Which is the best method to treat herniated lumbar disc?

Patients with lumbar disc herniation can choose the appropriate treatment according to their condition and in conjunction with their doctor’s recommendations. It is incorrect to arbitrarily expand the indications for conservative treatment or surgical treatment. Traditional conservative and surgical treatments, mainly in the form of acupuncture, massage, traction, closure and physiotherapy, have made indelible contributions to relieving the pain and improving the quality of life of patients with herniated discs and will continue to play an active role. However, conservative treatment can only temporarily relieve symptoms and cannot permanently relieve mechanical compression factors, and is prone to recurrence after exposure to cold and exertion. Surgical treatment is highly invasive and involves risks of anesthesia accidents, bleeding, wound infection, and accidental injury to other tissues, leading to postoperative spinal instability and easy recurrence, which affects patients’ future work and life. Minimally invasive interventional treatment method is a kind of green therapy with less trauma, less pain and faster recovery. The hospitalization time is short, the cost is low, the bony structure of the spine is not changed, and there is no special impact on the future work and life. Minimally invasive intervention requires positioning under CT or C-arm, and different minimally invasive techniques such as collagenase, ozone, radiofrequency, laser, rotary cutter, and intervertebral foraminoscopy are intervened in or outside the herniated disc to dissolve, instantly oxidize, ablate, vaporize, decompose or remove the herniated disc. Thus, the compression of the nerve is released. Through more than ten years of clinical research and evaluation of the efficacy of more than tens of thousands of patients with lumbar herniation, it is believed that the best treatment for this condition is minimally invasive interventional therapy.