Acute lumbar disc herniation non-surgical treatment 1, case selection: ① first time onset: in principle, should be the first non-surgical treatment, unless there are obvious symptoms of cauda equina damage Nanchang University First Affiliated Hospital massage Wan Zhigang ② mild symptoms: the course of the disease may be longer, but the nucleus pulposus is mostly protruding rather than prolapsing easy to cure ③ diagnosis is unclear: often due to a variety of illnesses are difficult to early diagnosis of a number of non-operative treatment while observing and taking appropriate examination measures to clarify the diagnosis ④ systemic or local conditions are not suitable for surgery: mainly refers to the elderly and weak patients or other local lesions. (4) Systemic or local conditions are not suitable for surgery: mainly refers to old and weak patients or other local lesions. (5) Others: including contraindications to surgery or anesthesia or refusal of surgery. 2, specific measures: ① absolute bed rest: the basic conditions for recovery, especially for the diseased vertebral joints is more important. ② elimination of local reactive edema: acute lumbar disc herniation resulting in the involvement of important surrounding tissues, is the pathological basis of lumbar disc herniation, the nerve root is subjected to mechanical stimulation and chemical inflammation after the injury to the double impact of pain and dysfunction, based on the pathological understanding of lumbar disc herniation, the principle of its treatment should be to control the local inflammation as soon as possible to eliminate edema, reduce the tension, in order to reduce the pain. Pain. Drug treatment Since the first day of the onset of the patient 1, dexamethasone sodium phosphate 10-15mg added to saline 100ml, intravenous injection, 2 times / day × 3-7 days 2, mannitol 250ml pressurized, intravenous injection, 2 times / day × 3-7 days. 3, Diclofenac sodium suppository 2 times/day × 10 days, rectal administration. 4, Mai Zhi Ling 300mg, 2 times/day × 10 days, oral administration. Physiotherapy Ultrashort wave therapy: capacitance method is used and placed on the painful area, the output dose is heatless, once a day, 15 min each time, 10 times for a course of treatment. In the second course, the output dose of ultrashort wave is changed to warm heat, and other conditions are the same as before. Medium frequency pulsed electrotherapy: the electrode is placed on the diseased lumbar segment, the other pole is placed on the hip or leg radiating pain area, the dose is the sensory threshold, once a day, 20 min each time, 10 times for a course of treatment. The dose of the second course of treatment is the tolerance limit, and other conditions are the same as before. Promote the return of the nucleus pulposus, adjust the positional relationship between the small joints and the protrusion, and relieve mechanical compression: add from the 6th day after physical therapy, and carry out after the inflammation has been slowed down and stopped, so as not to aggravate the inflammatory exudation of the local tissues by rubbing the spinal cord back and forth in the protruding area during traction and massage therapy, and to further injure the nerves and blood vessels that have already been lesioned, especially the nerves which are more sensitive to the action of the secondary tension Axons. Intermittent traction therapy: horizontal pelvic traction, every 70 seconds of traction, relaxation for 6 seconds, repeated alternation, traction weight according to the patient’s gender, age, physique and other conditions to decide, generally about 35Kg, traction time is 25 min, once a day, 10 times for a course of treatment. Tui na manipulation therapy: rotational reset of the intervertebral joints of the damaged segments, joint loosening manipulation, restoration of the misaligned intervertebral joints, correction of anatomical position abnormality, regulation of the vertebrae, segments of the anterior and posterior, left and right, axial displacement, and angular displacement of the different segments, and to play the role of restoring and facilitating the joints. Once a day, 10 times for a course of treatment.