What accidental injuries in life can lead to a herniated lumbar disc? How to prevent it in middle-aged, older and younger people The lumbar disc, as a tissue of the body, degenerates as a person ages, just like any other tissue. Studies have shown that after the age of 20, the lumbar disc begins to show signs of degeneration. This degeneration as the cause of the disease for a long time, and if there is an accidental injury to the lumbar area, it will certainly accelerate its process to varying degrees, which will cause the lumbar disc to herniate and cause the disease. Likewise, as an inevitable factor, lumbar disc herniation in the elderly is bound to exist to a greater or lesser extent, but whether it will be caused solely by it triggering symptoms and whether there is degeneration of small joints of the lumbar spine, etc. is something that doctors often have to analyze when dealing with elderly patients. In life, there are many accidental injuries, such as careless sudden turning, bending, lifting heavy objects, or heavy direct blows, car accidents, etc., which may cause herniated lumbar discs. As a result, active prevention is worth advocating for both middle-aged and old people. Firstly, trauma should be avoided as much as possible. Secondly, physical exercise should be actively pursued to slow down the rate of lumbar disc degeneration. For patients who have already occurred, and alleviated or even cured, functional exercise of the lumbar back muscles can enhance muscle strength and increase the stability of the spine for the purpose of prevention and cure. There are many ways to exercise the lumbar back muscles, and the medical treatment mostly uses methods such as the swallow-fly pose. As the name implies, lumbar disc herniation is a condition that causes back and leg pain due to a herniated lumbar intervertebral disc. Medically, the intervertebral disc is composed of the central nucleus pulposus and the surrounding fibrous ring, which is sandwiched in the middle of the human vertebrae, just like a sandwich sandwich. The disease occurs when the nucleus pulposus, the heart of the sandwich, is squeezed out, and the extruded nucleus compresses and irritates the nerves that innervate the leg, causing leg pain. The main symptom of lumbar disc herniation is low back pain with radiating pain in the lower extremities, which is sometimes aggravated by coughing, sneezing and defecation. The lumbar region may have different degrees of lateral curvature, and the physiological foreshortening is reduced, flattened or even disappears. There may be abnormal skin sensation in the lower legs and feet. This, combined with clinical and radiological examination, usually leads to a diagnosis. In addition, please note that there are many diseases that can cause leg pain. If you do not have a history of lumbar synostosis and have sudden onset of leg pain, it may not necessarily be this disease, and it is best to go to the orthopedic department of the hospital to determine after consultation. Inadvertent trauma, such as twisting, may directly or indirectly cause a herniated lumbar disc, how to pay attention to prevent similar flashback situations from occurring Violence during twisting can injure the structure of the lumbar disc as an external cause, but there is a certain course of disease that leads to the protrusion of the disc to cause symptoms. Sometimes, in special cases, the traumatic violence is large enough to cause an immediate acute herniation of the lumbar disc. In general, when acute lumbar sprains occur, the first thing to do is to rest in a hard bed and minimize lumbar activity for a short time. At home, you can also apply hot compresses to the injury. In severe cases, you can go to the hospital for consultation. For a long time does not heal or even the emergence of lower limb symptoms, must be timely to the hospital for examination, to prevent delayed illness. Acute lumbar sprain, commonly known as “twisted waist” “flash waist”, usually due to excessive weight bearing, uncoordinated force, excessive forward flexion, back extension and direct blow to the waist. Therefore, in daily life, reduce the chance of bending (forward bending) weight, try to squat and lift heavy objects, and reduce other trauma to the waist, can greatly reduce the chance of lumbar sprain. From a professional point of view, Chinese and Western medicine experts agree that regardless of any type of lumbar disc herniation, regular conservative treatment should be routinely used first to observe for a period of time, and only if it is not effective, the latter two options should be considered. In fact, most patients’ symptoms can be reduced or subside with conservative treatment. There are many kinds of conservative treatment, such as massage, traction, physical therapy, acupuncture, drugs (including internal, external, intravenous administration), etc., which need to be applied under the guidance of professional doctors. In addition, patients are reminded that bed rest and functional exercise are also very important conservative treatment methods in clinical practice, which can be applied at home once they occur. Minimally invasive treatment is also a surgical method, and the current surgical treatment often mentioned by doctors in major hospitals generally refers to the traditional open surgery. Traction is a common method of conservative treatment for lumbar disc herniation. The main mechanism is to use traction to increase the tension of the lumbar intervertebral space and the posterior longitudinal ligament, thereby reducing the pressure on the intervertebral disc, restoring the physiological balance of the lumbar spine, and serving the therapeutic purpose of releasing adhesions, promoting the absorption of nerve root edema, and reducing the compression of adjacent nerve tissue. Traction is optional, but under the guidance of a professional physician, if there is discomfort, it can be stopped and other methods can be used. (Some patients have discomfort or even aggravation after traction) Minimally invasive surgery Introduction to the mechanism of surgical treatment of lumbar disc herniation Minimally invasive methods are surgical treatments that have emerged in recent years and can actually be understood as an effective procedure between non-surgical treatment and surgical incisional treatment, which is a minimally invasive interventional technique for the lumbar disc. At present, there are two main categories: one is percutaneous puncture techniques, including myelolysis, percutaneous disc removal, percutaneous laser discotomy, etc., and the other is endoscopy-assisted techniques, including discoscopic surgery, etc. They share the same principle with the traditional classical incisional surgery in general, mostly aiming at removing the herniated nucleus pulposus tissue, reducing the intervertebral pressure and relieving the pressure on the nerve roots, thus alleviating or relieving the pain. The former is done with the development of minimally invasive technology and without basically destroying the normal anatomical structure, but it has its own disadvantages and indications. It should complement the traditional classical procedure and be selected according to the specific condition.