This is a very good question, nowadays lumbar disc herniation caused by back and leg pain is indeed very common, and is in the middle and old age of the incidence is very high, nowadays slowly rejuvenated, then how to treat it?

First, the priority of conservative treatment, you can use nutritive nerve drugs, blood circulation drugs, with physical therapy, especially traction therapy, and microwave therapy, hot and humid compresses, acupuncture, massage therapy, gua sha therapy, infrared irradiation therapy, and so on, there are many methods for you to choose. If conservative treatment for many times, without any effect, it is recommended to consider surgical treatment, careful consideration!

Secondly, in addition to actively cooperating with the treatment, we should pay attention to proper protection, avoid excessive bending and weight-bearing, avoid the lumbar area being cooled, avoid sitting and standing for a long time, and avoid sleeping on a hard board bed. At the same time, you can do lumbar exercise, such as Feiyan dot water and other movements, to prevent aggravation and promote recovery.

The most typical symptom of lumbar disc herniation manifests itself in the form of radiating pain in the lower extremities, and when the pain appears, most of it is not discomfort has not been a day, and in addition to a small number of acute traumatic injuries, most of them have had a long period of low back pain, or recurrent low back pain experience.

Most of them are one at a time ......

Among the patients I have met, people who have never had low back pain, develop low back and leg pain, in addition to car accidents or acute trauma caused by a high fall, very few, most of them are patients with chronic low back pain, gradually due to small trauma or overwork, and slowly develop hip pain, leg pain step by step.

Reflections on Life

When there is radiating leg pain, you should first think, the pain is due to what happens, as I said above, lumbar disc herniation are with a time and time again signaling tips, will not be inexplicable back and leg pain, and the doctor has to describe the possible triggers of the pain, and life in the future to pay attention to it.

Further diagnosis

When you know that you have lumbar disc herniation causing back and leg pain, most of you have already seen a doctor and had a lumbar disc CT or MRI, and this time you still need to palpate to further determine whether there will be radiating leg pain consistent with your symptoms when you press on your lower back.

How to deal with it

At this point, even if you are diagnosed, you should register to see more than two doctors, with a variety of different protocols, and find a doctor whose protocols you feel comfortable with and can trust, and actively work with to try to treat it a little, without rushing into destructive options to deal with it.

concluding remarks

Communicate with your doctor in a timely manner, describe your symptoms in detail, from the onset of the process, to the changes in the condition during treatment, including the precautions to be taken in life after recovery, don't be afraid to communicate, don't care if he's busy or not, it's the most basic right to know.

Lumbar disc herniation is one of the more common diseases, mainly because of the lumbar disc parts (nucleus pulposus, annulus fibrosus and cartilage plate), especially the nucleus pulposus, there are varying degrees of degenerative changes, in the role of external factors, the disc's annulus fibrosus rupture, the nucleus pulposus tissue protrudes from the rupture place (or prolapse) in the posterior or vertebral canal, leading to the adjacent spinal nerve roots suffered from irritation or pressure, thus generating low back pain, numbness and pain in one or both limbs. As a result, a series of clinical symptoms such as lumbar pain, numbness and pain in one or both lower limbs are produced. The incidence of lumbar disc herniation is highest in lumbar 4-5 and lumbar 5-sacral 1, accounting for about 95%.

Lumbar disc herniation compression of nerves leading to leg pain, if the first attack, we can be bedridden, bedtime must be more than 2 weeks, and then the third week to wear a waist cuffs out of bed can be active. 3 months do not do bending over to hold the action. This method is simple and effective, but it is more difficult to adhere to. After relief, should strengthen the low back muscle exercise, in order to reduce the chance of recurrence. Attention to the choice of mattress is also very important, avoid sleeping in the mattress is too soft or because of the age of the collapse of the back of the bed, please choose the right hardness of the mattress.

In addition to the above bed rest, we can also go to the hospital to do traction therapy, traction therapy using pelvic traction, can increase the width of the intervertebral space, reduce the internal pressure of the intervertebral disc, the herniated portion of the intervertebral disc retracted to reduce the irritation and compression of the nerve root, the need to be under the guidance of a professional doctor.

