1, the body appears when those symptoms, to be alert to lumbar disc protrusion? Lumbar disc herniation is mostly seen in young adults aged 20-40 years old, accounting for about 80% of the number of patients, and is significantly more common in men than women. Exertion, trauma, and improper posture are important factors that lead to disc herniation. When the lumbar pain is often sore after exertion and cannot be relieved after rest, or there is radiating pain in the buttocks and lower limbs, such as numbness, soreness, swelling, tingling; or inflexibility in the lower limbs, such as when the straight leg lift cannot be completed when lying in bed, be especially alert to the occurrence of lumbar disc herniation. Self-checking method, pain is aggravated when bending in sitting position, or thigh pulling pain when straight leg raising in lying position. 2.What are the causes of lumbar disc herniation? In daily life, what groups of people may be prone to this symptom and how should it be prevented? There are two causes of lumbar disc herniation, endogenous and exogenous. Endogenous causes are related to individual physique, due to aging of intervertebral disc tissue and dehydration of the nucleus pulposus, which causes weakness or rupture of the fibrous ring and protrusion of the nucleus pulposus and compression of the nerve root under heavy trauma or repeated inconspicuous injuries. In addition, excessive lifting, weight-bearing or sports can cause lumbar sprains and acute attacks of disc herniation; professional drivers, typists, sewers and other workers who sit for long periods of time have chronic old damage to the intervertebral disc and can also develop disc herniation. (1) the occurrence of this disease is closely related to the physical, first of all, should enhance physical fitness. The lumbar muscles and abdominal muscles should be strong and coordinated. (2) Avoid fatigue, fatigue of the whole body and local fatigue of the lumbar spine can induce disc protrusion. (3) life should be avoided in the lumbar spine excessive force action, such as bending over to carry heavy objects, stretching waist to carry things, sedentary, excessive exercise, fatigue state as far as possible to avoid excessive exercise. Drivers should first adjust the seat, lumbosacral (trouser belt) pad a thin pillow, reduce the bending position, driving for a period of time (within 2 hours) should get out of the car to stand and walk, appropriate to do waist action. Office workers, sit in a chair with a backrest, chair forward near the workstation, lumbosacral to pillow. Do a period of time, to get up and move, even if it is a short period of standing, can disperse the load of the lumbar intervertebral discs, reduce the fatigue of the lumbar spine, to strive for more standing, more walking. Specialized exercise methods: (1) bed exercise: commonly used methods such as recumbent stirrups, flying swallow; (2) swimming: can reduce the occurrence of disc herniation, for the treatment of disc herniation. 3.What are the treatment options for lumbar disc herniation and what are the methods and advantages of Chinese medicine in treating lumbar disc herniation? What kind of cases must be treated surgically? Chinese medicine believes that the onset of lumbar disc herniation is not only related to the localization of the lumbar spine, but also related to the functional state of the whole body. The internal use of Chinese medicine has the effect of overall conditioning and local anti-inflammatory and pain relief; massage therapy can adjust the balance of the muscles and joints of the lumbar spine and the intervertebral disc, change the relationship between the herniated nucleus pulposus and the nerve root, and achieve the effect of “reset” and rapid analgesia; the analgesic and anti-inflammatory effect of acupuncture has been recognized worldwide, so Chinese medicine treatment of this disease Therefore, Chinese medicine treatment for this disease is based on Chinese medicine, massage, acupuncture as the basic therapy, there are still other auxiliary therapies such as traction, external ointment, fumigation, etc. The treatment of disc herniation should be divided into the attack period, remission period, rehabilitation period, the attack period should be sufficient rest, choose two or several basic therapies, treatment in place, most patients can be relieved; remission period to further consolidate treatment, rehabilitation period, need to carry out special practice and health care, appropriate irregular drug, acupuncture and massage conditioning, can reduce the recurrence of disc herniation. The vast majority of lumbar disc herniation can be controlled after conservative treatment. However, the condition is mild or severe, people have individual differences, and conservative treatment is ineffective for some specific types of lumbar disc herniation, or the effect is not long-lasting. It is up to the doctor to communicate with the patient and consider surgical treatment. Usually, surgery can be considered for one of the following conditions: (1) constipation, fecal incontinence, or urinary incontinence and numbness in the perineum; (2) muscle paralysis of the lower leg or foot, such as weakness of the thumb of the foot, drooping foot, weakness of the heel of one leg on tiptoe, or weakness of the knee of the thigh extension, all of which are signs of severe pressure and damage to the nerve root and should be operated as soon as possible. (3) Special types of disc herniation, such as disc prolapse into the nerve root canal, huge disc prolapse causing severe nerve root pain, is estimated to be difficult to cure by conservative treatment, lingering back and leg pain, and has a great impact on future life and work, can be treated by early surgery. Surgery can solve the problem of nerve root compression, but surgery cannot solve the problem of disc lesion, so further non-surgical therapy is needed to promote the recovery of back and leg function after surgery. Traditional therapies such as Chinese medicine and acupuncture have an important role in this period. 4.What other health care issues should I pay attention to after the cure? Is it easy to relapse? People generally think that the disease is “cured” when the symptoms disappear, but in fact, it is not. After the occurrence of disc herniation, the structure of the disc has been damaged, and the disappearance of symptoms does not mean that the damaged disc is completely repaired, in fact, most people will further degenerate the disc, so reducing the speed of degeneration to prevent the recurrence of symptoms is the key to rehabilitation and health care. It is important to pay attention to the conditioning of the functional state of the whole body and the local balance of the lumbar spine. The balance of the local lumbar spine is the muscles, bones, intervertebral discs, nerve roots and other tissues, maintaining a relative state of balance —- Chinese medicine speaks of “harmony” state. Look around many elderly people, their lumbar spine although there is a herniated disc, bone growth, nerve roots may also be compressed, but they often live pain-free. Exercise methods should be noted, do not overwork, do not exercise when fatigued, exercise, do not overly strenuous, the range of motion of the lumbar spine should not be too large, to reduce lumbar flexion that is, the action of bending over, the elderly also reduce excessive rear extension action. Work and life, the need for sedentary people, we must pay attention to the stool, sitting posture, sitting time, choose a backrest, the right height of the stool, very important, lumbar pad a thin pillow, already have low back pain patients, wear a waist brace, can help maintain a straight waist posture, reduce fatigue. Sitting for a little longer, you have to get up often, even if it’s a few seconds of standing up and holding your waist, it’s very useful. Patients with lumbar disc herniation, whether surgically or conservatively treated, may have a recurrence. Sports in a fatigued state, such as basketball, soccer, tennis, etc., bending over to lift heavy objects and stretching to retrieve objects can flash the back and lead to a recurrence of a herniated disc. A long-distance travel bumps, but also can make the lumbar spine damage. Housewives, bending over to mop the floor, carry water, can also cause damage to the lumbar spine, the weather is cold, cold sneeze, are often the cause of disc recurrence. There are reasons for each disease, but there are ways to prevent, disease prevention, from daily life, work and other aspects.