I'm glad to have the opportunity to be able to answer your questions.

Exhaustion, injury, sitting in the wrong positionIt is also a causative factor for herniated discs.In addition.Genetics, pregnancy, smoking and obesityetc., can also lead to herniated lumbar discs.

Do three things to prevent lumbar disc herniation

1. Activity at 1 hour intervals

Sedentary not more than 1 hour, every hour 10 minutes of activity, walking, bending, turning the waist can be, the key is not to keep the same position for a long time, and more changes in position, which is the most direct and effective way to prevent lumbar disc herniation.

2、Harder mattress

A mattress that is too soft and lacks support for the low back muscles to get adequate rest is also one of the triggers of lumbar disc herniation. If you wake up in the morning with back pain, it means that the muscles do not get good rest all night. Obese people need to sleep on hardboard beds more.

3. Walking backwards, swimming and lifting the waist

All three exercises work the low back muscles. Lumbar back muscle strength, lumbar pain, the probability of lumbar disc will be reduced. Of course, has been lumbar pain and lumbar disc herniation in the acute stage, should be the main rest treatment, do not "minor injuries do not go to the fire line". (23)

If you recognize my answer, please point a praise; there are different opinions welcome everyone in the comment area message exchange, thank you for your support!

Herniated discs are generally associated with the following factors:

1, trauma Almost all people with lumbar disc herniation have a history of mild or severe trauma. In particular, young people and children with herniated discs are directly related to trauma.

2, degeneration and other organs of the human body, as age increases, the intervertebral disc will also be aging, degeneration. Eventually, lumbar disc herniation occurs. For middle-aged and elderly people, the occurrence of lumbar disc herniation is almost always related to the degeneration of the intervertebral disc.

3, genetic susceptibility and disease lumbar disc herniation and genetic or a certain relationship. According to research, and some kind of collagen gene mutation. In my clinical work, also often found that the family have lumbar disc herniation cases. And it has also been studied that diabetics have a higher incidence of lumbar disc herniation than normal people.

4, occupation Long-term stooping work of manual laborers or easy to develop. Such as long-distance bus drivers, coal miners, porters and so on.

5, developmental abnormalities in the lumbar region Because of the abnormal development of the lumbosacral region, it will inevitably lead to local stress imbalance, thus causing lumbar disc herniation.

6, pregnancy Pregnancy human spinal ligaments tend to be in a state of relaxation, which can easily lead to lumbar disc herniation.

7, smoking Some studies believe that long-term smoking can lead to insufficient nutrition of the intervertebral disc, promote the degeneration of the intervertebral disc, causing lumbar disc herniation.

Lumbar disc herniation, also known as lumbar disc prolapse, is a group of syndromes that manifest after the fibrous annulus of a lumbar intervertebral disc ruptures and the nucleus pulposus protrudes and irritates or presses against the nerve root or cauda equina.

Studies have found that it is not uncommon to see different degrees of lumbar disc herniation in the normal population, and some people do not have any symptoms, which indicates that lumbar disc herniation may not necessarily cause disease, and only when the herniated lumbar disc compresses the neighboring nerves and causes the corresponding symptoms, then it can be diagnosed as lumbar disc herniation. Therefore, "lumbar disc herniation" is an imaging finding, while "lumbar disc herniation" is a clinical diagnosis, just like "osteophytes" and "osteomalacia". Just like "osteophytes" and "osteomalacia", the two should not be confused. Only when the lumbar disc herniation and nerve compression symptoms, there is diagnostic, therapeutic significance.

This disease is a degenerative lesion, which is easy to occur in young adults, most patients have a history of trauma, and it is one of the main causes of low back pain, so Chinese medicine mostly calls it "lumbago". Chinese medicine believes that the occurrence of this disease may be related to trauma, but also with the dysfunction of the liver and kidney, blood stasis and stagnation, as well as wind, cold and dampness have a close relationship. Liver and kidney deficiency, the tendons and veins are not moistened, the fibrous ring is easy to degenerate; stasis of blood blockage may be due to trauma and make the affected area of blood inactivity, meridian obstruction, local swelling and pain; wind, cold and dampness invasion of the lumbar region will make the lumbar muscle spasms, contraction of small blood vessels, affecting the local blood supply, prompting the fibrous ring has been denatured injury aggravated, thus occurring medulla protruding.

I. Main manifestations

(1) An important sign of lumbar disc herniation is that the lumbar region is prone to sprains. This is because lumbar sprains are often caused by lumbar disc degeneration, and lumbar disc degeneration develops to a certain period of time it is easy to appear lumbar disc herniation.

(2) The most prominent symptoms are chronic low back pain and episodic low back pain, which often radiates to one side of the lower limbs. If the protruding lumbar disc compresses the nerve root on the left side, then the left side of the low back pain; if the right side of the nerve root is compressed by the protruding lumbar disc, then the situation is reversed; if it is the central type of lumbar herniated disc, then it is mostly manifested as the presence of pain, numbness and muscle weakness in both lower limbs and the waist, etc., but most of the pain in the lower limbs of the two sides is alternating. Of course, there are also a few patients who have pain in both lower limbs and waist at the same time.

(3) Another major symptomatic manifestation of this disease is scoliosis. Some patients, due to long-term unilateral low back and leg pain, will involuntarily take a protective measure, thus patients often have lumbar scoliosis, lumbar activity is limited, especially the lumbar back extension activity is limited.

(4) Sciatica. As the lumbar intervertebral disc compresses the spinal nerve root, most patients will have sciatica, which starts from the buttocks and radiates along the back of the thigh, the outer side of the calf to the heel or the outer side of the dorsum of the foot, and tends to intensify gradually. The pressure points are usually 1 to 2 centimeters next to the spinous processes in the patient's vertebral space, and the pain can radiate to the lower extremities.

(5) Pain above the anus. In a very small number of people with centralized lumbar disc herniation, the main manifestation is the appearance of a palm-sized lump above the anus and pain, especially in the latter case, the symptoms are more obvious.

II. Inspection and validation

(1) Scoliosis of lumbar vertebrae with limited movement and lumbar muscle tension. Herniated discs between the 3rd and 4th vertebrae in the lumbar region can lead to compression of the 4th nerve in the lumbar region, hyporeflexia or loss of knee reflexes, and hypesthesia of the medial calf; herniated discs between the 5th and 6th vertebrae can lead to compression of the 5th nerve, hypesthesia of the anterior and posterior aspect of the calf and dorsal aspect of the foot, and hypesthesia of the muscle strength of the bunion or the second toe when flexing the bunion; herniated discs between the 5th vertebrae in the lumbar region and the first vertebra in the sacral region can lead to sacral The herniated disc between the 5th vertebra of the lumbar region and the 1st vertebra of the sacral region can lead to the compression of the 1st nerve of the sacral region, with decreased posterior extension of the calf and sensation of the lateral aspect of the foot, as well as decreased muscle strength of the 3rd, 4th, and 5th toes, and weakened or disappeared Achilles reflex. In the case of central herniation, there is hypesthesia on one or both sides of the saddle area, difficulty in controlling urination, and constipation.

(2) Restriction of straight leg elevation on the affected side and feeling pain radiating to the calf or foot.

(3) CT scanning is of great significance for diagnosis, with an accuracy rate of 80% to 90%. It can clearly see the location and degree of herniation as well as the signs of displacement of nerve roots and dural sac compression, and at the same time, it can show whether the ligaments are thickened, the degree of ossification, and spinal stenosis and other conditions.

(4) MRI examination can clearly show the location, degree and displacement of the protruding nucleus pulposus degeneration and distinguish it from intradural tumor, but it is more expensive.

