How can I relieve the pain associated with a herniated disc in my lumbar spine?
How can I relieve the pain associated with a herniated disc in my lumbar spine?
I after 50, lumbar protrusion for many years, before resting for a few days, post a few pain cream that is healed. 16 years in the fall of the attack, gradually aggravated, to November, the left lower limb from the buttocks to the toes radiating pain, numbness, distension, feet can not touch the ground. He went to the county hospital to do nuclear magnetic, showing L3, 4 bulging, L4, 5, L5S1 protrusion, spinal stenosis, protruding calcification. The doctor suggested 1, surgical treatment, 2, conservative treatment. Because the pain was unbearable and worse than death, and the pain was worse at night, she was ready for surgery. However, my family, relatives and friends took turns to work with me to prevent the surgery and do conservative treatment. So hospitalized, from December to February of the following year, experienced acupuncture, massage, bone setting, traction, fire therapy, salt therapy, knife, frequency ...... Chinese medicine inside and outside the post, during the search for nearby famous doctors, the use of all the local treatments, a total of more than 20,000 yuan to the Lunar New Year 28, the pain improved and was discharged from the hospital. After the Spring Festival, with the warming of the weather, the pain gradually reduced, to achieve clinical recovery.
In October '17, the pain recurred again from weight bearing and exertion, got better in bed, pain at work, on and off. By Jan Aug 18, the condition reached inches and a complete trip down. This time did not do any active treatment, read the post of lumbar protrusion bar 009, very inspired. Decided to try his method. From January to February, absolute bed rest, in addition to the big solution, all activities are in bed, the pain is very much take a painkiller, difficult to sleep take a Valium. After January, the pain gradually reduced, in bed morning and evening to do light exercise, mainly to hold up the stomach, to strengthen the lumbar muscle calisthenics.
Two months later, I could get out of bed and move around, and I could basically take care of myself. Gradually increase the calisthenics, from the training bar Dafei's rehabilitation exercise selected a few suitable for their own adherence to do. I chose deep squatting, waist jerking, leg press, hanging bar, etc.. To the beginning of May, in addition to the waist due to, buttocks occasional soreness, basically cured. May 10, home opened a plaster store, free trial post, test post two, the remaining symptoms reduce, disappear. Surprised, bought two boxes, post did not recur.
At present, in addition to the numbness of the left foot little toe, the rest of the evidence are removed. Can work continuously for eight hours without discomfort, sitting, walking, running, jumping, driving, cycling are no defense, is not dare to bear weight again.
Summarize: 1, do not operate, no matter what surgery, can not be cured, and the recurrence rate is very high, aftereffects of a lot of. 2, acute edema period absolute bed rest, pain very much take a painkiller, boredom on the phone to the Internet, read the headlines. 3, after the acute edema period, do appropriate, suitable exercise calcination to restore physical strength, strengthen the lumbar, abdominal, back muscles, stretch tendons, nerves. Baidu bar has five or six about the lumbar protrusion of the bar it. 3, the acute period over the appropriate, suitable for the movement of calcination, recovery of physical strength, strengthen the waist, abdomen, back muscles, stretching tendons, nerves. 4, clinical cure maintenance protection, to prevent the recurrence of the off construction. Be sure not to bear weight, do not bend violently, do not use violent action. 5, do not make the so-called treatment, the recipe recipe experts are cheating, do not spend money. I post that cream for me does have a role, but my wife's frozen shoulder is invalid.
I hope my post was helpful to the mutts
The exact name, it should be lumbar disc herniation, how to relieve pain, because many people have a lumbar disc herniation is not painful, and after recovery, do CT or nuclear magnetic can still find lumbar disc herniation, this is a very characteristic disease, lumbar disc herniation ≠ disease!
1. Timely rest
I really want to put this a few words, see everyone repeat, clinically encountered too many lumbar disc herniation patients who have not been cured for a long time, are because in the pain occurs, due to the lack of understanding, or did not pay attention to the persistence of the pain tolerance work, some people take painkillers to endure the pain of work, and ultimately become difficult to recover!
