Recovery from lumbar disc herniation must be inseparable from the body's ability to heal itself. No matter what method is used, the ability to heal itself must play the primary role and is the basis of all recovery methods!

Diagnose if you have a herniated lumbar disc?

Lumbar disc herniation compression of nerves caused by neuralgia has its own characteristics, in the presence of pain, must first differential diagnosis is clear, do not have low back pain symptoms, do CT with a herniated disc to confirm the diagnosis!

1. Look at the pain routes first

• A herniated disc at L4-5, compressing the L5 nerve, can cause pain in the lower back, pain and numbness on the outside of the hip, outside of the thigh, outside of the calf, top of the foot, and near the first and second toes!
  
• L5-s1 disc herniation, compressing the S1 nerve, can cause lower back pain, pain and numbness in the back of the buttocks, back of the thighs, back of the calves, and outside of the little toes!
  

2. Then look at the typical performance

• Low back pain, radiating pain in the buttocks and legs when coughing and sneezing, or when bowel movements occur.
  
• Symptoms may worsen after activity, or after weight bearing on the lower back, and diminish with bed rest!
  
• It may be accompanied by straightening or retroversion of physiologic curvature, compensatory scoliosis, and limited lumbar motion!
• There will be painful spots in the lower back, and pressure will result in radiating pain in the buttocks or legs corresponding to the symptoms!
  

Can sciatica heal itself?

• This is generally speaking, the development of sciatica, most of them are not the first time to develop, previous back pain, may have been self-healing many times, sciatica all on its own, the chances are not very high!
  
• However, as I said, all methods, like manipulation, acupuncture, drugs, even surgery, cannot be separated from the ability to self-heal, and if a person is severely diabetic and their ability to self-heal deteriorates, no method will work well!
  

concluding remarks

If you have sciatica for a period of time, the condition did not improve or further aggravation, or recommend that you go to the hospital or find a doctor you trust to see it, timely treatment will shorten your recovery time, but also is not easy to procrastinate induced by a number of other problems, about the disc during the onset of precautions, you can look at the Q & A that I have written before, I wish you a speedy recovery!

Posture correction / fitness exercise / cervical spondylosis / lumbar disc herniation, if you like to exercise, you must know how to exercise is right, more than ten years of work experience, serious science and technology, full of positive energy, welcome to follow me!

Can a herniated lumbar disk compressing sciatica heal itself?

A herniated disc compresses the nerves causing pain in the lower back and radiating pain in the legs, which are relatively serious symptoms and slow to recover, and the recovery of a herniated disc cannot be achieved without the body's ability to heal itself.

First, an example. My teacher had sprained his lower back while performing a "rotational repositioning" operation on a patient in the outpatient clinic, because the patient was overweight and his assistant was not with him. Because the patient was too heavy and his assistant was not with him, he exerted too much force on his lower back while performing the procedure alone, and because of the damage he had sustained over time, he was found to have herniated a lumbar disc during a checkup.

The teacher, another stubborn person, did not accept my advice to be hospitalized in our department and undergo infusions and physical therapy. I was persuaded for a long time and he asked me to take a month's vacation for him. When he came home he lay flat on a hard board bed, with a mattress on the bed of course. Many of my friends just sleep on a bedpan, which is not right either. During this period, he ate, drank, pooped, and slept on the bed, and was waited on by his wife and son. Since he was over 70 years old, I was worried that his recovery would be too slow. After waiting for a month, he came back to work normally. The back was basically fine and the pain was completely relieved.

For his age, he can be relieved by sleeping on a hard board bed, which also shows that the body's self-healing ability is able to recover from a herniated lumbar disc. However, I don't really recommend this way, after all, we go to work and work, daily life needs, it is not possible to have such a long time for you to lie flat.

Traction therapy, this is actually still possible, many protruding compression symptoms are more serious, through traction can relieve the pain caused by compression, numbness. However, I do not recommend this treatment, can be relieved on the suspension.