(5) A few cases with diagnostic difficulties require spinal cord, dural vertebral vein or nerve root imaging.

(6) X-ray examination is not decisive for the diagnosis, but it can exclude tuberculosis, bone tumor and other diseases.

III. Treatment with medication

(i) Over-the-counter drug selection

Western medicine

(1) Ibuprofen Tablets, Ibuprofen Extended-Release CapsulesIbuprofen tablets: 0.2 grams per adult, if the symptoms are not relieved, can be repeated at intervals of 4 to 6 hours, not more than 0.8 grams within 24 hours; Ibuprofen extended-release capsules: 0.3 grams per adult, taken twice a day. This product has the effect of antipyretic and analgesic. Patients with renal insufficiency, hypertension, cardiac insufficiency, peptic ulcer, hemophilia or other bleeding disorders should consult a physician or pharmacist before use.

(2) Aspirin tabletsAdults each time 0.3 ~ 0.6 grams, if the symptoms are not relieved, can be repeated at intervals of 4 ~ 6 hours, not more than 2 grams within 24 hours. This drug also has the effect of antipyretic and analgesic, but it is forbidden to drink alcohol while taking it. It is contraindicated in those who are allergic to the drug, old and weak, with body temperature above 40℃, gout, hepatic and renal hypoplasia, cardiac insufficiency, nosebleed, history of hemolytic anemia and menorrhagia.

(3) Chlorzoxazone CapsulesAdults 1 ~ 2 capsules each time (each capsule 0.2 grams), 3 times a day, for pain when the drug shall not exceed 5 days. It can be used for all kinds of acute and chronic soft tissue (muscle, ligament, fascia) sprains, contusions and pain caused by muscle strain after exercise. Use with caution for those with hepatic or renal impairment.

(ii) General prescription drug selection

1. Western medicine

(1) Strong painkillersAdults 30 ~ 60 mg each time, 3 ~ 4 times a day, when the pain is severe, the use of drugs can be increased. It can also be injected subcutaneously. This product has the effect of analgesia, suitable for inflammatory pain, arthralgia, traumatic pain and so on. It is not to be abused as it is addictive.

(2) Indomethacin (anti-inflammatory pain)Adults take 25 mg 2 to 3 times daily, increasing to 100 to 150 mg daily in 3 to 4 divided doses if necessary. Take with or after meals. This product has obvious anti-inflammatory, antipyretic and analgesic effects. Because of its high incidence of adverse reactions, it is generally not suitable for long-term use. It should be used with caution in the elderly, renal impairment, bleeding disorders, epilepsy, psychiatric patients, and is contraindicated in pregnant women, lactating women, children under 14 years of age, peptic ulcers, and those who are allergic to aspirin.

(3) Diazepam (Valium)When used for hypnosis, adults each time 5 ~ 10 mg, taken at bedtime; for sedation, anti-anxiety, adults each time 2.5 ~ 5 mg, taken 2 ~ 4 times a day. This product has hypnotic, sedative, anti-anxiety effect, can improve the patient's anxiety, restlessness and nervousness and other symptoms.

2. Proprietary Chinese medicines

(1) Dawei Lianluo DanAdults take 1 pill each time, 1 to 2 times a day. Traditional medicine believes that this product has the efficacy of dispelling wind and dispersing cold, regulating qi and expelling phlegm, relaxing tendons and activating collaterals, removing dampness and relieving pain. Modern medical research has found that this product has the effect of lowering blood pressure, dilating blood vessels, improving atherosclerosis, increasing cerebral blood flow, inhibiting platelet aggregation, excitation of skeletal muscle and anti-inflammatory effects. It can be used in the treatment of cold-damp type lumbar pain (lumbar disc herniation) and paralysis caused by stroke and phlegmatic syncope, foot impotence and paralysis pain, tendon constriction, lumbar and leg pain and pain, bruises, walking difficulties and so on.

(2) Papaya PillsAdults take 50 capsules (9 grams) each time, twice a day. Traditional medicine believes that this product has the efficacy of dispelling wind and dispersing cold, activating collaterals and relieving pain. Modern medical research found that this product has anti-inflammatory, analgesic and improve microcirculation and other effects. It can be used for all kinds of wind-cold-dampness paralysis, numbness of the limbs, pain around the body, weakness of the waist and knees and difficulty in walking. Pregnant women are forbidden to take it.

(3) Cold-Dampness Paralysis Punch (Capsule)Punch: adults each 1 ~ 2 bags (10 grams per bag), 2 ~ 3 times a day; capsules: adults each 6 capsules, 2 ~ 3 times a day, are served with warm water. Traditional medicine believes that this product has the efficacy of warming yang and dispersing cold, warming menstruation, dispelling wind, and relieving pain. Modern pharmacology and clinical research has found that the total effective rate of applying this product in treating paralysis (cold and heat mixed symptoms) is as high as 86.9%, and it can also be used in the treatment of cold-damp type lumbar pain (lumbar intervertebral disc herniation). Not recommended for pregnant women.

(4) Anluo pain tabletsAdults take 2 tablets each time, 3 times a day. This product has the efficacy of energizing the meridians and collaterals, activating blood circulation and relieving pain, dispelling dampness and removing heat, and is mainly used for treating dampness-heat type lumbar pain syndrome (lumbar intervertebral disc herniation).

(5) ChirimisanAdults take 1 to 1.5 grams each time, 1 to 3 times a day, with yellow wine or warm boiled water. Traditional medicine believes that this product has the effect of soothing the tendons and activating the blood, dispersing blood stasis, relieving pain and stopping bleeding. Modern pharmacology and clinical research found that this drug has good anti-inflammatory effect and obvious swelling effect, can improve the blood circulation of local tissues, reduce the obstruction of blood transportation, and promote the recovery of function. It is mainly used for treating blood stasis-type lumbar pain syndrome (lumbar intervertebral disc herniation) as well as other cases of bruises, stasis, swelling and pain or bleeding from cuts and wounds. Contraindicated for pregnant women.

(6) Shujin and blood-activating pillsAdults each time 1 ~ 2 pills (each pill weighs 6 grams), 2 ~ 3 times a day, on an empty stomach with warm water. Traditional medicine believes that this product has the effect of relaxing tendons and collaterals, activating blood circulation and relieving pain. Modern pharmacology and clinical research found that there is no significant difference between the pain threshold of this product and western medicine APC, indicating that it has similar analgesic effect with APC. This product also has the effect of dilating blood vessels. It is mainly used for treating blood stasis-type lumbar pain syndrome (lumbar intervertebral disc herniation) as well as other injuries, bruises, bruises, blood stasis paralysis and other conditions. Not recommended for pregnant women.

(7) Expecting Wind and Pain Relief TabletsAdults take 6 tablets each time, twice a day. Traditional medicine believes that this product has the effect of relaxing tendons and activating collaterals, dispelling wind and relieving pain, and strengthening tendons and bones. Modern pharmacology and clinical research found that this product has anti-inflammatory, analgesic and improve microcirculation, numbness of the limbs, lumbar and knee pain and other kinds of wind-cold-damp paralysis have therapeutic effect. It is not recommended for pregnant women.

(iii) Selection of herbal prescription drugs

[Remedy 1]6 grams each of Fenghuang, Chuanxiong and Duhuo, 10 grams each of Gentiana Macrophyllae, Angelica Sinensis, Radix Paeoniae Alba, Sangmangsheng, Cow's Knee, and Tupelo.