2. Don't refuse to see a doctor
I am also a person who does not like to go to the doctor, when the pain occurs, many prefer to wait a little bit, which is fine, if our body's ability to heal itself can solve the problem, do not need to go to the doctor's, but more than 1 week or even a month, the pain is still there, or continues to worsen, you should go to the doctor's office.
3. Don't take medicines blindly
A pain like to take medicine, think take medicine does not delay anything, the effect is also fast, but I want to tell you is, for lumbar disc herniation, acute phase some people take drug program can, but chronic lumbar disc herniation, the recovery rate is very low, is not no recovery, any method of recovery, is the self-healing ability of the main or is really a method of the role of the worthy of exploration!
Choice of consultation
I do manipulation rehabilitation, column video also talked about, how to solve through manipulation to lumbar disc herniation caused by pain, and even chronic pain easily accompanied by lumbar and hip strain, lumbar spine small joint disorders to be synchronized to lift off, but the method is just a tool, their own around to see a few more doctors to look for a feeling that can be trusted to actively cooperate with the pain is not the purpose of the rehabilitation after the recovery of the stability! Life is the most important thing!
For the pain associated with a herniated lumbar disc, Dr. Kong recommends the following 6 exercises to relieve your pain.But only if you need to be clear about a problem when you develop low back pain.
Pain from a herniated lumbar disc is often an illusion
In real life, most people will suspect a herniated lumbar disc once they have back pain, and will even go to the hospital to take an MRI or CT, and the report will show that there is a bulging or herniated lumbar disc, and so they think that their low back pain problems are caused by the discs, but in fact, most of them are jumping into a trap.

The catch to this is that the low back pain is not related to the interstitial disk shown on the MRI.
So, for low back pain, if you suspect a disc problem, it is important to have a medical professional determine if it is a disc problem by a combination of a freehand examination, your imaging films and your medical history?
It is not a matter of relying on a film to see that there is a herniated or bulging disc and assume that it triggered it. It is very important that you do not blindly assume that your problem is the disc that is producing it, or else you will be made to take some wrong exercises that will lead to worsening of the pain.

This is like when you have a stomach ache, you have to clarify the cause of the disease before you can treat the symptoms; it may be appendicitis, may be gastroenteritis, etc., which we all know, you can not take painkillers indiscriminately.
If you are diagnosed with low back pain, caused by a herniated disc, here are some things you need to know
If the back pain is truly caused by a herniated disc, it is important toPay attention to your posture and behavior,Do not allow the lumbar spine to bend too far forward.For example, standing positions, bending toward the ground to pick up objects, and bending over to do work can all add to the front-to-back stress on the disc and trigger pain.

After restraining the above behaviors, it is very crucial to take proper rest, especially in the acute phase. Even in the case of lying down, you can experience back pain, you can choose toLying flat in a bent hip and knee position is a good way to relieve pain。
After the acute phase, it is very necessary to strengthen their own exercise, not to lie down all the time, otherwise it will trigger the weakness and atrophy of the muscles of the lumbar back, which will reduce the stability of the structures around the lumbar spine.
So, to relieve back pain during this time period, Dr. KongThe following 6 workouts are recommendedFor your information:
1. Hanging bar

Choose a structure similar to a bar, let your body hang on it safely, hold it for 30 seconds - 1 minute and then relax and rest, just repeat 5-10 times a day; the purpose is to reduce the pressure on the intervertebral discs.
2. Body tilt back

Lie on the mat or bed, do the limbs of the lift away, keep 10-20 seconds to relax and rest, repeat 20 times a day can be; but please note thatLift off properlyThat's it.Not too highOtherwise, it will aggravate the intervertebral joint stresses and lead to back discomfort.
