Herniated discs lumbar back muscle exercise methods Section 1: waist exercise. Supine position, bend both knees, both hands clenched fist, bend both hands on the side of the body, waist and hip as far up as possible, chest, slowly for 10 to 20 times. Section 2: boat movement. Prone position, both elbows straight, both hands crossed behind the waist, both lower limbs rhythmically and forcefully lift and lower backward, while lifting the chest and head, repeat 10 to 20 times. Qinhuangdao Orthopaedic Hospital, Department of Internal Medicine, Xu Jiang Section 3: back extension exercise. Supine position, both elbows flexed, both hands placed in front of the chest, bend both knees, with the head as a fulcrum, waist and hips as far up as possible, chest up, repeat 10 to 20 times. Section 4: posterior extension exercise. Prone position, both arms and legs naturally straight, both lower limbs alternately lift upward as far as possible, repeat 10 to 20 times each. Section 5: back exercise. Supine position. Both upper extremities straighten after supporting the ground, bending both knees, chest waist hip lift as much as possible, chest, repeat 10 to 20 times. Section 6: swaying movement. Prone position, both elbows straight, both hands crossed behind the waist, both lower limbs rhythmically and forcefully raised and lowered backward, while lifting the chest and head, repeat 10 to 20 times. Choose any one of the above exercise methods that suits you Which patients need surgery? 1. Patients who have been diagnosed with lumbar disc herniation for more than six months and whose symptoms have worsened after non-surgical treatment has failed. 2. The first severe attack of lumbar disc herniation, where the patient has difficulty moving and sleeping due to the pain, and is forced to bend the hip and knee in the lateral position, or even kneel. 3. Single nerve palsy or cauda equina palsy occurs, manifesting as muscle paralysis or impaired defecation and urination. 4. Middle-aged patients who have had the disease for a long time, affecting work and life. 5. Total intervertebral disc degeneration or large herniation confirmed by reliable examination. 6. Non-surgical treatment is effective, but if the symptoms are recurrent and the pain is severe for more than 3 times, surgery is recommended. 7. Herniated disc with other causes of lumbar spinal stenosis.