[IndicationsCold-damp type lumbar pain syndrome (lumbar disc herniation). The main symptom is due to living in a damp place or wading in the rain when feeling the cold and dampness of the evil, Yin stagnation of lumbar meridians, so usually cold limbs, lumbar cold pain, heavy, turn the side of the unfavorable, lying down and the pain does not diminish, the symptom is gradually aggravated by the cold or rainy days, the pain is aggravated.

[Preparation and UseDecoct twice with water, mix the two decoctions well and take in the morning and evening, 1 dose per day, at least 5 doses in a row. Not to be taken by pregnant women.

[Remedy 2]5 grams of Fine Xin (first decocted), 10 grams each of Atractylodes macrocephala and Cinnamomum cassia, 15 grams each of Angelica sinensis, Rhizoma Ligustici Chuanxiong, Fenghuang, Gentiana Macrophyllae, Cortex Eucommiae, Poria cocos, Cortex Poriae, Yuan Hu, Cinnamomum cassiae, and Sang Sheng.

[IndicationsCold-damp type lumbar pain syndrome (lumbar intervertebral disc herniation). The main symptoms are the same as above.

[Preparation and UseTake with water, 2 times a day, 1 dose a day. Caution is advised for those with hypertension, renal insufficiency and pregnant women.

[Remedy 3]10 grams of cooked epimedium, 15 grams of papaya, 20 grams each of atractylodes and hyssop, and 50 grams of coix seed.

[IndicationsCold-damp type lumbar pain syndrome (lumbar intervertebral disc herniation). The main symptoms are the same as above.

[Preparation and UseTake it with water, 2 times a day, 1 dose a day.

[Remedy 4]3 grams of tortoise board, 5 grams of hyssop, 10 grams of cypress, 10 grams of Fangji, 15 grams of Cangzhu, Dioscorea villosa, 15 grams of Angelica sinensis.

[IndicationsDamp-heat type lumbar pain syndrome (lumbar intervertebral disc herniation). The main symptoms are pain in the lumbar region, accompanied by a feeling of heat in the painful area, and the lumbar pain is aggravated by hot days or rainy days, but relieved after activities. The pain is aggravated by hot days or rainy days, and relieved by activities. There is also redness and swelling of the joints of the limbs, and short and red urine. The moss is yellow and greasy.

[Preparation and UseDecoction with water, take 2 times a day, 1 dose a day. Pregnant women should not take it, and patients with kidney disease should take it with caution.

[Remedy 5]Qiangwu, pig ling, baked licorice 10 grams each, Fangji, cypress, angelica, cinnamon sticks, cangzhu, gentian, forsythia 15 grams each, Coix lacryma 20 grams.

[IndicationsDamp-heat type lumbago syndrome (lumbar disk herniation). The main symptoms are the same as above.

[Preparation and UseTake with water, 2 times a day, 1 dose daily. Take with caution in patients with kidney disease.

[Remedy 6]Fangji 6g, Caowu, Cangzhu, Angelica sinensis, Gentiana scabra, Sichuan hyssop, Tuberculosis 10g each, Psyllium Hirschsprungii 12g, Phellodendron Bark 15g.

[IndicationsDamp-heat type lumbago syndrome (lumbar disk herniation). The main symptoms are the same as above.

[Preparation and UseTake 1 dose twice a day with water. It is best to take 6 doses in a row. Pregnant women should not take it, and patients with kidney disease should take it with caution.

[Remedy 7]White peony and licorice 10 g each, dog's spine, codonopsis, cinnamon stick, cynomolgus, duchess, chuanxiong, cuscuta, black sesame 12 g each, astragalus, cymbopogon, mulberry, henbane 20 g each.

[IndicationsKidney deficiency type lumbago (lumbar disc herniation). The main symptoms are lumbar tenderness and pain, like to press and knead, leg and knee weakness, worse in case of labor, lying down is alleviated; or with recurrent lumbar pain, abdominal constriction, pale face, hands and feet are not warm, heartburn and insomnia, dry mouth and dry throat; some patients can be accompanied by flushing, hands and feet, heart heat.

[Preparation and UseTake it with water, 2 times a day, 1 dose a day.

[Remedy 8]6 grams of earthworm, 10 grams each of Angelica sinensis, Chuanjie, fried cinnamon stick, made dog's spine, cow's knee, and mulberry fungus, 12 grams of boneset, 15 grams each of raw astragalus, and chickweed vine.

[IndicationsKidney deficiency-type low back pain syndrome (lumbar disc herniation). The main symptoms are the same as above.

[Preparation and UseDecoction with water, take 2 times a day, 1 dose a day. Pregnant women should not take it, and patients with kidney disease should take it with caution.

[Remedy 9]1 one-headed garlic, 10 grams of eucommia, 15 grams of walnut meat, 20 grams of bone marrow.

[IndicationsKidney deficiency-type low back pain syndrome (lumbar disc herniation). The main symptoms are the same as above.

[Preparation and UseTake with water, 2 times a day, 1 dose daily. Take with caution in patients with kidney disease.

[Remedy 10]Powdered Panax ginseng (flushed) 5 grams, frankincense 10 grams, myrrh, aromatic herb, tulip, chuanxiong, safflower, poria, zejiao, citrus aurantium, castor seed, red peony, peach kernel, angelica, and wuling yi 15 grams each.

[IndicationsBlood stasis type lumbago (lumbar disc herniation). The main symptoms are lumbar pain such as pins and needles, the pain has a fixed place, light is inconvenient to bend over, heavy is unable to turn to the side because of the pain; or both lumbar pain refuses to be pressed, day light and night heavy, sleep is disturbed. The tongue is dark purple, or with petechiae.

[Preparation and UseTake with water, 2 times a day, 1 dose a day. Pregnant women and patients with kidney disease should be cautious.

[Remedy 11]Prepared Chuanwu 6 grams (first decocted), Red Peony, Yanhusuo, Neem 9 grams each, Guiwei, Zelan 12 grams each.

[IndicationsBlood stasis-type lumbago syndrome (lumbar disc herniation). The main symptoms are the same as above.

[Preparation and UseTake with water, 2 times a day, 1 dose daily. Take with caution in patients with kidney disease.

[Remedy 12]15 grams each of Dillon and earthworm.

[IndicationsBlood stasis-type lumbago syndrome (lumbar disc herniation). The main symptoms are the same as above.

[Preparation and UseTake it with water, 2 times a day, 1 dose a day.

[Remedy 13]9 grams each of whole scorpion, earthworm, ophiopogon, and andrographis paniculata, and 21 grams of dizong.

[IndicationsAcute and Recovery Lumbar Pain Certificate (Acute and Recovery Lumbar Disc Herniation).

[Preparation and UseIn the acute attack period, 1 dose of decoction is taken daily, 1 dose in the morning and 1 dose in the evening; in the recovery period, a bulk preparation is used, with 3 to 4 grams per time for adults, taken twice a day, and served with yellow wine. In taking the above two preparations are added to the daily dose of anti-inflammatory pain 75 mg.

[Remedy 14]生甘草5克，白芥子6克，杜仲、地龙、土鳖虫、鹿角胶、桑寄生、淫羊霍各10克，桑枝、熟地黄、鸡血藤各12克，枸杞子、鹿衔草各15克。 For those with cold and dampness, add Cistanche in appropriate amount and remove Dilong; for those with blood stasis, add Angelica sinensis in appropriate amount and remove Sangsheng; for those with weak qi and blood, add Astragalus in appropriate amount and remove Deer's Bitterness.

[IndicationsGeriatric back pain evidence (geriatric lumbar disc herniation).

[Preparation and UseDecocted with water, 1 dose per day, 2 times in the morning and evening.

