1. Can lumbar disc herniation be treated conservatively First of all, lumbar disc herniation is a symptom caused by aging and degeneration of the human spinal column, it is not a cancer, so you can generally choose conservative treatment first. The general condition mentioned here means that there is no manifestation of cauda equina injury and no progressive neurological decompensation. If either of these conditions exists, surgery as soon as possible should be a wise choice. Failure to do so may result in lifelong disabilities, such as fecal incontinence and foot drop. 2. Whether the herniated discs can be reabsorbed with conservative treatment, and why conservative treatment can relieve the symptoms Most doctors now believe that the possibility of reabsorbing a herniated disc is extremely small. The theoretical basis of conservative treatment is: through rest and medication, the irritated nerve root inflammatory edema can be prompted to subside, thus reducing or relieving pain; part of the herniated nucleus pulposus can be shrunk or absorbed to alleviate the compression of the nerve root. In fact, most of the patients with herniated disc have significant relief from conservative treatment. 3. What are the methods of conservative treatment 1, bed rest: bed rest is very important, acute phase should be strictly bed rest, in addition to going to the toilet and eat, other time should be bed, need to wear a brace to protect the waist, because weight bearing will aggravate the herniation of the disc, resulting in inflammation of the nerve root stimulus. 2, drug therapy: including anti-inflammatory and analgesic drugs, muscle relaxants, steroid hormones, neurotrophic drugs and blood circulation drugs. 3, traction: traction can improve the pressure of the intervertebral space, reduce the pressure of the protruding nucleus pulposus, and reduce the symptoms of nerve irritation. However, traction is not easy for patients with severe symptoms in the acute stage. 4.Physical therapy: infrared rays, microwave, and intermediate frequency can improve local blood circulation, relieve muscle tension, and reduce back and leg pain. 5.Chinese medicine and massage, tuina, etc.: these therapies should be selected to qualified regular hospitals. 6, epidural injection: commonly known as closure. 4, how to treat the symptomatic relief period Most people do not have serious symptoms, or residual part of the symptoms after treatment, for example, no pain or very little pain after bed rest, sedentary or work, walking, or lumbar inappropriate exertion of the pain felt after the obvious. At this time, you should strengthen the lumbar back muscle exercise, usually pay attention to the correct posture of work and life, avoid prolonged sitting, prolonged standing, intermittent use of lumbar circumference to protect the lumbar region, to reduce the likelihood of recurrence. 5, lumbar disc herniation can be cured lumbar disc herniation for human spinal aging and degeneration caused by the symptoms, because human aging, degeneration is inevitable, so the disc herniation can not be cured. It is like a car, as you use it, you will have various problems, after repairing the car can be used normally, but the car is going to break down eventually, and the time when the car breaks down again is highly correlated with your usage habits and whether you are using it correctly. After treatment, the symptoms of herniated discs can be relieved, but the discs cannot be restored. The degree and speed of disc degeneration and protrusion are highly related to whether you use your back correctly and have good living habits. 6, when to choose surgical treatment In medicine, the indications for surgery are generally divided into two categories: one is absolute indications for surgery, meaning that if surgery is not performed in a timely manner, it will result in irreversible consequences, seriously affecting the patient’s quality of life, and even resulting in lifelong disability; the other is relative indications for surgery, meaning that surgery will not, or will not in the short term, result in irreversible consequences, but surgery may have a better clinical outcome. may have better clinical outcomes. For herniated discs, cauda equina injury or progressive neurologic impairment are absolute indications for surgery, and without surgery, patients may suffer permanent loss of bowel and bladder function as well as sexual function, so early surgery is a wise choice. Apart from this small group of patients, the majority of patients have relative indications for surgery. That is to say, according to the current medical knowledge, without surgery, your life will not be threatened, but the right time to choose surgery, not only can have a better therapeutic effect, but also for you to maximize the benefits of the treatment (from the risk of surgery, treatment costs, treatment effects, treatment time, return to work and other aspects, to consider the analysis). Relative indications for surgery include the following: 1. Patients who have failed conservative treatment: This is the most common reason for surgery for herniated discs. Then how long conservative treatment is more appropriate? First: generally recommended that surgery within 3 months after the appearance of symptoms, in order to avoid the emergence of chronic pathological damage to the nerve root due to conservative treatment for too long, even if the operation, the effect is also poorer than the effect of the early surgery, so if the conservative treatment should not be more than 3 months. Second: for some patients with serious disc herniation, obvious nerve compression or patients with the first attack whose nucleus pulposus has been detached and free located in the vertebral canal, generally, strict bed rest for 2-3 days with medication, if the symptoms are not significantly improved, then it is likely to predict a long time of conservative treatment, and the chances of the success of the conservative treatment is small, so that you can choose the surgical treatment and return to your daily life and work as soon as possible. 2. Conservative treatment is effective, but repeated recurrence of patients: studies show that two times the recurrence of patients, 50% of the recurrence; three times the recurrence of patients, almost all of the recurrence, so it is recommended that surgery as soon as possible. 3. patients with spinal stenosis: examination shows the existence of congenital or acquired spinal stenosis patients, the general effect of conservative treatment is poor, should also be operated. 4. Patients with typical symptoms and significantly reduced straight leg raising: these patients often have typical and severe symptoms and intolerable pain, and it is generally difficult to wait for a longer period of conservative treatment; in addition, in some typical patients, although the pain is reduced after conservative treatment, but the accompanying nerve damage is obvious (decreased muscle strength) or aggravated, surgery is also recommended; in addition, if the symptoms are typical and the MRI reveals a huge herniation, surgery should be performed.