Of course, the surgical treatment is not to be chosen as a last resort, the operation is smooth or not, after the operation basically can not be strenuous activities, can not do physical work, and after the operation does not mean that there will be no recurrence.

The best way is suspension treatment, with massage techniques for the relief of low back pain accompanied by radiating pain in the legs are very effective. Generally regular hospitals only, and relatively speaking technology is also the key.

At home, you can perform bridge exercises to increase the strength of the core muscles of the lower back, and relieve compression by returning a portion of the herniated nucleus pulposus through negative pressure.

In daily life, pay attention to your posture, do not bend over to lift heavy objects, do not sit for a long time, and do some aerobic exercise every day. When working, you can get up for forty minutes to move around and relax your body, which is the most effective way, after all, prevention is far greater than treatment.

Acupuncture and massage, intermediate frequency, high frequency, fumigation and other such treatments are also available, overall these conservative treatments have a slower effect, be patient, if there is no progress in 3 months, surgery can be considered.

I'm Dr. Lee from the Rehabilitation Department. Click the upper right corner to follow me, stay away from sub-health and enjoy a healthy life.

Lumbar protrusion is a common disease, usually due to different degrees of degeneration of lumbar intervertebral discs, under the action of external forces, the annulus fibrosus is ruptured, the nucleus pulposus protrudes and prolapses in the posterior or vertebral canal, resulting in compression of adjacent nerves, leading to numbness and pain of the lower limbs of one or both sides of the clinical manifestations.

Lumbar protrusion caused by compression of the nerve, due to the protrusion of different performance is also different, especially lower limb performance, such as: calf lateral discomfort for the lumbar 4, 5 intervertebral disc protrusion caused by the calf right after the discomfort belongs to the lumbar 5 sacral 1 protrusion reasons.

For lumbar protrusion compression of nerves, if the symptoms are mild, with effective treatment can be cured; serious and long history of the disease, it is difficult to completely cure.

Lumbar protrusion compression nerve pain, you need to treat the lumbar protrusion, after the relief of the pain with the disappearance of the pain, but without effective medical treatment, the disease can not be controlled, relief, is not able to self-healing.

Lumbar protrusion treatment

Lumbar protrusion is usually treated conservatively first, such as massage, drugs, acupuncture, physiotherapy, etc..

Minimally invasive, such as laser, collagenase dissolution, etc., in lumbar herniation, lumbar muscle strain and other bone disease treatment, with accurate, safe, simple, fast recovery and other advantages.

Usually for patients doctors will first take conservative treatment, such as the treatment effect is poor, according to the patient's physical condition, there is really a need for surgery, give surgical treatment.

Hi everyone, I'm Dr. Orthopedic Surgeon at the Second Affiliated Hospital of the Southern Medical University.A herniated lumbar disc compressing the sciatic nerve is self-healing!

If you have limited time, read the bolded portion directly! (Dr. Wang, Orthopedic Surgeon)

1. What is a herniated lumbar disc?

Lumbar disc herniation refers to the fact that after the various components of the intervertebral disc (nucleus pulposus, annulus fibrosus, etc.), especially the nucleus pulposus, have undergone different degrees of degenerative disease, the annulus fibrosus of the intervertebral disc ruptures under the action of external factors, and the nucleus pulposus protrudes from the ruptured place (or prolapses) to the posterior (lateral) side or in the vertebral canal, which results in the adjacent tissues, such as the spinal nerve roots and the spinal cord being stimulated or compressed, and produces a series of clinical symptoms such as low back and leg pain and numbness. Numbness and other clinical symptoms.

Simply put (as in the picture above): when the discs between our neighboring lumbar vertebrae have pressure and herniation, they will compress the surrounding nerve roots, and then the symptoms of low back and leg pain will appear.

2、Why do you still have leg pain with a herniated lumbar disc?

As you can see in the picture, leg pain occurs because the nerve root compressed by our disc is connected to the sciatic nerve.

