Various misconceptions about lumbar disc herniation

Myth 1: Low back pain = lumbar disc herniation? Low back pain is only a typical symptom of lumbar disc herniation, there are some patients with lumbar disc herniation do not appear low back pain, in addition, other lumbar degenerative changes such as lumbar stenosis, lumbar muscle strain, lumbar sprain, etc. can also appear low back pain. Myth 2: The more severe the low back pain = the larger the herniated disc? The severity of low back pain and the degree of nerve root compression, the patient’s pain tolerance, the pressure in the spinal canal is high and low and other factors related to a lot of patients imaging herniation is not big, but just stuck in the exit of the nerve root canal, the pain is intense; on the contrary, there are patients protruding more than 1cm, but not stuck in the key structures, the symptoms are very light. Myth 3: Lumbar osteophytes = lumbar disc herniation? Lumbar osteophytes is with age, almost everyone must go through the physiological process, most of the patients due to lumbar pain in the clinic, often only do the ordinary lumbar vertebrae front and side tablets, X-ray report mostly show: lumbar osteophytes. Many patients think that low back pain is caused by osteophytes, in fact, not. Lumbar intervertebral disc is not bone, but the fiber connection structure between lumbar vertebrae and bone. Of course, when lumbar osteophytes are severe enough, they can also compress the spinal nerves and cause symptoms, but they fall under the category of lumbar spinal stenosis.