In many professional books and on various medical websites, you can find conservative treatments for lumbar disc herniation, but often the words used are more professional and the regulations are inflexible. Specialists seem to be better, simple and clear, for people who do not have a medical background look, compliance will be discounted, not because they do not want to listen, because they do not know how to do it. In fact, the conservative treatment of lumbar disc herniation, I simply summarized as sixteen words: bed rest, symptomatic pain relief, nerve repair, lumbar muscle exercise. 1. Bed rest. In other words, it is to allow the upright spine to switch to a horizontal position, with the aim of reducing the pressure on the intervertebral disc in the vertical direction. Supine, lateral, prone, can be, you feel comfortable on the line. The requirement is absolute bed rest (urination and defecation in bed), but this rule is a bit difficult to implement. For a variation, you can wear a professional waist (with support strips) on the bed before defecating, change your position to side-lying, and then get up. When you are done, come back immediately and follow the opposite process described above to return to the bedridden position. Bed rest is required for 3-7 days, depending on your pain level. The principle is to be able to turn flexibly while lying in bed, and after there is no significant pain, you can try to maintain an upright position under the protection of the peri-waist. The time should not be too long when you just resume uprightness, starting from 30 minutes and gradually increasing, and if you feel more pain in the middle of the time, you can return to the recumbent position at any time. The lumbar perimeter is a supplement to bed rest, not a substitute for bed rest. After resuming uprightness, you can wear the waist brace again for 5-7 days. 2. Symptomatic pain relief. Generally speaking, the pain level of lumbar disc herniation is more intense, and the patient mostly cannot insist on working and sitting for a long time. When the lying position is still very painful and affects sleep, it is necessary to use painkillers. Pain medications are mainly first-line drugs of non-steroidal type, such as ibuprofen extended-release capsules and diclofenac sodium controlled-release tablets. When first-line pain medications cannot meet the treatment needs, they can be upgraded upward to second- and third-line pain medications. Second- and third-line pain medications are all specialist medications and must be used under the advice and supervision of a specialist. It can also be used with blood-activating and pain-relieving herbs to assist in pain relief, which can help reduce the dosage of NSAIDs and gastrointestinal side effects. If gastrointestinal side effects occur or if there are diseases such as gastric ulcer and gastritis, you should switch to painkillers that do not stimulate the gastric mucosa, such as celecoxib. Painkillers should be used for about 1-2 weeks. 3.Repair the nerves. A herniated disc in the lumbar spine will mostly compress and irritate the nerves, resulting in radiating pain to the lower limbs. In order to protect and repair the nerves, patients can use oral and injection forms of vitamin B12. The oral form is preferred and is sufficient for most patients. For more severe radiating pain in the lower extremities, the injectable form can be used. However, it is important to consider whether it is contradictory to bed rest. For patients with predominantly low back pain, bed rest is the mainstay. Patients with leg pain mainly, can use the injection type of vitamin B12 as the first consideration. 4.Lumbar muscle exercise. Lumbar muscle mainly refers to the muscles behind the spine, can also be interpreted as the muscles that make the spine backward (backward), exercise, prone position, hands on both sides of the body, legs straight, force the head backward, double upper and lower extremities backward at the same time, reaching the maximum position to slightly adhere to 3 seconds, according to personal physical strength can be increased or decreased to adhere to the time, and then slowly return to the original position, so for a time, 30 times a day, required to reach. Strong physical strength up to 60 times. The speed of action should be slow, the amplitude as large as possible; force when inhaling, recovery when exhaling exercise two months later, you can add 30 sit-ups a day to strengthen the muscle strength in front of the spine. Remember: lumbar muscle strength exercise for strengthening the stability of the spine, not a measure to treat back pain, can not be practiced when back pain, to start again after the recovery of back pain, it is recommended to adhere to long-term, the longer the effect, the better the prevention of lumbar disc herniation symptoms attack. The above points can be appropriately adopted by friends suffering from lumbar disc herniation, but each person’s specific situation cannot be exactly the same after all, when you are not sure yourself, you can consult with me online, or outpatient consultation.