3. Two-point kneeling

Support your limbs on the mat and keepSmooth low backThe first step is to put one side of the hand in front of the flat, the opposite side of the lower limbs gently backward, maintain 20-30 seconds, inhale to relax the elevated limbs restored to rest, followed by alternately do the other side to repeat the same action, to complete the two sides of a group, every day you can carry out 10-20 groups.
4. Nerve Stretching

Lying flat, the pain side of the leg crossed on the good side of the thigh, hands holding the good side of the leg to do the movement toward the abdomen, according to their own pain side of the leg and hip soreness and decide to stretch the range of their own can tolerate the soreness is appropriate, hold 20-30 seconds and then relax and rest, can be repeated 10-20 times a day.
5. Arched back

Four-point support, from the head - thoracic spine - lumbar spine section by section movement upward arch to reach the highest limit, stop to hold 5-10 seconds, and then from the lumbar spine - thoracic spine - head section by section to lower for a group, can be repeated every day 10-20 groups; the purpose is to re-gain intervertebral flexibility.
6. Low back muscle exercise

Find a yoga ball placed between their back and the wall against, inhale when they do squat to the thighs and the ground was 90 °, breathing, hip tightening force to the ball to the wall above the push for a group, you can carry out 10-20 groups per day; to do sub-training, according to their own situation, first from the double-footed support and then gradually transitioned to the single-legged support, squatting, the knee but not the toes, should not be within the knee, the external buckle.
summarize
Back pain, easily misdiagnosed as lumbar protrusion, needs to be treated with caution by all!If it's really caused by the disc.Apart from exercise, the main thing is the management of one's own behavioral habits, otherwise it will happen again and again.

Hopefully, this will help you in some way!
I'm Dr. Kong who takes you to learn about health science, it's not easy to code, if you agree with me, please help to click a like or click a concern; sharing is a virtue, the gift of roses, hand to leave a fragrance! Thank you for forwarding!

Hello, I'm glad to answer your question, there are more and more patients with lumbar disc herniation, and the symptoms are more or less the same, and although there are numerous ways to treat it, none of them is easy to cure.
Lumbar disc herniation, divided into acute and chronic two kinds, generally acute lumbar disc herniation, mostly for the sudden increase in pain, accompanied by severe pain or numbness of the lower limbs treatment, mainly to eliminate the acute edema as the main, in this stage can be hot compresses physiotherapy, traditional Chinese medicine fumigation, moxibustion, acupuncture and other methods of conditioning.
In my clinical practice, I mainly use small needle knife and Chinese herbal moxibustion, two-way management of acute stage of lumbar disc herniation, usually about a week can significantly reduce the pain, about three weeks basically can be cured.
If it is a chronic lumbar disc herniation, a lot of them are recurrent, or the acute stage is not completely cured, and finally enter the chronic stage. Generally accompanied by lumbar pain, soreness and numbness of the lower limbs, treatment like the acute stage is a bit of a problem, usually through massage massage, acupuncture, plasters and hot compresses, traditional Chinese medicine for treatment.
I clinically use small knife treatment is more, the effect is also the fastest, if with magnetic therapy dredging, moxibustion conditioning effect will be better, a lot of acute lumbar disc herniation, there are two or three decades of chronic lumbar disc herniation, the patient after the systematic treatment are able to get very good results.
Because I don't know what specific symptoms you are having, or how severe they are? I can only make a little suggestion to you, if there is anything you need help with, you can message me and I will get back to you promptly.
Don't worry too much about it.Because most people with lumbar protrusion can improve their symptomatic relief through exercise rehabilitation。
Exercise rehabilitation can stabilize the lumbar spine by strengthening the deep muscles of the lower back, reducing pressure on the nerves and soothing symptoms.
Also, it has been proven in international studies that lumbar protrusions can be retracted.
In April of '16 The New England Journal of Medicine, a leading foreign journal, published a case in which a herniated lumbar disc could be retracted without surgery.
[Original link: http://www.nejm.org/doi/full/10.1056/NEJMicm1511194]
What should I do to improve my herniated disc symptoms by exercising?