[Remedy 15]15 grams each of Dilong, Xiangshu, and peach kernel, 30 grams each of Sumac, Danshen, Sequel, and Yanhuisuo, and 60 grams each of Angelica sinensis, dog keel, antler flakes, bone marrow, and walnut kernel.

[IndicationsLumbar pain evidence (lumbar disc herniation with residual symptoms despite manipulative repositioning).

[Preparation and UseGrind the medicine, mix it with honey, and make 9 grams of pills, called Deer Spine Pills. Take with 20ml of yellow wine, 1 pill each time for adults, 2 times a day. 20 days for a course of treatment. Pregnant women and patients with kidney disease should not take.

[Remedy 16]3 grams of Panax notoginseng, 6 grams of Szechuan saffron, 9 grams each of Pu Huang, Ling Zhi, Citrus aurantium, Yuan Hu, 10 grams each of rhubarb and peach kernel, 15 grams each of hyssop and red peony, 18 grams of Radix et Rhizoma Shengdi. If the affected side is sore, numb, swollen and painful, and wandering, add Qiangwu, Fenghuang, and Katsujanghuang 10 grams each; if the affected side is numb, sore and swollen and there are symptoms such as mucus in the mouth and no thirst, add Fenghui, Mucubi, and Duhuo 10 grams each; if there is only soreness and coldness and pain, add Shengchuanwu, and Shengchuanwu 10 grams each; if there is numbness and tingling, add Tuyuan 10 grams, Salviae Miltiorrhizae 30 grams, and Yuanhu up to 15 grams.

[IndicationsLumbar pain evidence (lumbar disc herniation with sequelae even after treatment).

[Preparation and UseDecoction with water 2 times, 1 dose per day, divided into morning and evening. Pregnant women should not take; medicinal use of Fangji, Cao Wu, patients with kidney disease should be cautious.

[Remedy 17]9 grams each of catechu, haematoxylin and panax ginseng, 12 grams each of chuanxiong rhizome, 15 grams each of angelica sinensis, gui zhi, safflower, gentiana, white peony, scorpion, and yanhuisuo, 30 grams each of dan shen, wei ling chen, chicken blood vine, and sang huai sheng, and 60 grams of fenghui.

[IndicationsLumbar pain evidence (lumbar disc herniation).

[Preparation and UsePlace the medicine in 1 250 grams of curved wine at 35° or above and soak for 1 week before taking. Take one dose at noon and one dose at night every day, about 20 grams per adult. It is not advisable to pour out all the medicinal wine when taking, to be taken after all, can be used to add the original medicine and then 1 250 grams of wine soaked for the second time. 1 week later to continue to take, serve the same as before, and insist on taking two months to see the effect. Pregnant women should be cautious.

[Remedy 17]Ephedra 2 grams, raw licorice 3 grams, cinnamon 4 grams, gun ginger charcoal 5 grams, deer antler gelatin (melted) 15 grams, white mustard seed 10 grams, ripened rhizome 50 grams.

[IndicationsCold-damp type, old kidney deficiency type back pain syndrome (lumbar disc herniation).

[Preparation and UseDecoct 2 times, mix the two decoctions and take 2 times in the morning and evening, 1 dose per day. 30 days as a course of treatment. People suffering from various serious chronic diseases and pregnant women should take it with caution.

[Remedy 18]3 Centipedes, 6 g of Cimicifuga (first decocted), 9 g each of Gui Xin, Angelica Sinensis, Fenghuang and Rhizoma Ligustici Chuanxiong, 10 g each of Scorpion and Gentiana Macrophyllae, 15 g each of Cortex Eucommiae, Duchenne, Cortex Eucommiae, Poria, 18 g of Radix Rehmanniae Praeparata, 24 g of Mulberry Fungus, and 30 g of Paeoniae Alba. For blood stasis type, add 10 g each of Zeran, Citrus aurantium, Curcuma longa, 12 g each of betel nut, 15 g each of Yuanhu; for cold-damp type, add 30 g each of Radix Aesculiatae (decocted for 30 minutes); for kidney deficiency type, add 10 g each of Cistanches, 15 g each of Codonopsis, Cuscuta, 30 g each of Radix Aesculiatae; and for those who have stasis and blood stagnation after surgery, add 10 g each of Xuanshen, Zeran, 15 g each of Dangshen.

[IndicationsVarious types of low back pain evidence (lumbar disc herniation).

[Preparation and UseDecoct 2 times, mix the two decoctions and take in the morning and evening, 1 dose per day. Pregnant women should not take it, and patients with high blood pressure and kidney disease should take it with caution.

[Remedy 19]Safflower 6 grams, Zephyr, motherwort, chicken blood vine, roasted licorice 10 grams each, astragalus 30 grams. For kidney deficiency type, add Cortex Eucommiae, Dog's Spine, Roasted Tortoise Plate, Roasted Turtle Shell, 10g each; for damp-heat type, add Dioscorea Villosa, Cyperus rotundus, Atractylodes Macrocephalae, 10g each; for cold-dampness type, add Sinus Carminoides 3g, Chuanwu, Gui Zhi, Prepared Caowu, Prepared Pseudostemonopsis 6g each, Papaya 10g; for blood stasis type, add Paeonia lactiflora, Paeoniae lactiflorae, Ligustici Chuanxiong, Sanqi Powder, Turbellariae, Cannon Puncture Pangolin Tablet 10g each; for numbness of the waist and legs and reduced sensation, add Roasted Scorpion 6g, Stiffworm, Croton, Dilong. For those with numbness of waist and legs and loss of sensation, add 6 grams of roasted whole scorpion, 10 grams each of silkworm, hookworm and dillon.

[IndicationsBlood stasis and internal stagnation type lumbar pain syndrome (lumbar intervertebral disc herniation). The main symptom is stasis of blood after surgery, or stasis of blood due to scar adhesion, tissue compression, obstruction of reflux, etc., and there is a tendency to recurrence.

[Preparation and UseDecoct 2 times with water, 1 dose per day, in the morning and evening. Pregnant women should take with caution.

[Remedy 20]Safflower 6 grams, rhubarb, angelica, yujin, thick park, peach kernel 10 grams each, white peony, red peony, chuanxiong 15 grams each. If the lower limbs are heavy, add 3 grams of Sinapis, 6 grams each of Prepared Chuanwu and Prepared Caowu, 10 grams of Cinnamon Branches; for constipation and dry mouth, add 6 grams of Senna, 10 grams each of Hovenia Citriodora, Pericarpium Citriodora, and Green Peel; if the heart is disturbed and insomnia occurs, add 10 grams of Polygala, Poria, and Jujubae Radix Acidulatae; if the heart does not think of food, add 10 grams of Jiao Sanxian, and 15 grams of Papaya.

[IndicationsLumbar pain evidence (lumbar disc herniation).

[Preparation and UseDecoction with water, 1 dose daily, together with traction therapy. Pregnant women should be cautious of taking; medicinal use of fine Xin, Cao Wu, hypertension and kidney disease patients should be cautious of taking.

IV. Other treatments

1. Rest therapy

In patients with mild disc herniation, early bed rest on a hard bed for 1 to 2 weeks can relieve symptoms.

2. Self-exercise therapy

The methods include crawling training method, belly-up therapy, prone sinking method, supine sinking method, standing leg raising method, prone fish leap method, etc.

3. Topical therapy

Use pepper 15 grams, 20 grams of Cornus officinalis, appropriate amount of yellow wine, mix well and fry hot, spread on oil paper, compress the affected area.

