How to treat lumbar disc herniation

Lumbar disc herniation, referred to as lumbar herniation, occurs in the age group of 20-40 years old, and is mostly caused by acute sprains and contusions in adolescents, while in middle-aged and elderly people it is more often due to degeneration or accumulative strain injury, etc. Clinically, about one-fifth of patients with lumbar pain have lumbar disc herniation, so it is a common and multi-infarct disease. Clinically, lumbar herniation can be broadly divided into typical posterior lumbar disc herniation and atypical lumbar disc herniation; based on the relationship between the lower limb radiating pain and numbness occurring on which side and successively, it can also be divided into unilateral, bilateral and central type; in addition, according to whether there is destruction of the fibrous ring and the location of the nucleus pulposus found during surgery, it can also be divided into lumbar disc herniation and lumbar disc nucleus pulposus prolapse. The clinical diagnosis of this disease can be made on the basis of symptoms and signs and imaging examinations such as CT or MRI. At present, the mature treatment methods for lumbar herniation include non-surgical, interventional and surgical therapies. Non-surgical treatment includes: 1. rest on a padded hard bed and hot compresses on the lumbar area. 2. Intermittent pelvic traction, continuous bedside traction and rapid flexion-rotation traction, etc. 3.Moderate tui na and acupuncture treatment. 4.Dehydration method and blood activation and stasis removal method. For those with acute onset or obvious symptoms, 20% mannitol 250ml can be dripped intravenously under pressure for 30 minutes, once a day for 5-7 days. You can also use 10% glucose injection 500ml plus 4 sticks of salvia injection, intravenous drip, once a day for 10-14 days. 5.Injecting HCA 0.5ml+0.5% procaine 50ml into the epidural sacral canal, which is the so-called liquid open-heart therapy, is also a treatment method often carried out by many hospitals at present. 6.Local pain point closure, nerve root block and external application of homemade pure Chinese medicine preparation. 7, the use of various related physical therapy. Non-surgical treatment for lumbar disc herniation is very popular in clinical use, and the treatment effect is quite satisfactory for the majority of patients. However, things are always divided into two. If the treatment of lumbar disc herniation is ineffective after repeated non-surgical therapy, or if large nucleus pulposus herniation, cauda equina damage and disc herniation are accompanied by severe spinal slippage or spinal stenosis, timely surgical treatment should be considered to avoid delaying the disease. At present, lumbar disc herniation nucleus pulposus aspiration under the condition of radiological intervention is being gradually promoted because of its advantages such as low cost, simple operation and high safety factor compared with traditional surgery. The prevention of lumbar disc herniation is also important. Avoiding wind and cold, avoiding strain, moderate and correct lumbar exercise and exercise, sleeping on a soft and hard bed and wearing a lumbar support will reduce the incidence of lumbar disc herniation to varying degrees and improve or alleviate the resulting symptoms and signs.