Generally speaking, sports can be divided into two categories.
One category is deep muscle strengthening exercises
By strengthening the deep muscles around the discs, the pressure on the discs is reduced, which in turn reduces nerve irritation and relieves symptoms. Such as:Scissor Legs 1st Step
The gist:
Lie on your back with knees bent and legs hip-width apart
Arms at the sides of the body, palms down
Lift your right leg and bend your knee at 90 degrees
Slowly lower your right leg and return to the original position
Repeat with the left leg
Note: If pain levels are high, take short breaks between movements
The second category is stretching exercises
Includes exercises for nerve stretching as well as muscle stretching.
1) If the lumbar bulge is causing sciatica, then nerve-based stretching exercises can relieve some of the numbness and pain in the lower extremities by reducing the sensitivity of the nerves.
(2) If the lumbar protrusion is accompanied by lumbar muscle tension, stiffness and pain, then muscle stretching exercises can help to relieve muscle tension and stiffness, and can also help to increase lumbar mobility and reduce the occurrence of restricted activities.
Neurological Stretching Exercises - Flexor Neurological Stretching Exercises
Begin by sitting upright in a chair with your hands behind your back.
Bend forward as low as you can and straighten the leg that has symptoms.
Keep your thighs and calves straight and still. Swing your ankles up and down using your ankles as a pivot point. Repeat 10 times.
Return to the starting position. This maneuver only needs to be done on the symptomatic lower extremity.
Caution:
If symptoms of tingling and sharp pain appear it means that you need to reduce the difficulty of this movement.
For example, reduce the swing of the ankle. If this is still symptomatic, raise your head while lifting your foot, which stretches the end of the nerve while relaxing the head of the nerve. And don't do more than 10 stretches at a time.
Muscle Stretching Exercises - Supine Abdominal Flexors
The gist:
Lie on your back on the mat with your legs and feet together
Bend your knees, put your hands on your knees and just stretch your back
Hold for 10 seconds at a time.
Note: If pain levels are high, rest between movements. Or change from holding both legs to holding one side of the leg.
For more on lumbar protrusion rehabilitation, follow my personal headline.
More and more people are suffering from lumbar disc herniation, most of them are not because of heredity or trauma, but because of irregular sitting and standing posture. For students who need to sit for a long time to study or office workers who work at the desk, it is impossible to maintain a correct sitting posture every moment, and these people will easily develop a bad sitting posture. They need to sit for a long time, and if they keep a posture for a long time, it is also very easy to suffer from lumbar disc herniation. So, what should you do if you suffer from lumbar disc herniation one?
1. Conservative treatment
Conservative treatment is for patients with milder forms of the disease. Generally conservative treatment takes a longer period of time and is more tedious. For older patients, this method is well suited. Conservative treatment focuses on adjusting the body as a whole, thus strengthening the stability of the lower back.
2. Minimally invasive treatment
Minimally invasive treatments are great for workers who are usually busy. This is because the treatment does not need to be very long, just a few days. Moreover, this treatment does not cause pain and the results are obvious. After the lumbar disc herniation is cured, there is a possibility of recurrence. But with minimally invasive treatment for recurrence, the possibility of recurrence is much lower.
3. Surgical treatment
Surgery is for more severe cases. Generally, if conservative treatment is effective, surgery should not be performed. Surgery is risky and has a higher likelihood of recurrence and more complications. Therefore, this treatment is not the best choice. Performing surgical treatment can easily destroy the vertebrae because of the large trauma area and the slow recovery of the nervous system. Patients need to think about it carefully.
In addition to timely treatment, patients also need to pay attention to some bad habits in life. Often it is because of these bad habits that lead to the occurrence of the disease or make the condition worse. For patients with lumbar disc herniation, the sleeping mattress should not be too soft, the best soft and hard moderate. Furthermore, patients should protect their lumbar spine, keep warm is very important, remember not to get cold, to prevent the condition from worsening. Usually pay attention to rest, for the need for lumbar force movement, try not to do. Patients should supplement calcium, can drink more milk, pay attention to a balanced diet.
