As we all know, lumbar disc herniation is a common and frequent disease, which is caused by external forces, incorrect sitting posture, sitting for too long or degenerative disease, etc. After suffering from lumbar disc herniation disease, we should not be too obsessed with this disease and think that we should be afraid of it, and at the same time, we should not listen to this disease and let it develop. 1, in strategy to defy this disease, to correctly understand the nature of this disease. Lumbar disc herniation in any case it is a benign disease, we do not terrorize, lumbar disc herniation first will not kill. 2, not afraid of recurrence, even if recurrence it does not kill. The rate of secondary surgery is very low, to what extent is it low? We can use a set of data to analyze, from January last year to February this year, 500 cases of minimally invasive surgery were done, 7 cases were repaired, the rate of 1.4%. Even if a recurrence requires a second surgery, many patients can still perform minimally invasive surgery with spinal endoscopy. This shows that modern medicine has very good treatment methods to deal with this disease. 3, treat this disease tactically to pay attention to this disease, choose the treatment of lumbar disc herniation treatment should be careful. The degree of protrusion, physical quality and other different patients, the treatment methods used also vary, can not be uniform. Some patients with mild symptoms generally do not affect their lives, while some patients with more severe symptoms cannot take care of themselves, seriously affecting their work and daily life. Therefore, if you find that you have symptoms of low back pain, you should go to a regular medical unit for diagnosis and treatment in a timely manner. If lumbar and leg pain that cannot be relieved by rest occurs for more than 3 weeks, it is necessary to go to the hospital for imaging examination to arrive at the correct diagnosis and evaluation in a timely manner. The vast majority of low back and leg pain caused by lumbar disc herniation is not serious, and many patients can obviously feel relief from their symptoms after a period of conservative treatment. So, how should I be treated if I have a lumbar disc herniation? Who to seek treatment from? It is necessary to actively collect information. Today’s medical market is mixed, and paying money does not always result in an equivalent gain. We should always keep our eyes open and have a clear understanding of the treatment of lumbar disc herniation. How to collect information? 1, today’s society is well connected to information, the Internet is a good choice, it has the largest source of information, the advantage is that there is a lot of information, the disadvantage is the chaos, it is difficult to identify the truth. 2, social networking sites are also a good way to get information. For example, QQ group, many people have the experience of lumbar disc herniation, from the experience of others can get some experience, so as not to take less detours in the future treatment. 3, mobile medical communities, such as the above are professional medical technicians are answering questions, some simple problems do not need to go to the hospital to find a doctor face to face, can alleviate a series of difficult to see the problem, and can do a good job of further treatment interface. How to choose the method of treatment? 1.Self-conservative treatment: Physical therapy method applicable to all lumbar disc herniation in the early stage. (Lumbar disc herniation) Its main treatment method is self-protection, including measures such as physical therapy, bed rest, wearing a lumbar girth, reducing the intensity of work labor, and reducing household chores. These methods should be the main methods to relieve back and leg pain. If the pain is very severe, with a VAS score greater than 6 or after a period of conservative treatment, the pain symptoms are not relieved or have worsened, and the pain extends to the lower leg or even the foot. It is necessary to go to the hospital for further examination and treatment. 2.Interventional treatment: Many hospitals have rehabilitation department, pain department, interventional department, minimally invasive department, lumbar intervertebral disc department, Chinese medicine orthopedic injury department, etc., all have interventional treatment programs. Interventional treatment is simple and the threshold of entry is low, so it is adopted by many introductory people and units. From the evaluation of the efficacy of surgical treatment, the efficacy of interventional treatment is not too high, and patients should not have too high expectations. If the indications are well chosen, the roughly excellent rate is 70-80%. Complications have been seen not infrequently, mainly the problem of infection due to poor surgical asepsis. It is one of the items of step therapy, but not a mandatory item. 3. Spinal endoscopy: It is currently the most popular method of treating lumbar disc herniation under direct vision. The indications can be very broad, it can be simple disc herniation, disc prolapse free, disc calcification, spinal stenosis, etc. My first 100 cases took 3-4 years with a secondary surgery rate of 6%. The most recent 100 cases took only about 3 months, and the secondary surgery rate was 0. Now that spinal endoscopic surgery is more mature, outpatient surgery can be performed. Patients are admitted to our hospital on the same day with their examination results from a tertiary care hospital, and are operated on and discharged on the same day. If the patient relapses or has poor results after spinal endoscopic surgery, he or she can undergo a second spinal endoscopy or be treated with traditional surgical methods, and can enter and exit freely. 4, small open surgery: sub-channel surgery and traditional small open surgery, the indications are relatively wide, is the basic technology of spine surgeons. Disadvantage: not the least invasive surgery. 5, non-fusion surgery: non-fusion theory is novel, but the practice is not yet mature. It can do some exploratory treatment and does not favor a large number of applications for lumbar disc herniation. 6, fusion surgery: fusion surgery is currently one of the most popular methods of lumbar disc herniation, but I do not agree with the use of fusion methods for the treatment of general lumbar disc herniation. It’s not easy to kill a chicken with a bull’s-eye! People are better off with the original. It is only in line with the essence of human nature to treat in a stepwise manner and in a scientific manner. The human body itself is also a resource. When human beings over-claim the natural environment, they should not use the human body as a new resource to over-treat and over-traumatize their own bodies. Overtreatment once complications arise means needless sacrifice and excessive pain for the patient. How to stick to the principles of lumbar disc herniation treatment? 1, the principle of self-conservation: the human body has the ability to heal itself, as long as the condition is not serious, after proper guidance, most of them can resume normal life and work status. 2, the principle of ladder treatment: according to the degree of the disease, the application of different treatment methods for treatment. Some people are afraid of recurrence after surgery and refuse treatment. Just like a car broken down and afraid to repair, fear of damaging the car again is the same reason. People are a complex car, after a certain number of years of use, there will certainly be various problems. After the appropriate repair, you can continue to use. The average life span of a human car is 73 years. If you live one more day, you earn one more day, and if you live one more year, you earn one more year. Package and cure are fantasy, long-term relief is the right attitude of science. 3, refuse to anxiety refuse to depression: some patients have a change of mind after the disease, serious doubts, back and leg pain symptoms do not relieve or remission time is longer, then anxiety, depression and other mental symptoms occur. The appearance of such symptoms is related to the patient’s age, personality, gender, occupation, education level, etc. The solution includes: (1) actively collect scientific and advanced treatment information; (2) sympathize with the same disease, to actively communicate with patients with the same disease; (3) make a rational scientific decision in due time; (4) accept all the results generated by the decision; (5) face the disease and life with a positive attitude. 4) Proper timing of surgery: For people with very stressful work and life, if the symptoms are very severe and the imaging is also very serious. It is expected that conservative treatment is not effective, we should actively carry out surgery to restore normal life and work status as early as possible and improve the quality of life. For people with less stressful work and life, such as retired people and other patients, the time (scope) of conservative treatment can be relaxed a bit. In summary, regardless of the degree of lumbar disc herniation, it is necessary to seek a conservative or surgical treatment method that is feasible and suitable for the patient, and that causes the least trauma to the patient and has the best therapeutic effect.