First of all, to clarify, any surgery is the last resort for the disease, so there are indications for surgery. Indications for surgery for lumbar disc herniation: 1, diagnosed lumbar disc herniation for more than six months, after non-surgical treatment is ineffective, and often recurrent and painful symptoms worsen. 2, the first severe attack of lumbar disc herniation, especially the lower extremity symptoms, the patient is difficult to move and sleep due to pain, forced to bend the hip and knee lateral position, or even kneeling position. 3. Single nerve palsy or cauda equina palsy occurs, manifesting as muscle paralysis or defecation and urination disorders. 4.Middle-aged patients with prolonged illness, affecting work and life. 5. Although the history is atypical, reliable examination confirms that there is significant compression of the nerve or dural sac by the intervertebral disc by CT or MRI or imaging. 6, disc herniation and lumbar spinal stenosis. Lumbar disc herniation is one of the common orthopedic diseases, and about 1/5 of the patients with low back pain are caused by lumbar disc herniation. The rising incidence of this disease is related to the change of our living environment, life and work habits. Long-term bad habits with the waist is the main cause. Because of the heavy load and activities in the lower back, herniation mostly occurs in the lumbar 4-5 and lumbar 5-sacral 1 gaps. Diagnosis: 1. Recurrent low back pain followed by leg pain, which is greater than low back pain and mainly confined to the sciatic or femoral nerve innervation area; 2. Abnormal sensation in the skin area of the lower limbs and buttocks; 3. Positive straight leg raise test with an angle less than 50% of normal, or positive straight leg raise test on the healthy side; 4. Two of the four items such as muscle atrophy, weakness, hypoesthesia and weakened tendon reflexes; 5. Imaging features consistent with the clinical presentation (usually CT). Conservative treatment: The basic cause of the disease is degeneration of the intervertebral discs, which affects the balance of the entire lumbar spine to varying degrees. This provides us with evidence-based medicine for conservative treatment. Why do you have lumbar pain, think about the reasons, most of them are because of strain, contrary to the normal physiological function of the human body. The disease is mostly an occupational disease, a disease caused by fatigue caused by keeping the body in one position at work for too long. The first point is to change bad habits, pay attention to rest, some patients say, I still have to support my family, but think about the suffering brought to you by the disease, the economic burden brought to you by seeing a doctor, not to prevent you from working, you can change your lifestyle, change the type of work. The conservative treatment methods are traditional medicine massage, acupuncture, cupping, compressing plum blossom needle knocking, moxibustion are appropriate, this national essence, but to go to the regular Chinese medicine, do not be those so-called “ancestral” “cure all” slogan confused, the regular have documents. It is the ancestral, the current state also has the appointment of teachers and apprentices. Health exercises: these practical, the key to persevere. The most important thing is the functional exercise of the low back muscles. In China’s traditional theory of health and disease prevention, has always attached great importance to the health and exercise of the waist, there is “waist for the kidney of the House” of the saying. Since ancient times, there are many ways to exercise the waist, mostly through loosening the crotch, turning the waist, pitching and other exercises to unblock the flow of Qi and blood in the waist, to play a role in strengthening the kidneys and waist. Here are a few reliable and easy to use exercise methods. 1, front flexion and back stretch: two legs open, shoulder width, hands forked waist, and then steadily do the waist full forward flexion and back stretch each 5 times -10 times. Exercise to try to make the waist muscles relaxed. 2, turn the crotch gyration: two legs open, slightly wider than the shoulders, hands forked waist, adjust the breath. Waist as the central axis, crotch first clockwise direction, for horizontal rotation movement, and then counterclockwise direction for the same rotation, the speed from slow to fast, the amplitude of rotation from small to large, so repeatedly do each 10 times -20 times. Note that the upper body should basically remain upright state, waist with the rotation of the crotch and move, the body should not be too much backward and forward. 3, alternate knocking: two legs open, shoulder width, both legs slightly bent, both arms naturally down, double in half clenched fist. First turn the waist to the left, then to the right. At the same time, the two arms with the waist left and right rotation and natural swing back and forth, and by the force of the swing, the hands a front and a back, alternately knocking the waist back and abdomen, the size of the force can be discretionary, so do about 30 times in a row.