The vast majority of patients are protruding from the lumbar 4-5 and lumbar 5-sacral 1 spaces, presenting with sciatica (that's what we call leg pain thatThe range of leg pain is shown below). Typical sciatica is a radiating pain from the lower back to the buttocks, the back of the thighs, the lateral calves and up to the feet, and is exacerbated by increased abdominal pressure such as sneezing and coughing. The radiating pain tends to be on one side of the limb, with only a very small number of central or paracentral medullary herniations presenting with symptoms in both lower limbs.

3、Herniated discs can be categorized into several types according to the severity of the disease?

As shown below: Herniated discs can be categorized as bulging (bulging),, herniated, prolapsed and free according to the severity of the condition.

The bulging and protruding fibrous rings are not broken, but the prolapsed and free fibrous rings are ruptured and the nucleus pulposus has been extruded.

4. Can a herniated disc heal itself?

Why all the theories? It's because in the end it comes back to explaining whether or not it can heal itself!

We can know the type of herniated disc after an MRI as shown in the MRI image below.

If the fiber ring is not broken, then it is able to heal itself.

in other wordsThe bulging and protruding types are self-healing!

However, if the fibrous ring has been ruptured, it is essentially impossible to heal yourself again, and it is difficult to break the mirror.

In other words.There is no longer any possibility of self-healing in the prolapsed and free form!

5. Does the inability to self-heal mean that it cannot be treated conservatively?

Not really.It can't heal itself it just can't get back on its own to where it was when it wasn't protruding.

But.Through conservative treatment, more than 80-90% of patients can relieve the pain, just may still recur or leave some sequelae.

Summarize: Mild lumbar herniated disc can be self-cured, moderate to severe lumbar herniated disc can not be self-cured but, through some methods can still relieve the symptoms. Only a few extremely severe herniated discs require surgery!

For more on herniated discs, follow @DrOrthopedicKing for answers!

A herniated lumbar disc compressing the sciatic nerve is essentially a diagnosis of lumbar disc herniation. Most people can achieve symptomatic relief or significant reduction in their condition through conservative treatment. The following is an overview of conservative treatment.

basic therapy

From the simplest bed rest, to the use of expensive traction equipment, all of these treatments report cure rates that attract excitement, but unfortunately, the results are mostly unproven by science.

Due to the nature of the natural history of intervertebral disc disease, episodes are characterized by more severe symptoms, which are then relieved with or without treatment, and the condition eventually improves.

The simplest treatment during an acute attack is bed rest, and some studies have reported that two days of bed rest is more effective than prolonged bed rest.

If the symptoms of low back pain improve significantly and the patient feels comfortable without significant pain, the patient should be encouraged to get off the floor and walk, but sitting is not advocated, especially for sitting in a car. Recovery may be quicker with continued general activity as far as pain allows.

correct posture

Training to maintain proper posture and position helps the patient return to his or her usual standard of living after the symptoms of the acute attack have disappeared or resolved.

medication

Medication is varied and outpatients are usually treated with nonsteroidal anti-inflammatory drugs. Hospitalized patients can be treated symptomatically with medications such as mannitol dehydration and neurotrophic. If anxiety and depression are caused by chronic low back pain, appropriate antidepressant medications can be used.

physiotherapy

Physical therapy should be used judiciously, with exercises tailored to the patient's symptoms rather than forcing the patient to perform a series of unchanging activities. Some patients, may be in the stretching exercise when the symptoms are reduced, on the contrary, some patients may be aggravated, bending instead of reducing symptoms, the former conservative treatment is more effective. Therefore, physical therapy rehabilitation exercises are not set in stone, and individualized instructions should be made.

Lumbar traction therapy, transcutaneous electrical nerve stimulation, ultrasound and heat therapy are also useful for low back pain relief.

Yes, sciatica caused by lumbar disc herniation can be self-healing, but the prerequisite is to treat the lumbar disc herniation, lumbar disc herniation, sciatica will naturally disappear.

What is the sciatic nerve?

