Treatment of the fourth fifth lumbar herniation

First, bed rest, which is the basis of non-surgical treatment, can reduce the pressure on the intervertebral disc, relieve the pressure of the disc tissue on the nerve root, and achieve the reduction or elimination of clinical symptoms, and most of the symptoms can be relieved by bed rest for 3-4 weeks; second, lumbar traction, which can increase the intervertebral space and tension of the posterior longitudinal ligament, which is beneficial to the herniated nucleus pulposus Third, massage can relieve lumbar muscle tension, loosen nerve root adhesions or change the relative relationship between the herniated nucleus pulposus and nerve roots to reduce the pressure on the nerve roots; fourth, medication, anti-inflammatory and analgesic drugs, such as loxoprofen sodium and celecoxib, can reduce pain and assist the patient in rest treatment, which can reduce the inflammatory reaction and edema of the nerve roots; fifth, surgery, if conservative treatment If conservative treatment is ineffective, surgery is needed to remove the lumbar intervertebral disc and completely release the nerve compression.