What kind of lumbar disc herniation must be treated surgically?

There are different types of lumbar disc herniation, and the severity of the patient varies greatly. The vast majority of lumbar disc herniations can be cured by regular conservative treatment. Only individual severe lumbar disc herniation, after conservative treatment is ineffective, should be actively considered for surgery, and as soon as possible. Because the essence of lumbar disc herniation is that the nerves and spinal cord are compressed to different degrees, producing the corresponding clinical symptoms. After three months of regular conservative treatment, the symptoms become progressively worse, and the quality of life is seriously affected. Or the emergence of limb sensory loss, limb weakness, urinary and fecal dysfunction, sexual dysfunction, etc. must be treated surgically, and should be treated surgically as soon as possible. After the spinal cord and nerves are compressed, local ischemic necrosis will occur, and the necrosis of nerve cells is irreversible. Therefore, when the nerve cell compression is on the verge of necrosis, it is necessary to operate as soon as possible to release the compression, improve the blood supply to the nerve, and save as many nerve cells as possible in order to achieve good results. Therefore, after the appearance of some serious nerve compression symptoms, not only should surgery be performed, but also urgent surgery should be performed. Only by early surgery and early release of compression can more nerve cells be saved and more nerve functions can be preserved. Once the best time for surgery is missed, patients may be left with a number of sequelae, such as limb weakness, walking difficulties, pee-pee or bowel dysfunction, sexual dysfunction, and a series of other irreversible and serious consequences, seriously imaging daily work and quality of life. The earlier the surgery, the better the results, the faster the recovery, and the less likely to leave sequelae.