To summarize, suffering from a herniated lumbar disc requires treatment. The treatments are conservative, minimally invasive and surgical. For patients with different conditions, the treatment methods used may be different. Each of these three methods has its own advantages and disadvantages. Patients should be careful when choosing them.
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First of all, thank you for your question. First we need to clarify what a lumbar disc herniation is. Lumbar disc herniation is one of the more common diseases, mainly because of the lumbar intervertebral disc parts (nucleus pulposus, annulus fibrosus and cartilage plate), especially the nucleus pulposus, there are different degrees of degenerative changes, in the role of external factors, the intervertebral disc's annulus fibrosus rupture, the nucleus pulposus tissue protrudes from the rupture place (or out) in the posterior or vertebral canal, leading to the adjacent spinal nerve roots suffered from irritation or compression, thus generating pain in the lower back, one side of the lower limbs or both limbs numbness, pain and a series of clinical symptoms. As a result, a series of clinical symptoms such as lumbar pain, numbness and pain in one or both lower limbs are produced. Lumbar disc herniation has the highest incidence of lumbar 4-5 and lumbar 5-sacral 1, accounting for about 95%. What are the more common clinical symptoms of lumbar disc herniation again? They are mainly categorized as follows:
1, Back pain
Lower back pain is the first symptom that appears in most patients, with an incidence of about 91%. As the outer layer of the fibrous ring and the posterior longitudinal ligament are stimulated by the nucleus pulposus, it produces sensory pain in the lower lumbar region via the sinusoidal nerve, and sometimes it can be accompanied by radiating pain such as buttock pain.
2、Radiating pain in the lower limbs
The main manifestation is sciatica. 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, and only rarely does a central or paracentral herniated nucleus pulposus present with symptoms in both lower limbs.
3. Cauda equina symptoms
It is mainly seen in people with posterior central and paracentral types of myelomeningocele, and is therefore rare clinically. Its main manifestations are perineal numbness and tingling, defecation and urination disorders, impotence (in men), and sciatic nerve involvement in both lower limbs. In severe cases, symptoms such as loss of bowel control and incomplete paralysis of both lower limbs may occur.
There are also symptoms such as numbness in the limbs, coldness in the limbs, and muscle paralysis that may be clinical symptoms of a herniated lumbar disc.
I hope the above answer can help you.
The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.
This is the most common question asked by patients with lumbar bulges, and can even be considered the opening question between a friend with a herniated disc and their doctor.
Asking such questions reflects the fact that people are internally very concerned about how to cure protrusion, what methods can be used to cure protrusion, what medications should be taken, what exercises need to be done, and so on.
Actually, these are not the main ones!
There's one thing more important than treatment when you have a herniated lumbar disc: a deep analysis of what caused you to develop a lumbar bulge!
Matching: lumbar spine morphology
Profoundly analyze what are the causes of your lumbar protrusion!
Why did Fang make this point?
There is no sin in the world without a reason, why the lumbar protrusion to find you, this thing needs to think deeply about yourself, now the lumbar protrusion caused by the "sin", must be from their own reasons.
Many friends, have started treatment, but still maintain the previous "bad habits", resulting in poor treatment results, on the one hand, complained that the disease is not good; on the other hand, complained that the level of medical practitioners can not.
In fact, the real root cause comes from yourself!
The first thing you should do when you have a herniated lumbar disc is to correct your "bad habits" and say goodbye to them, so that you can be sure of the effectiveness of your treatment in the future. If you continue to damage your lumbar spine while undergoing treatment, can you be cured?
These "vices" are common: indulgence, late at night, alcoholism, irritability, sedentary standing, improper exercise, bad posture, improper exertion, improper occupation, wet and heavy environment, excessive stooping, heavy lifting, carbonated beverages, soft beds, bad sleeping posture, long-term cold and spicy diet, and so on.
If you choose conservative treatment, take a "holistic view."
