I. How to find out you have lumbar disc herniation 1. After experiencing sudden flashback, sprain or lifting heavy objects and other triggering factors, when a series of symptoms such as lumbago, lower limb string numbness and pain appear. 2.After an acute sprain, such as a hand on the waist or the lower limb on the affected side for fear of weight bearing or a posture where the body is leaning forward and the hip is convex to one side. 3.Whether the lumbar spine is bent to one side because of trying to avoid pain, and whether the pain can be relieved to some extent after bending. 4.Gently cough once or several times to try to see if the symptoms of lumbar pain worsen; after resting in the supine position, if the pain is still not relieved. 5.In the prone position, gently touch the middle and both sides of the lumbar vertebrae in the posterior lumbar region with your own or a bystander’s hand. 6.Supine position, then sit up; supine position, with the affected knee straightened and the affected limb elevated. Then the possibility of lumbar disc herniation should be suspected. However, the real diagnosis needs to be confirmed by a professional doctor through observation of signs and imaging diagnosis. The lumbar intervertebral disc herniation is harmful. 1, lumbar swelling and pain, at the same time lower limb numbness, sciatic nerve radioactive pain, muscle atrophy, affected leg thinning, walking difficulties, etc.. 2, may cause nerve root compression, thus causing the corresponding organ dysfunction. 3.Make the lumbar spine unstable and unable to maintain the stability of the spine. Third, lumbar disc herniation prevalent population 1, in terms of age: most likely in young adults. 2, in terms of gender: mostly seen in men, the incidence of men is higher than women, it is generally believed that the ratio of men to women is 4-12:1. 3, in terms of body type: generally too obese or too thin people prone to lumbar disc herniation. 4, from the occupation: to labor-intensive industrial workers are more common. But at present, the incidence of brain workers is also very high. 5, from the posture: poor work posture. Voluntary workers and often standing salesmen, textile workers, etc. are more common. 6, from the living and working environment: often in the cold or humid environment, more than become the conditions that induce lumbar disc herniation. 7, in terms of different periods of women: prenatal, postnatal and menopause as the risk period of lumbar disc herniation in women. 8, congenital lumbar spine dysplasia or deformity, and even people who are too mentally stressed are prone to lumbar pain, and people who smoke may be associated with coughing can cause an increase in the internal pressure of the intervertebral disc and the spinal canal, making them susceptible to degenerative changes. Fourth, the clinical manifestations of lumbar disc herniation Patients suffering from lumbar disc herniation can show a variety of clinical symptoms depending on age, gender, duration of the disease and the location of the herniation, and the common clinical symptoms are as follows: 1. Low back pain: more than 90% of patients have this performance. The pain range is mainly in the lower back and lumbosacral region, with persistent dull pain more common. The pain can be relieved when lying down, and can be aggravated when standing and sitting for a long time. 2.Radiation pain of lower limbs: it can radiate along the lower back, buttocks, back side of thigh, front or back side of calf to the heel. The radiating pain is mainly tingling. The radiating pain of lower extremity may occur before or after the appearance of lumbar pain, which varies from person to person. 3.Weak sensory and motor functions of the lower extremities: Due to the damage of the nerve roots, the sensory and motor functions of the innervated areas are weakened or even lost. Common manifestations include: numbness of the skin, coldness, decreased skin temperature, etc. In severe cases, muscle atrophy or even muscle paralysis may occur. 4. Intermittent claudication: When patients walk, the symptoms of waist and leg can be aggravated with the increase of walking distance, and can be relieved only after a period of time in sitting or lying position, which is called intermittent claudication. It is possible that the herniated nucleus pulposus induced this symptom secondary to lumbar spinal stenosis. 5. Cauda equina symptoms: These symptoms are manifested as numbness and tingling in the perineum, weakness in urination, and incontinence of bowel movement. What are the treatment methods for lumbar disc herniation? 1, conservative treatment: including direct external application of traditional Chinese medicine, various Chinese and western drug therapy, traction therapy, massage manipulation therapy, physical therapy, external fumigation with traditional Chinese medicine, and even simple bed rest is a traditional and effective treatment method. 2.Minimally invasive interventional therapy: On the basis of detailed research on the anatomy, biochemistry, biomechanics and imaging of the intervertebral disc, minimally invasive interventional therapy technology has made rapid development. Compared with traditional surgical methods, minimally invasive interventional techniques have the advantages of less trauma, faster recovery, no damage to the normal structure of the spinal canal and no impact on the biological stability of the spine. Examples include collagenase chemolysis, radiofrequency ablation, ozone nucleation, and intervertebral foraminoscopic interventions. Minimally invasive interventional treatment methods are non-invasive, painless and a green therapy. 