Four misconceptions of patients with lumbar disc herniation

One: back and leg pain is not considered a disease. According to statistics, about more than 95% of people have experienced low back and leg pain in their lifetime. The diseases that cause low back and leg pain can involve almost all systems of the body. Some low back pain is caused by other diseases and the pain disappears after the primary disease is cured, and some low back pain is not cured by itself. Therefore, some patients believe that low back and leg pain is not considered a disease. In fact, the back and leg pain caused by lumbar disc herniation is not only considered a disease, but also must be given great attention. Because this kind of lumbar disc herniation, in addition to lumbar and leg pain, will also appear lower limbs numbness, cold, weakness, and even paralysis and bowel obstruction, seriously affecting the quality of life. Second: lumbar and leg pain is not 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 also think that lumbar disc herniation is a disease that cannot be cured. In fact, the overall effect of lumbar disc herniation treatment is very good, with an excellent rate of about 95%. There are two reasons why the so-called cure is not good: one is the improper choice of method, and the other is the lack of adherence to treatment. Some patients rush over as soon as they hear where there is a new treatment, but they can’t adhere to the treatment anywhere, and as a result, they run a lot of places, but the effect is very small. Third: superstition in a certain method. There are three main types of treatment for lumbar disc herniation: conservative treatment, surgical treatment, and interventional treatment. Conservative therapy has traction, massage, orthopedic, acupuncture, drugs, bed rest and gong practice treatment; surgical therapy has small incision discectomy, rigid discectomy, transabdominal access lumbar discectomy, anterior extraperitoneal lumbar discectomy, lumbar discectomy microsurgery, etc.; interventional therapy has HE_NE laser minimally invasive green therapy, percutaneous puncture disc cut suction, fiber endoscopy technology, and Percutaneous laser disc decompression, collagenase lysis, ozone nucleus pulposus ablation, epidural closure, microwave therapy, dehydration therapy, etc. It should be said that each of these methods has its own cure group, but none of them can cure all patients, and even in some patients, certain therapies are contraindicated. Therefore, the specific treatment method suitable for the patient should be chosen correctly according to clinical symptoms, signs and symptoms, disease duration, and imaging examination. One cannot exaggerate or superstitiously believe in a certain therapy one-sidedly, nor can one subjectively resist a certain therapy. Fourth: misconceptions about surgery. Most patients with lumbar disc herniation can be relieved or cured by non-surgical treatment, but it is undeniable that some patients still need surgical treatment. There are two diametrically opposed misconceptions when it comes to this 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, as long as the lumbar disc is herniated, as long as the patient agrees to surgical treatment. This not only adds to the unnecessary economic burden of the patient, but also increases the chances of “lumbar spine surgery failure syndrome” occurrence. In fact, the indications for surgery for lumbar disc herniation are very strict, and surgery is not the first choice for the treatment of lumbar disc herniation, and the latter amplifies the negative effects such as nerve damage brought about by surgery, considering that surgery is resolutely not to be done and a conservative treatment. It should be said that some patients with surgical indications can have their main symptoms relieved after conservative treatment, but there are still some patients with surgical indications that cannot be replaced by conservative therapy and must receive surgical treatment to be cured. Therefore, the issue of surgery and conservative should be treated dialectically, and neither surgery should be done easily, nor conservative.