4. Boudou Therapy

(1) cinnamon, onion 30 grams each, 60 grams of pepper, 90 grams of Cornus officinalis, 120 grams of ginger, common fried hot. Then wrapped in silk cloth, made of cloth pocket, tied to the waist, ironing the pain while hot, cold, then fried and then hot iron. This therapy has therapeutic effect on cold and damp type lumbar intervertebral disc herniation.

(2) Cao Wu, Chuan Wu, windbreak, epiphyllum, Angelica dahurica 20 grams each, Su Mu, Sequel, Artemisia japonica 30 grams each, the dog spine, live alone 45 grams, total research for fine powder, with thin cotton cloth made of cloth pocket, the powder will be spread in which, day and night tied in the waist. This therapy has a therapeutic effect on a variety of lumbar disc herniation.

5. Medicinal dietary therapy

Broken paper 10 grams, 15 grams of Morinda citrifolia, walnut meat 20 grams, Cortex Eucommiae, 25 grams of hyssop, 1 pair of pig kidneys spare. When using the pig kidney to membrane cut, all the medicine powder into the pig kidney, with a line suture, wrapped in flour, put on the charcoal fire after baking charcoal to flour, eat pig kidney and medicine. This treatment is effective for patients with kidney deficiency type lumbago (lumbar disc herniation).

6. Back support therapy

It is therapeutic to wear a customized lumbar support to limit the movement of the lower back when getting up and moving around.

7. Puncture therapy

This is a new treatment that involves injecting a proteolytic nucleolytic agent into the herniated disc through a skin puncture to dissolve the nucleus pulposus (Nucleus pulposus). Nucleus pulposus can also be aspirated through skin puncture or treated with laser surgery through skin puncture. All of the above procedures should be performed under sterile conditions and by a physician under the supervision of a CT or X-ray machine.

8. Low-temperature radiofrequency therapy

Minimally invasive techniques that combine tissue ablation with thermal therapy can quickly and effectively decompress the disc. This treatment only breaks up the structure of the cellular molecules and changes the biochemical state of the disc without direct thermal denaturation of the disc, and therefore does not lead to necrosis of the nucleus pulposus.

9. Discoscopic surgical resection therapy

At present, there are some large hospitals in China, with the help of surgical microscope (endoscope) to complete the lumbar disc herniation resection surgery in 2 ~ 3 cm incision. Compared with traditional surgery, this treatment can minimize the damage to the lumbar structures, with less bleeding, shorter operation time, better efficacy and wider indications.

10. Condensation therapy

This method is based on subcutaneous puncture, the diameter of 0.5 mm ion condenser knife slowly stabbed into the protruding disc for gasification and condensation, operated from different angles, half an hour operation is completed. The advantages of this method are that it can preserve the intervertebral disc and maintain the height of the intervertebral space, and it is painless and non-invasive, and it can avoid the inflammatory reaction of high-temperature pneumatization and the side effects of injected drugs.

11. Injectable ozone therapy

The puncture point is first measured and selected by CT, and then a 10-centimeter-long needle is inserted into the intervertebral disc and ozone is injected through the needle. Since ozone is a strong oxidizing agent that can atrophy the nucleus pulposus, it has a good therapeutic effect and is especially suitable for lumbar disc herniation whose symptoms cannot be relieved without the combination of bony stenosis of the spinal canal and nerve root adhesion.

12. Fire Needle Therapy

Fire Needle Therapy is the first of the nine needles in traditional medicine acupuncture, the method is to heat the body of the needle to about 800 ℃, quickly pierced into the human body meridian points, in order to achieve the purpose of treating lumbar intervertebral disc herniation.

13. Introduction therapy

With the Chinese medicine ion importer, the medicine is directed into the body through the positioning of the instrument, prompting pathological changes in the diseased tissues, and this therapy can play a very good therapeutic role.

14. Blocking therapy

For low back pain of unknown cause, the treatment method of blocking nociceptive conduction can be used with intelligent radiofrequency thermocoagulation machine. The principle of treatment is to inactivate the lateral limb of lumbar nerve through radiofrequency, blocking the upward conduction of nociception, so as to achieve the purpose of relieving the pain.

15. Replacement therapy

This is done by removing the diseased disc and implanting an artificial disc. This procedure is particularly suitable for patients who have suffered a recurrence of the disease after the removal of the disc, and can greatly reduce the patient's pain.

V. Dietary taboos

(1) During the acute attack period, it is advisable to consume more food that dispels wind and promotes dampness, such as round-grained rice, red kidney beans, winter melon and psyllium.

(2) Usually, you should eat more foods rich in vitamin C and fiber to ensure the nutritional needs and the smooth flow of stools. These foods are wheat flour, round-grained rice, sorghum flour, yellow rice, wheat flour, corn, fava beans, cowpeas, fresh pea shoots, pea shoots, black beans, soybeans, sweet potatoes, carrots, red-skinned cooked radish, ginger, cooked lotus root, kohlrabi, Chinese yam, bamboo shoots, taro, spinach, celery, cauliflower, cabbage, bok choy, red moss cabbage, fennel greens, cooked garlic shoots, collapsed vegetables, cabbage, amaranth greens, lettuce, yucca, onion, winter melon, cucumber Young pumpkins, bell peppers, tomatoes, Fujian red mushrooms, lichen, Ningbo moss cabbage (moss strips), shiitake mushrooms, guava, strawberries, fresh cinnamon, kumquats, fresh jujubes, apples, sea buckthorn, Zhengzhou plums and apricots, Shatian pomelo, Jinzhai kiwi, chestnuts, and almonds.

(3) It is also advisable to eat foods that can tonify the liver and benefit the kidneys, such as animal livers, pig kidneys, goat bones, lotus meat, sea cucumber, tamarind, fructus thickening, cistanchia, lock yang, eucommia, he shou wu, cordyceps sinensis, huang jing (Yellow Essence), goji berry, black sesame seeds, leek seeds and walnuts.

(4) kidney deficiency type lumbago and damp-cold type lumbago patients should avoid eating cold foods, such as persimmons, persimmons, melon, bitter melon, water chestnuts, watermelon, snails, crabs, snails, raw radish, raw groundnuts, as well as chili peppers, peppercorns, peppercorns, fennel, scallions, garlic and so on, which are injurious to the yin.

(5) Abstain from alcohol because the toxic substances in alcohol will affect the metabolism of intervertebral discs, causing them to lose their ability to grow and develop and repair damage. During the period of taking anti-inflammatory pain or aspirin, avoid drinking fruit juice or refreshing beverages, because these beverages are likely to lead to early decomposition or dissolution of the drug, which is not conducive to the absorption of the drug in the small intestine, greatly reducing the effectiveness of the drug. Taking aspirin, but also avoid eating acidic foods, such as vinegar, sauerkraut, salted meat, fish, hawthorn, prunes, etc., otherwise it will increase the stimulation of the stomach.

VI. Expert reminders

(1) Note that it should be differentiated from lumbar spondylolisthesis, pyriformis syndrome, lumbar spinal stenosis, and some gynecological diseases such as uterine fibroids, ovarian cysts, uterine tilt, uterine prolapse, and pelvic inflammatory disease, which also cause low back pain, so as not to miss the treatment.

The main symptoms of lumbar spondylolisthesis are low back pain, numbness and radiating pain in the buttocks or thighs and even incontinence. A capitellar fissure is present on oblique radiographs of the lumbar spine and is most common clinically in the lumbar 5th vertebra.

The main symptoms of pyriformis syndrome are severe pain from the lower back to the back of the legs, difficulty in ascending (e.g., going up stairs), weakening of the ability to turn the hips outward, and low back pain during bowel movements.

