Before choosing a treatment method, we must know whether the disc is functional or not! This is because some treatments are minimally invasive and eliminate the patient’s back and leg pain after treatment, but they destroy the function of the intervertebral discs, leaving hidden problems for the patient in the future. The human body has more than twenty intervertebral discs, each located between two bony vertebrae. When the human body will stand after the disc will produce its own gravity; bending, squatting, sitting, carrying heavy objects and other activities will produce pressure on the intervertebral disc. The most stressed parts of the human spine are C4-5, C5-6, L4-5, L5-S1 discs, and the discs in these parts are most likely to rupture. The body’s gravity and pressure are relieved, cushioned and broken down by the nucleus pulposus and annulus fibrosus of each intervertebral disc. In other words, the intervertebral disc is functional! His function is to relieve, cushion and break down the body’s pressure and gravity. In addition to our eight hours of sleep at night, every day after a person wakes up in the morning, the intervertebral disc begins to be subjected to gravity and pressure, which continues for more than ten hours until the night to go to bed, the gravity and pressure on the intervertebral disc is lifted. The pressure on the disc varies with weight, and the gravity on the disc is greater in fat people than in thin people. In daily life and work using different positions, posture to the disc pressure is different, if the intervertebral disc stress is compared to the truck loaded with different weights of goods when the tire stress; people lying than the truck empty, standing straight than the truck light load, sitting straight than the truck full load, squatting, bending, long-term sitting, like the truck overload. So different posture, position disc pressure is not the same, in general; standing than sitting small, lying than standing small. A foreign scholar study that when a person sits for more than 90 minutes, the height of the intervertebral disc is affected. A person sitting every day for a long time, excessive negative pressure will cause chronic trauma to the intervertebral disc, lumbar synostosis is on the basis of chronic trauma, if not pay attention to waist maintenance, lumbar synostosis caused by waist and leg pain is inevitable. Therefore, the high incidence of lumbar synostosis in modern people is closely related to their own living and working habits. After the function of the intervertebral disc is clarified, it is crucial for patients to choose a treatment method when they have lumbar synostosis and have low back and leg pain. It is important to ask what the mechanism of that treatment method is before treatment? Will the treatment destroy your nucleus pulposus? Treatment of intervertebral discs The current treatment of lumbar synostosis is divided into three main categories; 1. conservative treatment. 2.Various interventional treatments. 3, surgery 4, treatment includes: acupuncture, traction, massage, cupping, medicine, medicine, plaster, Chinese and Western medicine, various physical therapy, local seal, sacral therapy, etc., conservative treatment will not destroy the intervertebral disc. 5, according to the different mechanisms of various minimally invasive interventions can be divided into three types: first, CT-guided drug interventions; because the blood supply to the intervertebral disc is less, oral drugs are more difficult to reach the disc, if oral ten bottles of drugs, only one bottle of drugs may reach the disc, so many patients take oral Chinese medicine, Western medicine, but the clinical effect is not good. In addition, most of the disc ruptures are located at the back of the disc, which is deep and has a complex anatomy; see the article “Who is the culprit of low back pain (lumbar synostosis)”, only under the guidance of CT is it possible to inject drugs directly on the surface of the ruptured disc, and the treatment mechanism is to eliminate the inflammation of the disc rupture, so that the ruptured The mechanism of treatment is to allow the ruptured disc to close itself by eliminating the inflammation at the ruptured disc. This treatment method that does not destroy your disc and maintains the function of the disc, CT guided drug intervention is the preferred treatment for low back pain. IDET is minimally invasive and is suitable for discogenic low back pain, where the clinical symptoms are only low back pain, or low back and leg pain, but the low back pain is greater than the leg pain. IDET is a minimally invasive treatment for discogenic low back pain, where the clinical symptoms are only low back pain, or low back and leg pain, but the low back pain is greater than the leg pain, and the associated physical examination is often inconspicuous or negative, CT and MR imaging shows only bulging, and discography has a clear rupture of the annulus fibrosus. The third type, the cure is achieved by dissolving the nucleus pulposus: collagenase myelolysis, radiofrequency targeted therapy, ozone myelolysis, disc myelomeningocele, plasma myelolysis, and minimally invasive discoscopy. When the nucleus pulposus is dissolved, it is like a car tire being drained of gas, deflated, and its ability to withstand pressure and gravity is reduced. The mechanism of treatment is the same as that of surgery, which is considered to reduce the pressure on the disc by reducing the volume of the nucleus pulposus. This type of intervention is superficially less invasive and can solve the clinical symptoms of the patient, but the nucleus pulposus is destroyed and leaves hidden problems! Surgical treatment, by removing the nucleus pulposus and intraoperative cleaning to build inflammatory material to achieve the purpose of treatment, currently the majority of patients believe that surgery is to eliminate the herniated part of the disc, but this is not the case. Moreover, the herniation is still a herniation when the CT and MR are reviewed after surgery. If there are no cauda equina symptoms, it is best not to choose surgical treatment easily! The percentage of patients with lumbar herniation who really need surgery is very small, accounting for only 1-2% of patients with lumbar herniation, but there is a tendency to over-surgical treatment. A destroyed disc will not regenerate, and a destroyed disc will affect your daily life and work in the future. Be careful not to let your discs get damaged! The choice of lumbar synostosis treatment steps should be; first choice: conservative treatment and CT-guided drug interventional therapy (CT-guided drug interventional therapy is especially suitable for patients with low back pain and lower extremity radiation pain). Second choice: interventional therapy (interventional therapy is as non-invasive as possible and does not destroy the intervertebral disc). Lastly: choose surgical treatment as a last resort. In order to stay away from lumbar synostosis, both healthy people and recovered lumbar synostosis patients must change their bad habits of life and work! Bad work and life habits are the main cause of lumbar synostosis!