Can a herniated lumbar disc be cured?

The lumbar intervertebral disc is located between the adjacent vertebrae of the lumbar spine and is a component of the lumbar spine joint, which plays the role of support, connection and buffer for the lumbar vertebrae, and is shaped like an abacus bead and consists of three parts: cartilage plate, fibrous ring and nucleus pulposus. When the intervertebral disc degeneration, trauma, strain and other reasons cause the fibrous ring to be convex or fracture, the nucleus pulposus prolapses, it is called lumbar disc herniation. When the herniated disc compresses or stimulates the affected tissues such as the spinal nerve root and/or cauda equina nerve, causing symptoms such as back and leg pain and numbness, it is called lumbar disc herniation. Lumbar disc herniation is a common disease among young and middle-aged people. The pathological mechanism of the disease is complex and the clinical symptoms are variable, so it is recognized as one of the difficult-to-treat diseases. The biggest patient of the disease is the varying degrees of leg pain or lumbar pain, continuous or severe pain not only causes physiological trauma to the patient, to a large extent affects the patient’s sleep and rest, and over time will also bring a certain amount of psychological pressure. In addition, the herniated lumbar disc can subsequently cause a series of secondary changes such as straightening or lateral convexity of the spine, damage to the spinal nerve roots, narrowing of the vertebral space, osteophytes at the vertebral body edge, degeneration of the intervertebral joints, spinal stenosis, weakening of the lumbar back muscles and instability of the lumbar spine, which may result in many patients’ painful symptoms being prolonged and recurrent, with residual numbness that is difficult to heal over time. Most of the patients who have suffered from this disease are “engraved” with the experience of pain and are always afraid of its recurrence, living a careful life, and therefore always hope to find a “cure” to try to make this devilish pain experience never return! This is a perfectly understandable wish, and in fact the direction that the majority of specialists are committed to! So can lumbar disc herniation be cured or not? I’m afraid this is a particular concern for all patients and their families, especially those who have been troubled by the disease repeatedly or for a long time, suffering from pain, or who have been treated but not cured for several times and are eager to know. As the name implies, “cure” should be understood as: a complete cure (referring to disasters, diseases). For example, “cure the Yellow River”, “cure schistosomiasis” and so on. In addition, the word “root” can also be used to express a good expectation of people to eradicate and reverse each undesirable phenomenon or matter, such as “root out corruption”, “root out inflated housing prices “and so on. In short, in its original sense, “root cure” means “to treat at the root, to cut off the root cause, and never to recur”. However, the application of the term “cure” in the medical field is very narrow, and its application is very limited, mainly used in the treatment of tumors and other diseases, and its practical meaning is relative to “palliative”. For example, surgery for lung cancer can be divided into palliative lung cancer resection and radical lung cancer resection. Therefore, for degenerative spinal diseases such as lumbar disc herniation, regular hospitals and most specialists do not use the term “radical” or use it with caution. Even some very common diseases, such as colds, cervical spondylosis, osteoarthritis, hypertension, diabetes, enteritis, hepatitis, dysentery, foot fungus, cough, stomach pain, hemorrhoids, etc., who can cure them? As far as the underlying cause is concerned, lumbar disc herniation back and leg pain is always related to many factors such as degeneration of the disc itself, heredity, cold or trauma, etc. The majority of patients do not have a special trigger. The pathological (pain) mechanism is mostly related to mechanical compression of the herniated disc and local inflammatory stimulation or ischemia, but no consensus has been reached. Therefore, the so-called “radical surgery”, which used to advocate surgical resection, has a certain recurrence rate and in some cases does not completely relieve the pain symptoms even after surgery. Therefore, even though “very advanced” surgical procedures can remove part of the herniated disc tissue, they cannot completely eradicate lumbar disc herniation and low back pain, and the term “radical treatment” is actually inappropriate. Moreover, since surgery destroys the integrity and stability of the anatomical structure of the spine where the lesion has occurred, there will be more complications and sequelae thereafter. As people become more aware, it should be understood that lumbar disc herniation cannot be “cured”, that is, the herniated disc tissue cannot be completely removed, because even the degenerated and herniated disc itself has important physiological functions such as maintaining the height of the intervertebral space. In fact, it is not possible to completely remove a herniated disc. What will be the future development of the herniated disc tissue? Generally speaking, the early herniated nucleus pulposus with a mild degree of protrusion may be reversible or partially reversible, which is more likely in young patients with good disc elasticity; the herniated nucleus pulposus with a large degree of protrusion, especially the so-called free nucleus pulposus that breaks through the posterior longitudinal ligament, may further manifest as nucleus pulposus fibrosis or resorption atrophy under the action of the body’s autoimmune mechanism; there are also parts of the nucleus pulposus