(2) For acute and mild lumbar disc herniation, the emphasis is on prevention. Normally, we should pay attention to our standing posture, sitting posture, working posture and sleeping posture correctly, correct the bad posture and habits, strengthen the exercise, especially to strengthen the lumbar back muscle exercise. To pay attention to weight loss, too obese people's own weight is easy to lumbar spine damage. Also want to quit smoking, because the nicotine in cigarettes will also damage the lumbar spine. Some experiments have proved that too much smoking, lumbar intervertebral discs will become easily broken due to the absorption of nicotine, and can lead to blood flow obstacles, so that the collagen is destroyed.

(3) Once the onset of the disease, the patient must sleep on a hard board bed, avoid heavy labor and excessive bending activities. After the operation, the patient should rest for 3 to 4 weeks, and should follow the doctor's instructions to exercise the low back muscles.

(4) Be cautious of using massage to treat lumbar disc herniation, and the treatment must be massaged by an experienced physician. This is because, once the annulus fibrosus is massaged to rupture, it is impossible to reset it by massage. The massage practitioner's improper massage techniques will most likely aggravate the condition.

(5) Elderly patients with lumbar intervertebral disc herniation should not use anti-inflammatory painkillers and traditional Chinese medicines to activate blood circulation for a long time.

Aspirin, as well as anti-inflammatory painkillers such as anti-inflammatory pain relieves pain relatively quickly, but does not cure the disease, long-term use, may lead to necrosis of the renal papillae or interstitial nephritis, elevated blood pressure, anemia, peptic ulcers, liver function impairment, leukopenia and thrombocytopenia, and many other complications.

Chinese medicine blood activators have the benefit of activating blood circulation and removing blood stasis, but excessive use will affect the viscosity of the blood, which will easily cause bleeding tendency. The elderly, in particular, are more prone to serious bleeding due to atherosclerosis and the deterioration of the elasticity of blood vessel walls.

Hello, I am glad to answer your question. Do you find that there are more and more patients with lumbar disc herniation, and it is presenting younger, men and women, young and old, and it is more troublesome to treat, but also easy to recur. Today, we will talk to you about the causes of lumbar disc herniation, pathogenesis.

Lumbar disc herniation, the most common among low back pain diseases, is mainly due to long-term incorrect exertion of the lumbar spine, resulting in force balance imbalance, lumbar spine instability, and finally leading to rupture of the annulus fibrosus, prolapse of the nucleus pulposus, and herniated discs that oppress the sciatic nerve or the nerve root and the cauda equina, causing a series of clinical symptoms.

The following is to tell you what are the main causes of lumbar disc herniation? Lumbar disc herniation is categorized into acute and chronic, and the causes are mostly different.

First, long-term lumbar chronic strain is the main cause of lumbar emergencies. For example, sedentary, long-term stooping to do heavy work, repeated twisting and turning, long-term lumbar cold, will lead to the lumbar spine muscle ligament fascia acute edema, inflammatory oozing, chronic strain, scarring adhesion, sclerosis, calcification, and finally lead to the disc around the force balance is out of balance, the peripheral pressure is getting bigger and bigger, if it has been repeated stimulation compression of intervertebral discs.

Because the disc is so elastic, it is like a balloon filled with water that acts as a cushion between the two vertebrae, preventing the vertebrae from rubbing against each other. If an incorrect force is applied to the disc over a long period of time, the end result is that the disc slowly bulges, protrudes, and prolapses from between the two vertebrae. If it is an acute violent injury, it will lead to a sudden and violent stimulation of the intervertebral disc, severe edema, compression of the nerves, and pain in the lumbar region and lower extremities, and it is a more pronounced degree of pain.

Secondly, chronic degenerative lesions of the intervertebral discs, generally in the middle-aged and elderly population, due to the dehydration of the annulus fibrosus and nucleus pulposus and loss of elasticity, once there is an acute and chronic irritation of the lumbar vertebrae, which will lead to disc herniation.

Thirdly, osteophytes, bone spurs, hypertrophy of ligamentum flavum, lumbar muscle strain, lumbar dorsal fasciitis lumbar spine congenital dysplasia, etc., are also important factors leading to intervertebral disc formation. In particular, lumbar muscle strain is the precursor of disc herniation, which can lead to disc herniation if it cannot be completely cured in time.

If you want to prevent a herniated disc, it is best to do the following.

First, avoid prolonged sitting, it is best to get up and move your back in an hour or so.

Second, avoid bending down to move heavy things, if you move something, it is better to squat down first, and then slowly move up. This can avoid the lumbar twisting fork. Repeated twisting forks are the basis and predisposing factors that lead to the formation of herniated discs, and are also a major cause of recurrence.

Third, avoid the waist cold, a lot of people like to wear dew waist dress, like blowing air conditioning, bending over to work, always waist exposure, resulting in wind, cold and dampness into the body, affecting the lumbar blood circulation, muscle ligaments fascia stretch decline, is also need to pay attention to.

People on the Internet often use the orthopedic community joke about the black pot, "Everyone has a disc, so why are you the most prominent?"

Most people don't know much about lumbar herniated discs. Yesterday, a poll was launched on the Internet, the result of the highest number of votes is "lumbar disc herniation", indicating that people still want to know more about this disease, here on this disease to do a brief popularization, I hope you can help you on the Internet!

By reading this series, you can get an initial idea of what to expect, which will be answered below:

1、What is an intervertebral disc? What are the anatomical structures surrounding the intervertebral disc?

2、What are the causes of lumbar disc herniation in life? What are the triggers?

3、What are the general symptoms of patients with lumbar disc herniation?

4、How can I confirm that I have a herniated lumbar disc and what are some good tests?

5. Why do hospitals ask for expensive tests as soon as you see a doctor, and can't you find out with cheap tests?

6、How can I tell if I should choose conservative treatment or surgery for my herniated lumbar disc?

7、What are the methods of conservative treatment for lumbar disc herniation? Is it practical and reliable?

8. It is rumored that external application of traditional Chinese medicine can make the herniated intervertebral disc become smaller and absorb or even disappear, is it credible?

9, Does acupuncture work well for pain relief for herniated lumbar discs?

10、"Small swallow fly" "five-point arch bridge style" these exercises for lumbar disc herniation patients really have the effect?

11. Does lumbar spondylolisthesis in the elderly have a significant impact on the lumbar spine?

12, the elderly have osteophytes can not eat calcium tablets, osteophytes will increase in size?

13. How is surgery for lumbar disc herniation routinely done? Is the surgery risky?

14. Does lumbar disc herniation surgery affect the mobility of the spine?

15. Must patients with lumbar disc herniation sleep on hardboard beds?

Feel free to leave a reply in the comments section for any questions you may have about what Black Pot accidentally left out!

1、What is an intervertebral disc? What are the anatomical structures surrounding the intervertebral disc?

Let's start by looking at the normal human spine as a whole, as shown below:

Please tilt your head to the right side and look at our spine sideways, doesn't it look like a centipede, a thousand-legged insect. And this centipede section by section is called the vertebrae of the spine, which are called cervical, thoracic and lumbar vertebrae, as well as the sacrum and coccyx in the buttocks area, depending on the part.

To make it a little clearer, the two vertebrae and the structure between the vertebrae are enlarged for you to see, as shown below:

Between the segments of each vertebra is the protagonist of today's story - the intervertebral disc, elastic, able to absorb the energy between the vertebrae, cushioning shock, to avoid injury. And the vertebrae behind the swaying that is our body's spinal cord nerves, originally a very thick one, the back and branches like branches (fine nerves), through the space between the vertebrae in the distribution of both sides of the limbs in order to control the movement of the limbs and sensation.

