Myth 1: A single treatment can cure the disease? In the process of seeing a doctor, I often hear some patients talk about a friend who found a so-and-so doctor and got better with a simple massage or wrench; some say they got better after taking a few packs of Chinese medicine and never had an attack again, etc. There is no denying that such a fact may exist, but I believe that most of the patients who are often cured in a short time, single or simple treatment are not lumbar disc herniation, probably lumbar strain, acute lumbar sprain, lumbar back myofasciitis mostly. In fact, the treatment of lumbar disc herniation is varied and diverse, roughly divided into two categories: conservative treatment and surgical treatment. Conservative treatment methods include: drugs (including Chinese medicine, Western medicine oral and drip), lumbar traction, physical therapy, acupuncture, wax therapy, small needle knife, hook and needle, massage, practice therapy, etc. Surgical treatment is divided into two categories: traditional open surgery and minimally invasive surgery. Myth 2: Are all patients suitable for lumbar traction? The answer is no, lumbar traction is suitable for the following patients: 1. For traction can be tolerated. Many patients are unable to lie flat at all, so traction is impossible to talk about. 2. chronic patients. 3. patients with bulging or mildly herniated discs. 4. patients with “supra-shoulder” herniation, where the herniated disc is located in the upper part of the nerve root (the nerve root is like our two arms and the spinal cord is like our trunk). Lumbar traction is not suitable for the following patients: 1. patients who cannot tolerate it; 2. patients in the acute stage; 3. patients with huge disc protrusion or prolapse; 4. patients with osteoporosis who are older (>60 years old); 5. patients with “axillary” protrusion. Misconception 3: Do all patients need to be operated? There are strict surgical indications for the surgical treatment of the disease: no more than 10% of patients need surgery (conventional open surgery). 1. Disc herniation more than six months, after non-surgical treatment is ineffective, and the symptoms worsen. 2. The first severe attack of lumbar disc herniation, where the patient has difficulty moving and sleeping due to pain, and is forced to bend the hip and knee in the lateral position, or even kneeling. 3. Single nerve palsy or cauda equina palsy occurs, manifesting as muscle paralysis or impaired defecation and urination. 4.Middle-aged patients with a long disease duration, which affects work and life. 5.Whole disc degeneration or large herniation is confirmed by reliable examination. 6.Surgical treatment is recommended when non-surgical treatment is effective but the symptoms are recurrent and the pain is more severe than 3 times. 7.Protruding disc with other causes of lumbar spinal stenosis. Myth 4: All patients can massage massage? 1, massage is not suitable for all patients. 2, can produce inhibitory regulation of the nervous system, analgesic effect, can release muscle spasm, improve blood circulation, promote the inflammation around the nerve subside, release the nerve root extrusion, may make the protruding nucleus pulposus partially returned. 3, severe pain of the central type of protrusion and accompanied by spinal stenosis, generally should not massage. Longer duration, severe pain, nerve compression symptoms are obvious or rapidly deteriorating complex conditions, should not be used reluctantly. Osteoporosis in the elderly, massage should be used with caution. Myth 5: Minimally invasive surgery is more effective than traditional surgery? Minimally invasive surgery and interventional treatment indications have limited options. The advantages of these methods are less damage, faster results, shorter recovery time and fewer surgical sequelae. However, the disadvantage is that the selection of indications for treatment is very strict, and if the condition is not in the scope of the treatment, it is ineffective and can have other adverse consequences.