1, lumbar spine three-dimensional rapid traction precautions: (1) traction rest after 5-7 days, rest requirements: lying flat on a hard bed. Eating, going to the toilet can get up, lying on the back, side can be. If you are lying in bed for a long time, you can get up and walk around a little. In life can not bend over the weight such as stooping to tie shoes, stooping to take heavy objects (more than 2 kilograms), stooping to do housework, in addition, do not carry a child. 7 days after the can do a small range of activities such as walking, there are patients with leg pain can be backward backwards walk. (2) Prevent colds, such as colds should be treated in a timely manner. (3) Try to minimize the bumps in the car when you go home. During the treatment period can not ride a bicycle, motorcycle, drive a car, male patients avoid smoking and drinking. (4) Lie down with a small pillow or two books on the waist. (5) After traction lumbar lumbar fixed belt for a month, before going to bed to remove, get up and then tied on. (6) After traction with drugs to be taken after meals. (7) 7 days after traction, please bring the CT to the physical therapy department for follow-up. (8) Three-dimensional fast traction generally only need patients to treat 1-2 times, can be cured, is the treatment of lumbar disc herniation non-surgical therapy in one of the best treatment. 2, Crestal spine health exercises; mainly used for the treatment and prevention of cervical spondylosis and lumbar disc herniation and its recurrence after treatment. (1) Side-lying body rotation; take the side-lying position, straighten the lower leg, flex the upper leg, and cross the waist with the upper hand. The upper body to do before and after the rotation of the body activities, the amplitude of the better, is the lumbar fully rotated, left and right each 3 to 6 times. (2) supine shoulder push; take the supine position, arms flat on the bed, bend the elbow. Put your hands in front of your chest. When the head is turned to the right, the right shoulder is pushed forward, the head is turned to the left, and the left shoulder is pushed forward in the same way, and each of the left and right 3 to 6 times [both hands have morning stiffness or numbness can be done more]. There is frozen shoulder folding plus shrugging and shaking shoulders, and in the supraclavicular fossa to do pain point pressure. (3) pinch the back of the neck; take the supine position, a support behind the head, with the other palm on the back of the neck, with 2,3,4 fingers and palm pinch the back of the neck. When the fingers touch the swollen, painful or protruding vertebral joints, pinch them several times. The left and right sides from top to bottom, from bottom to top 2 to 3 times, to achieve the left and right turn the neck are comfortable until. (4) Tilting the head to shake the right; take the supine position, take the right side as an example, the left hand rests on the back of the head, turn the head to the right by 30 degrees, the right palm rests on the lower jaw, the right hand fingers point to the right, so that the head turns to the left upward and back to the right, each time 2 to 3 times. (5) Stretching and flexing of the crest; take the supine position; overlap the hands to hold the back of the neck and occiput, flex both lower limbs, and bring the heel of the foot as close as possible to the buttocks. Slightly lift the buttocks away from the bed, both lower limbs at the same time force the knees downward pressure, foot upward stirrups, so that the body by the traction force and move down. As the hands will stabilize the head and neck, it can make the intervertebral cervical, thoracic and lumbar vertebrae subject to traction, so that the spacing between the vertebrae is widened and the alignment is good. This method according to the role of anti-aging and treatment of vertebral disease. (6) Lying on the back and lifting up the chest; take the supine position, overlap the hands to support the back of the neck, straighten the lower limbs naturally and comfortably, use the head and the arms as the fulcrum to lift the back up from the bed [inhale at the same time], and put the back back on the bed [whistle at the same time] and do it for 10 to 100 times. This method can improve the stability of the vertebrae and reduce morbidity. The above 6 methods can be practiced once a day in the morning, and can be completed in 8 to 10 minutes each time after practicing. 3, osteophytes why not terrible data show that; over 60 years old women, over 50 years old men 90% of people can have different degrees of cone osteophytes, but most do not appear clinical symptoms, so osteophytes, degenerative changes belong to a physiological. Pathological process is not a terrible phenomenon. Often some people take a picture and found that the cervical and lumbar vertebrae have osteophytes after the mood is very tense, fear that the future will appear quadriplegia worried, this is completely unnecessary, vertebral degenerative changes caused by the vertebral body of the posterior lateral or intervertebral foramen near the osteophytes may indeed irritate or oppression of the nerve root or the crest of the medulla oblongata, but this case is clinically proved to only account for a part of the, we believe that the osteophytes is not a disease, but a kind of body We believe that osteomalacia is not a disease but a protective reaction of the organism, which is normal. Only when there are corresponding symptoms, after reasonable treatment [such as ion introduction, computerized intermediate frequency, acupuncture, small knife, etc.] can make the symptoms disappear. 4, low back pain patients should pay attention to what should be noted in terms of diet Some research: smoking on the recovery of patients with low back pain also has a greater impact, because smokers whistle system diseases increase, coughing so that the abdominal muscles abdominal and dorsal muscles strong contraction, intra-abdominal pressure increases, thus increasing the internal pressure of the intervertebral disc. In addition, nicotine can affect the collapse of the intervertebral disc matrix, it is generally believed that smoking and lower back pain have a significant correlation, and there is a correspondence with the dose that the longer the history of smoking, the more cigarettes smoked per day, the higher the chances of occurrence of low back pain. 5, commonly used in the treatment of lumbar disc herniation non-surgical methods which At present, the treatment of lumbar disc herniation conservative methods total more than 20 kinds. Our department [3201 Hospital Physical Therapy Department] has focused on