60, why is the recurrence rate of lumbar disc herniation high? The reasons for the high recurrence rate of the disease are as follows: (1) after treatment of lumbar disc herniation, although the symptoms basically disappeared, but many patients did not completely return to the nucleus pulposus, only the degree of compression of the nerve root is relieved, or the adhesion with the nerve root is released. (2) Although the condition of lumbar disc herniation patients has been stabilized or healed, but in a short period of time, once the strain or sprain of the lumbar can make the nucleus pulposus protrude again, resulting in the recurrence of the disease. (3) In the cold and humid season, the patient does not pay attention to the warmth, and the wind, cold and damp invade the diseased part of the body, and the recurrence of the disease is easily triggered by strain. (4) Although the nucleus pulposus of the segment has been removed in postoperative patients, the spinal stability of the upper and lower segments of the segment is poor after surgery, so the discs in the upper and lower segments of the operated segment are prone to prolapse, leading to the recurrence of lumbar disc herniation. 61. What are the misconceptions about lumbar disc herniation? What are the misconceptions about lumbar disc herniation: One of the misconceptions is that lumbar pain is not considered a disease. According to statistics, about 95% of people have experienced lumbar and leg pain in their lifetime. The diseases that cause low back and leg pain can involve almost all systems of the body. Some of the primary diseases of low back and leg pain disappear when they are cured, and some of them are not cured by themselves. Some patients therefore believe that low back pain is not a disease. In fact, low back and leg pain caused by lumbar disc herniation is not only considered a disease, but also must be given great attention. Because this disease can not only cause back and leg pain, but also cause lower limbs numbness, cold, weakness, and even paralysis and urinary disorders, seriously affecting the quality of life. Myth No. 2: Low back and leg pain can’t be cured. Lumbar disc herniation is characterized by easy recurrence, especially for those with neurological dysfunction, and a long repair process. Therefore, some patients and even some non-professional doctors think that lumbar disc herniation is not curable. In fact, the overall effect of lumbar disc herniation treatment is very good, with an excellent rate of about 95%. The so-called cure is not good for two reasons: one is the choice of improper method, the second is not adhere to the treatment. Some patients go to where they hear there is a new treatment, but they can’t stick to it anywhere, and end up running a lot of places, but the effect is not ideal. Misconception No. 3: superstition in a certain method. There are two types of treatment for lumbar disc herniation, surgical and non-surgical. The latter has traction, massage, internal and external medicine, percutaneous cut and suck, collagenase lysis, etc. It should be said that which method can also cure some patients, but which method can not cure all patients, and even in some cases, certain therapies are contraindicated. Therefore, the correct attitude is to choose the specific treatment method suitable for each patient according to clinical symptoms, signs, disease duration, and imaging examination, and not to exaggerate one-sidedly or superstitiously a certain treatment, nor to resist a certain treatment subjectively. Myth No. 4: Misconceptions about surgery. Most patients with lumbar disc herniation can be relieved or cured by non-surgical treatment, but there are still some patients who need surgical treatment. There are two diametrically opposed misconceptions when it comes to the issue of surgery: one is blind surgery and the other is refusal of surgery. The former believes that only surgery can eradicate lumbar disc herniation, and thus is not selective, and as long as the lumbar disc is herniated, surgical treatment is performed as long as the patient agrees. This adds to the unnecessary economic burden of the patient on the one hand, and increases the chance of “lumbar spine surgery failure syndrome” on the other. 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 amplifies the negative effects of surgery, such as nerve damage, and believes that surgery should not be done, but only conservative treatment. It should be said that some patients with surgical indications can have their main symptoms relieved after conservative treatment, but some symptoms are always left behind that are difficult to improve, while most patients with surgical indications cannot be replaced by any conservative therapy and must receive surgical treatment, and the sooner the better, otherwise, the loss of nerve function may become permanent. Therefore, surgery and conservatism should be treated discriminately, and neither surgery nor conservatism should be taken lightly. 