How to treat a herniated lumbar disc with dural sac and nerve root compression

The treatment of lumbar disc herniation, dural sac and nerve root compression depends on the severity of the compression. If the compression is relatively light for a short period of time, it can be treated conservatively first. Conservative treatment includes bed rest, traction in a regular hospital, application of drugs to reduce spinal edema and nerve nutrition, such as mannitol and oral methylcobalamin. Rehabilitation, physiotherapy, and shock wave therapy can also be performed in a regular hospital. Treatment is carried out through Chinese medicine techniques and acupuncture. If the compression is more severe, with nerve root adhesions and bony stenosis, the case can be treated by surgery if conservative treatment is ineffective. Surgery includes minimally invasive and conventional surgery, and minimally invasive includes intervertebral foraminoscopy and intervertebral discoscopy for comprehensive treatment.