3 major misconceptions in the treatment of lumbar synostosis

Myth 1: As long as a lumbar disc herniation is found on imaging, it is a lumbar disc herniation. In fact, imaging has found that about 20% of normal people have lumbar disc herniation, but not all of them have the clinical manifestations of lumbar disc herniation. Therefore, a diagnosis of lumbar disc herniation cannot be made with only imaging confirmation without the corresponding clinical manifestations and signs of disc herniation. Myth 2: Lumbar disc herniation can only be solved by surgery. In fact, more than 80% of patients with lumbar disc herniation can be treated conservatively, and this treatment is effective, even allowing them to avoid surgery for life. Even some patients with more severe disease are considered for surgery only after regular conservative treatment is ineffective and the following conditions occur: 1. The herniated disc compresses the nerve more heavily or continues to worsen. 2, with bony spinal stenosis or calcification of the herniated disc. 3. The herniated disc is large or falls into the spinal canal as a free body. Myth 3: Everything will be fine after surgery. Surgery can release the nerve root compression of the herniated disc, but it cannot prevent the regeneration of the disc. Therefore, in order to consolidate the effect of surgery and promote early recovery after surgery, patients must undergo formal rehabilitation training under the guidance of a doctor. The specific rehabilitation should be determined by the patient’s age and the type of surgery taken. In general, postoperative exercises for the lumbar and back muscles should be carried out reasonably, and one to two weeks must be spent walking on the ground, and a certain amount of time after surgery can also be spent participating in work, but bending and lifting heavy objects should be avoided.