Is there a functional disc? Before choosing a treatment, we must know whether the disc is functional or not! This is because some treatments are minimally invasive and eliminate the patient’s back and leg pain after treatment, but they destroy the function of the discs and leave hidden problems for the patient in the future. The human body has more than twenty intervertebral discs, each located between two bony vertebrae. When the human body will stand after the disc will produce its own gravity; bending, squatting, sitting, carrying heavy objects and other activities will produce pressure on the disc. The most stressed parts of the human spine are the C4-5 and C5-6, L4-5 and L5-S1 discs, and the discs in these areas are also most likely to rupture. The body’s gravity and pressure are relieved, cushioned and broken down by the nucleus pulposus and annulus fibrosus of each intervertebral disc. In other words, the intervertebral disc has a function! It’s function is to relieve, cushion and break down the body’s pressure and gravity. In addition to our eight hours of sleep at night, every day after a person wakes up in the morning, the intervertebral disc begins to be subjected to gravity and pressure, which continues for more than ten hours, until the night to bed, the gravity and pressure on the disc is lifted. The pressure on the disc varies with weight, and the gravity on the disc is greater in fat people than in thin people. In daily life and work using different positions, posture to the disc pressure is different, if the intervertebral disc stress is compared to the truck loaded with different weights of goods when the tire stress; people lying than the truck empty, stand up straight than the truck light load, sit up straight than the truck full load, squatting, bending, long-term sitting, like the truck overload. So different posture, position disc pressure is not the same, in general; standing than sitting small, lying than standing small. A foreign scholar study that when a person sits for more than 90 minutes, the height of the intervertebral disc is affected. A person sitting every day for a long time, excessive negative pressure will cause chronic trauma to the intervertebral disc, lumbar synostosis is on the basis of chronic trauma, if not pay attention to lumbar maintenance, lumbar synostosis caused by waist and leg pain is inevitable. Therefore, the high incidence of lumbar synostosis in modern people is closely related to their own living and working habits. After the function of the intervertebral disc is clarified, it is crucial for patients to choose a treatment method when they have lumbar synostosis and have low back and leg pain. It is important to ask what the mechanism of that treatment method is before treatment. Will the treatment destroy your nucleus pulposus? Treatment of intervertebral discs The current treatment of lumbar synostosis is divided into three main categories; 1. conservative treatment. 2.Various interventional treatments. 3.Surgical treatment. 1.Conservative treatment includes; acupuncture, traction, tui na, cupping, medicine fumigation, medicine taking, plastering, taking Chinese and Western medicine, various physiotherapy, local sealing, sacral therapy, etc. Conservative treatment will not destroy the intervertebral disc. 2, according to the different mechanisms of various minimally invasive interventional therapy can be divided into three types; the first, Tong’s non-invasive interventional therapy; because the blood supply of the intervertebral disc is less, oral drugs are more difficult to reach the intervertebral disc, if oral ten bottles of drugs, only one bottle of drugs may reach the intervertebral disc, so many patients take oral Chinese medicine, Western medicine but the clinical effect is not good. In addition, most of the disc rupture is located at the back of the disc, which is deep and has a complex anatomical structure; see the article “Who is the culprit of low back pain (lumbar synostosis)”, Tong’s non-invasive interventional treatment; that is, only under CT guidance, the drug can be injected directly on the surface of the ruptured disc, and the treatment mechanism is to eliminate the inflammation of the disc rupture, so that the ruptured disc can be treated. The treatment mechanism is to allow the ruptured disc to close itself by eliminating the inflammation of the ruptured disc. This treatment method will not destroy your disc and maintain the function of the disc. IDET is minimally invasive and is suitable for discogenic low back pain, where the clinical symptoms are only low back pain, or low back and leg pain, but the low back pain is greater than the leg pain, and the related physical examination is often inconspicuous or negative, with CT and MR imaging showing only bulging, and discography showing clear rupture of the annulus fibrosus, and the IDET repaired annulus fibrosus is significantly stronger than the self-repaired one. The third type, cure is achieved by dissolving the nucleus pulposus; collagenase myelolysis, radiofrequency targeted therapy, ozone myelolysis, disc myelomeningocele, plasma myelolysis, and minimally invasive discoscopy. When the nucleus pulposus is dissolved, it is like a car tire being drained of gas, deflated, and its ability to withstand pressure and gravity is reduced. The mechanism of treatment is the same as that of surgery, which is considered to reduce the pressure on the disc by reducing the volume of the nucleus pulposus. This type of intervention is superficially less invasive and can solve the clinical symptoms of the patient, but the nucleus pulposus is destroyed and leaves hidden problems! 3, surgical treatment, through the removal of the nucleus pulposus, intraoperative cleaning construction of inflammatory material to achieve the purpose of treatment, the vast majority of patients currently believe that surgery is to eliminate the herniated part of the disc, but this is not the case. Moreover, the postoperative review CT, MR, protrusion or protrusion. If there are no cauda equina symptoms, it is best not to choose surgical treatment easily! The percentage of patients with lumbar herniation who really need surgery is very small, accounting for only 1-2% of patients with lumbar herniation, but there is a tendency to over-surgical treatment. A destroyed disc will not regenerate, and a destroyed disc will affect your daily life and work in the future. Be careful not to let your discs get damaged! The choice of treatment steps for lumbar synostosis should be; first choice; conservative treatment and CT-guided drug intervention (Tong’s non-invasive intervention is especially suitable for patients with low back pain and sciatica). Second choice; interventional therapy (try to choose non-invasive treatment that does not destroy the intervertebral disc). Lastly; surgery as a last resort. To stay away from lumbar synostosis, both healthy people and recovered lumbar synostosis patients, you must change your bad habits of life and work! Bad work and life habits are the main cause of lumbar synostosis!