the following methods: (1) flexion rotation fast traction bed [also known as: three-dimensional fast multifunctional traction, into the angle of the rotation of fast traction, multifunctional fast traction] its mechanism can improve the patient’s pain tolerance, relief of muscle spasm, increase the volume of the spinal canal and intervertebral canal, but also correct the small joints of lumbar vertebrae misalignment. In addition, the posterior longitudinal ligament produces tension under the action of instant traction force to make the protruding intervertebral disc return, according to our clinical observation of more than 1,000 cases of patients, the excellent rate of 84.4%, the effective rate of 92.5%. (2) Crestal traction bed [slow traction] including lumbar traction and cervical traction, mainly suitable for older patients with lumbar disc herniation or lumbar degenerative changes caused by lumbar pain. Now, most of the experts in the country have reached a consensus: cervical and lumbar intervertebral disc herniation should be considered first in the treatment of traction therapy, because traction therapy can effectively alleviate the clinical symptoms, but also enable some patients to herniate the intervertebral disc to return to the body. (3) Sacral impact therapy [referred to as sacral therapy]: mainly suitable for lumbar 5 sacral 1 disc herniation or lumbar 4-5 disc herniation with typical lumbar and leg pain patients. (4) Lumbar small joint block and lumbar major interosseous groove block: for acute stage lumbar disc herniation. (5) Manipulative repositioning: mainly includes crural fixed-point rotational repositioning method and posterior extension repositioning method. By adjusting the internal and external mechanical balance system of the crural column, the two vertebrae and the articular surface of the articular eminence are restored to their original position or compensatory position, the compression on the nerve root is removed, the aseptic inflammation is eliminated, and the balance of the original crural force is restored, which ensures the stability of the crural column, and the clinical symptoms and signs can disappear. (6) Electrotherapy: including high-frequency electrotherapy [ultrashort wave], intermediate-frequency electrotherapy [computerized intermediate frequency], low-frequency electrotherapy , infrared rays, electro-optical baths, bone hyperplasia therapeutic instrument, and so on dozens of kinds. (7) Small needle knife: mainly treats lumbar intervertebral disc herniation with serious soft tissue adhesion or crural osteophytes. (8) Acupuncture therapy: it has good effects of sedation and pain relief, anti-inflammation and swelling, and adjustment of muscle spasm. (9) Fire pot therapy: used for patients with predominantly cold-dampness. (10) Drugs: for auxiliary treatment. The above treatments are preferred by our department according to each patient’s physique, condition, ct and other factors. There are many treatment methods for lumbar disc herniation, but preference is the key, there is no treatment method that can treat all lumbar disc herniation, so patients must have an understanding of this disease before treatment, listen to the specialist treatment program to regular hospitals. 6, why choose non-surgical treatment of lumbar disc herniation In 1990, the United States lumbar pain symposium experts believe that 98% of patients with lumbar disc herniation can be cured by non-surgical treatment. Our scholars believe that 90% can be cured by non-surgical treatment. This shows that non-surgical treatment is the first choice for the treatment of lumbar disc herniation. After many years of non-surgical treatment program selection, our department has made the effective rate of lumbar herniation treatment reach more than 95%. In addition, the human body’s intervertebral disc has a fairly important physiological role (such as cushioning 75% of the crestal pressure), such as surgical resection of the intervertebral disc, which can make 87% of the postoperative lumbar spine instability symptoms, 91% of the people who have lumbar spine instability of the x-ray signs, to retain the intervertebral disc is very important, the majority of lumbar protrusion is the lumbar vertebrae degradation of a phenomenon, if the timely protection and limitation. It is self-limiting and self-healing. 7, lumbar intervertebral disc herniation in the housework what to pay attention to The general principle is to avoid or reduce bending as much as possible. Washing dishes, cutting vegetables, stir-frying, mopping, sweeping or vacuuming the floor with a vacuum cleaner and other labor should not be carried out. If it is unavoidable, you can raise the sink, cutting board stovetop, etc. appropriately to avoid bending down to work. It is best to use a waist cuff to secure your waist when you are working. It is better to squat down when picking up things from the ground instead of bending down to pick them up. It is better not to hold heavy objects more than 5 kilograms. Be careful when doing quilt folding. It is forbidden to lean backward when taking things from the high out, but to keep upright. When holding a child, it is best to be close to their own body too far away from the waist will increase the burden, it is best not to hold the child. In addition, we should pay attention to the temperature difference between indoor and outdoor is not too big, the temperature is high and low easy to cause the recurrence of lumbar synostosis. Air conditioning should not be too cool. 8, how to correctly recognize the chemical nucleus pulposus chemical nucleus pulposus surgery for the treatment of lumbar synostosis indications for simple lumbar synostosis, that is, limited fibrous ring expansion in the posterior longitudinal ligament below. Only about 25% of patients with lumbar synostosis meet this condition]. This maneuver requires that the surgeon have both a good knowledge of orthopedics and a good grasp of the basics of diagnostic imaging. If the disc protrusion is too large or protrudes under the posterior longitudinal ligament or is free in the spinal canal or calcification of the intervertebral disc and choose to dissolve not only ineffective, but also can cause the flow of the dissolving agent into the spinal canal to cause spinal canal adhesions, in addition, dissolving nuclei in the treatment of lumbar protrusion will accelerate the degeneration of intervertebral discs more than 50 percent of the cases after the operation can occur in the spinal space stenosis, resulting in intervertebral foramen become small compression of the nerve root, so that easy to recur or failure of the treatment.