protrusion that may be based on the above changes In some cases, the nucleus pulposus protrusions may ossify on the basis of the above changes and even lead to the formation of vertebral marginal redundancy, thus further improving the clinical symptoms and regaining compensatory stability in the lumbar spine where degeneration and instability have already occurred, which is not only beneficial to the improvement of the disease, but also helpful to the long-term prognosis of patients. At present, many non-surgical treatments for lumbar disc herniation can completely cure lumbar disc herniation without destroying the anatomical structure of the diseased spine and basically without disturbing the space occupied by the protruding disc tissue in the spinal canal, and the main goal is to “eliminate pain”, which is called “allopathic treatment The main goal is the “elimination of pain”, the so-called “symptomatic treatment”. Since pain is the main conflict of lumbar disc herniation disease, it is the main symptom of the patient and the main reason for seeking medical treatment; moreover, by nature, lumbar disc herniation is also recognized as a “self-healing or self-limiting disease” by the doctrine. Therefore, “symptomatic treatment” is completely “reasonable” and has a wide scope of application, and practice has repeatedly proven that we can do it. Various non-surgical treatments are possible to eliminate or improve pain symptoms within a certain period of time, gradually restore the physiological function of the lumbar spine, and continuously improve the quality of life of patients, and have the advantages of good efficacy, fast recovery, less adverse reactions, and low medical costs. Therefore, from the meaning or level of “relieving pain, restoring function, and improving quality of life”, lumbar disc herniation can be completely “cured”, and the current medical administrative departments at all levels promulgated by the ” Most of the “disease diagnosis and treatment routines” promulgated by the current medical administrative departments at all levels stipulate the judgment standard of “cure”. This “cure” may still be some distance away from the so-called “cure” imagined by the patient, and it is different from the ideal “complete cure” and “never recurrence”, “But it is indeed much more affordable and realistic, especially under the current level of medical technology and medical conditions. The temporary inability to cure is not the end of the world, in fact, mortals in the world are always in the contradiction of “birth, old age, sickness, death, suffering”, no one can “transcend things” and “leave the world alone No one can be “outside” and “independent”. Nevertheless, whether each intractable disease can be cured is relative rather than absolute, and the search for intractable diseases that plague human health will never stop. In order to achieve the ideal so-called “cure” and achieve the so-called “long-lasting peace”, the general advice for patients with lumbar disc herniation is to “do something and not do something The overall recommendation for patients with lumbar disc herniation is to do “something but not something”. Specific as follows: 1, under the current conditions, lumbar disc herniation has the possibility of being cured. It includes surgical and non-surgical treatment, and the understanding and experience of each doctor varies from place to place, so I hope that the majority of patients will establish confidence in winning, take the initiative to resolve the psychological pressure, and actively cooperate with medical treatment; 2. First of all, to raise awareness, realize that their own protruding discs may bring adverse effects on the structure and function of the spine, in fact, to some extent, their own spine does have certain weaknesses, so pay attention to in daily life and work, mainly adhere to the scientific concept of development, to do a combination of work and rest, avoid prolonged sitting or standing in a single position, do not lie on a soft bed and sit on a soft seat, avoid prolonged In the vibration of the environment, less driving, avoid wind and cold and injury, etc. 3, adhere to the gradual functional exercise. Restore and enhance the muscle strength and stress capacity of the lumbar back muscles, so as to give full play to the support, protection and stability of the soft pillars of the paravertebral muscles, thus achieving the purpose of relapse prevention. In a negative sense, the incidence or recurrence rate naturally decreases as the intervertebral disc itself dehydrates and atrophies as long as it is “delayed” until the age of 60 or 70. Therefore, on the whole, whether or not to be “cured” is not entirely the responsibility of the doctor or medical treatment, only to achieve “three parts treatment, seven parts maintenance”, take the “doctor-patient cooperation”, “prevention and treatment” road, Only by doing “three parts treatment, seven parts maintenance”, taking the road of “doctor-patient cooperation”, “prevention and treatment”, can we release the pain of lumbar disc herniation patients to the greatest extent and continuously improve their quality of life. In addition, to fundamentally stop the occurrence of the disease, that is, to completely keep this disease away from humans, has been the direction of medical research workers efforts. At present, many basic researches have discovered the genes that cause the discs to degenerate themselves, and have managed to change the type of genes to stop the discs from degenerating themselves, so that they “remain forever young” and naturally do not develop. This approach has been successful in animals, but it is still difficult for humans. Many scholars are currently working hard to solve this problem. The early arrival of this day will certainly benefit the whole human race.