Secondly, there are some key tissues around it, which are the ligaments around the vertebrae heel pelvis, as shown in the diagram below:

Don't ask me why I don't translate it into English, because if you don't study medicine, you will never remember the names of these ligaments in your life. It is enough for you to remember that the vertebrae are protected by tough ligaments! In addition there are also important muscles in the body (mostly core muscles) to protect and strengthen, I will not list them all here, post a picture to see.

In short, the normal human spine is surrounded by many tissues to protect it, which shows its importance to the human body!

2、What are the causes of lumbar disc herniation in life? What are the triggers?

Before answering this question take a look at a diagram of a herniated lumbar disc for ease of understanding.

There is an important anatomical structure in the center of the intervertebral disc, because it is in the center of the intervertebral disc, like the nucleus of many fruits, so we call it "nucleus pulposus". Young people's intervertebral discs have a high water content and are flexible enough, so they are generally not easy to damage.

But when the middle-aged and elderly people with the age of lumbar disc degeneration, water content is reduced, lack of elasticity of the intervertebral discs, at this time, coupled with the internal and external mechanical balance of the spine is out of balance, "seal" protection is not enough, it is very easy to lead to herniated discs, which is why most patients with herniated discs are manual laborers aged 30-50 years old. This is also the reason why most patients with herniated discs are manual laborers between the ages of 30 and 50.

Cumulative injuries are also a major cause of good disc herniation.

Bad posture used habitually, also easy to lead to disc herniation. The following picture of the error of lifting heavy things, are you doing it every day?

While many young people experience lumbar disc herniation for reasons that may be less related to disc degeneration, most people experience lumbar disc herniation as a result of underdevelopment of the muscles and ligaments in the low back, coupled with strenuous and frequent exercise, which can likewise result in lumbar disc herniation!

3、What are the usual symptoms of a herniated lumbar disc? Why do these symptoms occur?

First of all, you need to understand the general process of nerve conduction in the human body.

The brain is the "commanding officer" of the human body, responsible for issuing commands, followed by the spinal cord nerves, the spinal cord are some thick nerves, like branches will be divided into some finer nerves, distributed to various parts of the human body, to innervate the local sensory and motor functions (roughly, so understand it!).

Imagine the brain as a power source and the nerves as wires... if the wires were pressed, would the bulb flicker?

Back pain:This first and most common clinical symptom is pain due to irritation of the outer layer of the annulus fibrosus of the disc and the surrounding ligaments;

Nerve root pain:This is the most important symptom that affects the quality of life of patients. It is mainly due to the herniated intervertebral disc localized compression of the nerves leading to the patient's lower lumbar pain, the pain can be radiated to the buttocks, the back of the thighs, the outside of the calves, the dorsum of the feet, and in severe cases, coughing and sneezing may aggravate the pain.

This reflex pain is generally attributed to symptoms similar to sciatica, which may be aggravated by local chemical irritation, ischemia of the compressed nerve, in addition to compression by the herniated disc.

Low back pain and nerve root pain are common clinical symptoms in patients with lumbar disc herniation, and for the more serious ones that compress the nerves that manage the body's second bowel movements and cause incontinence, it's too disgusting to mention again!

4、How can I confirm that I have a herniated lumbar disc and what are some good tests?

The diagnosis of a disease needs to be based on the patient's medical history, the doctor's physical examination and the corresponding targeted auxiliary examination, and the final diagnosis is reliable.

The patient's medical history has already had the causative factors for the onset of the disease mentioned earlier, while the doctor's physical examination mainly consists of the straight-leg raising test, straight-leg raising strengthening test, neck flexion test, abdominal tucking test, lower limb posterior extension test, and many other methods of physical examination, and because of the many principles and the redundancy of the methods, it is enough for you to memorize the following names here!

So what are the tests for patients with herniated lumbar discs?

X-ray flat film:For orthopedic surgeons, a simple and inexpensive X-ray film, often more important than any examination, can be based on the curvature of the spine, changes in the intervertebral space to indirectly deduce the presence of herniated discs, the disadvantage is that the people may look at the confusion, do not know why!

CT scan:It has diagnostic value. The spine of the human body can be scanned through a CT scanner in all planes, and you can always see the level you want to see, but CT can only see things that are dense, such as bones and bone, and is not very sensitive to things that are relatively "soft", such as nerves.

Myelography:Taking a film after injecting a contrast medium into the spinal cord cavity can be 80% accurate, but it does not show the nerve roots well and is also invasive, so it is generally rarely used.

MRI:Like CT, it has diagnostic value, at the same time, due to its imaging principle, it has unique advantages for observing the nerve and whether there is a nerve compression edema signal, and it is also the main examination for diagnosing lumbar disc herniation and clarifying the nerve compression, and it is also possible for the people who have not studied medicine to see the "herniation"!

This is the end of this part of the article for now, for fear that it will be too long for you to read!

Subsequent updates to the article are in the following sections, while you are welcome to leave a message in the comments section if you have questions, and the appropriate questions will be added to the science!

5. Why do hospitals ask for expensive tests as soon as you see a doctor, and can't you find out with cheap tests?

6、How can I tell if I should choose conservative treatment or surgery for my herniated lumbar disc?

7、What are the methods of conservative treatment for lumbar disc herniation? Is it practical and reliable?

8. It is rumored that external application of traditional Chinese medicine can make the herniated intervertebral disc become smaller and absorb or even disappear, is it credible?

9, Does acupuncture work well for pain relief for herniated lumbar discs?

10、"Small swallow fly" "five-point arch bridge style" these exercises for lumbar disc herniation patients really have the effect?

11. Does lumbar spondylolisthesis in the elderly have a significant impact on the lumbar spine?

12, the elderly have osteophytes can not eat calcium tablets, osteophytes will increase in size?

13. How is surgery for lumbar disc herniation routinely done? Is the surgery risky?

14. Does lumbar disc herniation surgery affect the mobility of the spine?

15. Must patients with lumbar disc herniation sleep on hardboard beds?

It is not easy to code, pay attention to health, please like and forward to pay attention to the small black pot!

Workers who are involved in manual labor may be familiar with herniated lumbar discs, as they or their close co-workers are likely to have this disease. Some people think that lumbar disc herniation is a disease of the elderly. However, this is clearly not the case, and more people with lumbar disc herniation are manual laborers. So what exactly causes lumbar disc herniation?

{!-- PGC_VIDEO:{'thumb_fingerprint': 2035091785961612265, 'status': 0, 'thumb_height': 360, 'thumb_url': '168f60007dd124508b4c6', 'thumb_neardup_id': -3557102315455355904, 'neardup_id': 11036810968945051837, 'vid': 'v02004a70000bh1iibij2boghjb7qing', 'user_id': 6501634472, 'src_thumb_uri': '168f60007dd124508b4c6', 'sp': 'toutiao', 'vposter': 'https://p3-sign.toutiaoimg.com/mosaic-legacy/168f60007dd124508b4c6~noop.image?x-expires=1971444357&x-signature=pjoYLHmdu7ZWUeATRNAGOUOJpU4%3D', 'thumb_width': 640, 'item_id': 6648203243602051592, 'vu': 'v02004a70000bh1iibij2boghjb7qing', 'duration': 42, 'media_id': 6501634472, 'group_id': 6648203243602051592, 'hash_id': 11036810968945051837, 'vname': '2019Arthroplasty_03.mov', 'md5': 'ae20433e9e15a999a77fb5fe3fc1d0d1', 'video_size': {'high': {'duration': 42.12, 'h': 480, 'subjective_score': 0, 'w': 854, 'file_size': 2111892}, 'ultra': {'duration': 42.12, 'h': 540, 'subjective_score': 0, 'w': 960, 'file_size': 2940087}, 'normal': {'duration': 42.12, 'h': 360, 'subjective_score': 0, 'w': 640, 'file_size': 1622644}}} --}

Reason 1, sudden weight bearing or flash back

Sudden weight bearing or flashbacks are a major cause of lumbar disc herniation. This is because a sudden increase in loading on the lower back, especially if rapid bending, rotation or lateral flexion occurs, is likely to cause the annulus fibrosus to rupture, which leads to a lumbar disc herniation.

