For patients with lumbar disc herniation, two things are most likely to happen: one is not to seek medical help when the condition is mild, and as a result, the condition worsens; the other is to seek medical help when the condition is urgent, and as a result, money is spent but the condition is delayed. Therefore, patients must first get out of these two treatment misunderstandings, so that the condition can be correctly diagnosed and treated in a timely manner. Generally speaking, the treatment of lumbar disc herniation can be divided into two categories: conservative therapy (non-surgical treatment) and surgical treatment. Once the diagnosis is clear, it is often advisable to take conservative treatment first for patients with initial onset. Conservative treatment There are many conservative treatments, but the most important one is absolute bed rest during the onset of the disease, and only after the symptoms are basically relieved can you wear a belt and walk on the ground. During bed rest, continuous pelvic traction should be done, if it can be maintained for two weeks or more, it will have good results. Traction weight should depend on individual differences, each side should be between 7 to 15 kg, traction 6 to 8 hours a day, during the appropriate rest 2 to 3 times to relax. Some hospitals have rapid traction for only a few minutes at a time, but the effect is unstable. Some patients do not want to undergo surgery, so the physician will use intravenous mannitol or hormone therapy, whose main effect is to eliminate inflammation and eliminate edema. This approach can temporarily relieve the patient’s pain, but is unreliable in the long run. There are also patients who are treated in the acute phase of the attack, and the physician recommends a medullary canal closure, which is a mixture with anesthetics and hormones that is injected into the patient’s spinal canal at the site of the herniated compressed nerve. This sometimes has an immediate effect, but there are cases where the treatment does not last long enough to require a second injection. Since the injected hormone drug contains microscopic powder particles, they are not easily absorbed. Repeated injections will cause these particles to accumulate around the nerve root, causing adhesions between the nerve root and the surrounding tissue, and the adhesions themselves will also stimulate the nerve root. Some advocate the use of chemical lysis enzyme injections in the disc, but few physicians are willing to use this method because of its incompleteness and risk. Injections of this drug, such as leakage outside the disc into the spinal canal, can have serious consequences, causing damage to normal nerves, resulting in urinary and fecal incontinence and bilateral lower limb paralysis. Therefore, it must be used with caution. The surgeon must be very skilled to consider. Some patients may also try to do some massage and manipulation, which can also serve the purpose of relieving symptoms. There have been cases of healing. However, a specialist massage therapist must be consulted. The specific tui na should do several courses of treatment, the tui na physician will deal with the patient according to the different conditions. Surgical treatment As for surgical treatment, there are two types of treatment: minimally invasive surgery and general spinal decompression nucleus pulposus removal. Minimally invasive surgery is nucleus pulposus excision under discoscopy. This surgery has been used in China for more than 10 years, and the technology and instruments are constantly being improved and enhanced. However, this minimally invasive surgery may produce the shortcomings of incomplete treatment and narrow surgical indications, and the strict control of surgical indications must be improved. Another method is the general spinal decompression. This type of surgery is not a problem in municipal and district hospitals, and can be performed more smoothly to relieve the patient’s pain. Some patients have lumbar instability in addition to herniated discs, i.e., long-term pressure on the lumbar region causing degenerative changes in the lumbar spine, which requires internal fixation with pedicle screws and fusion of several segments of the lumbar spine in addition to nucleus pulposus removal and decompression. This surgery is more invasive and can cause some complications in unskilled people. However, if the hospital’s technical level and medical conditions are very standardized, it can still be considered. Patients who need surgery 1, diagnosed lumbar disc herniation for more than six months, after non-surgical treatment is ineffective, symptoms worsen (at least 6 weeks, but not more than 3 months). 2. The first severe attack of lumbar disc herniation, in which the patient has difficulty moving and sleeping due to pain, and is forced to lie in a lateral position with the hip and knee flexed, or even in a kneeling position. 3. Single nerve palsy or cauda equina palsy occurs, manifesting as muscle paralysis or impaired defecation and urination. 4.Middle-aged patients with long duration of disease, affecting work and life. 5.Whole disc degeneration or large herniation is confirmed by reliable examination. 6.After non-surgical treatment is effective, but the symptoms are recurrent and painful, more than 3 times, surgery is recommended. 7.Protruding disc and other causes of lumbar spinal stenosis. Which patients should not be operated 1, lumbar disc herniation affects life and work is not obvious. 2.The first attack of lumbar disc herniation without non-surgical treatment 3.Lumbar disc herniation with extensive fibrillitis and rheumatism In general, there are various types of lumbar disc herniation, and the individual conditions of patients are different, so the treatment methods are diverse. Only by carefully selecting the treatment methods that are compatible with the patients can we achieve results, otherwise it will be counterproductive and even cause serious consequences.