One of the misconceptions: back and leg pain is not considered a disease The diseases that cause back and leg pain can involve almost all systems of the body. Some of the pain disappears after the primary disease of low back pain is cured, and there are some that do not heal themselves. However, low back pain caused by lumbar synostosis must be given great attention because this disease can not only cause low back pain, but also lower limb numbness, coldness, weakness, sexual dysfunction, and even paralysis and bowel and urinary disorders, which seriously affect the quality of life. Myth No. 2: Low back pain cannot be cured The characteristic of lumbar synostosis is that it is easy to recur, especially for those with neurological dysfunction, and the repair process is longer. Therefore, some patients think that this disease cannot be cured. In fact, the overall effect of lumbar synostosis treatment is very good, and the excellent rate is about 95% through strict and regular treatment. Myth No. 3: Superstitious imaging results CT, MRI and other imaging devices provide direct images for the diagnosis of lumbar synostosis and can clarify the size, type and location of protrusion. These advantages make some patients easily ignore their shortcomings and enter the misconception that only imaging diagnosis is disconnected from clinical practice. In fact, it is not uncommon to have false positive and false negative CT examinations, and it is very easy to miss and misdiagnose only CT examinations. the diagnostic accuracy of MRI (magnetic resonance imaging) for disc herniation is more than 90%, but the diagnostic accuracy is often affected for those who have lumbar spine deformities or those who have poor machine performance. Therefore, the patient’s age of onset, the location, nature and degree of pain, the pattern of attacks, the shape and mobility of the lumbar region, and physical examination should be combined to make a comprehensive analysis and judgment. Myth No. 4: Misunderstanding of the basic concepts of diagnosis Two concepts should be clarified: 1, disc bulge is not equal to herniation When the disc degenerates, the loss of elasticity of the fibrous ring under pressure increases, the height decreases, the peripheral bulge of the fibrous ring, the disc diameter increases, the edge of the vertebral body over the edge of the formation of disc bulge, and the nucleus pulposus position is approximately normal. Disc herniation is the disc degeneration, due to external forces or the role of cumulative strain, the fibrous ring rupture, the nucleus pulposus protrusion. 2, protrusion is not the same as herniation There are some patients with lumbar disc herniation, but there are no symptoms. Different segments of the lumbar disc herniation stimulate or compress the adjacent nerves will have different symptoms, so in the diagnosis of lumbar disc herniation, both the lumbar disc herniation is found through the examination and its coincidence with the patient’s symptoms Misconception No. 5: Misunderstanding of surgery Blind surgery and refusal of surgery are not desirable. Indiscriminate surgical treatment of lumbar herniation adds to the unnecessary economic burden of the patient on the one hand and increases the chance of various surgical complications on the other hand; while expanding the negative impact of surgery, believing that surgery must not be done and that conservative treatment is equally harmful. The reason is that some patients must be treated surgically, and the sooner the better, otherwise the loss of nerve function may become permanent. Generally speaking, patients with bulging and incomplete protrusion can be cured by conservative treatment, while patients with complete protrusion, ruptured protrusion and free nucleus pulposus can only be cured by surgery. Myth No. 6: Superstitiously believe in a certain treatment method and emphasize once and for all There are two types of treatment methods for lumbar synostosis, surgical and non-surgical. There are many specific methods in each category, and each specific method has its own indications and contraindications, so no one method can be a “one-size-fits-all” solution. Therefore, cases should be strictly selected, and the doctor should choose the appropriate treatment according to the specific condition of each patient. The conservative treatment is mainly for the inflammation treatment caused by lumbar disc herniation, when overexertion, injury may lead to the recurrence of symptoms, even if the surgical treatment may also lead to recurrence, adjacent stage disc herniation, adjacent vertebral disease, etc., as long as reasonable treatment, the main late rehabilitation treatment can prevent the occurrence: pay attention to posture, develop good habits to reduce injury ; strengthen the exercise of lumbar and back muscles, maintain the stability of the crest, and build an in vivo brace. In short, as long as early diagnosis is made and treatment methods are used according to the diagnosis of the disease, lumbar disc herniation can achieve good treatment results.