The sciatic nerve is the thickest nerve in the human body, starting from the lumbosacral region, traveling through the pelvis and exiting through the foramen magnum of the sciatic bone to reach the buttocks, then traveling down the back of the thigh to the foot, managing sensation and movement in the lower extremities, and consisting of the lumbar and sacral nerves.

What are the symptoms of sciatica?

The pain is very pronounced, and this sensation is mainly confined to the sciatic nerve distribution area, the posterior thigh, the posterior lateral calf and the foot, and is significantly aggravated in patients with severe pain by lumbar flexion, bending of the knee, toes to the ground, exertion, and coughing.

Difference between lumbar disc herniation and sciatica

To understand one point, sciatica is a manifestation of the symptoms, and most of these symptoms are caused by lumbar spondylolisthesis, and the complication site is mostly the 4th-5th disc or 5th lumbar vertebrae - sacral herniated discs, which is just like the cold will cough, the cold is cured, the cough, runny nose and other symptoms will slowly disappear, it is a reason.

So how do you prevent sciatica?

(1) long-term sitting friends at work, we have to pay attention to your sitting posture, we have to ensure that when we sit down, bend the hip and knee at about 90 degrees, and generally in the work of 45-60 minutes or so need to get up and move around.

(2) computer people can put a small pillow in the chair lumbar part, so that it is slightly against the waist, which can be very good to maintain the natural curve of the waist, so that the lumbar muscle is fully relaxed, sedentary also want to get up and move around, and change the posture, do not keep a posture for a long time, which will lead to muscle fatigue.

What can I do to relieve the symptoms of sciatica?

soar on one's heels

Lay flat and raise your legs

hot compress

Video Sharing

{!-- PGC_VIDEO:{'thumb_fingerprint': 13973366396935342665, 'status': 0, 'thumb_height': 360, 'thumb_url': '170530013fb86d550007b', 'thumb_neardup_id': 7201667504473377999, 'neardup_id': 5682677737019451551, 'vid': 'v03004990000bhht4bpu9o8hfvkqv7b0', 'user_id': 104980905479, 'src_thumb_uri': '170530013fb86d550007b', 'sp': 'toutiao', 'vposter': 'http://p1.toutiaoimg.com/origin/170530013fb86d550007b', 'thumb_width': 640, 'item_id': 6657398227194610179, 'vu': 'v03004990000bhht4bpu9o8hfvkqv7b0', 'duration': 50, 'media_id': 1613389893315591, 'group_id': 6657398227194610179, 'hash_id': 18058435680662935946, 'vname': 'u89c6u9891u7247u5934.mp4', 'md5': '', 'video_size': {'high': {'duration': 50.16, 'h': 480, 'subjective_score': 0, 'w': 854, 'file_size': 1834037}, 'ultra': {'duration': 50.16, 'h': 720, 'subjective_score': 0, 'w': 1280, 'file_size': 3398951}, '1080p': {'duration': 50.16, 'h': 1080, 'subjective_score': 0, 'w': 1920, 'file_size': 6258202}, 'normal': {'duration': 50.16, 'h': 360, 'subjective_score': 0, 'w': 640, 'file_size': 1343461}}} --}

summarize

Sciatica is a very common phenomenon, in the treatment of sciatica do not sword to try to do surgery, as long as the lumbar spine disease is not good, then the sciatic nerve will not be good, so here I hope that there is a lumbar spine disease sciatica friends first find a way to treat the lumbar spine disease, sciatica will disappear. I am orthopedic surgeon Qian Hong, I believe that can help you, there are any questions you can give me a private message will leave a message, I'm glad to be able to help you!

就Dr. Liu talks about bones and tendons 🌅 Can lumbar disc herniation heal itself 🌅

Every patient suffering from lumbar disc herniation longs for the disease to heal itself without any treatment. Especially, they are afraid of surgery and causing paralysis. Can a herniated lumbar disc compress the sciatic nerve and heal itself? This has to be fully understood in terms of understanding the causes of lumbar disc herniation and the aims of treatment. The following will give you my understanding of this.

herniated lumbar disk

Lumbar disc herniation refers to a disease in which the lumbar disc undergoes degenerative changes, the annulus fibrosus ruptures under the action of external forces, and the nucleus pulposus and endplate cartilage protrude backward, irritating or compressing the sinus nerve, nerve root and cauda equina, so that low back and leg pain is caused as the main symptom. It is the main cause of low back pain. The location of the disease is mainly in lumbar 4/5 and lumbar 5 sacral 1.

