Medicine is an art rather than a science; science can be reproduced indefinitely, and a fixed program exists, whereas medicine needs to be different from person to person and from situation to situation. This patient’s complaint is not unusual, and in real life, there are not a few patients of this type. Before formulating a treatment, it is necessary to communicate with the patient and choose the purpose of the treatment according to his or her wishes, knowing that treatment and relief are two directions of great difference in difficulty. If this patient wants treatment (elimination of symptoms), surgery is necessary! Although we are separated from the network, we can not clarify the specific condition of the patient, this time the patient’s description of the disease is extremely important, the patient describes himself as a result of lumbar disc herniation caused by leg pain, then we must be considered accordingly, we should not be skeptical, because the trust of the doctor and the patient is the basis of everything, if even the patient’s description do not believe that all the rest of it does not need to be carried out. For this kind of cervical and lumbar spine disease, many people have rejected surgical treatment, and even listed countless reasons, but have we ever thought that “if surgery really harms people”, can it possibly exist under the sun? Surgery does have this and that drawback, even minimally invasive surgery has its limitations, which is why we often say that we will never operate if we can be conservative, but for some patients with more serious conditions and special circumstances, they may need to operate immediately, and although this patient did not reach the stage of immediate surgery, he had to be operated if he wanted to recover. The reason is that the patient’s medical history is longer, now different from the past, the information is gradually transparent, the network, the reality is full of all kinds of information, the patient will never be hard for decades, I think he should have tried countless non-surgical treatment options, the lowest cost of rest, exercise, needless to say, and the spine most closely linked to the massage, massage should not be unfamiliar, not to mention the ads are flooded with various brands of creams. Not to mention all the brands of ointments that have been advertised all over the place in recent years. However, I must clarify: “For patients who have had the disease for a long time, even surgery does not necessarily guarantee results.” For example, the clinical success rate of nucleus pulposus removal surgery (after which the patient’s symptoms disappear) is only about 60%, which is highly dependent on the patient’s condition and the experience of the operating surgeon. If this patient is looking for relief, there are many options! Massage, exercise, warmth, traction, light therapy and other methods and precautions, I will not talk about, we are not unfamiliar with it, I will say something that you may not be too clear approach. Oral medication: It is recommended that you choose the medication according to your own situation, fenpropidone, lexapro, tylenol, mikropin, neurotropin and so on. Closure therapy: it is also often referred to as closed needle, which is a local anesthetic drug injected directly into the pain site (pressure point), to reduce the stimulation of the center, increase local blood circulation, reduce the feeling of pain, and accelerate the recovery of the disease. Nerve block: analgesic and nutritive nerve drugs can be delivered to the vicinity of the nerve root to eliminate nerve root inflammation and achieve the purpose of pain relief. Difficulty of implementation of the three: oral medication < closed treatment < nerve block If the development continues, there may be two results! 1, the condition remains unchanged If the patient's future days, improve diet, lifestyle habits, and maintain a healthy sitting, standing and sleeping posture, then the condition will not recover, but may not continue to aggravate, still like the current situation. 2, exacerbation of the condition With the passage of time, the compression is getting bigger and bigger, the degree of nerve compression intensified, the patient may appear lower limb weakness, or even paralysis of the symptoms, there are also a part of the patient because the cauda equina nerve is affected, there may be dysfunction of urinary and fecal function, unable to control their own defecation. Don't always say what can't be operated, surgery is finished words, open surgery and minimally invasive are two different kinds of surgery, according to the patient's protruding type, different parts of the patient, the patient's risk also varies, the approach taken also need to be carefully selected. First consider conservative, and then consider surgery, the two treatment options have no absolute advantages and disadvantages, only the applicable period of time is different, which is like frying pan, rice pan, steamer and other kitchen supplies, although all pots, but the applicable place is different, with the right half the effort, with the wrong half the effort.