3.Surgical treatment: 8%-10% of the patients with disc herniation need surgery after non-surgical treatment is ineffective. In case of cauda equina injury or nerve root paralysis, emergency surgery should be performed to release the nerve compression as soon as possible. However, surgery is often dangerous and traumatic, affecting spinal stability and slow recovery after surgery. For patients with lumbar disc herniation with clear imaging diagnosis, discogenic low back pain, lower limb pain and obvious nerve root compression symptoms, such as sensory and motor impairment in the painful area: those who do not meet the indications for surgical resection: those who have been ineffective after 1-3 months of regular conservative treatment. All are suitable for the application of minimally invasive interventions such as collagenase chemolysis combined with radiofrequency ablation and ozone fusion. Intervertebral foraminoscopy is capable of treating almost all types of disc herniation and spinal stenosis and foraminal stenosis. Six, can lumbar disc herniation be cured 1, lumbar disc herniation is a common lumbar spine disease, the symptoms of lumbar disc herniation are mainly manifested as back and leg pain. The symptoms of lumbar disc herniation must be treated in a timely manner, and the most important thing is to adhere to the treatment. 2, then the lumbar disc herniation can be cured? The answer is yes, as long as the correct treatment method is chosen in time to the regular hospital, lumbar disc herniation can achieve the purpose of curing. Seven, what are the advantages of minimally invasive treatment of lumbar disc herniation 1, minimally invasive wound is small, almost no bleeding, short surgery time, no scar after surgery, in line with the aesthetic point of view. 2.The purpose of direct surgical effect is consistent with the gold standard of intervertebral disc surgery—microscopic discectomy. 3.Wide indications can deal with almost all types of disc herniation, some spinal stenosis, foraminal stenosis, calcification and other bony lesions. The use of special radiofrequency electrodes under the scope, feasible fiber ring molding and annular nerve branch blocking, treatment of discogenic pain. 4.Low complications low trauma, low chance of forming thrombosis and infection; no scar left at the posterior important structures after surgery, causing adhesions of the spinal canal and nerves. 5.High safety local anesthesia, which can interact with the patient during the operation and does not hurt the nerves and blood vessels; basically no bleeding, clear surgical field of vision, greatly reducing the risk of misoperation. 6.Fast recovery, the next day after surgery, you can go down to the ground, the average of 3-6 weeks to resume normal work and physical exercise. 7, high satisfaction of efficacy immediately after surgery to relieve pain, numbness and other symptoms, urinary and fecal self-care, simple care; long-term efficacy is good. Eight, how to prevent lumbar disc herniation 1, choose the appropriate amount of exercise and exercise, according to each person’s age, physical fitness to choose. If the acute attack of lumbar synostosis, must lie down on a hard bed to rest, prohibit large waist movement, swimming is more suitable for patients with lumbar disc herniation. 2, master the principle of gradual progress. 3, avoid cold to keep warm. 4, perseverance, should adhere to the monthly practice, weekly practice, daily practice. Three days to fish, two days to sunbathe, will be a foregone conclusion. Nine, lumbar disc herniation how to diet lumbar disc herniation patients due to illness and reduce a certain amount of activity, so the intake of diet should also be properly reduced, especially in acute bedridden patients, in addition to reduced activity, digestive function is also significantly reduced, gastrointestinal peristalsis slower, so attention should be paid to the reasonable arrangement of diet, eat more vegetables and fruits and legumes, meat and seafood high fat food as little as possible. Because it is easy to cause dry stool, defecation force leads to aggravation of the disease. If you have a history of coughing, you should eat less or not eat irritating foods such as chili peppers to avoid aggravating the symptoms of lumbar pain by causing coughing and wheezing. Patients with lumbar disc herniation should quit smoking and drinking in time to facilitate early recovery. Ten, lumbar disc herniation daily health guidance 1, sleep on a hard bed. Sleeping on a hard bed can reduce the pressure on the intervertebral disc. 2, pay attention to lumbar warmth, try not to get cold, avoid getting cold and craving cold things, do not spend a long time under the air conditioning, strengthen the protection of the lumbar back. Wear a waist circumference (lumbar belt) during the day, which is conducive to the recovery of the lumbar spine. 3, do not do bending and forceful movements pay attention to labor posture, avoid long-term bending and excessive weight bearing, so as not to accelerate the pathology of the lumbar intervertebral disc. 4, try to rest in bed during the acute attack, and also pay attention to proper rest after the pain period is relieved, do not overexert yourself to avoid aggravating the pain. 5, the usual diet, eat more calcium-rich foods, such as milk, dairy products, shrimp, kelp, sesame paste, soy products, etc.. 6, maintain good living habits, prevent the back and legs from getting cold, prevent overexertion. l stand or sit in the correct posture. The spine is not correct, will cause uneven force on the intervertebral disc, is the hidden root cause of disc protrusion. 7, the correct posture should be “standing like a pine, sitting like a bell”, chest up, waist flat straight. The same posture should not be maintained for too long, appropriate in situ activities or low back activities, can relieve low back muscle fatigue. 8, exercise leg bending amplitude is not too large, otherwise not only will not achieve the desired purpose, but also cause disc protrusion. Do not bend when lifting heavy objects, should first squat down to get heavy objects, and then slowly get up, try to do not bend.