It is a natural law that the human body gradually ages with age, and the human intervertebral disc is no exception. Like other diseases such as coronary heart disease, diabetes, etc., most herniated discs are also degenerative diseases. As the saying goes, disease depends on treatment in three parts and on maintenance in seven parts. The same is true for herniated discs. The human body has the ability to repair most trauma. With recuperation and/or appropriate conservative treatment, most of the symptoms can be relieved as long as the inflammation caused by the herniation is subsided. Just like a person who has a small cut on the skin, just clean and bandage it, after a certain amount of time the skin gets scarred and healed. If the tendons, bone and other deep tissues are damaged, a surgeon is needed. The same is true for mild herniated discs with less severe symptoms, such as bed rest, local closure, traction and massage, etc. The symptoms of sciatica can be relieved by treating the symptoms without treating the root cause. At this time the disc is like a car tire that has been repaired, although it can be used, but it is already an old tire, and the mechanical indicators in all aspects, can no longer be compared with the new tires that have just come out of the field. In the future life and work to be good to their waist, is to a variety of intensity of work and physical exercise to appropriate choice. A variety of methods to cure the symptoms by treating the original is appropriate na? Various percutaneous intervention methods can be said to be a partial cure for the symptoms to cure the root cause. For patients whose conservative treatment is ineffective and whose indications are selected appropriately, the efficacy is about 70%. The advantage: is that the treatment process is less invasive, the disadvantage: most patients do not see immediate results. Theoretically discoscopy and endoscopy are the cure for the symptoms and the root cause of the problem. With discoscopic and endoscopic removal of the herniated disc, the vast majority of patients can achieve immediate results. However, this is relative. For simple and larger discs, both discoscopy and endoscopy are better at removing the herniated disc and relieving the symptoms of sciatica (note that the relief is not the root cause of the discomfort). But things are multifaceted, and some people with untreated herniated discs or late onset of symptoms cannot remove the bony or fibrous scarring rim that bulges around the disc after a long-term herniation using discoscopy and endoscopy. Clinics have seen athletes with severe disc herniation spinal stenosis at the age of 14 who had been practicing gymnastics since the age of 3. Such a patient would not do too well with any minimally invasive endoscopic approach to treatment. Since conservative, interventional, and minimally invasive methods have limitations, is it possible to use a radical intervertebral fusion method? What can be done to achieve a once-and-for-all effect? Most patients can achieve very good results, but some patients are not possible. In the case of a 14-year-old gymnast, for example, a simple open-heart surgery would definitely damage the anatomy of the spine and would be detrimental to his return to future sports activities. Performing an intervertebral fusion with an arch nail? He would have to give up his future athletic career. The spine is an organ of movement and the fewer segments that are fused, the better. For a small number of patients, after the fusion of one segment, in addition to the trauma of the insertion of the surgery itself, the degeneration of the adjacent segment, etc., is still a problem to be faced. This has led to the development of dynamic spinal fixation methods, also called non-fusion fixation methods. This method is still part of the ladder of treatment for spinal disorders, which means that if the pain is not relieved or cured by dynamic fixation or non-fusion, the spine still has to be treated with fusion. This is actually a subdivision of the entire treatment process to delay the time to perform spinal fusion as much as possible, which is the concept of step therapy. At this point, people may form the impression that there is no one best, most effective treatment for intervertebral discs. This question is like asking a salesman, “I want to buy the best shoes”. Are there such shoes? “Yes, not the most expensive shoe, is the best, the shoe that fits you is the best”. Herniated disc treatment is the same reason as buying shoes, what suits you is the best. Different malls and stores can buy different expensive and suitable leather shoes, cloth shoes, plastic shoes and so on. With a happy life, no matter how suitable the shoes are, it is impossible to wear them for a lifetime. The long river of human life is fluid, and a herniated disc cured by any method cannot guarantee that no more problems will occur for a lifetime. Patients often ask: Is there a cure for the root cause? Is there a way to guarantee that there will be no recurrence for a lifetime? My answer is: Yes, the prerequisite is that you make sure that you do not increase the strain on the disc again, the way is simple that you make sure that you are 25 years old this year, 25 years old next year and 25 years old the year after. There is another difference between herniated disc treatment and buying shoes, seeing a doctor is not shopping at the mall. The medical act itself is a high tech, high risk act. Due to the personal skills of the doctor, the conditions of the hospital, the severity of the patient’s disease, the degree of pain tolerance, the ability of the heart to withstand, etc. all affect the effectiveness of the treatment. ×××× yuan can buy ×××× yuan shoes, ×××× yuan may not necessarily buy you think the treatment effect of value for money. Patient and family awareness of the disease also plays a role in the outcome of treatment. In summary: Does this mean that spinal disease is incurable? No, there is no need to be so pessimistic. Through recuperation and treatment by the doctor, 80-90% of patients can be cured in the long term, and in the remaining 10-20% of patients, the pain can be relieved to an extent of 80-90% to maintain a normal daily life. Pain is the fifth vital sign of a human being after body temperature, pulse, blood pressure and heart rate. In other words: a living person must experience pain, otherwise that person will not have a life. Therefore we have to learn to live with the pain that does not affect our lives for a long time, so that doctors can reduce the pain that affects our lives to what we can bear, and everyone can live a more pleasant and happy life. Longevity is something that the emperor pursued, long life is something that the old man pursued, and we mortals who do not affect the pain of our lives and live happily is something that we can achieve.