Much of our choice of conservative treatment is really about learning how to nourish the body ourselves, and nourishing the body is not just about treating the disease, it's about looking at the body as a whole and positively affecting each other. If you just think about how to fix the diseased area, this creates an incomplete treatment.
Friends with lumbar herniated discs who talk together will notice one thing: although they all have herniated discs, they all seem to be a lot different.
For example:
1. Some friends have a harder time sitting down than standing up;
2. Some friends have more obvious symptoms in the morning;
3. Some friends can't walk long distances;
4. Some friends are afraid of rainy days and cooling weather;
5. Some of our friends have pain in an irregular location;
6. Some of my friends always have a stiff back and can't bend over;
It all has a lot to do with the patient's own constitution!
Remember, conservative treatment is not the same as physical therapy, acupuncture, grilling, cupping, or traction. It is often said that lumbar disc herniation is too difficult to treat, and many methods tried do not work, this is the treatment of the overall view of the problem.
Why?
Need to clear your body
The above Xiaofang listed some pain manifestations, and these pains, is the current Western medical testing equipment can not be viewed, and the doctor will often attribute them to the same "disease", or directly tell you that this is a nerve irritation or compression, and will not tell you the relationship between these symptoms and the body.
The current symptoms are caused by a combination of physical sub-health and "bad habits". If we only rely on the "treatment", but not the physical conditioning, it is very difficult to have a satisfactory therapeutic effect.
Don't Ignore Complications
80% of our friends with lumbar herniation are accompanied by complications: straightening of the lumbar curvature, spinal stenosis, osteophytes, and so on. But when people describe their condition, they attribute these to one problem: lumbar disc herniation.
It seems that one herniated lumbar disc represents all the problems, and there are few people who have this view.
Any one of these complications taken out is a separate condition ah! They are also causative of each other and the lumbar protrusion, so how can they be cured if they are not treated for the complications and only work on the lumbar protrusion?
Matching: Spinal curvature
Mindset, perseverance, confidence, are you ready?
When people talk about lumbar disc herniation these days, they are talking about: treatments, conditions, lifestyle habits, successes, etc.
In fact, there is a very important factor that is easily overlooked: the patient's state of mind.
Suffice it to say that the psychological burden that lumbar synostosis brings to people is no less, if not more, serious than the disease itself!
Physical ailments, discomfort can still be said, but there is no way to tell the pain inside. It is not an exaggeration to say that people who have herniated lumbar discs for more than 3 months will be psychologically affected. On the outside, you can eat, sleep, and talk without delay, but you just can't work properly, and it's hard for people who haven't experienced lumbar herniation to realize the psychological pain.
In fact, there are more serious diseases than lumbar protrusion, lumbar protrusion, in the end, is a surgical solution to the disease, but there are many diseases that surgery can not end ah!
Therefore, we need not say that this disease is difficult to cure and is an immortal cancer!
Defeating lumbar protrusion can't be done without strong confidence; if you take one step back mentally, it will take one step forward; if you create fear mentally, it will intensify its bullying of you!
However, if you always hold a mindset of not giving in to it, you will find that your self-healing power will also be a little bit of recovery. Usually, more close to nature, more optimistic, objective view of the world on the bumps and bruises, not in the body to accumulate negative emotions, can do so, your disease at least half good!
Lumbar disc herniation, how to eliminate the symptoms by yourself?
Exercise Rehabilitation, a more specific treatment, is different from other methods in that it stays with us all the way through the acute phase.
Exercise rehabilitation, not only a treatment method, but also an attitude towards life, your efforts are directly proportional to the gains! Today, Fang will share with you 3 movements to help you awaken the self-healing power of the lower back.
I. Single-leg front press
Action Breakdown:
1. Find an object that can support your body (stair railing, window sill, etc.);
2. Bring the front part of the foot of the affected limb up and straighten the leg;
3. Lean forward and press down on the affected limb; let the affected limb feel the pulling sensation;
4. Once adhere to 3 minutes, each day did not can do several times.
This movement helps us to perform leg stretching, which can eliminate pain and numbness in the lower limbs and activate the blood and qi in the legs.
