Why does a herniated disc keep getting worse? Is the condition too severe? Or is the lumbar herniation too mysterious? In fact, neither, lumbar disc protrusion is particularly simple, see the following introduction, you will know what is going on lumbar disc protrusion. The lumbar intervertebral disc herniation is a disease in which the nucleus pulposus protrudes and compresses the nerve roots after the rupture of the fibrous ring, causing back and leg pain as the main manifestation. The lumbar intervertebral disc is equivalent to a micro-movement joint, which is composed of transparent cartilage plate, fibrous ring and nucleus pulposus, distributed among the lumbar vertebrae. The incidence of lumbar disc herniation is highest in lumbar 4-5 and lumbar 5-sacral 1, accounting for about 95%. The most common symptom of patients is pain, which can be manifested as low back pain, sciatica, etc. I. What is the lumbar intervertebral disc like? The lumbar intervertebral disc is located between the two vertebral bodies and consists of three parts: 1, the nucleus pulposus: located in the center of the intervertebral disc, is a transparent gel, with a certain degree of elasticity can cushion the spinal pressure, the water content of about 75%-90% of the total nucleus pulposus. When the nucleus pulposus gradually lose water, it will become flattened under pressure, so that the pressure is transmitted in all directions, and when it can not withstand the pressure will protrude from the fiber ring wrapped around it and exposed. 2.Fiber ring: The fiber ring is wrapped outside the nucleus pulposus to keep the liquid component of the nucleus pulposus and maintain the position and shape of the nucleus pulposus. The fibrous ring is very strong and tightly attached to the cartilage end plate to maintain the stability of the spine. 3, cartilage end plate: cartilage end plate is located on the upper and lower sides of the vertebrae, composed of fibrocartilage, one in each of the upper and lower vertebral body. Cartilage plate, like articular cartilage, can withstand the pressure to prevent the vertebrae from being subjected to superconforming pressure to protect the vertebral body. The cartilage end plate is a transparent non-vascular cartilage tissue, which plays a role in the nutritional exchange of the intervertebral disc, with a thickness of 1mm, and once damaged, it cannot repair itself and does not produce pain. Second, the relationship between the intervertebral disc and lumbar action The lumbar intervertebral disc usually begins to gradually degenerate after the age of 25, long-term repeated strain (such as prolonged standing or prolonged sitting, fixed posture, weight-bearing bending state of the disc is prone to injury), trauma, congenital abnormalities of the lumbosacral spine, family lumbar heredity are the cause of the disease. Third, the classification of lumbar disc herniation according to the degree of herniated nucleus pulposus can be divided into bulging, protrusion, prolapse and free four types of lumbar disc herniation, of which bulging, protrusion is more common, is also better to treat successfully, prolapse and free relatively less, if encountered, most of them go directly to surgery can be, conservative treatment is not useful. 1, nucleus pulposus The lumbar intervertebral disc fiber ring part of the shape has changed, but no rupture, the nucleus pulposus did not protrude. 2.Protruding nucleus pulposus The fibrous ring is partially ruptured and the nucleus pulposus flows out from the fissure. 3.Prolapsed nucleus pulposus The herniated nucleus pulposus is disconnected from the nucleus pulposus within the fibrous ring and forms an independent protrusion. Typical symptoms: low back pain and radiating lower limb pain (96.5% of patients, pain related to body position), lumbar muscle spasm and tension (muscle pulling can lead to lumbar spine showing lateral protrusion deformity on X-ray), interspinous paraspinal pressure and radiating pain (patients refuse to press the spine for examination), neurological impairment (weakness of lower limbs, nerve root Feng, sensory numbness, urinary and fecal dysfunction in severe cases). Protection 1, cold, wet season, pay attention to warmth; 2, avoid prolonged standing and sitting (half an hour to change the posture); 3, correct poor sitting, standing, lying posture; 4, usually pay attention to the lumbar back muscle functional exercise; 5, avoid excessive weight bearing and long time bending activities 6, do not sleep too soft at home bed 5, rehabilitation exercises lumbar back muscle functional exercise is a common treatment method for lumbar pain and lumbar disc