How to treat lumbar disc herniation

Lumbar disc herniation is one of the more common lumbar disorders in clinical practice, and is a common and frequent disease in orthopedics and traumatology. It not only affects the patient’s physical health, but also causes serious adverse effects on the patient’s normal life and work. There are numerous treatment methods for lumbar disc herniation with varying results. There are still some misunderstandings in the treatment and understanding of the disease, which may lead to errors in the principle of treatment, delay, or even aggravate the condition, and aggravate the psychological and economic burden of patients. Therefore, it is necessary to make a brief introduction to its treatment methods. Common treatment methods are: 1, drug therapy. Generally use ibuprofen, methylcobalamin, mai zhi ling, eperisone hydrochloride and other drugs to eliminate local inflammatory stimulation and nerve root edema, relieve the symptoms mainly, usually difficult to achieve a radical cure. 2.Physical therapy, massage therapy, acupuncture therapy: physical therapy for lumbar disc herniation includes infrared irradiation, electrotherapy, thermotherapy and other methods, and massage, acupuncture and other treatments for the same purpose, but also to alleviate the patient’s symptoms, is not a radical cure. 3.Surgical treatment. If the aforementioned conservative treatment is ineffective or the symptoms continue to worsen, or the symptoms of cauda equina compression, or the combination of lumbar spinal stenosis and other conditions, then consider surgical treatment. According to the size of surgical trauma, it can be divided into minimally invasive surgery and conventional incision surgery, including simple nucleus pulposus removal, nucleus pulposus removal and implantation of bone fusion and internal fixation. According to the stage of development of the disease, different means of treatment will be adopted accordingly. The combination of conservative treatment, minimally invasive surgery and incision surgery is the “ladder” treatment for lumbar disc herniation. It should be noted that lumbar disc herniation is characterized by easy recurrence, especially in neurological dysfunction, and the recovery process is longer. Therefore, some patients think that lumbar disc herniation cannot be cured. In fact, the overall effect of lumbar disc herniation treatment is very good, with an excellent rate of about 90% or more. There are many treatment methods for lumbar disc herniation, each of which can cure a part of the patients, but none of which can cure all the patients. Therefore, the correct approach is to choose a specific treatment method suitable for each patient based on clinical symptoms, signs, disease duration, and imaging results, and not to exaggerate or superstitiously believe in a certain treatment, nor to subjectively resist a certain treatment. To emphasize, about 80% of patients with lumbar disc herniation can be relieved or cured by various non-surgical therapies, and only a small number of patients need surgical treatment. On the issue of surgical treatment, there are two misconceptions: one is blind surgery and the other is refusal of surgery. The former believes that lumbar disc herniation can only be eradicated by surgery, thus not choosing to have surgery as long as the lumbar disc is herniated and as long as the patient agrees. This on the one hand increases the unnecessary economic burden of patients, and on the other hand increases the chance of “lumbar spine surgery failure syndrome”. In fact, the indications for surgery for lumbar disc herniation are very strict, and surgery is not the first choice in the treatment of lumbar disc herniation. The latter is the result of an expansion of the negative effects of surgery, such as nerve damage, and is treated conservatively, believing that surgery should not be performed. It should be said that some patients with indications for surgery can have their main symptoms relieved after conservative treatment, but there are always some symptoms left behind that are difficult to improve, while most patients with indications for surgery cannot be replaced by any conservative treatment, and must undergo surgical treatment, and the earlier the better. Otherwise the loss of neurological function may become permanent.