I. Case sharing: “Post-90s” young people also have lumbar disc herniation 24-year-old less than, his job is a driver, long-term sedentary, 4 months ago began to feel the pain and discomfort in the lower back and left hip, accompanied by numbness in the left lateral calf and left big toe, in March this year to the hospital to do lumbar MRI examination, found In March this year, he went to the hospital for a lumbar MRI and found that the L5/S1 lumbar disc had a huge protrusion and was compressing the nerve root. In June this year, he finally came to Guangdong Provincial Hospital of Traditional Chinese Medicine for inpatient treatment. On the advice of the doctor, he underwent minimally invasive lumbar spine surgery to remove the herniated disc nucleus pulposus, and on the day of the surgery, his leg was no longer painful, and he wore a waist brace to walk the day after the surgery, and his face showed a long-lost smile. For patients with common clinical lumbar and leg pain, especially those with leg pain heavier than lumbar pain and MRI suggesting simple lumbar disc huge herniation or prolapse, treatment by minimally invasive surgery can often achieve satisfactory results. Second, data analysis: lumbar disc herniation is very common A recent epidemiological report of a large sample shows that a tertiary hospital has admitted a total of 3215 patients with lumbar and leg pain in 20 years, of which 2989 cases, accounting for 93%, have lumbar disc herniation, and the youngest is only 16 years old. Huang Gang, chief physician of the spinal orthopedics department of Guangdong Provincial Hospital, introduced that lumbar disc herniation used to be a common disease of the middle-aged and elderly, but modern young people lack exercise, poor lumbar muscle strength, coupled with long-term sedentary, poor sitting posture and other factors, resulting in accelerated lumbar disc degeneration, which can easily lead to lumbar disc protrusion or even prolapse, the typical symptoms are first discomfort of lumbar pain, followed by radioactive pain in the buttocks and lower limbs, followed by numbness and numbness. The typical symptoms are numbness and weakness followed by numbness and weakness, and the symptoms are aggravated by sitting or standing for a long time, so you should go to a spine specialist and have an MRI examination if necessary to guide the treatment. Third, the lumbar disc herniation are suitable for massage? Lumbar disc bulge or mild herniation resulting in lumbar pain can be relieved by other conservative treatment measures such as exercise, medicine, acupuncture, small acupuncture, physiotherapy, etc. Less than 5% of patients whose severity reaches the level that conservative treatment is ineffective for 4 weeks to 2 months and requires surgery. After the diagnosis of lumbar disc herniation, many people often receive some massage treatment, the most common of which is oblique trigger and pressure reset, some patients have relieved lumbar pain, but there is obvious lower limb radiating pain, lumbar spine magnetic resonance examination often suggests that the lumbar disc has been a huge protrusion or even prolapse, because the oblique plate and heavy manipulation pressure, easily lead to the rupture of the lumbar disc fibrous ring, acute prolapse of the nucleus pulposus, which leads to acute prolapse of the lumbar disc. This leads to acute aggravation of the lumbar disc herniation, causing severe pressure on the nerve roots, resulting in continuous severe back and leg pain. Of course, if the lumbar spine CT or MR suggests that the intervertebral disc annulus fibrosus has been calcified or the annulus fibrosus is intact, it is safe and effective to do the lumbar spine oblique trigger and pressure reset technique properly. Therefore, in the choice of massage reset techniques, need to be “careful and cautious”. Fourth, differentiation: simple lumbar pain to keep a few more eyes The simple lumbar pain of young people often need more differential diagnosis than lumbar pain, such as common lumbar myofasciitis, sacroiliac arthritis discogenic lumbago and ankylosing spondylitis and so on. All of the above can present with low back pain, but lumbar myofasciitis lumbago is often associated with improper exertion of the lumbar muscles or a clear history of sprain, local swelling of the lumbar muscles, significant pressure pain, and significant pain on only one side of the lumbar pain. Sacroiliac arthritis lumbago is associated with unfavorable activity at the sacroiliac joint of the hindquarters when striding forward, and the pain is not obvious at rest. In the case of discogenic low back pain, lumbar discography is required to make a clear diagnosis. Young people, especially young men, with symptoms such as pain and stiffness in the lower back and obvious symptoms when getting up in the morning need to exclude ankylosing spondylitis and should go to the hospital for detailed examination. V. Treatment of lumbar disc herniation: Conservative treatment: 1. Functional exercise: five-point support (i.e., go to the pillow lying flat on the bed, both elbows flexed against the side chest wall, both lower limbs flexed hip and knee, with two elbow tips, two feet and the five points of the occiput behind the head for support, do arching waist off the bed about 20 cm, waist one up and one down for a movement, alternately 3 times a day, each time about 20), three-point support (that is, the five-point support method reduces the double elbow support point to do the arch waist action), double lower limbs straight leg stirrup straight lift exercise; 2, Chinese medicine, Chinese medicine internal and external application; 3, physical therapy: infrared heat therapy, Sizi San heat, lumbar traction, etc.; 4, small needle treatment, body acupuncture, abdominal acupuncture, abdominal acupuncture and other Chinese medicine characteristics of acupuncture. 5.Tui na massage treatment; 6.Surgical treatment: if the lumbar spine X-ray indicates no arch isthmus crack, lumbar instability and slippage, lumbar spine magnetic resonance indicates no obvious ligamentous hyperplasia, no obvious narrowing of the spinal canal, etc., then minimally invasive surgery can be done to remove the herniated nerve-compressed intervertebral disc nucleus pulposus tissue, the postoperative pain can be relieved immediately, the intraoperative bleeding is less than 10ml, and you can move freely on the ground the day after surgery; if there are If there is any of the above listed cases such as isthmus crack, lumbar instability, or obvious narrowing of the spinal canal, other surgical methods such as posterior lumbar fusion should be performed.