Some misconceptions about lumbar disc herniation

With the popularization of medical knowledge, the disease of lumbar disc herniation is becoming more and more recognized, however, due to the different clinical manifestations of lumbar disc herniation, there are many treatment methods and it is easy to have recurrent attacks. Therefore, there are still misconceptions in the treatment and understanding of the disease in the Department of Orthopaedics of Shanghai Sixth People’s Hospital Zhao Bizeng, which may lead to mistakes in the principle of patient treatment and even aggravate the disease, making the psychological and economic burden of patients heavier. Myth 1: Low back and leg pain is not considered a disease. Many people have experienced low back and leg pain in their lifetime. Some of the primary diseases of back and leg pain are cured and the pain disappears, and some are not cured by themselves. Patients then think that low back and leg pain is not considered a disease. In fact, lumbar pain caused by lumbar disc herniation, lumbago must be given great attention. This disease can not only cause back and leg pain, but also cause numbness in the lower limbs, mobility and other serious impact on the quality of life. Myth No. 2: Low back and leg pain can’t be cured. A great feature of lumbar disc herniation is that it is easy to recur, especially for those with neurological dysfunction, and the repair process is longer. Therefore, many patients and even some non-professional doctors believe that lumbar disc herniation cannot be cured. In fact, the effect of lumbar disc herniation treatment is very good. And many people so-called cure is not good for two reasons: one is the choice of improper method, and the second is not adhere to the treatment. Some patients think that there is a fast way to treat them, so they are easily cheated by many undesirable elements in the society. Non-surgical treatment requires a long period of persistence. Misconception No. 3: Inability to choose the right treatment. There are treatments for lumbar disc herniation divided into two types of treatment: surgical and non-surgical. Non-surgical treatments include traction, medication, percutaneous cut and suction, each of which can cure a part of the patients, but not all of them, and in some specific cases, certain treatments are even contraindicated. The correct attitude is to develop a suitable treatment for the patient based on clinical symptoms, signs, duration of the disease, and imaging examinations, and not to superstitiously believe in a certain therapy or subjectively resist a certain therapy. Misconception No. 4: Ignorance of surgery. Many patients with lumbar disc herniation can be cured by non-surgical treatments, but there are still some patients who must be treated surgically. On the subject of surgery, there are two diametrically opposed views: one is to refuse surgery, and the other is to operate blindly. The former takes the nerve damage caused by surgery, as well as the negative effects such as bleeding during surgery to be amplified, and considers surgery as a resolute no-no, and conservative treatment. There are some patients with surgical indications whose main symptoms can indeed be relieved after conservative treatment, but it is difficult to improve some symptoms left behind, while many patients with surgical indications cannot be replaced by any conservative therapy, and surgical treatment, the sooner the better, otherwise, the loss of nerve function may become permanent, and it will be too late. And the latter believes that only surgery can eradicate lumbar disc herniation, as long as the lumbar disc herniation, the patient agrees to surgical treatment. This not only adds to the unnecessary financial burden of the patient, but also increases the chance of “lumbar spine surgery failure syndrome”. The indications for surgery for lumbar disc herniation are very strict, and surgery is not the first choice for the treatment of lumbar disc herniation, and it is neither easy to operate nor conservative.