How can lumbar disc herniation be treated conservatively?

Most patients with lumbar disc herniation can be relieved or cured by non-surgical treatment. The principle of treatment is not to return the degenerated and herniated intervertebral disc tissue to its original position, but to change the relative position of the intervertebral disc tissue and the compressed nerve root or partially retract the disc tissue to alleviate the compression on the nerve root, to loosen the adhesion of the nerve root, and to eliminate the inflammation of the nerve root, so as to alleviate the symptoms. Non-surgical treatment is mainly applicable to: 1, young, first attack or short duration of the disease; 2, mild symptoms, symptoms can be relieved by themselves after rest; 3, no obvious spinal stenosis in imaging examination. (1) Absolute bed rest: In the first attack, bed rest should be strictly applied, emphasizing that one should not get out of bed or sit up for both urination and defecation. After 3 weeks of bed rest, you can get up and move around under the protection of wearing a waist cuff, and do not do any bending and holding action within 3 months. This method is simple and effective, but more difficult to adhere to. After relief, the lumbar back muscle exercise should be strengthened to reduce the chance of recurrence. (2) Traction therapy: The use of pelvic traction can increase the width of the intervertebral space, reduce the internal pressure of the intervertebral disc, the herniated portion of the intervertebral disc is retracted, and reduce the irritation and compression on the nerve root, which needs to be carried out under the guidance of a professional doctor. (3) Physiotherapy and massage: it can relieve muscle spasm and reduce the pressure within the intervertebral disc, but note that violent massage can lead to aggravation of the condition, and caution should be taken. (4) Corticosteroid epidural injection: Corticosteroid is a long-acting anti-inflammatory agent, which can reduce inflammation and adhesion around the nerve root. Generally, long-acting corticosteroid preparation + 2% lidocaine is used for epidural injection, once a week, 3 times for a course of treatment, and another course of treatment can be used after 2-4 weeks.