Is it possible to cure a herniated lumbar disc in 1 minute? A: No, it is not possible. Lumbar disc herniation is a back pain and/or leg pain caused by the nucleus pulposus of the intervertebral disc breaking through the peripheral fibrous annulus and irritating the posterior soft tissues and/or nerve roots. The pain-causing cause, mainly chemical inflammatory factors gather and stimulate the nerve roots, and the dissipation of inflammation (the process of inflammation dissipation can be referred to the fading of acne, which cannot be calmed down within minutes by any treatment) cannot disappear in 1 minute, so a 1-minute cure for lumbar disc herniation is impossible (generally speaking, it takes at least 2 weeks for a lumbar herniation to achieve a symptom elimination of 80% or more). Q: Since it is impossible to cure lumbar disc herniation in 1 minute, is the above case fake? A: The above case is true and untrue. The patient did have his symptoms lifted within 1 minute and reached the clinical cure standard. Supplemented with exercise, the patient was free of significant discomfort after 10 days. Q: How can the contradictions in this case be explained? A: There is only one truth. The patient’s back and leg pain was not caused by lumbar disc herniation, that is, the back and leg pain was not related to lumbar disc herniation in any way, and the diagnosis of “lumbar disc herniation” was actually wrong. Q: The patient’s CT and MRI clearly showed a lumbar disc herniation, but the CT and MRI were wrong? A: There is no error. However, “lumbar disc herniation” and “lumbar disc herniation” are two different concepts. Many people do not have any discomfort in their back and legs, but when they have CT and MRI examinations, they may report the existence of “lumbar disc herniation”. “The “lumbar disc herniation” is only a pathological state of existence and does not require treatment. Only when the “lumbar herniation” causes pathological reactions such as back and leg pain does it become a “lumbar herniation”, and only then does it need to be treated. To use a perhaps less appropriate analogy: a relative is a thief (lumbar disc herniation) who goes around committing crimes (at this time manifesting as lumbar disc herniation), but he does not steal anything when he comes to my house (just lumbar disc herniation, not lumbar disc herniation), so as far as I am concerned, he is not a threat and I do not need to react in any way. Q: And what exactly is this patient’s disease? A: Lumbosacral joint disorder. To be exact, it is a lumbar 5-sacral 1 joint disorder. Q: But the patient’s condition has improved with minimally invasive treatment, so if it is not “lumbar synostosis”, then minimally invasive treatment should not be useful? A: Lumbosacral joint disorder is characterized by lightness and heaviness, usually only soreness and swelling of the waist and hip, similar to the symptoms of lumbar muscle strain, but also with “discomfort” in the lower limbs, or soreness or swelling or just feeling “twisted” and “not strong”. “However, when the symptoms are aggravated after exertion or cold, it is very easy to have lumbago with lower limb radiating pain, which is similar to “lumbar synostosis” but relatively milder, and after rest or corresponding treatment, the symptoms are relieved more than “lumbar synostosis”. After rest or corresponding treatment, the symptoms will be relieved much faster than those of “lumbar dystrophy”. Therefore, the relief of patients after minimally invasive treatment is related to the patients’ self-healing on the one hand, and the trauma of minimally invasive treatment will change the local fascial tension, which can sometimes play a positive role in the patients’ recovery. In conclusion, among patients with chronic and recurrent low back pain, there are not so many “lumbar protrusions” caused by “lumbar protrusions”, compared with the actual clinical diagnosis of “lumbar protrusions”. There are even fewer of them, and even fewer of them really need surgery. As I wrote in my previous article “Are you suffering from lumbar protrusion?” I wrote in my previous article, “Are you suffering from lumbar protrusion? The difference between “lumbar protrusion” and “lumbar synostosis” has become a surefire way for some doctors with little professionalism or poor medical ethics to fish in troubled waters or seek personal gain. Patients should not be unaware of this. If the professional divide cannot be eliminated, “cautious surgery” and “multiple consultations” are the only feasible ways for patients to protect themselves.