Treatment of lumbar disc herniation

In society, there are many treatments for lumbar disc herniation, on the radio, television, newspapers, poles, and the Internet, everywhere, holding, stepping on, giving an injection, eating “traditional Chinese medicine”, applying plasters, and drinking medicinal wine to cure the legend, creating a magical atmosphere, and “doing surgery The threat of “paralysis” has deterred patients from entering mainstream hospitals. Academically, the treatment of lumbar disc herniation is divided into three categories: conservative, “minimally invasive”, and surgical. Conservative treatment includes bed rest, traction, massage, acupuncture, internal and external medication, etc.; minimally invasive treatment is through puncture needles to introduce dissolving drugs, laser, radiofrequency, ozone, etc., to reduce the capacity and pressure; surgical treatment is through small incisions or endoscopy to remove the herniated material compressing the nerve under direct vision, etc. These three types of methods have their own treatment principles and indications, each with its own advantages and disadvantages. First of all, we must clarify whether the back and leg pain is caused by a herniated disc, dozens of diseases can lead to back and leg pain; do not mistakenly think that “mild disc protrusion” on the film must be a herniated disc “disease”, to determine the degree of responsibility. Secondly, the size and location of the herniated disc and its correspondence with the nerve roots should be clarified to achieve a fine diagnosis. Finally, the most suitable treatment method should be selected individually according to age, disease duration, pathological type of herniation, presence of other compression factors, etc. For example, the most suitable pathological type for “minimally invasive” intervention is “inclusive” herniation. Most patients believe in what they hear and see, followed by what they deify, and finally others, which leads to running around and trying all the “god” methods, and finally people are tired and empty. I suggest that patients with back and leg pain should first go to a regular mainstream hospital to determine their condition and listen to the advice of a real intervertebral disc doctor, “sharpening the knife does not miss the woodwork”, explore the road first, and then finally make a decision is not too late. The treatment of lumbar disc herniation is not in the technical means, the key is in the selection of the right indications.