Its causes are:1. Degeneration of the intervertebral discs is the basic factor.2. Injuries, including violent injuries and long-term strains.3. Genetic factors.4. Pregnancy, Obstetrics has a lot of patients who ask us to consult because of low back pain.

The main symptoms of lumbar disc herniation

The prominence is categorized into three types:1. bulging, 2. protruding, and 3. freeing.

The main symptoms of lumbar disc herniation:1.Lumbar pain.2.Radiating pain or numbness in the lower limbs.3.Cauda equina symptoms, urinary and defecation disorders.4.Weakness of the lower limbs or even broken rows.

Treatment of lumbar disc herniation

First, non-surgical treatment. 80% of patients with lumbar disc herniation can be relieved or cured by non-surgical treatment. Its purpose is to make the inflammatory edema of the herniated portion of the disc and the irritated nerve root subside, thus reducing and relieving the irritation and compression of the nerve root.

1. absolute bed rest. 2. traction therapy. 3. physiotherapy, tuina, massage. 4. medication such as dehydrating drugs, hormones, etc.

Second, surgical treatment. After non-surgical treatment is ineffective or the patient's condition is serious, surgical treatment is feasible. The indications for surgery are described in detail in my previous article.

Daily protection and exercise for lumbar disc herniation

Preventive work should be done in normal times:1. Maintain correct posture.2. Move your back regularly at work.3. Treat your back pain in time to prevent the condition from developing.4. Reduce your weight and combine work and rest.5. Choose the right bed.6. Pay attention to changes in the weather and humidity.

Pay attention to the lumbar muscles as they not only stabilize the spine but also protect it. Exercise methods are:1. Arching waist exercise. Such as small swallow fly, five-point style practice, etc. 2. swimming. 3. backward walk. 4. crawling. 5. usually the waist can bend, straighten the waist and rotary activities.

Personally, I think it's extremely unlikely that the disc will reset after a lumbar disc herniation. What is the reason that people feel a reduction in symptoms over time. Let's say there are many people smoking in the room, when you first enter the room you can't stand it, but after you stay for a while you get used to it. The purpose of our treatment is to reduce the symptoms or make them disappear, it is impossible to reset the interstitial disk. That's why it's important for us to take precautions in our daily life and strengthen the muscles of the lower back. It is better not to have surgery, but when the symptoms are serious you still need to consider surgical treatment. I hope these can bring you help.

You can follow me or comment below to learn more about medicine.

Follow 🌅Dr. Liu on Bones and Tendons🌅Enjoy a Healthy Life!

It's okay. My father had a herniated disc in '05 out of state that pressed on a nerve and paralyzed his lower body. He was paralyzed for more than half a year. At that time, he was examined in Fuzhou Hospital in Fujian Province and was told to have an operation. The cost of the surgery was about 60,000 dollars. My parents, after all, a part-time worker at that time the salary is not high at all what to spend money to do surgery. I have been delayed for half a year and have been paralyzed for half a year.

Then I heard from my family. Shanhaiguan has a Chinese medicine clinic specializing in this disease many people are good. Decided to return home to the northeast to go to Shanhaiguan to see a doctor.

From Fuzhou by bus back to the northeast there are some we worked together. My father couldn't move without help. He had to be carried on a stretcher. That's how he went back to the Northeast.

After arriving home to rest one night and find a car to go to the Shanhaiguan 。。。。。。。。。 I'm not sure if you're going to be able to get the best out of the program, but I'm sure you're going to be able to get the best out of the program. After a month of eating can walk on the ground 2 months basically good. 3 can work, not physical work. To this day, my father can not do manual labor. In any case, the disease is well.