Match: single leg front press
II. Up and down swinging legs
Action Breakdown:
1. Take a seated position with both arms behind you for balance;
2. Straighten your legs, then take turns lifting and lowering them to create a vibration between your legs and the ground;
3. A set of no less than 5 minutes.
This action can help us comb the foot solar bladder meridian, bladder meridian is the main method of eliminating "lumbar paralysis" in traditional Chinese medicine, general lumbar disc herniation friends, can comb the bladder meridian method, to eliminate the symptoms of the lower limbs.
Matching: upper and lower hem legs
III: Lunge Traction
Action Breakdown:
1. Find an object that you can hold in your hand (stair rails are more appropriate);
2. Let the lower limbs separate back and forth;
3. Forward body force, let the legs into a bow step, this time to let the waist feel a "push"
This action can help us to eliminate the pressure on the waist for a long time, for the lumbar spine sequence, lumbar spine curvature are very good help; in addition, through the action on the lower limbs, can help the symptoms of the legs to relieve pain and numbness.
Matching: Lunge Traction
Lumbar disc herniation is one of the most common causes of low back and leg pain, which usually starts with lumbosacral pain, followed by hip pain and radiating pain in the lower extremities. The treatment of lumbar disc herniation requires the choice of conservative or surgical treatment depending on the time of onset, severity of the condition, and treatment history.
Conservative treatment is usually chosen first, and nearly 90% of patients can have significant symptomatic relief after regular conservative treatment. When there is no significant improvement with conservative treatment or when combined with obvious nerve involvement, surgical treatment should be considered.
Conservative treatment of lumbar disc herniation
Indications for conservative treatment
(1) those who have the first attack or the short duration of the disease; (2) those whose pain can be relieved after resting; (3) those who have the underlying disease that can't tolerate the surgery for the time being; (4) those who have contraindications to the surgery, such as localized skin disorders.
Conservative approach to treatment
1. bed rest Acute rest in a hard bed, usually about two weeks. Bed rest can relax the low back muscles, reduce the internal pressure of the intervertebral discs, and maintain the stability of the spine.
2. Traction therapy Pelvic traction is most commonly used, according to the traction time divided into continuous traction, intermittent traction; according to the traction angle divided into anterior flexion traction, dorsal extension traction, three-dimensional traction and so on.
3. Tui Na Acupuncture Tui Na Acupuncture can activate blood circulation, reduce swelling and pain, relieve muscle spasm, and relieve nerve compression.
Surgical treatment of lumbar disc herniation
Indications for surgical treatment
① those who are ineffective after regular conservative treatment for more than half a year; ② those whose symptoms gradually aggravate, affecting their life and workers; ③ those who develop cauda equina syndrome (mainly manifested as urinary and defecation disorders, abnormal sensation in perineal area, etc.).
Methods of surgical treatment
There are 3 types of surgical procedures including intervertebral open nucleus pulposus removal (minimally invasive), hemilaminectomy nucleus pulposus removal (semi-minimally invasive), and total laminectomy nucleus pulposus removal (traditional open). The choice of surgery is generally based on the degree of disc degeneration and herniation: - Patients with less degeneration and herniation are better suited for minimally invasive, while patients with more severe degeneration and herniation may need to go through traditional open surgery to solve the problem.
General lumbar disc herniation, if there is no obvious compression of the nerve, you can not use surgery, the human body has a self-repair function, the disc herniation has a 50% chance of retraction, with traction, physical therapy, about half a year can be cured, but if the compression of the nerve symptoms are obvious, the nerve is very fragile, prolonged compression can be denatured, so as not to recover to leave the numbness aftermath, so this is the need to remove the nerve as soon as possible surgery! At present, the surgery can remove the disk under the intervertebral foramenoscopy, and you can leave the bed the next day, and the recovery is very fast.
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