Problems of lumbar disc herniation

Lumbar disc herniation is a series of clinical symptoms and signs caused by degeneration of the lumbar disc, rupture of the annulus fibrosus and protrusion of the nucleus pulposus that irritates or compresses the nerve root and cauda equina nerve, commonly known as “lumbar protrusion”. It often causes a lot of pain in life and work, and even disability and loss of working ability. Lumbar disc herniation is the main cause of low back pain and is one of the most common orthopedic clinical disorders, accounting for 10%-15% of patients with low back pain in orthopedic outpatient clinics and 25%-40% of hospitalizations for low back pain. Lumbar disc herniation is a common disease today, and it is difficult to rehabilitate and requires a change in unreasonable lifestyle. Main symptoms: 1. lumbar pain 2. lower limb radiating pain 3. restricted lumbar movement 4. scoliosis 5. intermittent claudication 6. sensory numbness Treatment Patients have once asked about various lumbar herniation treatment devices and whether they are effective. There are a large number of advertisements on TV, newspapers and other media for instruments for the treatment of lumbar disc herniation, but the efficacy of these advertised products is inaccurate and most of them are overly exaggerated. The treatment instruments may be able to relieve muscle spasm, but it is impossible to restore the herniated disc through the instruments if the disc is targeted. In general, patients with lumbar disc herniation will feel hardness in the lower back and muscle spasms. The actual fact is that you can find a lot of people who are not able to get a lot of money to spend on their own. Some instruments rough treatment process, and even aggravate the symptoms of lumbar disc herniation. The actual fact is that you should be cautious and should consult a regular hospital physical therapy department for regular scientific conservative treatment. The actual fact is that you can find a lot of people who are not able to get a good deal on this. There is no secret formula, special medicine or prescription for the treatment of lumbar disc herniation. It is necessary to make a formal diagnosis and carry out scientific treatment after the disease has developed. The treatment method is mainly divided into conservative treatment and surgical treatment. Although conservative treatment can not fundamentally solve the problem of lumbar disc herniation, but through drugs, rest, acupuncture and other physical therapy can achieve the purpose of reducing symptoms and relieving pain. Surgical treatment is suitable for those who have severe symptoms and whose strict conservative treatment is ineffective, or for those whose symptoms are recurrent or continuously aggravated. There are also a variety of surgical methods, and the doctor will choose the surgical method according to the patient’s age, gender, weight, occupation, subjective requirements, and the degree and extent of lumbar disc herniation, nerve damage, and other comprehensive factors. Non-surgical treatment is the basic treatment for lumbar disc herniation, and more than 80% of patients can be relieved and cured by conservative treatment. However, the judgment of conservative therapy also puts forward higher requirements for the doctor, not only to fully inquire the patient’s medical history, carefully examine the body and carefully refer to the relevant auxiliary examination, but also to have a more comprehensive understanding and mastery of the disease, not only to adopt appropriate therapy, but also to guide the patient to carry out correct rehabilitation exercises, and in addition to understand the patient’s psychological condition in detail, especially for patients with long-term illness or psychological fear. The main therapies are: 1. bed rest; 2. traction therapy; 3. massage therapy; 4. physical therapy; 5. anti-inflammatory and analgesic drugs, mainly Fotarine, etc. These drugs are suitable for most patients, but a few patients have gastrointestinal reactions and other side effects, such as nausea, vomiting, stomach pain, diarrhea, etc. Patients with peptic ulcers should be cautiously used or prohibited. 6. Application of drugs to reduce nerve root edema, such as mannitol, hormones, etc. Indications for surgical treatment (1) A history of more than six months, after strict conservative treatment is ineffective: or conservative treatment is effective, frequent recurrence and heavy pain (2) The first attack of severe pain, especially in the lower extremities, the patient is difficult to move and sleep, forced to bend the hip and knee lateral position, or even kneeling (3) Single nerve palsy or cauda equina nerve compression paralysis signs and symptoms (4) Middle-aged patients, a long history of disease, affecting work or life (5) Although the history is atypical, it is confirmed by imaging, CT, MRI or imaging that there is significant and severe compression of the nerve or dural sac by the intervertebral disc (6) Lumbar disc herniation with lumbar spinal stenosis