Step therapy for lumbar disc herniation

Having a lumbar disc herniation is not terrible, as long as we follow the steps and treat it scientifically under the guidance and help of a doctor, we will be able to overcome it. In general, the treatment of lumbar disc herniation is divided into four steps: the first step of treatment is mainly applicable to the first onset of the disease, the disease is light. The treatment is mainly to change the current unhealthy lifestyle and strengthen the exercise of the lumbar muscles. White-collar workers use computers in a seated position in the office for a long time, and do not pay attention to proper rest, which is very damaging to the lumbar spine. Especially busy work, no time to exercise, lumbar muscle weakness, over time, damage to the intervertebral discs, the symptoms. The most important thing for this group is to change the work and lifestyle. Exercise an hour a day, healthy work for life. The second step of treatment is mainly for the herniated disc symptoms are obvious, has affected the work and life. 80% patients can get better through regular conservative treatment. Note that it is formal and has a course of treatment. If the treatment is not systematic and formal it may not be effective. There are many methods of conservative treatment, mainly rest, physical therapy, drugs, traction, heat therapy, massage and massage. If the symptoms are heavy, you can be hospitalized for infusion treatment, mainly dehydration and anti-inflammatory drugs. The third step is minimally invasive surgery, which mainly includes nerve root canal closure and discoscopic surgery. Its trauma is small, the operation is short, the recovery is fast, and some postoperative effects can be maintained for a long time, but it is not as effective as incisional surgery, and the indications are strict, not all of them can be done. The fourth step is small incision disc nucleus pulposus removal. The surgical incision is very small, and the nucleus pulposus tissue compressing the nerve is directly removed, which is fast and effective. There is a certain recurrence rate, but it is now relatively low. The fifth step is lumbar spine fusion. If there are patients with disc herniation who have intervertebral disc instability and high weight, fusion is also considered when necessary so that there will be no recurrence in the future. [Tan Rong, PLA 306 Hospital