herniation. Strong lumbar back muscle group is the main factor to prevent the pain of lumbar disc herniation, and all drug treatment should be built on this basis. Patients with lumbar disc herniation have different causes and different protrusion locations, so find the exercise that is effective and does not aggravate the condition to strengthen the exercise in all exercise rehabilitation exercises below! (The next part of the various conditions are applicable) 1, hook feet lying flat on the bed, hook feet upwards! This process is hooked from the bottom of the foot upwards, not just hook the toe! Exercise: mainly to the sick side of the exercise, the healthy side of the auxiliary exercise, slowly hook the foot to the maximum stay 3-5 seconds, relax for 5 seconds for a time. Each exercise 10 times as a group, exercise about 6 groups per day, not aggravate the symptoms for the degree! Purpose: This method can make the nerve stretch, can pull the compressed and stimulated nerve. Most of the lumbar protrusion will have the sciatic nerve is pressed, can effectively stop the pain and promote recovery! 2, extend and flex the knee joint lying flat on the bed, slowly bend the knee joint, then straighten it, hook the foot in the flexion and extension process has been maintained! Exercise: both sides need to exercise, slowly bend the leg to the maximum, the process of hooking the foot to maintain, adhere to 3-5 seconds, and then straighten the rest for 5 seconds once, each time 10 times for a group, about 6 groups of daily exercise, not aggravate the symptoms for the degree! Purpose: This method is not only able to stretch the nerve, reduce the compression and stimulation of the nerve, but also to exercise the waist and hip muscle tissue! 3, lying flat leg lift lying flat on the bed, lifting one leg horizontally, keeping the hooked foot in the process, keeping the upper body in a state of immobility! Exercise: both sides need to exercise, slowly lift the leg horizontally, the process of hooking the foot to maintain, lift to the maximum, hold 3-5 seconds, put down rest for 5 seconds for a time, 10 times for a group, exercise 3 groups per day can. Do not aggravate the symptoms for the degree! Purpose: This method can make the nerve stretch, can pull the nerves that are compressed and stimulated. Can exercise the legs and lumbar muscles! 4, swing the hip lying flat on the bed, gently swing the hip! Exercise: gently swing left and right, swing left and right for a time, 10 times a group, 3-5 groups a day! Do not aggravate the symptoms for the degree! Purpose: to relieve muscle tension, thereby reducing pain and promoting the spread of local inflammation! The above methods for acute lumbar disc herniation hair author, can not stand, lumbar leg pain, reasonable exercise can not only relieve pain, but also can promote the spread of inflammation, help the recovery of the disease, for the prevention of future recurrence or reduce the pain when the disease has a significant role! If the above methods are not suitable for you, there are below over there! 5, Yan Starting position is prone, face down, arms with shoulder joints as a support point, gently lift, arms up while gently lifting the head, shoulders backward and upward to collect. At the same time, the feet gently lift, the bottom of the waist muscle contraction, try to let the rib cage and abdomen support the body for 3-5 seconds, then relax the muscles, limbs and head back to the original position to rest 3-5 seconds and then do. You can do 30-50 times a day. It can be divided into 2-3 times and adhered to for more than 6 months. Post-operative lumbar spine patients are best as a lifelong exercise program! 6, back tilt exercise neck and back tilt back, each time adhere to 3-5 seconds, rest 5 seconds for a time, 10 times a group, each time 2-3 groups can be! 7, breaststroke exercises breaststroke can not only strengthen the whole body muscle strength, and for the body balance has a good regulatory role. Breaststroke posture waist is not stressed, the lumbar disc herniation patients have a very good relief effect! The specific time is determined according to the patient’s condition! 8, crawling Crawling is a very good action, before humans is crawling derived from the deep stabilizing muscles of the spine can be activated! When crawling, pay attention to the stability of the spine, tighten the core, the hips and spine can not sway from side to side! The specific time depends on the patient’s own situation! There are more kinds of lumbar disc herniation rehabilitation exercises, and this article summarizes a few of the more effective ones! Hope you all recover soon!