Degenerative disc disease is a syndrome in which the disc tissue undergoes biological degeneration due to a combination of causes, resulting in changes in the mechanical properties of the disc, causing corresponding changes in the adjacent bones, joints and ligaments, resulting in spinal instability and even compression of the spinal cord, nerve roots and vertebral artery, causing the corresponding clinical symptoms and signs. The “stereotactic minimally invasive” treatment is mainly aimed at early and middle stage DDD, but the elderly patients with advanced lesions and those who cannot tolerate open surgery are also one of its treatment indications. 1.Acupuncture treatment The mechanism of acupuncture treatment is to cut and release the sacrospinous muscle, interspinous ligament, joint capsule, ligamentum flavum, intertransverse process muscle, intertransverse process ligament, gluteal muscle and other diseased soft tissues in the lumbar and gluteal regions, so as to unblock the tissues, release the extruded nerve endings, restore effective blood circulation, directly or indirectly play the role of decompression of the spinal canal and nerve root canal, block the inflammatory medium of aseptic inflammation on the nerve root, sinus vertebra and spinal canal. It also blocks the inflammatory stimulation of the nerve root, sinus nerve and spinal canal by aseptic inflammatory mediators and relieves symptoms such as back and leg pain, thus achieving the goal of pain relief and restoration of function by “treating pain with relaxation” and “no pain if you pass” by acupuncture. The application of acupuncture as a visualized surgical tool in clinical practice makes it more scientific and practical. 2.Super oxygen nucleus pulposus ablation and nerve root ablation and decompression Super oxygen itself has strong oxidizing ability, anti-inflammatory and analgesic effects, and is injected into the nucleus pulposus of the protruding disc under the positioning of X-ray machine to fully oxidize and decompose the proteoglycans and other macromolecular polymers in the nucleus pulposus, so as to reduce the volume of the nucleus pulposus, thereby reducing the pressure in the disc and eliminating the pain and aseptic inflammation caused by the pressure on the nerve root, so as to achieve relief and therapeutic purposes. Indications: Those with typical clinical history, symptoms and signs, such as persistent back and leg pain, claudication, and signs of nerve root compression on physical examination (positive straight leg raise test); those diagnosed with disc herniation by CT or MRI examination, and the imaging manifestations are consistent with clinical symptoms; those with poor results after conservative treatment for more than 4 weeks or those whose symptoms are relieved but the condition is recurrent; those with lumbar disc herniation caused by acute lumbar sprain and increased abdominal pressure . At the same time, superoxide can be applied to decompression and release of nerve roots in the intervertebral foramen area. On the one hand, superoxide has an anti-inflammatory and analgesic effect on the nerve roots, and on the other hand, superoxide has a certain ablation effect on the pressure-causing factors around the nerve roots. Advantages: no need for incision, good safety; superoxide itself has the effect of disinfection and sterilization, no postoperative infection; simple operation, no damage to other tissues; wide range of adaptation, also suitable for elderly patients. 3.Radiofrequency targeted thermocoagulation Radiofrequency fibrocycloplasty, heating to make the structure of collagen fibers change. The nucleus pulposus of the herniated intervertebral disc is denatured, coagulated, contracted and reduced in size through the principle of target point thermal coagulation, which can release the compression and repair the nucleus pulposus and the fibrous ring under the supervision of CT direct vision by using the neurological special radiofrequency instrument, and fundamentally cure the herniated intervertebral disc. At the same time, radiofrequency thermal coagulation technology can be used for nerve root decompression in the intervertebral foramen area, using the radiofrequency testing function to accurately test and locate the distance from the nerve root, and then perform radiofrequency thermal coagulation to loosen the pressure-causing factors around the nerve root. (1) Precise positioning, high safety: the treatment process is precisely positioned under C-arm guidance, under digital subtraction for time detection, directly on the diseased intervertebral disc, the data is accurate to less than 1mm, the whole operation is visible, will not hurt the surrounding normal tissues and organs and nerves, the radiofrequency temperature can be controlled to ensure the safety of the treatment before and after, no infection, no thermal injury. (2) Minimally invasive treatment, no scars and no marks: the diameter of the puncture needle used in the treatment process is only 0.7mm (as thin as the infusion needle), no incision, no bleeding, no influence on the stability of the spine after the operation, little danger and fast recovery). (3) Rapid results and remarkable efficacy: the unique safety test system of RF can measure the nerves within 1cm of the treatment range; the unique impedance display function can distinguish the nucleus pulposus fiber ring, calcification points, bone and blood vessels. It can accurately calculate the volume to be removed without hurting normal tissues, target directly locate the herniated area, precisely ablate the herniated object, release the nerve root compression or stimulation, quickly relieve pain symptoms, reshape the fibrous ring, and treat lumbar disc herniation in one step. (4) Green therapy, widely adapted: the entire treatment without anesthetics, analgesics, antibiotics, hormones, no side effects on the human body treatment more green, more humane. Moreover, there is no restriction on the patient’s age, and the treatment is equally safe for patients of advanced age. 4.Plasma intervertebral disc nucleus ablation is a kind of minimally invasive therapy for the safe treatment of DDD. This minimally invasive technology is used to treat symptoms related to nerve irritation caused by increased pressure within the intervertebral disc. It is a method of controlled nucleoplasty and disc decompression through plasma cryo-precise ablation and thermal wrinkling techniques. The principle is that the plasma ablation technology combines thermal coagulation and ablation to remove part of the nucleus pulposus, and the low-temperature plasma ablation technology is used to vaporize part of the nucleus pulposus tissue in real time to reduce the volume of the nucleus pulposus; then the precise thermal wrinkling technology is used to heat up the nucleus pulposus tissue contacted by the blade to about 70°C to reduce the total volume of the nucleus pulposus and decrease the pressure in the disc to achieve decompression treatment purpose. 