Patient: Numbness and pain in the legs and feet for more than five months The first attack was treated with surgery in 1997 and improved. The symptoms are numbness in the legs and feet, no pain when sitting or lying down, but more pain when standing or walking, and still no improvement after collagenase injection in the hospital, and the pain in the legs and feet increased a few days ago. This situation can have what methods of treatment Laboratory, examination results: MRI examination shows that the lumbar spine fourth and fifth herniation 7 mm Shanghai Ninth People’s Hospital Orthopedic Department Zhang Pu: lumbar disc herniation is clear, the condition is recurrent, with indications for surgery, feasible nucleus pulposus removal intervertebral fusion vertebral root nail fixation, no recurrence after surgery, our hospital surgery is minimally invasive, less bleeding, fast recovery, welcome to our spine surgery group In view of the fact that you have already had 2 surgical treatments and the local scar adhesions may be heavy, please bring the relevant information to my clinic for examination. I wish you a speedy recovery. Patient: Thank you for your advice. Is there any restriction of movement after this kind of surgery? What is the approximate cost of this surgery or less? Thank you! Zhang Pu, Department of Orthopedics, Shanghai Ninth People’s Hospital: Theoretically speaking, the local movement function will be limited after the lumbar spine surgery, but the mobility of the lumbar spine, including the whole spine, is very large, and the lumbar movement can be compensated through substitution. As for the cost, including the cost of surgical materials (steel nail) and the rest of the hospitalization cost, the former is the main part, there are domestic and imported; the latter accounts for a smaller proportion. We wish you an early recovery and welcome you to visit our hospital. Patient: Numbness and pain in the leg and foot for more than five months The first attack in ’97 was treated with surgery and improved. The symptoms are numbness in the legs and feet, no pain when sitting or lying down, but more pain when standing or walking, and still no improvement after collagenase injection in the hospital, and the pain in the legs and feet increased a few days ago. This situation can have what methods of treatment Laboratory, examination results: MRI examination shows that the lumbar spine fourth and fifth herniation 7 mm Shanghai Ninth People’s Hospital Orthopedic Department Zhang Pu: lumbar disc herniation is clear, the condition is recurrent, with indications for surgery, feasible nucleus pulposus removal intervertebral fusion vertebral root nail fixation, no recurrence after surgery, our hospital surgery is minimally invasive, less bleeding, fast recovery, welcome to our spine surgery group In view of the fact that you have already had 2 surgical treatments and the local scar adhesions may be heavy, please bring the relevant information to my clinic for examination. I wish you a speedy recovery. Patient: Thank you for your advice. Is there any restriction of movement after this kind of surgery? What is the approximate cost of this surgery or less? Thank you! Zhang Pu, Department of Orthopedics, Shanghai Ninth People’s Hospital: Theoretically speaking, the local movement function will be limited after the lumbar spine surgery, but the mobility of the lumbar spine, including the whole spine, is very large, and the lumbar movement can be compensated through substitution. As for the cost, including the cost of surgical materials (steel nail) and the rest of the hospitalization cost, the former is the main part, there are domestic and imported; the latter accounts for a smaller proportion. We wish you an early recovery and welcome you to visit our hospital.