62.How to self-massage for patients with lumbar disc herniation? Methods: (1) lumbar massage. Rub: patients sitting, two feet apart and shoulder width, both hands press the two sides of the lumbar eye, with the palms of the hands along the lumbar vertebrae on both sides of the up and down hard rubbing, up to the end of the two arms after flexion, down to the tailbone, 36 times; pinch: posture with rubbing, both hands thumb and index finger while clamping the skin in the middle of the spine, from the vital point (opposite to the umbilicus) down a pinch, loose a little to the tailbone, a total of 4 times; Mo: posture as before, both hands lightly clenched fist Fist eye up, the prominent part of the palm finger joints on both sides of the lumbar eye to do rotational massage, clockwise, counterclockwise 18 circles each; Knock: fist eye down, while the palm surface of the two fists lightly knocking the sacral tail a total of 36 times; grasp: two hands reverse fork waist, thumb in front of the waist side of the press, the remaining four fingers from both sides of the lumbar vertebrae with the finger belly outward grasp skin, both hands at the same time, each grasp 36 times. (2) lower limb massage. Hip: the patient standing position, the healthy side of the hand crossed waist, the affected side of the palm placed on the hip from top to bottom with the palm root back to knead the muscles for a total of 36 times; lower limbs: hands knead the affected side of the outer thigh to the lateral ankle 36 times, and then hands around the inner side, from bottom to top knead to the root of the thigh for a total of 36 times; calf: the patient sitting position, crossed legs, the affected limb on top, knead the affected side of the calf medial, lateral, posterior, from the knee to the ankle for a total of 36 times, knead the ankle After that, rub the arch of the foot 36 times in a homeopathic manner. 63.How to do gymnastics for patients with lumbar disc herniation? (1) Supine knee hugging: supine position, both knees and hips flexed, hands hugging the knees so that both hands knees against the abdomen, hips lifted off the bed as far as possible for a few seconds, repeated 16 times. (2) prone swallow fly: the patient lying prone on the bed, the abdomen collapse waist, head up, arms force back extension, double back to the knee as the fulcrum back lift like swallow fly style, for a few seconds or more, repeated 16 times. (3) left and right lateral bending: standing position, feet apart and shoulder width, hands forked waist or up to hold the pillow, for the waist left and right lateral bending activities, lateral bending to the maximum amplitude for a few seconds, repeated 16 times. (4) arch bridge: supine position, bilateral flexion of the elbows, flexion of the hips and knees, with the head, elbows, feet five points of support, for the action of stretching the waist into an “arch bridge”, for a few seconds or longer, repeated 16 times. (5) rotating waist: standing position, feet apart and shoulder width, hands forked waist, along the waist axis left and right swing rotation, the amplitude from small to large, alternating 16 times each. 64.How to prevent lumbar disc herniation? Prevention practices are: (1) correct posture. Usually people sit in a body leaning forward or in a casual position. The lumbar spine is in a posterior convex state, long time sitting in a bad posture, it will cause excessive fatigue of the back extensor muscles and other soft tissues, muscle tone decline, long-term down will seriously affect the normal physiological function of the intervertebral disc, accelerate the degeneration of the intervertebral disc. Therefore, the normal posture should keep the lumbar vertebrae in a convex position, the lumbar back muscles are relatively loose, which can play a role in preventing or delaying the onset of low back pain. The correct sitting posture should be straight upper body, tuck in the abdomen, jaw slightly tucked, and both lower limbs together. If possible, it is best to put a foot or footstool under both feet so that the knee is slightly higher than the hip. If sitting on a chair with a backrest, it should be in the above posture on the basis of the back of the waist as closely as possible and lean on the back of the chair, so that the lumbosacral muscles are not too fatigued. After sitting for a long time should also be active to loosen the muscles of the lower limbs. In addition, lumbar disc protrusion (bulge) patients should not sit on a low stool less than 20cm, should sit on a chair with a backrest, because this can bear part of the weight of the body, so that the lumbar back is relatively in a relaxed state, reducing the chance of lumbar back strain. (2) Adjustment of body position. Because of a long time in a position, it will cause muscle, ligament tissue strain, especially in the state of bending, the pressure of the intervertebral disc is greater than the rear, the nucleus pulposus to the rear extrusion, so that the rear of the fiber ring and longitudinal ligament injury opportunities increase, repeated injury or acute injury is often easy to cause the disc off. For this reason, healthy people sitting for a long time to change when standing up, the shall do 1 to 2 stretching lumbar activities, patients with a history of low back pain should change position in about half an hour to an hour, stretching lumbar activities, if necessary, should also be carried out under the guidance of a doctor targeted exercise, in order to achieve the effect of preventing and delaying intervertebral disc degeneration. (3) Functional exercise. Practice has proved that moderate intensity exercise can improve local microcirculation, reduce and eliminate the symptoms of lumbar leg pain caused by congestion and water seeding of the soft tissues around the lumbar intervertebral disc, and prevent and delay the degeneration of the lumbar intervertebral disc.