Lumbar disc herniation refers to a series of symptoms and signs caused by compression of the dural sac and spinal nerve roots after herniation of intervertebral discs in the lumbar spine (usually lumbar 3 to 4, lumbar 4 to 5, sacral l). In severe cases, there may be numbness, tingling, difficulty in urination and defecation, and muscle atrophy of the lower limbs. In severe cases, limping or even inability to walk may occur. Moreover, there will be obvious pressure pain in the buttocks, N fossa or calf, and when the lower limbs are straightened and raised in the supine position, the symptoms on the painful side will be significantly aggravated. Because the clinical manifestations of lumbar disc herniation vary and are prone to recurrence, there are still some misconceptions in the treatment and understanding of the disease. Now we will analyze and discuss some problems in the diagnosis and treatment of lumbar disc herniation. One of the misconceptions: back and leg pain is not a disease. According to statistics, more than 95% of people have experienced lumbar and leg pain in their lifetime, and some of the pain disappears after the primary disease of lumbar and leg pain is cured, and some do not cure themselves, so some patients think that lumbar and leg pain is not a disease. In fact, lumbar disc herniation can not only cause back and leg pain, but also lower limb numbness, coldness, weakness, and even paralysis and urinary disorders, which seriously affect the quality of life. Myth No. 2: Lumbar leg pain cannot be cured. Lumbar disc herniation is characterized by easy recurrence, especially for those with neurological dysfunction. Therefore, some people believe that lumbar disc herniation cannot be cured. In fact, the overall effect of lumbar disc herniation treatment is very good, with an excellent rate of about 95%. If you choose the wrong method, do not adhere to the treatment, ignore the basic treatment and proper rest will make the disease recur. The best rest for lumbar and leg pain is bed rest, sitting and watching TV, rubbing linen will increase the burden on the lumbar spine. Most of the back and leg pain are chronic diseases, and it takes a long time for the treatment to take effect, so you should not be in a hurry and insist on the treatment. The third misconception: the diagnosis despises or ignores the clinical manifestations, relying too much on CT or MRI. lumbar disc herniation, emphasis on the word “disease”, the direct use of CT or MRI examination, often the lower lumbar spine to do CT, but missed the lumbar spine tuberculosis, lumbar spine to do MRI, but missed the diagnosis of spinal deformity or small joint lesions, or will A bulging lumbar disc is diagnosed as a herniation. Relying on imaging alone is often a case of “seeing the trees but not the forest”, and clinical manifestations should be combined with imaging. Myth No. 4: Superstition or exaggeration of a certain method. There are two types of treatment for lumbar disc herniation, surgical and non-surgical. Non-surgical treatments include traction, massage, internal and external medication, percutaneous excision and suction, collagenase lysis, radiofrequency ablation, etc. Both types of methods can cure some patients, but neither method can cure all patients. The correct attitude is to choose the specific treatment method suitable for each patient according to the clinical symptoms, signs, disease duration, and imaging examination. Myth No. 5: Misconceptions about surgery. Most patients with lumbar disc herniation can be relieved or cured by non-surgical treatment, but there are still some patients who need surgical treatment. The indications for surgery are very strict, and surgery is only considered when the following conditions occur: a herniated disc with heavy or persistent nerve compression, bony spinal stenosis or calcification of the herniated disc, or a large disc protrusion or fall into the spinal canal as a free body. Most patients with surgical indications any conservative therapy is not a substitute for surgical treatment, and the earlier the better, otherwise the loss of nerve function may become permanent. Myth No. 6: Neglecting rehabilitation after surgery. Surgery can relieve the nerve root compression by the herniated disc, but it cannot prevent the formation of postoperative scar and nerve root adhesions. Therefore, in order to consolidate the effect of surgery and promote early recovery after surgery, formal rehabilitation training must be carried out. Five-point support method, three-point support method and flying swallow are the commonly used exercise methods. In general, postoperative exercises for the lumbar and back muscles should be carried out reasonably, and one to two weeks must be spent walking on the ground, and a certain amount of time after surgery can also be spent participating in work, but bending and lifting heavy objects should be avoided. The exercise should be gradual and the amount should not be too large, in order not to cause aggravation of back and leg pain.