How to treat herniated discs in the lumbar spine

Almost all adults have experienced low back pain, and one in five patients with low back pain has a herniated disc. However, there are some misconceptions about the treatment of lumbar disc herniation: traction is not always effective. Traction can reduce the pressure of the disc, promote the nucleus pulposus to varying degrees, promote inflammation, release muscle spasm, and restore the normal alignment of the posterior joint. However, if the herniated disc is on the inner side of the nerve root, it will become more and more painful, and it is not suitable for central, free type herniation and huge nucleus pulposus herniation. Tui na massage is not suitable for all patients. Massage can have an inhibitory and regulatory effect on the nervous system, play an analgesic effect, release muscle spasm, improve blood circulation, promote the inflammation around the nerve to subside, release the nerve root extrusion, and may make the herniated nucleus pulposus partially return. However, severe painful central herniation and associated spinal stenosis, massage is generally not recommended. It should not be used reluctantly in complicated conditions with long duration, severe pain and obvious or rapidly deteriorating symptoms of nerve compression. The options for minimally invasive surgery and interventional indications are limited. These include chemical lysis of the nucleus pulposus, percutaneous lumbar discectomy, endoscopic disc surgery, ozone injection, and laser vaporization. The advantages of these methods are less damage, faster results, shorter recovery time, and fewer surgical sequelae. However, the disadvantage is that the indications for treatment are very strict, so if your condition is not in the scope of the treatment, you will not be able to do it, and it will have other adverse consequences. No more than 10% of people need surgery (meaning conventional open surgery). Surgery for herniated discs has a history of 60 years, but Professor Yang Keqin, one of China’s leading orthopedic experts, says, “Surgery is mainly to remove the herniation to achieve decompression, but it can also bring about problems such as instability and osteophytes in the lower lumbar spine, and it is difficult to predict how far the symptoms can be reduced after surgery, so do not be bent on pursuing surgical treatment.” He added, “It must be clear that no more than 10 percent of patients with lumbar disc herniation require surgical treatment.” Which patients need surgery? 1, diagnosed lumbar disc herniation for more than six months, ineffective after non-surgical treatment, and worsening symptoms. 2. The first severe attack of lumbar disc herniation, in which the patient has difficulty moving and sleeping due to pain, and is forced to lie in a lateral position with the hip and knee flexed, or even kneeling. 3. Single nerve palsy or cauda equina palsy occurs, manifesting as muscle paralysis or impaired defecation and urination. 4.Middle-aged patients with long duration of disease, affecting work and life. 5.Reliable examination confirms total disc degeneration or large herniation. 6.Non-surgical treatment is effective, but the symptoms are recurrent and the pain is heavy for more than 3 times, surgery is recommended. 7.Protruding disc and other causes of lumbar spinal stenosis. After talking for half a day, how should we choose? Is there no one method that can be effective? Is it that the disease is not treatable? No, this disease is easy to treat. Among the patients we have treated, not to say that 100% of them are effective, but more than 70% of them can be cured at once. Where does the key lie? The indications! In a word: the treatment method that suits your condition is the best method. Depending on the condition, you should treat how to treat, do not escape, do not have a lucky break. In the above categories of treatment methods, are effective ways to cure lumbar disc herniation, each has its own advantages and disadvantages, each has its own range of treatment. You do not know how to choose, you are confused, its reason lies in the fact that you have not found a suitable treatment method for yourself, we suggest that you go to the hospital’s rehabilitation medicine specialist for treatment.