A, CT, MRI and other positive imaging tests must be lumbar disc herniation Many patients come to the clinic with CT, MRI reports, and say, “Doctor, my lumbar disc is herniated, can massage and acupuncture treat it? Through our careful examination, combined with the CT and MRI of the lumbar region, we find that many of these so-called “lumbar disc herniation patients” are not actually suffering from lumbar disc herniation, although their symptoms of back and leg pain are indeed serious, the cause of their back pain and leg pain is not the herniated disc, but The muscles and ligaments around the spine. These muscles and ligaments are often damaged and degenerated by the patient’s poor posture over a long period of time, and minor traumatic factors are enough to unbalance their balance, resulting in muscle damage, ligament tears and symptoms of back and leg pain. There are many causes of low back pain, including intervertebral discs, muscles, ligaments and bones, and even tumors and tuberculosis can also cause low back pain. It cannot be easily diagnosed as a result of lumbar disc factor based on CT or MRI report alone. There are many conservative treatments for lumbar disc herniation, among which massage and acupuncture are proven treatments in the treasury of Chinese medicine. The mechanism of treatment is to enhance local blood circulation, so that the muscle tension decreases, and the pressure between the vertebrae and discs in the lumbar region decreases. Objectively, after the pressure outside the discs decreases, the negative pressure of the discs themselves have the tendency to make the less serious bulging or herniated discs return to their original position, and if the lumbar pain is caused by this part of the disc pressing on the nerve roots, then these pains can be relieved immediately. Some severe herniations are of the ruptured type, or the herniation is intact and not ruptured, but the herniation is too large and causes compression of the nerve root, causing local edema of the nerve root and pain. The pressure between the vertebrae can also be greatly reduced due to the decrease in tension of the lumbar muscles, which reduces the compression and accelerates the dissipation of edema, making the symptoms of low back pain disappear. Not all herniated discs need orthopedic manipulation to be treated. The reason why they are afraid to choose massage treatment may be that many people feel that massage is a kind of brute force and that lumbar herniation will be in danger of intensifying. A regular massage doctor has knowledge of traditional and modern medicine and treats the symptoms with evidence, which is very different from the former illiterate massage therapist. Of course, for some central lumbar disc herniation, the massage doctor will also recommend the patient to receive surgery, rather than a single manipulation treatment. Third, one-time reset can make the lumbar disc herniation healed Many years ago, reset manipulation and orthopedic manipulation were very commonly used in the treatment of lumbar disc herniation. It was thought that the mechanism of TCM massage for lumbar disc herniation was to return the herniated disc to its original position through manipulation. However, many subsequent studies have shown that patients with lumbar disc herniation have no significant improvement in their herniations before and after symptom relief. Today, the mechanism of conservative treatment of lumbar disc herniation has been agreed upon, which is to displace the relative position between the herniated disc and the compressed nerve root by physical means, temporarily relieving the compression of the bulging, herniated disc on the nerve root, while causing the local edema to subside and the sterile inflammation to be relieved, thus causing the symptoms of nerve root compression to disappear or be relieved. The idealized imagination of making the herniated object retracted through the movement of joint manipulation is only the wishful thinking of patients and traveling doctors. Fourth, review CT and MRI to observe the efficacy Many conservative methods of treating lumbar disc herniation can achieve relatively good results, such as massage, acupuncture, physiotherapy, traction, etc. Many patients want to review CT and MRI after their symptoms have subsided to see if the herniated disc has returned to normal. In fact, patients do not need to do so because the mechanism of conservative treatment of lumbar disc herniation is to change the relative position between the herniation and the nerve root, and manipulation cannot retract the herniation. Therefore, we do not need to take the improvement in CT and MRI as an indicator of whether lumbar herniation is cured. Fifth, herniated discs can only be relieved but not cured. Some patients have this experience and feel that after suffering from lumbar disc herniation, the symptoms of lumbar and leg pain are recurrent and difficult to be cured despite multiple treatments. In fact, most patients are due to long-term poor posture caused by lumbar muscle strain, the spine lost the original balance. On top of this, in addition to some acute injuries, in other words, long-term poor posture caused by strain is the internal cause, while the triggering factors are only the external cause. Tui na, acupuncture and physical therapy can relieve and treat the pain caused by nerve root pressure and compression, but if the patient does not cooperate to improve the usual bad posture, the internal causes of the disease are not eliminated, and frequent recurrence is inevitable. Then, from the point of view of efficacy assessment, the current standard of healing for conservative treatment of lumbar disc herniation is the disappearance of clinical symptoms and signs and the resumption of original work. Many patients return to their original work for a period of time and then have a relapse because they do not pay attention to the maintenance of the normal force on the spine. If you can pay attention to labor posture, many patients can be cured. Six, young people are not susceptible to herniated discs Older people often say: children, no waist, which comes from the back pain. When many young people in their twenties are diagnosed with lumbar disc herniation, parents and friends are surprised, they think lumbar disc herniation is the “patent” of middle-aged people or even the elderly. In fact, lumbar disc herniation is the “patent” of young people. This is because the human intervertebral disc in about twenty years old when the water content is the most, reaching 80% at this time, the nucleus pulposus is in the most full state, it is easy in the case of excessive external force, breaking through the fiber ring and compression of the nerve root. As age increases, the nucleus pulposus slowly becomes less watery at the age of seventy, only 70% of the annulus fibrosus becomes relaxed, protrusion instead becomes less easy, and at this time, degenerative changes are most common, it is not surprising that older friends lumbar degeneration misdiagnosed as lumbar disc herniation.