Herniated disc and herniated disc are two different concepts. Lumbar disc herniation is the result of disc degeneration and injury, and not all have symptoms. 20% of normal people have lumbar disc herniation (shown by MRI), this kind of lumbar disc herniation is degeneration, which represents the aging stage of human body’s growth and development, it is not a disease, and of course, there is no need for treatment. If the lumbar disc herniation leads to low back and leg pain and other symptoms, it is lumbar disc herniation, which is a disease. The good thing is that 70% of lumbar herniated discs are self-limiting, and the symptoms usually disappear on their own within 3 weeks to 3 months. The so-called conservative treatment of lumbar disc herniation, in fact, is mainly the use of the natural course of the disease – self-limiting a series of non-specific treatment, whether it is effective is mainly related to the characteristics of the disease itself, but also with the onset of the disease time is related to the domestic and foreign does not yet exist to treat lumbar disc herniation panacea. The purpose and mechanism of conservative treatment: 1, effectively relieve the symptoms of acute attacks of lumbar and leg pain; 2, create conditions for the elimination of nerve root inflammation; 3, to avoid all the factors that aggravate the nerve root compression and irritation; 4, nutritive nerves, and promote the recovery of nerve damage; 5, to reduce the pressure on the intervertebral disc, and to promote the herniated nucleus pulposus to be returned to the body and absorbed (which occurs in a few percent of very few patients). Therefore, we emphasize that conservative treatment of lumbar disc herniation should master the course of treatment (= natural course of the disease) – 3 weeks ~ 3 months; that is to say, within three weeks the symptoms are generally not relieved, conservative treatment for more than 3 months the symptoms are still obvious, generally ineffective (or ineffective). Choose the position and activities that can relieve pain, when the pain is obvious, you can stay in bed for about 2~3 days; when the symptoms are relieved, you can carry out certain activities, and if you are able to do so, you can insist on going to work and light activities. Such a rehabilitation program, compared to the previous strict bedridden 1 ~ 3 months, the proportion of pain relief is higher, this conclusion has been confirmed by a large sample of foreign controlled trials, but also the general concept of recuperation is very different. Prolonged lying in a hard bed is not beneficial to the recovery, you can do what you can do during the treatment period, so that the recovery is faster. Can be combined with anti-inflammatory and analgesic drugs, nutritive nerve drugs, tendon activating drugs. Short-term waist circumference, appropriate physical therapy, massage, traction, some patients will be effective. The goal of conservative treatment is to reduce pain and inflammation and avoid new disc-nerve irritation, not mainly the disappearance or reduction of disc herniation. Conservative treatment is about 70-80% effective, with half of the symptoms disappearing and the other half remaining mildly symptomatic for a long time. Minimally invasive treatments are also available before the final option of surgery, including epidural closure, plasma radiofrequency, discoscopy, and more. Epidural closure or sacral closure is effective in 60-80% of cases in the near term and 30-40% in the long term. Plasma radiofrequency and discoscopy are more effective. In the symptomatic relief period of lumbar disc herniation, it is very important to insist on exercising the lumbar back muscles, the purpose of doing so is that the strong lumbar back muscles can effectively protect the lumbar spine, reduce the abnormal force, reduce the load of the lumbar disc. In addition, there is a relatively simple and easy way to walk backwards. Theoretically, walking backwards as a reverse movement can force the body’s center of gravity to shift backward, thus correcting posture. On the contrary, high heels can cause and aggravate low back pain symptoms because it works by forcing the body’s center of gravity to shift forward. From the perspective of human body mechanics, shoes for people, equivalent to the foundation of the building, the foundation tilted forward, the center of gravity is bound to move forward, the curvature of the spine to increase, high-heeled shoes known as the lumbar spine killer reason also lies here. Therefore, doctors will caution patients with herniated discs should not wear high-heeled shoes, patients also pay attention to.