Physical therapy and massage and acupressure can relieve muscle spasms and reduce pressure within the intervertebral discs, but note that violent massage and acupressure can lead to exacerbation of the condition and should be done with caution.

For medication support, try supportive therapy with glucosamine sulfate and chondroitin sulfate.

For ① the history of the disease more than three months, strict conservative treatment is ineffective or conservative treatment is effective, but often recurring and heavier pain; ② the first attack, but the pain is severe, especially in the lower limbs of the symptoms, the patient is difficult to move and sleep, in a forced position; ③ combined with the cauda equina nerve compression manifestations; ④ the emergence of a single nerve root paralysis, accompanied by muscular atrophy, muscle strength decline; ⑤ combined with spinal canal stenosis. Surgical treatment is feasible.

I hope the above answer can help you.

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The orthopedic surgeon answers you.

I've read other people's answers suggesting conservative treatment, and I'm also suggesting that you first go through a combination of conservative treatment such as bed rest, pain medication, and rehabilitation physical therapy, and if the symptoms don't improve at all after going through these conservative treatments, then the last resort would be surgical treatment.

Modern medical technology is developing rapidly, lumbar spine surgery is not like open surgery in the past, nowadays the minimally invasive technology is very advanced, the intervertebral foramenoscopy technology is the golden indication for the minimally invasive surgery of simple lumbar spine.Intervertebral foramenoscopy is a new minimally invasive spinal surgery, which has the advantages of small trauma, precise efficacy, and rapid postoperative recovery, and has been recognized by the majority of spine surgeons and recommended as the first choice of lumbar disc herniation treatment plan.

From a medical anatomical and physiological pathology point of view the herniated lumbar intervertebral discs will compress the sciatic, sacral accessory or cauda equina nerves, which reach the legs and are connected to the nerves of the legs, respectively. Therefore, when the third, fourth and fifth lumbar discs are herniated, the nerves passing through the intervertebral foramina are compressed, and their electrical impulses radiate to the legs, resulting in leg pain and numbness in the legs.

This situation is best to go to the regular hospital to do a front and side lumbar spine X-ray, or lumbar spine CT and lumbar spine MRI, to diagnose the specific situation of lumbar disc herniation, if it is the lumbar spine bulge or mild lumbar disc herniation can be through acupuncture, infrared rays, and electro-acupuncture to treat. If you have a cold body and often feel cold in the lower back, soreness and weakness in the knees and waist, you can be treated with moxibustion, tuina, or oral Chinese medicine. If the examination indicates a severe lumbar disc herniation or lumbar disc prolapse, surgery is necessary because if the herniation or lumbar disc compression is not relieved immediately by surgery, it is easy to cause edema, severe inflammatory reaction or even necrosis of the nerves through the vertebral canal, which may lead to paralysis of the lower half of the body.

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Due to the accelerated pace of work and life in modern society, failing to participate in fitness activities in a timely manner, many of our friends have developed symptoms such as lumbar disc herniation; serious lumbar disc herniation also compresses the nerves of the lower limbs, resulting in pain in the lower limbs. The occurrence of this situation not only brings the pain of physical disease, but also seriously affects the normal work and life. Lumbar disc herniation compresses the nerves and leg pain, the correct rehabilitation training method.

I. Examination and treatment in the acute phase.

1. Go to a specialized hospital to check and diagnose the severity.

When a herniated lumbar disc compresses the nerves in the lower limbs causing leg pain, it is recommended to go to a specialist hospital to determine the severity of the herniated lumbar disc. Ask the specialist to determine if the lumbar disc herniation requires special treatment and ask for targeted advice and suggestions.

2. According to the diagnosis of the hospital, the appropriate treatment will be carried out.

If the lumbar disc herniation is serious, it is recommended to follow the advice of specialists and take targeted treatment measures immediately to promote the rapid disappearance of pain and reduce the pain caused by your own disease. Generally speaking, physicians in specialized hospitals have rich professional knowledge and clinical experience, which will help the rapid recovery of physical health.

