I. Drug therapy Drug therapy includes therapeutic drugs and symptom relief drugs. Due to the special structure of the lumbar intervertebral disc, many general drugs are difficult to have a therapeutic effect, so the general Chinese and Western drugs only have a pain-relieving function and relieve clinical symptoms mainly, failing to achieve the purpose of curing lumbar synostosis. As the blood supply in the lumbar intervertebral disc is congenitally insufficient, the intervertebral disc fibrous ring is basically no blood supply, and the nutrition in the intervertebral disc is based on the infiltration of the cartilage plate above and below, so the general drugs have no therapeutic effect on lumbar disc herniation, and can only achieve the temporary effect of anti-inflammatory and pain relief. The common internal medicine is generally western medicine, only used to stop the pain, treat the symptoms but not the root cause. We all know that lumbar disc herniation is divided into three types: bulge, protrusion and prolapse by the size of the protrusion. The acute and remission periods are divided by the severity of clinical symptoms, and patients with lumbar disc herniation, at the first onset, general hospitals recommend that patients first use traction therapy, traction is mainly mechanical strength to pull the intervertebral space, and reduce the internal pressure of the intervertebral disc, so that the protrusion on the nerve compression is slightly reduced, which is theoretically correct, but the clinical treatment effect is indeed less than ideal. This is mainly due to the strength of traction varies from person to person, difficult to hold; another is the selection of indications is difficult to accurately distinguish; and then is the patient’s cooperation problem. For patients with lumbar disc bulge, the pressure in the disc is very high and can be cured by traction, but it is ideal to be absolutely bedridden during traction. If the traction immediately after walking, sitting in a car, etc. will restore the high pressure state within the disc, resulting in traction ineffective. Traction is only applicable to patients with bulging discs. If the disc has caused herniation and prolapse, traction is completely ineffective and may aggravate the patient’s symptoms. Traction is contraindicated in patients with acute lumbar disc herniation. Because the patient in the acute stage, due to edema and inflammatory stimulation of the nerve root, will cause tension and spasm of the lumbar back muscles, if then traction will strain the lumbar muscle fibers, causing back pain and aggravating the clinical symptoms. In summary, traction is only suitable for patients with simple lumbar disc bulge, and must be used when the symptoms are not heavy, in order to relieve clinical symptoms, and is prohibited for patients with lumbar disc herniation, prolapse, accompanied by spinal stenosis, and patients in the acute phase of lumbar synostosis. The main purpose is to relieve the clinical symptoms of patients. Since most patients with lumbar herniation are accompanied by chronic lumbar muscle strain, pear-shaped muscle tension, and muscle spasm in the area where the lumbar disc herniation is compressed by the nerves, general hospitals will give treatments such as massage and acupuncture to relieve muscle tension and spasm. Fourth, closure therapy closure therapy is divided into two application methods, one for the intra-vertebral canal closure, a nerve root closure. As the name implies, intraspinal closure is the direct injection of drugs into the spinal canal, and nerve root closure is the injection of drugs around the nerve roots. The injected drugs are mainly adrenal glucocorticoids plus local anesthesia. The hormones reduce and eliminate sterile inflammation and edema of the nerve roots, while the anesthetic drugs provide pain relief and anesthetize the nerves to make them less sensitive. We all know why lumbar herniation causes back and leg pain, mainly because the nucleus pulposus of the lumbar intervertebral disc compresses the nerve after causing edema and sterile inflammation of the nerve root, so the effect of closure is pain relief, the protrusion compression can not be solved, when the closure of the drug effect after the lumbar leg pain symptoms immediately recovered again. Acupuncture is a new treatment method developed on the basis of acupuncture. The small needle knife is a surgical instrument that can be used to extensively peel and loosen the painful points of patients with low back and leg pain, so as to reduce inflammation and relieve pain. 6.Surgical treatment 1.Conventional open surgery Conventional open surgery includes: total laminectomy, hemilartebral laminectomy, transabdominal disc surgery, vertebral fusion and so on. The purpose of surgery is to directly remove the nucleus pulposus of the diseased lumbar intervertebral disc and achieve the purpose of treatment by releasing the nerve root compression. Because of the special physiological position of the lumbar spine, surgery destroys the normal physiological structure of the lumbar vertebrae, resulting in large surgical damage, easily causing postoperative instability of the lumbar spine, postoperative scar tissue adhesions, intraoperative accidental injury to nerve roots and a series of adverse reactions, so most patients are afraid of surgery, how to avoid the above adverse reactions caused by surgery? This has been a major problem in the medical field. 2.Minimally invasive intervertebral disc surgery In order to avoid the problem of large damage of conventional open surgery, reduce the risk of surgery and complications, in microsurgery and joint endoscopy assisted lumbar disc surgery, although it is to reduce the damage to the normal bone and joint during surgery, but minimally invasive surgery is also surgery, there are also risks and complications of surgery, another major problem is that after the surgical field of view becomes smaller, it is difficult to clean Another major problem is that after the surgical field becomes smaller, it is difficult to remove the diseased lumbar disc nucleus pulposus completely, which increases the risk of unsuccessful surgery. Most patients with lumbar disc herniation have herniation due to increased pressure within the disc. Percutaneous puncture aspiration can significantly reduce the intradiscal pressure and reduce the content of the herniated disc, thereby reducing or eliminating the symptoms of nerve compression by the herniated material. The advantage of this method is less damage during surgery, but the disadvantage is that the procedure is based on decompression, which is effective for bulging discs and is prohibited for types of lumbar herniation such as prolapse, free and combined calcification, which causes the surgical surface to be too narrow. Seven, collagenase chemolysis therapy human intervertebral disc nucleus pulposus tissue, composed of water, fibrous tissue, proteoglycans, collagenase full name: collagenolytic enzyme, can dissolve the nucleus pulposus proteoglycans, but the human body has a tendency to allergic to proteins and enzymes, this allergy has a life-threatening risk, so the use of the therapy has been banned abroad; furthermore, collagenase lysis therapy if it fails, it will form extensive inside and outside the intervertebral disc If the collagenase lysis therapy fails, extensive scar adhesions will be formed inside and outside the disc, making it difficult to follow up the treatment, and collagenase has basically been banned in regular hospitals in China, but there are some private hospitals or private individuals who use this method to treat lumbar synostosis. Ozone (triple oxygen) injection therapy High concentration of ozone has the effect of astringency and vaporization, with the help of which very few hospitals have adopted the treatment of lumbar synostosis in recent years. In theory, ozone injection can vaporize and concentrate the nucleus pulposus of the lumbar intervertebral disc, but what chemical reactions and complications will there be when ozone enters the spinal canal? This is subject to further observation and research, and the success rate of this treatment is not too high in view of the current patient feedback.