The presence of pressure pain in the area of the foramen magnum and foramen minora is one of the clinical manifestations of sciatic hernia. The prolapse of abdominal organs or tissues through the foramen magnum and foramen minora is called sciatichernia. How to effectively prevent pressure pain in the area of sciatic foramen magnum and foramen minora? I. Surgical treatment 1. Transabdominal approach surgery: the patient is placed in a supine head-down position with a median or paramedian incision in the lower abdomen into the abdomen. A saline pad is used to push the pelvic bowel cavity cephalad to find the hernia sac. The internal opening of the hernia sac is usually posterior to the broad ligament and also in a comparable position in men. The contents of the hernia are returned, the hernia sac is turned over, and then the neck of the sac is ligated through and the hernia sac is removed or the excess hernia sac is filled in the sciatic foramen. In strangulated hernia, the hernia ring can be gently dilated with the fingers, or the nerves and blood vessels can be avoided, and the narrowed ring can be carefully cut open with a knife and the intestine can be pulled and reset. If necessary, an assistant can assist by applying pressure on the buttocks. After resetting, the intestinal canal is checked for viability and treated and drained accordingly. The advantages of this method are good exposure, no risk of injury to the gluteal vessels and nerves, resection of the hernia sac and repair of the hernia hole, and easy handling of patients with intestinal strangulation. The method is to make a long incision at the hernia site from the midpoint of the line from the posterior inferior iliac spine to the posterior border of the femoral ridge, and to open the gluteus maximus muscle in the direction of the muscle fibers, and find the hernia sac between the gluteus medius and the pear-shaped muscle. The hernia sac is incised, the hernia contents are returned, the hernia sac is ligated at a high level, and the redundant hernia sac is removed, folded and sutured, or repaired. The method is more traumatic, easy to damage the blood vessels and nerves of the buttocks, and cannot be used for strangulated hernia. Care 1. Drink more water, eat more fruits and vegetables Patients should take in more water and eat more fruits, vegetables, drupes, seeds, cereals and other beneficial foods. 2, eat more oats by chopped oat grass in warm water brewed for 2 minutes and filtered is a tonic, drink 1-4 grams a day, if you want to reduce skin itching, use a fine cotton cloth wrapped oatmeal hanging under the nozzle, use the water washed through the oatmeal bath. 3, supplement nutrients: ① lecithin dosage according to the product label, taken at mealtime, it can protect and repair nerves. ② multivitamins and minerals containing vitamin A and thiamin (B1), nerve inflammation is often the first sign of malnutrition, and patients with neuritis often lack thiamin. Therefore, supplementation with the above vitamins can help prevent the onset and development of the disease. (iii) Vitamin B complex plus vitamin Bl: 100 mg or more per day, using injectable solution is best. Patients with neuralgia are often deficient in vitamin B. III. Prevention Most often seen in menstruating mothers, so the focus of prevention is on postpartum women, who should pay attention if they have sciatica or swelling in the gluteal groove.