[引子】 Lumbar disc herniation has been clinically cured by non-surgical treatment. There is no lumbar pain and no numbness in the legs. However, C-T review shows that the lumbar disc herniation is still the same, how can this be explained? [Conclusion] Whether the herniated lumbar disc is reset or reduced or atrophied after non-surgical treatment has been a matter of debate for a long time. Over the years, the more consistent conclusion is: the protruding lumbar intervertebral disc nucleus pulposus tissue can only atrophy can not be reset or return. [Pathophysiology] The development of modern science and technology, the emergence of CT and MRI, has clearly shown that the herniated nucleus pulposus conservative treatment of the fate. The protruding nucleus pulposus of the lumbar intervertebral disc can only atrophy through conservative treatment and cannot be returned. As early as 1965, Armstrong believed that as soon as the herniated intervertebral disc tissue leaves the disc, it is difficult to reset it with either direct pressure or manipulation. Herniated disc through a variety of conservative treatment, so that the protruding nucleus pulposus tissue edema elimination, shrinkage, atrophy, its surrounding tissues and nerve root edema also subside, the relative displacement of the nucleus pulposus and the nerve root changes, that is, the protruding nucleus pulposus and then do not compress the nerve root, the symptoms of lumbar and leg pain disappeared, the clinical cure. Principle of treatment]: The pathophysiology of non-surgical treatment for lumbar disc herniation is as follows: 1. [Traction]: It can relax the lumbar back muscles, increase the intervertebral space, correct the functional scoliosis of the spine, and the tension of the posterior longitudinal ligament is conducive to squeezing the protruding nucleus pulposus forward to a mild displacement, and at the same time, it can pull the sciatic nerve downward to reduce the pressure of protruding discs on the nerve root. 2. [Tui na massage]: It can be used in the treatment of lumbar disc herniation. 2 .[Tui na massage]: it can release muscle contracture, improve local blood circulation, accelerate the absorption of inflammatory and pain-causing substances as well as acid metabolic substances, and reduce and subside inflammatory edema. 3. [Drugs]: can make the protruding nucleus pulposus, nerve root and the surrounding tissues of the aseptic reaction of inflammation subside, relieve pain and suffering. 4, [absolute bedridden]: Some people investigate and study the changes of the internal pressure of the intervertebral disc in different positions and postures (with the upright position as 100%). The human body upright 100%; supine 25%; side lying 75%; upright 100%; sitting position 140%; forward bending 200%. In other words, the pressure of the intervertebral disc is in the lying position, the upright position, the sitting position, and the forward bending position. That is to say: lumbar disc herniation patient lumbar intervertebral disc pressure, lying is better than standing, standing is better than sitting, sitting straight is better than forward bending. This shows that bed rest is the basis of non-surgical treatment and cannot be replaced by other methods. Bed rest can lead to significant relief or gradual disappearance of pain symptoms. In the prone position, the pressure of weight on the intervertebral disc can be removed; braking can reduce the muscle contraction force and the ligament tension force on the intervertebral disc caused by the extrusion. The intervertebral disc is not loaded, which is conducive to the nutrient supply of the intervertebral disc, so that the damaged annulus fibrosus can be repaired; conducive to the venous return around the intervertebral disc, eliminating the oedema and promoting the inflammation to subside; avoiding the lumbosacral nerves to move repeatedly within the vertebral canal when walking or exercising, and the repeated nerve root stimulation will aggravate the nerve root injury. Therefore, after non-surgical treatment, the atrophied nucleus pulposus of the intervertebral disc and the disappearance of the edema of the nerve root is the basis of the clinical cure of lumbar intervertebral disc herniation. [Clinical application] In recent years, percutaneous lumbar discectomy and chemical nucleolysis have been used to reduce disc pressure and narrow the intervertebral space through these surgical methods, thus reducing the tension on the nerve root to relieve sciatica. Instead of resetting or reducing the herniated disc, the herniated disc remains in place, which has been confirmed by preoperative and postoperative CT and MRI imaging data. Recurrence and prevention] Since the herniated disc tissue cannot be reset or reduced, it can only atrophy. Then, under the action of appropriate external factors (injury, cold, static, restoration,), lumbar disc herniation will recur, except that the gap period of recurrence will become smaller and smaller with the increase of recurrence until surgery. Therefore. After lumbar disc herniation is clinically cured by conservative treatment, it is necessary to carry out lumbar functional exercise in a systematic and planned manner, with a view to resisting or weakening the ability of exogenous causes of disease. Please refer to the popular article on this website, “The etiology of lumbar disc herniation”. Functional exercise] According to research, the enhancement of the strength of the lumbar back muscles and abdominal muscles is extremely conducive to the stability and balance of the spine, and the enhancement of muscle strength not only accelerates the excretion of pain-causing substances; it also increases the elasticity of the ligaments, and prevents new injuries in the lumbar region from occurring. Lumbar abdominal muscle ligaments developed, the strength of the population, the lumbar disc herniation continues to flare up, the development or recurrence of the chances of a decrease of 80%. Therefore, the ligaments around the lumbar region, and the muscles are strong and important for the treatment, recovery or prevention of recurrence of herniated discs. Please refer to the popular article “Functional Exercises for Lumbar Disc Herniation” on this website.