Non-surgical treatment of lumbar disc herniation

Lumbar disc herniation is an important cause of low back pain and one of the difficult-to-treat diseases. Non-operative treatment is the first choice for the majority of patients with this disease, but there are still many shortcomings or blind spots in the understanding about the correct selection and application of non-operative treatment for lumbar disc herniation, which affects the improvement of clinical efficacy and the development of the whole discipline. Therefore, paying attention to the importance of non-operative treatment, actively standardizing the basic procedures of non-operative treatment and carrying out in-depth and systematic clinical research is a feasible way to further improve the medical level and academic status of this field. 1. Positive Positive mainly refers to the awareness and attitude of both doctors and patients, especially the treating doctors should actively explain the disease and promote science, guide and help patients to gradually establish a correct view of the disease and self-confidence to obtain recovery, in order to strive for the positive cooperation of patients. However, in the context of today’s complex market economy, we have reason to suspect that some units or medical practitioners have a positive attitude toward nonsurgical treatment, because the phenomenon of preoperative end of formal nonsurgical treatment is still very common. Some medical institutions even focus on surgical treatment, and some patients are spared only because they refuse surgery or because of financial problems, and even then, non-surgical treatment in most cases is actually just a perfunctory and coping formality. The reasons for the negative attitude of many physicians toward non-operative treatment are complex, mainly due to the insufficient understanding of the important status and clinical significance of non-operative treatment, and the one-sided view that such treatment is long, slow and ineffective. We believe that the importance of non-operative treatment comes first from the importance of the intervertebral disc. Since 87% of postoperative lumbar disc cases have symptoms of lumbar instability and 91% have X-ray signs of lumbar instability, it can be seen that even degenerated and herniated discs have a very important clinical significance. Therefore, for the first or multiple episodes without active non-surgical treatment and direct surgery is considered a contraindication to surgery. 2. Formal Formal refers to formal treatment plan, formal therapy and formal professional staff. Firstly, formal non-surgical treatment should be based on a clear diagnosis, and the treatment process should be clear, well planned, progressive, sequential and adjusted at the right time. Then, the practitioner of non-surgical treatment should be a professional who is interested in the clinical and research of the disease, with certain practical experience and skills, and can carry out treatment according to the treatment standard. In essence, the overall goal of non-operative treatment for lumbar disc herniation is to relieve the patient’s pain symptoms and restore lumbar spine function as soon as possible, and to take corresponding therapeutic measures with this goal in mind, but the pathway of its action is multi-path, not only focusing on the reset and return of the herniated nucleus pulposus.