The herniated lumbar disc is already a familiar disease, but do you really understand the herniated lumbar disc? Many people think it is lumbar disc protrusion when they say they have back pain, and some people just heard of this disease and do not know why, more people think that as long as they have this disease to nurture to do massage can be good, these are errors in the understanding of lumbar disc protrusion, today we are together to correct some misconceptions that people often have. A, lumbar disc herniation and bulge is the same? This statement is wrong! The human spine is composed of multiple vertebrae, two vertebrae between a disc-shaped elastic pad, surrounded by a fiber ring and ligaments fixed, the disc-shaped pad is what we call the intervertebral disc, it can play a role in cushioning pressure. The lumbar disc bulge is the disc fibrous ring to the spinal canal expansion without rupture, protrusion is the fibrous ring rupture, the nucleus pulposus tissue material is extruded and produce symptoms. Lumbar disc bulge generally does not require treatment, self-healing exercise, while disc herniation is not, when the protruding disc compression of the spinal nerve or cauda equina nerve causes back and leg pain or incontinence, and even paralysis. This disease often brings a lot of pain to the patient’s life and work, and even causes disability, loss of ability to work, and has the characteristics of difficult treatment and easy recurrence. Second, herniated lumbar discs can massage massage? This view is also wrong! The lumbar disc herniation can be divided into three types: 1, posterior lateral herniation type 2, central herniation type 3, intervertebral foramen herniation type The weakest part of the posterior aspect of the fibrous ring is on both sides of the midline of the disc, where itself is weak, the disc herniation is called posterior lateral herniation type, which is the most common in clinical practice, accounting for about 80%. The central herniation type refers to the central protrusion of the nucleus pulposus through the posterior part of the annulus fibrosus, reaching under the posterior longitudinal ligament. In addition to causing sciatic nerve symptoms, it can also stimulate or compress the cauda equina nerve, manifesting as perineal palsy and urinary and fecal disorders. Intraspinal herniation means that the nucleus pulposus protrudes posteriorly through the posterior fibrous ring and posterior longitudinal ligament into the spinal canal and into the intervertebral foramen. We know that the spinal cord and cauda equina are behind the spine, and if the herniated disc compresses these tissues, urinary and fecal incontinence and even paralysis can occur. The massage may make the symptoms of intervertebral disc compression more obvious, leading to more serious consequences. Third, there is a “herniation” on the “surgery” ? This concept is still wrong! The purpose of lumbar disc herniation treatment is to treat the symptoms and physical symptoms, no treatment is needed for herniation without symptoms. Even herniated discs that require surgery do not always need to be operated on. As technology continues to improve, minimally invasive spine surgery has developed by leaps and bounds. The methods include spinal endoscopic disc surgery, percutaneous puncture disc removal, chemical lysis of the fibrous ring and nucleus pulposus, and radiofrequency ablation of the intervertebral disc. Compared with traditional open surgery, minimally invasive surgery has the following advantages: 1. small incision, less bleeding, shorter path, less trauma; 2. light postoperative pain, short bed time, early walking on the ground; 3. 15 times magnification of the field of view, not easy to damage nerve roots, dural sac, etc.; 4. the ability to simultaneously perform disc removal and nerve root canal enlargement, the most complete release of compression; 5. only a very small removal of the vertebral plate, conducive to maintaining the structural integrity of the spine The integrity of the spinal structure and functional stability can be maintained.