Comprehensive treatment of lumbar disc herniation

First, bed rest – the basis of treatment Meaning: 1, to remove the pressure of weight on the disc; 2, to lift the muscle contraction and ligament tension on the disc caused by the extrusion; 3, conducive to the nutrition of the intervertebral disc, so that the damage to the annulus fibrosus can be repaired, slowing down the process of degeneration of the intervertebral disc; 4, conducive to the blood circulation around the intervertebral disc to reduce inflammation and edema; 5, to avoid the movement of the nerve root during exercise to aggravate the irritation of the nerve root. Avoiding the nerve root from moving in the spinal canal and aggravating the stimulation of the nerve root during exercise. Second, traction therapy – an ancient and new treatment method Ancient Greek Hippocrate that the application of traction methods for the treatment of lumbar and leg pain: traction therapy mechanism. 1, relieve muscle spasm; 2, widen the intervertebral space, partially return the protrusion, reduce the mechanical stimulation of the nerve root; 3, widen the intervertebral foramen area and synovial joints of the intervertebral space, reduce the synovial joints of the synovial membrane extrusion; 4, loosen the adhesion of the nerve root, especially for the postoperative adhesion of the nerve root, the effect is better. Physical factor therapy Physical factor therapy can promote local blood circulation, relieve local aseptic inflammation, reduce edema and congestion, alleviate pain, and release adhesion. Clinically, high-frequency electrotherapy, low and medium-frequency electrotherapy, drug ionization, ultrasonic wave, phototherapy, thermotherapy, and magnetic therapy are often used according to the patient’s symptoms, signs, and course of the disease. Fourth, the use of waist circumference Purpose 1, stabilize the spine and braking; 2, but for the braking effect is still doubtful side effects. Side effects 1, resulting in the decline of the lumbar back muscles and abdominal muscle strength; 2, resulting in the decline of lumbar spine activity. Fifth, drug treatment Need personalized treatment, to target the condition, different from person to person Non-steroidal anti-inflammatory analgesics are commonly used analgesics. Common side effects: gastric ulcer, bleeding and other digestive complications. Sixth, lumbar back and abdominal muscle exercise lumbar back muscles, abdominal muscles and other long contraction exercises help reduce local muscle spasm, increase spinal stability, common are: hot bath, swimming, small flying swallows, three-point support, five-point support, walking backwards, and so on. Seventh, closed therapy [contraindications]: active tuberculosis, systemic and local acute infections, diabetes, extreme physical weakness, severe liver and kidney function. For chronic lumbar pain, it is not recommended to use massage therapy for a long period of time; it should be stopped after 1-3 months of application without effect; centralized lumbar intervertebral disc herniation (cauda equina compression) should be used cautiously in massage therapy. Nine, surgical treatment of lumbar disc herniation surgery indications: 1, acute attack, with obvious cauda equina symptoms; 2, the diagnosis is clear, by the formal system of non-surgical therapy is ineffective; 3, the symptoms of recurrent authors; 4, the condition of the gradual development of neurological symptoms is obvious; 5, combined with other causes of lumbar spinal stenosis, the need to carry out the spinal canal surgical investigation of the patient. In short, surgery should be considered only after formal and systematic conservative treatment before surgery, which is indeed ineffective and seriously affects daily work and life.