In recent years, with the development of medical imaging and the popularization of medical knowledge, the disease of lumbar disc herniation has become more and more recognized and familiar to people, and even many patients can know a lot of knowledge related to the disease. However, because the clinical manifestations of lumbar disc herniation vary, the treatment methods are numerous and prone to recurrence, there are still some misconceptions in the understanding of lumbar disc herniation, and these misconceptions may lead to mistakes in the choice of treatment methods, aggravate the psychological and economic burden of patients, and even delay the disease. Misconception 1, lumbar disc herniation is equal to lumbar disc herniation According to statistics, about more than 95% of people have experienced lumbar and leg pain in their lifetime, at the same time, there are more than 50% of normal people with imaging manifestations such as lumbar disc bulge. So, if a patient with low back and leg pain goes for a CT examination, there is a high probability that he or she will be diagnosed with “lumbar synostosis”. In fact, true lumbar herniation refers to a syndrome in which the nucleus pulposus, together with the remaining fibrous ring and the posterior longitudinal ligament tissue covering the ring, protrudes and irritates or compresses the nerve roots and cauda equina nerve due to degeneration of the lumbar disc and rupture of the fibrous ring. 2. two of the four signs of lower extremity muscle weakness, muscle atrophy, hypoesthesia or abnormality, and abnormal reflexes are met; 3. the angle of straight leg elevation on the affected side is less than 50% of that on the healthy side; 4. the signs are consistent with the symptoms and imaging manifestations. Thus, there are a large number of patients with asymptomatic disc herniation in clinical practice, and only a small percentage of patients can meet the diagnosis of “lumbar herniation”. Naturally, only a small percentage of patients need to be treated according to the “lumbar herniation” treatment plan. Misconception 2, superstition in a particular method There are two types of treatment for lumbar disc herniation: surgical and non-surgical. 90% of patients can be treated by non-surgical methods, and non-surgical methods include traction, massage, acupuncture, internal and external medicine, collagenase dissolution, needle knife release, steroid injection, etc. It should be said that each method has its own advantages and can cure some patients, but none of the methods can cure all patients. In some cases, certain treatments are contraindicated. Therefore, the correct attitude is to choose the specific treatment method suitable for you according to the clinical symptoms, signs, disease duration and imaging examination, and not to exaggerate or superstitiously believe in a certain treatment, nor to subjectively resist a certain treatment. Misconception 3, back and leg pain can not be cured The lumbar disc herniation is characterized by easy recurrence, especially for those with neurological dysfunction, and a longer repair process. Therefore, some patients, and even some doctors, believe that lumbar disc herniation is not curable. In fact, lumbar disc herniation itself is a certain self-limiting disease, the overall effect of treatment is still very good, the so-called cure is not good for two reasons: one is the choice of improper method or not adhere to a certain course of treatment, the second is to ignore the waist own rehabilitation exercise and maintenance. Misconception 4, misunderstanding of surgery The vast majority of patients with lumbar disc herniation can be relieved or cured by non-surgical treatment, but there are still some patients who need surgical treatment. On the subject of surgery, there are two diametrically opposed misconceptions: one is blind surgery and the other is refusal of surgery. The former believes that only surgery can eradicate lumbar disc herniation, so as long as the symptoms of back and leg pain do not ease within a few days, or after just a few conservative treatment is not effective, immediately choose surgery. This adds to the unnecessary economic burden on the one hand, and increases the chance of “lumbar spine surgery failure syndrome” on the other. In fact, the indications for surgery for lumbar disc herniation are very strict, and surgery is not the first choice for lumbar disc herniation treatment and does not relieve all symptoms. The latter amplifies the negative effects of surgery, such as nerve damage, and believes that surgery should not be done, but only conservative treatment. It should be said that most patients with surgical indications can have their main symptoms relieved after conservative treatment, while a very small percentage of patients with urinary and fecal incontinence and progressive aggravation of neurological dysfunction should undergo timely surgical treatment, otherwise the loss of neurological function may become permanent, therefore, surgery and conservatism should be treated discriminately, and neither surgery nor conservatism should be taken lightly.