Lumbar disc herniation is a series of clinical manifestations caused by degenerative changes and protrusion of lumbar discs, which irritate the nerve roots and sinusoidal nerves. Lumbar spine X-ray, CT, magnetic resonance, electrophysiologic examination can assist in the diagnosis. The incidence of lumbar 4-5 and lumbar 5-sacral 1 is the highest. The main manifestations are lumbar pain, radiating pain in the lower limbs, numbness and coldness in the limbs, low skin temperature of the affected limbs, muscle paralysis, intermittent claudication and cauda equina symptoms such as dysuria, perineal and perianal sensory abnormalities.

Most patients with lumbar disc herniation can be relieved or cured by non-surgical treatment. It is mainly applicable to those who have mild symptoms that can be relieved on their own after rest; those who are young, have their first attack or have a short course of the disease; and those who do not have obvious spinal stenosis in the imaging examination. Patients should do absolute bed rest for 3 weeks, then wear a waist corset to protect get up and move around, do not do bending and holding action in 3 months, strengthen the lumbar back muscle exercise after symptomatic relief, to reduce the chance of recurrence. It can be combined with: pelvic traction therapy (under the guidance of a professional doctor); physiotherapy, massage, massage (not violent massage, massage); corticosteroid epidural injection; nucleus pulposus chemical dissolution method; the use of chondroitin sulphate and glucosamine sulphate supportive therapy, and so on.

Those who have the first attack but with severe disease; those who have the disease duration of more than 3 months, with ineffective or recurrent conservative treatment; those who are combined with spinal stenosis and or cauda equina compression; and those who have single nerve root paralysis, accompanied by muscular atrophy and loss of muscle strength. The patients need to be treated by nucleus pulposus laser vaporization, percutaneous nucleus pulposus excision and aspiration, or surgical operation. Today's headline - Dr. Zhang, Department of General Internal Medicine

How to prevent? Usually have a good standing and sitting posture; the bed should not be too soft or too hard (when lying down, between the waist and the bed just put in their palms); to prevent overwork and the lower back and legs from getting cold; try not to bend over when lifting heavy objects; strengthen the lumbar and back muscles training (amplitude should not be too large), increase the intrinsic stability of the spine.

A herniated lumbar disc compressing the sciatic nerve can only hope to heal itself if it's mild, but self-healing here doesn't mean that it will get better on its own.

What I recommend today is to sleep on a hardboard bed, the bed is not the harder the better. The human spine has four physiological curves in the sagittal position, namely, the cervical and lumbar curves that protrude forward, and the thoracic and sacral curves that protrude backward. From the side like a capital letter "S". Too hard bed, can not meet the human lumbar spine "S" shape curve needs. Can not provide uniform and effective support for the human waist. The weight of the human body will be concentrated on a few parts of the body protruding. Long-term pressure, will make the human body is very uncomfortable. Then affect the sleep, is not good for health. Because the lumbar region is not evenly and effectively supported, the normal physiological curvature of the lumbar region cannot be maintained. Over time, the paravertebral muscle ligaments will be in a state of tension for a long time, which makes it easy for lumbar muscle strain, lumbar disc herniation and other lumbar diseases to occur.

So, the softer the bed, the better?

My answer is also "no". Too soft bed, will make the human body "deep in it". Because the force is not uniform, is not adapted to the human body lumbar spine normal physiological arc needs. A long time, the same will change the normal "S" arc of the human spine. Will bring serious impact to the muscles and spine, resulting in a variety of damage. Impact on human health. The ideal hardness of the bed should be able to make all parts of the body to get uniform and effective support to maintain the normal physiological arc of the spine as the best.

It should not be too hard, let alone too soft, but soft and hard. I recommend a method that we are looking at the bed to see if the hardness is appropriate. May as well we ourselves lie flat on the bed, and then see whether between your waist and the bed just can put in your palm. If it is easy to put in, it means the bed is hard. If you can't put it in, it means the bed is soft.