Do you have to have surgery if you have lumbar synostosis?

In recent years, with the popularization and application of modern office equipment, the accelerated pace of people’s lives and the reduction of physical exercise, some young adults and the elderly often feel pain and numbness in the lower back and legs. This is necessary to consider whether you have a lumbar disc herniation, simply put, lumbar synostosis. The lumbar intervertebral disc is the structure between two lumbar vertebrae, after the age of 20 years old began to age and degenerate, in repeated bending or long-term sitting work, it is easy to produce lumbar disc protrusion, lumbago, sciatica, leg and foot numbness and cold feeling, and even incontinence, paraplegia, causing great impact on life and work labor. Once diagnosed with lumbar disc herniation, many people believe that lumbar herniation can only be solved by surgery. In fact, this view is not entirely correct. For most patients with lumbar disc herniation, there is no need for surgical treatment. According to clinical statistics, about 85% of patients with lumbar disc herniation can be relieved or even cured with regular medication and rehabilitation treatment. I. How to treat the acute attack (i.e., when the lumbar leg pain is onset)? 1.Bed rest. Patients should try to rest in bed, because lying in bed can reduce the pressure of weight on the intervertebral disc, promote the absorption of local inflammation and the rejection of protrusions, reduce the stimulation of nerve roots and make the pain less. 2.Lumbar spine traction. Lumbar traction can relax the lumbar muscles, tense the posterior longitudinal ligament and increase the vertebral space. This is conducive to the return of protrusions, release the nerve root pressure and reduce pain. 3.Western and Chinese medicine treatment. Use anti-inflammatory and analgesic drugs to reduce inflammation and pain. Epidural closure in the use of the above methods are not effective, you can perform epidural closure treatment. On the basis of evidence-based treatment, perform internal and external treatment of Chinese medicine. 4.Use lumbar circumference. It can reduce the pressure on the intervertebral disc, reduce spinal activity, reduce muscle strain and ligament burden, and protect the lumbar spine. 5.Physical therapy. Treatment such as ultra-short wave, interferential electricity and ultrasonic waves can promote inflammation and edema to subside, improve local blood circulation and reduce pain. Second, how should the recovery period be maintained to avoid recurrence? After the above treatment, 80% to 90% of patients with lumbar disc herniation can get relief and cure. However, the disease is a disease prone to recurrence, so the rehabilitation exercise and protection during the recovery period are extremely important to prevent recurrence. 1, first of all, we should pay attention to correct the bad position and posture in daily life and work, try to avoid bending forward, especially to avoid bending forward to carry heavy objects. There is test evidence that the pressure on the lumbar disc increases significantly when the human body is bent forward. The correct posture of carrying heavy objects should be, close to the weight bending knees and hips, hold the weight as close as possible to the body, and then lift the weight by straightening the knees and hips instead of relying on the waist force, turn around while moving the lower limbs to drive the upper body, and do not rely on twisting the waist to drive the turn. 2, people often think that only injections and medication is treatment, and exercise is not treatment. In fact, lumbar back muscle and abdominal muscle exercise can increase muscle strength, strengthen the stability of lumbar spine, avoid lumbar injury and recurrence of lumbar disc herniation, and reduce the onset of chronic low back pain. Through the above-mentioned active rehabilitation treatment in the acute attack period, it can promote local inflammation absorption and protrusion rejection, reduce its compression on nerve root, congestion and edema, and make the lumbar pain reduce until it disappears. During the recovery period, by strengthening the exercise of the muscles of the low back and abdominal muscles, recurrence can be effectively prevented and the purpose of curing lumbar disc herniation can be achieved.