Many patients with lumbar disc herniation are not very clear about conservative treatment methods, thinking that “no surgery” is conservative treatment. In fact, there is a lot to learn about conservative treatment. Conservative treatment methods are effective for most patients with initial onset lumbar disc herniation. Early and standardized conservative treatment is very important. Conservative treatment of lumbar disc herniation, also known as non-surgical treatment, commonly used methods are: medication, braking therapy, physiotherapy therapy, traction therapy, etc., as follows: 1. Braking therapy: This is also the first and most important method of conservative treatment, which requires bed rest for 3-4 weeks. The main thing is bed rest, especially during acute attacks, bed rest can make the pressure of the intervertebral disc for the nerve drop sharply, to avoid further irritation of the nerve to the maximum. Bed rest here means absolute bed rest (hard mattress and mattress here, not “sleeping on the bed board” as many patients and families think), except for going to the toilet, all other activities are lying in bed. To go to the toilet, you need to bring a waist brace to protect your waist and avoid excessive movement of your waist. 2.Drug therapy If the patient has heavy pain, he can take non-steroidal anti-inflammatory and analgesic drugs, such as Fotarine, Loxone or Xilabao (Xilabao: prohibited for patients with sulfonamide allergy; Fotarine and other non-steroidal anti-inflammatory and analgesic drugs are prohibited for patients with gastroduodenal ulcer); at the same time, take neurotrophic drugs, such as methylcobalamin; oral Chinese medicine to activate blood circulation and remove blood stasis may also play a certain role. 3.Physiotherapy therapy Mainly local heat, electrical therapy, infrared therapy, magnetic therapy, etc.. The main function is to eliminate local muscle inflammation and relieve muscle spasm, so as to achieve the effect of analgesia and reduce the pressure of the intervertebral disc. 4.Traction therapy can be divided into mechanical traction (vibration type, pulse type, etc.) and pelvic traction (continuous or intermittent), which generally need to be carried out in the hospital. It is suitable for cases with short duration of disease, intact fibrous ring and small protrusions. However, it is not effective for long duration of disease and large protrusions. The mechanism is: through traction, the posterior longitudinal ligament can be strained, the yellow ligament can be relaxed, the nucleus pulposus can be promoted, and the compression of the nerve root by the herniated disc can be improved to achieve the treatment purpose. Traction needs to pay attention to the following matters: (1) Traction treatment needs to be carried out under the guidance of a doctor. The posture, weight and course of traction should be carried out according to the doctor’s prescription. (2) Generally a hard bed or other hard bed is required to facilitate the maintenance of traction. Reclining on a soft bed can sometimes even aggravate the symptoms. (3) After a period of traction, if the symptoms are relieved, traction should not be discontinued prematurely, but should be continued in bed combined with traction therapy to reduce the possibility of recurrence. (4) The patient should ask the doctor to help identify the cause and take appropriate measures in time if the symptoms do not improve significantly after a period of traction. For symptom aggravation, traction should be stopped immediately and the doctor should be asked to do further consultation and treatment. The above methods are the main methods of conservative treatment for lumbar disc herniation. Conservative treatment methods also include: Chinese medicine massage and tui-na, acupuncture and other methods, but it should be emphasized that before massage and tui-na, it is best to carry out CT or MRI examination of the lumbar spine to clarify whether the patient with lumbar disc herniation is suitable for massage and tui-na to prevent the symptoms of severe disc herniation from worsening after massage and tui-na.