There is no such thing as the best treatment for lumbar L5S1 herniation clinically. The treatment of lumbar L5-s1 herniation should be based on the severity of the herniation and the severity of the clinical symptoms, while choosing different treatments, including the improvement of bad habits, medication, traction therapy, surgical treatment, etc. The treatment of lumbar L5-s1 herniation should be based on the severity of the herniation and the severity of the clinical symptoms.
1. Improvement of bad habits: For patients with mild lumbar L5-s1 herniation, symptoms can be relieved by improving bad habits, such as avoiding sedentary behavior, reducing bending, avoiding weight bearing, and controlling body weight, etc. After symptoms are improved, they can be relieved by exercising. After the improvement of symptoms, the lumbar back muscles can be exercised to prevent further aggravation of lumbar L5-s1 herniation, such as small swallow fly, five-point style, and so on.
2. Drug therapy: non-steroidal anti-inflammatory drugs, such as ibuprofen, celecoxib, etc., can be given to effectively alleviate the irritation symptoms caused by nerve root compression. At the same time, nutritive nerve drugs can be given, such as methylcobalamin, vitamin B12 and so on.
3. Traction therapy: pelvic traction or double lower extremity traction can be used to increase the width of the intervertebral space, reduce the internal pressure of the intervertebral disc, and alleviate the irritation and compression of the nerve root.
4. Surgical treatment: For patients with serious herniation and severe symptoms, surgical treatment should be given, such as percutaneous discectomy under intervertebral foramenoscopy, traditional discectomy decompression of the spinal canal and so on.
For the same disease, patients with different physical conditions and different stages of the disease have different treatment methods, and should be treated in a standardized manner under the guidance of a doctor. All of the above medications should be used under doctor’s guidance, avoid self-medication.