Traction therapy: through continuous stretching of the lumbar muscles to release muscle spasm, improve local blood flow, relieve pain, and facilitate the decompression of congestion and edema of the compressed nerve and the absorption and repair of tissue damage; traction also tenses the posterior longitudinal ligament, facilitating the return of the nucleus pulposus of the bulging intervertebral disc to varying degrees, changing the relative position of the protruding disc and the nerve root, thus reducing the compression of the nerve root.
Chinese medicine manipulation chiropractic treatment: ① relaxing tendons and channels: ② loosening adhesions: ③ tendon adjustment: ④ activating blood circulation and eliminating blood stasis: Xiao Jing, Department of Orthopedics and Traumatology, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine
Chinese medicine fumigation combined with Chinese medicine ionization therapy: relax the joint tendons and collaterals, unblock the couples, circulate the qi and blood, activate the blood and relieve pain. It is suitable for those with tonic and constricted joints, painful numbness or injury with rheumatism.
Chinese medicine umbilical therapy: avoiding the adverse reaction of oral medicine to the stimulation of the digestive tract, using the absorption of medicine by the skin and mucous membrane of the umbilicus and the double treatment of meridian points to achieve the circulation of qi and blood, unblocking the meridians and adjusting the function of the internal organs.
Minimally invasive interventional techniques for low back pain.
1 percutaneous laser disc decompression: the high temperature of laser acts on the herniated disc to decompress and decongest the disc, and the high temperature can also remove local inflammation
2 medical ozone ablation: ozone contains 3 oxygen atoms, which decomposes into oxygen within 20 minutes, and this process exhibits strong oxidation. Ozone injected into the nucleus pulposus can oxidize and destroy the structure of the protruding nucleus, making it shrink in size and solidify. This eliminates the inflammation caused by the compression and irritation of the nerve by the herniated nucleus pulposus and eliminates the pain symptoms.
3 Percutaneous puncture lumbar disc removal Using minimally invasive surgical instruments to drill a hole in the intervertebral disc fiber ring, open a window, remove the nucleus pulposus, reduce the pressure in the disc, relieve the stimulation of the nerve roots and the pain extremity receptors around the disc, and achieve the purpose of treatment.
4 nerve radiofrequency thermal coagulation therapy Radiofrequency thermal coagulation causes protein inactivation and coagulation, water loss and atrophy in the protruding, compressed and irritated tissues, changes the position relationship with the nerve tissue, and eliminates symptoms. It is suitable for the treatment of trigeminal neuralgia, lumbar spinal neuralgia, herniated disc, soft tissue pain, small joint pain and other conditions.
5 fiber endoscopic technology: removing part of the nucleus pulposus under the fiber endoscope, reducing the pressure in the intervertebral disc, relieving the stimulation of the nerve roots and the nociceptive sensory apparatus around the disc, and achieving the purpose of treatment
The effective safety guarantee of minimally invasive interventional therapy lies in the use of local anesthesia, which allows the patient to be awake during the operation and the doctor and the patient to communicate their feelings smoothly; the avoidance of important organs and tissues with the help of the imaging surveillance system; and the safety of sterilization and limited scope of operation.
Comprehensive domestic and international literature shows that the excellent rate of minimally invasive intervention for lumbar disc herniation is about 80%. Factors affecting the efficacy include: preoperative indication selection, consistency of imaging examination and clinical manifestation, skill level of the operator, efficacy evaluation criteria, follow-up time and psychological state of the patient.