Prevention and treatment of lumbar disc herniation

How to prevent lumbar disc herniation? 1. Avoid bending over and extracting overweight objects. If the pain is relieved when extracting heavy objects, the posture must be correct, so that the lumbar muscles should be fully prepared to master the balance and not to exert too much force. After a long period of bending, do not violently straighten the waist. 2, not sedentary, such as time driving, use of computers, etc. 3, avoid stimulation by cold and damp, damp and cold. Make the small blood vessels and muscles reduce contraction and spasm. Non-surgical treatment for lumbar disc herniation? 1, bed rest (hard bed): bed rest is a very simple, but more effective measure that can be used by patients with lumbar disc herniation, bed rest is the basis of non-surgical therapy. The role of bed rest is to reduce the pressure on the spine so that the edema of the nerve roots slowly subsides. It is best to put pillows under the knees when lying on your back to keep the waist straight. 2, traction therapy: traction therapy is one of the common therapies for patients with lumbar disc herniation. If the first traction symptoms worsen, stop traction, maybe this patient disc herniation type is not suitable for traction therapy. Lumbar disc prolapse or nucleus pulposus free or spinal stenosis, ankylosing spondylitis, spinal tumors and other diseases are prohibited traction therapy. 3.Lumbar circumference protection for 2-3 weeks is mainly used for patients with significant lumbar pain. The main purpose is braking, which can make the damaged lumbar intervertebral disc get sufficient local rest and create good conditions for the patient’s organism to recover. 4.Physical therapy: Physical therapy includes electric therapy, heat therapy, microwave and other methods. Improve local blood circulation, promote the absorption of inflammation and relieve symptoms. Microwave treatment effect may be faster and better. 5.Tui na massage, acupuncture therapy: basically the same as the purpose of physical therapy. It is to relieve the patient’s clinical symptoms mainly. But massage massage prohibits violence, about 25% of violent massage leads to aggravation of symptoms or even paraplegia. 6, Chinese and Western drug therapy: oral drugs: fenbid or nimesulide (non-steroidal anti-inflammatory and analgesic drugs), mikobor (nutritional nerve drugs), treatment to relieve symptoms as the main purpose. 7.Closure therapy it includes pain point closure therapy, epidural cavity closure therapy, pushing the interforaminal nerve root closure and other methods. Be sure to professional doctors for this operation. 8.Functional exercise: lumbar extension exercise when standing, five-point support in supine position, “Little Swallow Flying” exercise in prone position. After the symptoms are relieved, you can insist on swimming exercise. What are the indications for surgical treatment of lumbar disc herniation? 1, lumbar disc herniation after 3 months of strict conservative treatment is ineffective, or continue to aggravate. 2.Recurrent episodes of lumbar and leg pain, seriously affecting work and life . 3.Severe pain, severe nerve damage and muscle atrophy. 4.The presence of foot drop or cauda equina nerve dysfunction (urinary and fecal dysfunction) requires surgery as soon as possible .