5. Intervertebral foraminoscopic nucleus pulposus removal is one of the core techniques for pain management. Before the advent of interventional disc therapy, open surgery was the only effective means of treating severe disc herniation, and interventional therapy has introduced a minimally invasive concept to disc herniation treatment. The currently available interventional methods include collagenase lysis, percutaneous excision and suction, laser vaporization, plasma nucleoplasty, ozone, and radiofrequency ablation. However, the above methods are indirect decompression, only for inclusive herniation cases, can not completely remove the diseased nucleus pulposus, especially the tissue compressing the nerve, can not repair the broken fiber ring, necrotic tissue needs to rely on the body’s natural absorption, a long time, there is a certain recurrence rate. The emergence of “intervertebral foraminoscopy” has overcome the shortcomings of these technologies. The optical fiber transmits the light beam to the front end of the endoscope object, illuminates the object to be observed, and then relies on the imaging and magnification of the lens to obtain a clear image, so as to observe the deep micro lesion, remove the protruding nucleus pulposus, the hypertrophic ligamentum flavum and the nerve compression factors such as hyperplasia and coalescence of the articular prominence, and thus obtain the purpose of radical treatment. The target area is reached via lateral approach, avoiding interference with the spinal canal and nerves by traditional posterior surgery, without biting off the vertebral plate, without destroying the paravertebral muscles and ligaments, and without affecting the stability of the spine. Indications: Those with clear diagnosis of DDD, recurrent attacks, unrelieved and continuously aggravated by regular non-surgical treatment; those with combined lateral saphenous stenosis and limited spinal stenosis; those with lumbar disc herniation combined with nerve root loss or cauda equina dysfunction; in addition, special radiofrequency electrodes are used under the scope, and fiber ring molding and annular nerve branch blocking are feasible to treat discogenic pain. Advantages: local anesthesia, intraoperative interaction with the patient, no injury to nerves and blood vessels; basically no bleeding, clear surgical field, greatly reducing the risk of misuse; small skin incision, about 1.5 cm; small trauma, low chance of forming thrombosis and infection; postoperative scar will not be left at the posterior important structures, avoiding causing adhesions to the spinal canal and nerves; fast postoperative recovery, the next day after surgery can be out of bed, an average of 3 The average of 3-6 weeks to resume normal work and physical exercise. 6.Physical therapy and acupuncture, massage, drugs and other Chinese medicine treatment (1) improve microcirculation, reduce swelling and analgesia Chinese medicine external application, moxibustion, cupping, warm acupuncture through the warm effect, improve local blood circulation, relieve muscle spasm, eliminate local edema, to achieve the purpose of reducing swelling and relieving pain. Acupuncture point injection, on the other hand, acts directly on the lesion near the nerve root, which can simultaneously play a role in blocking the nerve to enhance the pain relief effect, and the effect is long-lasting. (2) Reduce the production of inflammatory mediators and inflammatory cells. Traditional Chinese medicine, acupuncture, massage, compress and physical therapy can significantly decrease the inflammatory pain-causing substance 5-hydroxytryptamine, reduce the stimulation and damage to nerve roots and relieve pain. (3) Reduce the mechanical stimulation and compression of the nerve root by the herniated nucleus pulposus. The extrusion of the nerve root by the herniated nucleus pulposus is the main cause of lumbar and leg pain, and the mechanism of action of mechanical pulling and tui-na manipulation is to reduce or eliminate the irritation and compression of the nerve root by the relative displacement of the nerve root, and to release the inflammatory adhesion between the herniated disc and the nerve root, so as to improve or relieve the pain. 7.The concept of minimally invasive disc treatment “supermarket” and stepwise comprehensive treatment (1) incorporates the “supermarket” model into the treatment of disc diseases; (2) gathers the advantages of many cutting-edge technologies and methods for treating disc diseases; (3) provides patients with the most scientific and comprehensive treatment. (3) To provide patients with the most scientific, convenient and reliable personalized treatment plan; (4) To introduce patients to the available treatment technologies as well as their advantages and disadvantages from the actual situation of patients; (5) Under the guidance of doctors, patients can independently choose the suitable treatment modality; (6) To embody the four characteristics of supermarketization of treatment, namely “convenient treatment, complete methods, understandable cost, safe and reliable”; (7) To integrate the “supermarketization” model into the treatment of intervertebral disc diseases (7) Professional treatment of lumbar disc herniation, lumbar spinal stenosis and other DDD diseases; (8) Early treatment of intervertebral disc disease, not only to reduce the torture of the patient’s symptoms, but also to prevent secondary changes in the herniated disc to produce more and more serious symptoms; (9) Comprehensive treatment with one or several treatment methods as the main body of the ladder (9) The ladder integrated treatment with one or more treatment methods as the main body, fast symptom relief, organic combination of Chinese and Western medicine physical therapy, green treatment, safety and reliability. (8) Feedback treatment in the integrated treatment step embodies the dual characteristics of “step” and “integrated” treatment, and there is no ultimate treatment in the selection of treatment plan. After the completion of the main treatment, patients must be regularly observed and followed up, and according to the residual symptoms and feedback information, continue to give appropriate “green treatment” mode, orderly and purposeful diagnosis and treatment, in order to achieve the best treatment effect.