Cause 2, improper posture

When people are doing their jobs, they may need to constantly change various positions, such as sitting, lying down, standing, or even some non-physiological postures, which requires the spine, as well as the intervertebral discs, to be subjected to a variety of external pressures at all times. When the lumbar intervertebral discs are subjected to pressures beyond their capacity to withstand, or when they do not adapt to the transmission of external forces for a while, it may lead to trauma or cumulative damage, and finally lead to lumbar intervertebral disc herniation. To give a simple example: the posture of people when lifting heavy objects is very important, if the posture is poor, it is likely to induce lumbar disc herniation.

Cause three, cold and damp

As cold or dampness can cause small blood vessels to contract and muscles to spasm, it may end up causing an increase in the pressure on the pusher discs, or it may cause the degenerated pusher discs to rupture, and finally, it induces lumbar intervertebral disc herniation.

Cause 4, long-term vibration

Prolonged vibration can also lead to lumbar disc herniation. This cause of lumbar disc herniation is usually tractor or automobile drivers. This is because they spend a lot of time in a seated and upside-down position at work, which causes their lumbar intervertebral discs to be under more pressure. And when the driver presses the clutch, the pressure on their discs doubles. This long-term, repeated increase in disc pressure can lead to accelerated degeneration or herniation of the intervertebral discs.

Cause 5: Increased abdominal pressure

Increased abdominal pressure may trigger a herniated disc. For example, some patients with lumbar disc herniation are caused by sneezing, violent coughing, and constipation.

There are many causes of lumbar disc herniation. Hopefully, you can try to avoid these causes in your life and stay away from lumbar disc herniation.

Thanks, I'm an attending fracture surgeon at SCMS!

There are many causes of lumbar disc herniation, which I will now describe:

Nucleus pulposus herniation can be caused by a factor that induces a sudden increase in intervertebral pressure on top of degenerative disc changes. Common triggering factors include increased abdominal pressure, lumbar posture, sudden weight bearing, pregnancy, exposure to cold and moisture.

To find out how to treat it, click on the link and follow Dr. Wang of Orthopedics https://www.toutiao.com/i6603318198538338823/

Lumbar disc herniation is a relatively common condition. In recent years, the chances of young adults suffering from lumbar discs are increasing. A lumbar disc mainly refers to a herniated nucleus pulposus, and there are a variety of common causes of herniated discs, including the following.

1. Wrong posture in daily life.For example, sitting posture, sleeping posture and standing posture. If the posture is not correct, it will increase the degree of strain on the lumbar spine, and in the long run, it may trigger lumbar disc herniation.

2. Lumbar spine injury.Some people who have been engaged in heavy physical labor for a long time will be more prone to injuries to the lumbar spine, such as sprains and bruises, which will lead to degeneration of the lumbar spine, thus causing disc herniation.

3. Congenital anomalies of the lumbar joints.Examples include joint deformities and joint asymmetry. These conditions may then cause the lumbar spine to be more susceptible to injury, which can also make herniated discs more likely to occur.

4. Genetic susceptibility.If a parent has suffered from a herniated disc, there is a chance that the child will also suffer from it.

Although lumbar disc herniation is a condition that has a greater impact on the patient, it can be prevented. As long as in ordinary life, pay more attention to their own posture, posture is not right should be corrected in time. At the same time, it is recommended that patients can do appropriate back exercise, can play a role in protecting the lumbar spine, but also to ease the development of the disease.

Some of the more suitable low back exercises are swimming, walking, etc. You can also massage your low back appropriately.

Find this article useful, please like or recommend to a friend, and follow [Guangdong Orthopaedic Specialist Group]

First of all, thank you for your question.

Lumbar intervertebral disc herniation is one of the common diseases in orthopedics, mostly occurring in 30-50 years old young adults, due to intervertebral disc degeneration, destruction of the fibrous annulus by external forces, and nucleus pulposus protrusion compression or irritation of neurovascular tissues caused by a group of clinical syndromes, which are mainly manifested as lumbar and leg pains, and the most common is sciatica. Even lower limb paralysis, activity limitation, numbness and insensitivity, walking difficulties and other manifestations. Currently there are 3 main pathogenic mechanisms, i.e. mechanical compression mechanism, inflammatory response mechanism and neurohumoral mechanism. The main causes of lumbar disc herniation are as follows: 1) Trauma Acute injuries, such as lumbar sprain, can easily cause disc herniation in the case of losing the protection of lumbar back muscles. 2) Excessive weight-bearing lumbar disc herniation occurs in people with high incidence of manual laborers due to early degeneration of the discs caused by overload. 3) Overloading of the spine 100Kg. Research has found that when the spine is loaded with 100Kg, the normal intervertebral disc space narrows by 1.0mm and expands by 0.5mm to the side; when the intervertebral disc is degenerated, the same weight is loaded, the intervertebral spacer narrows by 1.5-2mm, and expands by 1mm to the side.3. Frequent vibration The most common people are drivers, who are in the seated position for a long time and upside down, and the lumbar discs are subjected to the increased pressure, and the prolonged vibration results in the discs having high pressure, which accelerates the degeneration of the discs. The most common group of people are drivers, who are in sitting position and upside down for a long time, the pressure on the lumbar intervertebral disc increases, and the long-term vibration increases the pressure on the intervertebral disc, which accelerates the degeneration or herniation of the intervertebral disc. 4, poor posture At work, it is necessary to change the position constantly, including sitting, standing, lying down, and it is difficult to avoid all kinds of non-physiological postures, which can easily make the discs suffer from traumatic injuries or cumulative injuries, for example, lifting heavy objects, which are often triggered by the poor posture. 5, spinal deformities Congenital and secondary spinal deformities of the patient, due to the discs not being equal in width, and there is often a torsion that So that the pressure on the annulus fibrosus is not the same, easy to accelerate the degeneration of the intervertebral disc. Spinal deformity patients are the high incidence of lumbar disc herniation.

I hope the above answer will help you.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Happy to answer your questions.

First of all, thanks for the invitation.

I've also had a bit of back pain lately, and I often feel a bit sleepy, especially after noon and after eating.

If this is happening to you, you might want to see your doctor because there is a possibility of a herniated disc.

Some may question: I'm still a young guy in my 20s!

Don't question it. .20-50 years old, young guys, you just hit on the highest incidence of this disease. More than half of the people with lumbar disc herniation are 20-50 year olds!

Why?

Sedentary, heavier, sitting or standing in the wrong position, sleeping in a soft bed instead of a hard one.

What about these? They are the causative factors in your quiet time.

And once they get moving, men like to go to the gym and lift an iron and feel like, gee a 140 pound barbell is nothing more than that, so shoulders up.

In fact, it's not good. With poor posture, or without proper protection and a lumbar protector, you're likely to develop a strain. And strain is an important causative factor.

If you find it useful, just give it a like and a pink friend.

It cost about 0.3KB of traffic hahahahahaha.

After all, I'm so cute.