What is lumbar disc herniation? What should I do if I have a lumbar disc herniation?

Many patients ask this question in the clinic, so what is the definition of it? What should I do if I have a lumbar disc herniation? Lumbar disc herniation, rupture of the annulus fibrosus, and nucleus pulposus herniation irritate or compress the nerve root and cauda equina nerve. What should I do if I have a lumbar disc herniation? In fact, more than 70% of patients with lumbar disc herniation can be improved or even cured through conservative treatment. The actual fact is that 70% of the patients with lumbar disc herniation can be improved or even cured through regular and systematic conservative treatment. There are many conservative treatment methods including bed rest, medication, physical therapy, massage, deep heat therapy, etc. In addition, intravenous antibiotics, dehydration and nerve-nourishing drugs can be applied. However, if conservative treatment is not effective and the following conditions occur, surgery is required: (1) acute attacks with obvious cauda equina symptoms. In order to protect the function of these organs, the prominent nucleus pulposus needs to be removed by emergency surgery; (2) the diagnosis is clear and the long-term systematic and regular conservative treatment is ineffective. Some patients should be treated surgically because their symptoms do not improve significantly despite regular conservative treatment and the diagnosis is clear by MR, CT or imaging, which affects their daily life and normal work; (3) patients with recurrent symptoms. Some patients with obvious symptoms, whose symptoms are relieved by conservative treatment, but have another attack within a short period of time, affecting normal work, study and life, should be considered for surgery; (4) those whose condition gradually worsens and whose symptoms of nerve compression are obvious. Patients with signs and symptoms of further aggravation of nerve damage, such as: weakened muscle strength of lower limbs, persistent numbness or even foot drop in the innervated area, and disorders of urinary and fecal functions, etc., and further aggravation of nerve damage on physical examination, and combined with imaging examination to confirm that the nerve root compression is consistent with the signs and symptoms, should be treated with surgery as soon as possible; (5) lumbar disc herniation combined with bony changes in the lumbar spinal canal, requiring surgery treatment or exploration. Generally speaking, most patients with lumbar disc herniation can recover and be cured through systematic and regular conservative treatment. However, surgery is also a proven method to treat lumbar disc herniation and can completely relieve the nerve root compression by the herniated nucleus pulposus and small joint hyperplasia and relieve the symptoms of the compressed nerve root. With the development and continuous updating of surgical instruments and the continuous improvement and enhancement of surgical methods, the side damage to nerve roots brought about by surgery has been greatly reduced, and the safety of surgery has been greatly improved, making it an increasingly perfect treatment method for lumbar disc herniation.