How is a herniated lumbar disc treated conservatively?

First of all, I would like to thank all readers for their messages and concerns about my previous articles, in which it is obvious that there is a great need for conservative treatment methods for lumbar disc herniation, so here I will summarize the conservative treatment plan for lumbar disc herniation based on my clinical experience. At present, the network is so developed that a casual search for conservative treatment methods for lumbar disc herniation can find a bunch of methods, but many of them are simple and clear to our doctors, but not necessarily so clear and understandable to the public without a medical background. Therefore, here I will summarize in layman’s terms, so that the readers can easily understand. 1, bed rest The purpose of bed rest is to reduce the pressure on the intervertebral disc in the vertical direction, the bed rest referred to here is strict bed rest, the bed as far as possible to choose a flat bed, the waist can be properly padded. The so-called strict bed rest means that including eating, drinking, pooping, and scattering are to be carried out in bed, not to mention the work on the ground and even hold the child. Of course, if you are hospitalized, this is better to implement, but at home want to do strict bed rest is very difficult, so we can adapt, when you have to go down to the floor to urinate and defecate (many people in bed will not urinate and defecate), first flat position wearing a slightly higher hardness of the waistband, and then get up on your side, after finishing to lie back in bed in the opposite step. As for things other than urination and defecation I suggest that for the sake of your health, it is better to save. Strict bed rest is mainly for patients with acute attacks of lumbar disc herniation, and the bed rest time is usually 3-7 days, or the time is controlled according to the degree of symptom relief. For chronic lumbar disc herniation patients can also refer to the bed rest method mentioned above, only not as strict, and getting up and moving around requires wearing a lumbar brace. The principle about bed rest is to be able to turn flexibly while lying in bed, and after there is no obvious pain, you can try to maintain an upright position under the protection of a lumbar girth. At first, you can start with 30 minutes on the floor and gradually increase the length. If you feel more pain in the middle of the day, you can return to the recumbent position at any time. Always remember that the peri-waist is a supplement to bed rest, not a substitute for bed rest. 2.Drugs for pain relief Generally speaking, the pain level during an acute attack of lumbar disc herniation is more intense, and patients mostly cannot insist on working and sitting for a long time. When the recumbent position is still painful and seriously affects normal, it may be necessary to use painkillers. The first choice of painkillers is generally non-steroidal anti-inflammatory drugs, commonly used drugs for Celecoxib (celecoxib), Loxone (loxoprofen tablets), of course, there are other classes of non-steroidal anti-inflammatory drugs, such as ibuprofen extended-release tablets, because its gastrointestinal side effects are slightly larger, so the first two are recommended, of course, sulfonamide allergy patients prohibited Celecoxib. In addition, you can also use blood-activating and pain-relieving Chinese medicine or ointment, which can play a role in reducing the dosage of non-steroidal painkillers and gastrointestinal side reactions. 3, nutrition nerve lumbar disc herniation will mostly compress and stimulate nerves, resulting in radiating pain in the lower limbs. Long-term nerve compression often leads to nerve damage, patients can use oral and injectable forms of vitamin B12 (commonly used is Micropol), for good economic conditions can choose neurotoxicity. The oral form of MicropĂ´le is preferred and is sufficient for most patients. For more severe radiating pain in the lower extremities, an injection form can be used. Patients with lumbar disc herniation often have low back pain and radiating pain in the lower extremities. For simple low back pain, bed rest + functional exercise can be taken, and for patients with radiating pain in the lower extremities, the above-mentioned nerve-nourishing drugs can be added. 4, functional exercise Here functional exercise mainly refers to the lumbar back muscle functional exercise, adhere to three months of exercise can let some patients get rid of the back pain, the secret is: lumbar back muscle functional exercise for strengthening the stability of the spine, not the treatment of back pain measures, back pain can not be practiced, to start again after the recovery of back pain, it is recommended to adhere to long-term, the longer the effect is better, here special emphasis: for long time driving Here special emphasis: for long time driving master driver, long time standing professor and salesman, heavy manual laborers, long time left standing work of white-collar workers, strengthen the exercise of the lumbar back muscle to lumbar disc herniation attack has a very good preventive effect.