Misconceptions in the diagnosis and treatment of lumbar disc herniation

Lumbar pain patients, lumbar disc herniation accounted for 1/2, of which 80% of the community suffers from varying degrees of disc herniation. And the diagnosis and treatment of this disease should not be neglected. There are some clinical problems, and even the formation of some misconceptions, in order to further improve the effectiveness of diagnosis and treatment, please refer to the network: 1, the purpose of herniated disc disease is to focus on the symptoms or signs, no symptoms of protrusion to diagnosis and treatment is wrong. There are some clinical patients with back pain, in fact, is a simple lumbar soft tissue pain, in the case of unidentified causes to do CT or MRL, and does not have signs of protrusion, the results of the examination, suggesting the presence of protrusion, so it is a misdiagnosis, resulting in unnecessary waste of time and money; Xi’an Hospital of Traditional Chinese Medicine spine surgery Wang Youyu 2, bulge and protrusion are different concepts, bulge is the disc fiber ring to the spinal canal Expansion is not ruptured, protrusion is the rupture of the fibrous ring, the nucleus pulposus tissue is extruded and produce symptoms, disc bulge generally do not need treatment, self-care exercise can be self-healing. 3, too much surgery. Most patients with herniated discs can get a better cure by non-surgical treatment, only some patients do not improve by conservative treatment or recurrent disc prolapse patients, only consider surgery. It is not advisable to “open” the practice of “protrusion”, surgery is not a panacea, not a good, but has a certain risk. 4, lumbar disc herniation at the same time with other lumbar diseases, only focus on the protrusion, ignore other lumbar diseases, and often other diseases are the key to cause protrusion, is also the cause of recurrent protrusion, clinical to comprehensive and meticulous examination and thorough diagnosis of the disease, before the medicine to the disease.