hemi-laminectomy, transabdominal disc surgery, vertebral body fusion and so on. The purpose of surgery is to directly remove the nucleus pulposus of the diseased lumbar intervertebral disc and achieve the purpose of treatment by releasing the nerve root compression. Because of the special physiological position of the lumbar spine, surgery destroys the normal physiological structure of the lumbar vertebrae, resulting in large surgical damage, easily causing postoperative instability of the lumbar spine, postoperative scar tissue adhesions, intraoperative accidental injury to nerve roots and a series of adverse reactions, so most patients are afraid of surgery, how to avoid the above adverse reactions caused by surgery, which has been a major problem in the medical profession. (vii) collagenase chemolysis therapy human intervertebral disc nucleus pulposus tissue, composed of water, fibrous tissue, proteoglycans, collagenase full name: collagenolytic enzyme, can dissolve proteoglycans, release the nerve root compression. (H) ozone (triple oxygen) injection therapy: high concentration of ozone, a strong oxidizing agent, with astringent, gasification effect, with the help of the role can be gasified concentrated lumbar disc nucleus pulposus, release the nerve root compression. (ix) radiofrequency thermal coagulation target puncture technology: radiofrequency thermal coagulation target treatment is to denature the herniated part of the nucleus pulposus, coagulation, contraction and volume reduction, and release the compression. Very little injury to the normal nucleus pulposus, while repairing the rupture of the fibrous ring, inactivating the nerve endings of the nascent lesions in the disc, blocking the release of glycoprotein and beta protein in the nucleus pulposus, the warming effect on the injured fibrous ring, edema of the nerve root, inflammatory reaction in the spinal canal play a good therapeutic role, the symptoms disappear or reduce immediately after treatment. It is an international treatment method with less trauma, high safety factor, less patient pain, fast effect and low risk.