I. Overview The choice of treatment for lumbar disc herniation depends on the different pathological stages and clinical manifestations of the disease, as well as the physical and psychological condition of the patient. The indications for non-surgical treatment: 1. patients with first attack and short duration of disease 2. patients with long duration of disease but mild symptoms and signs 3. patients with small disc herniation by imaging Chen Yong of Cheng Fei Hospital Rehabilitation Department 4. patients who cannot perform surgery due to systemic diseases or local skin diseases 2. methods and mechanisms of non-surgical treatment 1. bed rest 2. mechanism: braking can reduce the muscle contraction force and intervertebral ligament tension on the disc It can reduce the extrusion of the intervertebral disc caused by muscle contraction and intervertebral ligament tension, so that the intervertebral disc is not loaded, which is conducive to the nutrient supply of the intervertebral disc, so that the damaged annulus fibrosus can be repaired, the protruding nucleus pulposus can be incorporated, and the height of the intervertebral disc can be restored to different degrees; it is conducive to the venous reflux around the intervertebral disc to eliminate edema and accelerate the inflammation; it can avoid the irritation of the nerve roots when the lumbosacral nerve moves repeatedly in the spinal canal during walking or exercise. Third, drug treatment lumbar disc herniation produced by the mechanism of lumbar leg pain factors 1 mechanical compression of nerve roots 2 protruding nucleus pulposus tissue generated autoimmune response to damage the nerve, so that the nerve conduction speed slowed, in addition to the release of inflammatory mediators (phospholipase A2, interleukin 6, arachidonic acid, prostaglandin E) and lumbosacral nerve root pain has a close relationship Because of the factors of inflammatory mediators, so taking non-steroidal anti-inflammatory drugs ( Also known as non-steroidal anti-inflammatory drugs) as a method of conservative treatment. Fourth, traction treatment flat traction (fast traction, slow traction) three-dimensional traction Mechanism: 1, reduce the pressure of the intervertebral disc, to promote the nucleus pulposus to different degrees of retraction. 2.Promote the inflammation to subside 3.Relieve muscle spasm 4.Relieve posterior lumbar joint load Fast traction (three-dimensional traction) Indications for fast traction (three-dimensional traction): some patients with lumbar disc herniation, lumbar small joint disorder, pseudosynovitis, early ankylosing inflammation Mechanism: improve the pain threshold, relieve muscle spasm, increase the volume of the spinal canal and intervertebral foramen, correct the pathological tilt of the small joints of the lumbar spine, make the posterior longitudinal ligament tension increase the lateral saphenous fossa, loosen the nerve root adhesions.8 Flexion and rotation deform the prominence to varying degrees in the three-dimensional space, increasing the relative space of the nerve root and the dural sac. Post-traction treatment: absolute bed rest for 8 hours relative to 20 days with lumbar girth activity Slow traction Indications for slow traction: partial lumbar disc herniation, lumbar leg pain caused by degeneration, acute lumbar sprain, and small joint disease of the lumbar spine. Mechanism: Relieve muscle spasm, widen the intervertebral space (this effect disappears after 20 minutes) so that the protrusion is partially returned to reduce the compression of nerve roots.3 Increase the area of intervertebral foramen and small joint space so that the extrusion of synovial membrane and intracapsular pressure are reduced. It can eliminate edema of nerve roots, reduce spasm caused by pain, and promote functional recovery of the affected area. Sixth, massage therapy Principle: the impact on blood circulation: expansion of capillary blood flow to increase metabolism accelerated, conducive to the repair of diseased tissue. Influence on lymphatic system: promote lymphatic reflux and enhance edema absorption. Effects on joints, muscle ligaments, tendons, and sheaths. Analgesic effects VII. Acupuncture therapy 1. Principles: (1) analgesic effects of the central nervous system (2) dredging meridians and their adjustment (3) the role of central neurotransmitters and humoral factors in acupuncture 2. Methods: (1) body acupuncture (2) auricular acupuncture (3) electroacupuncture (4) stabbing snow cupping VIII. Closed therapy Mechanism of action of closed therapy: (1) protective effect on the nervous system (2) (3) analgesic effect (3) anti-inflammatory effect Indications: discogenic lumbago, posterior joint disorders, partial lumbar synostosis, temporary pain relief Contraindications: active tuberculosis, acute systemic infection, infection of the closed site, diabetes, severe hepatic and renal insufficiency. Commonly used methods: painful point closure, intervertebral foramen nerve root closure, joint synovial joint closure, epidural cavity closure, sacral canal closure Nine, needle knife therapy Principle: release of adhesions, especially the release of the lumbar dorsal cutaneous nerve Indications: small joint disorders, lumbar back pain caused by lumbar instability, lumbar back myofasciitis, lumbar back cutaneous nerve impingement syndrome, and other non-discogenic lumbar pain after lumbar spine degeneration.