3. In the acute phase, remember to sleep on a hardboard bed.

For patients with spinal disorders, sleeping on a hard bed helps maintain the normal physiological curve of the spine and prevents further development of lumbar disc herniation. Do not sleep on Simmons mattresses.

Second, rehabilitation training during the recovery period.

Strengthens core abdominal and back muscles.

One of the causes of lumbar disc herniation is insufficient core muscle strength in the abdomen and back, therefore, after the acute phase, attention must be paid to strengthening the core muscle strength of the abdomen and back. It is best to perform specific exercises under the guidance of a professional trainer for better results.

Avoid overexertion and take care of your work and rest.

In our daily lives and at work, we must avoid overworking. We must be careful to combine work and rest. You participate in strength training, but also pay attention to the amount of strength, and never work out too much, so as not to get new injuries again.

Lengthening the spine to promote recovery.

In addition to daily exercises to strengthen the core muscles of the abdominal and back muscles, it is also important to pay attention to length training that fully stretches the spine to promote a full recovery from lumbar disc herniation. For example, such as pull-ups on the bar and inversions in aerial yoga.

There are three types of lumbar disc herniation: ① lumbar disc bulge ② lumbar disc herniation ③ lumbar disc prolapse.

The general clinical symptoms are low back pain, spinous pressure pain with radiating pain on one side of the limb, and in severe cases, decreased sensation in the saddle area or difficulty in urination and defecation.

Lumbar disc herniation is generally a chronic disease, recurrent back and leg pain, generally sleep on a hard board bed, avoid bending directly to take things, it is recommended that the first down stirrups to grasp things before slowly get up, morning and evening when getting up the line Swallow fly or do arches to lift the buttocks exercise, basically can be stabilized to reduce the onset of a lot of patients slowly get better, without surgical treatment.

However, if the usual lumbar disc protrusion, sudden aggravation, one side of the limb radiating pain, or urinary and fecal incontinence, seriously affecting the life, the general consideration of the vertebral canal nucleus pulposus prolapse or protrusion of the compressed nerve root, it is recommended that early surgical removal, to avoid the compressed nerves ischemia necrosis or degeneration, leaving a lifelong disability, the theory of how long the nerve is stuck in how long it takes for the recovery, if the two years have not been recovered, basically stereotypical.

At present, neurosurgeons and orthopedic surgeons minimally invasive surgery for patients with simple lumbar disc herniation, basically can get out of bed the next day after surgery, as long as the conservative treatment for 1-2 months, still affecting the life, I suggest not to hesitate to try to cooperate with neurosurgeons or orthopedic surgeons surgical treatment.

Lumbar disc herniation is a disease in which the nucleus pulposus protrudes and compresses the nerve root after the annulus fibrosus ruptures, resulting in low back and leg pain as the main manifestation.

But try Chinese medicine orthopedic manipulation treatment supplemented by herbal lumbar hot compresses. At present, it is still difficult to cure lumbar synostosis completely, and it is easy to recur after exertion and falling, and at the same time, we should pay attention to not overwork, cold, dampness and so on in our life.

A herniated disc in the lower back causes compression of the nerves, which can cause mild pain or numbness.

It's a symptom that many people have today, and it's a symptom that's getting younger and younger.

What happens when this problem arises?

Go to the hospital for a CT first to see what's going on, and remember not to listen to the idea of a surgical cure.

If it is not too serious, you can recover through physical therapy. Massage and acupuncture from Chinese Physical Therapy are enough for a full recovery. All you need to do is to find a trusted TCM physical therapist, and then it's all about persistence, and you'll be cured in less than six months.

What should I pay attention to in general?

This disease can not sit or stand for a long time. Teach you a preventive rehabilitation methods: two hands on the wall standing straight, a leg backward lift kick 50 and then change one. Hands on the waist clockwise waist painting circle action, from the big circle to the small circle, and then from the small circle to the big circle, after 50 to counterclockwise and then do 50, every day to insist.