Lumbar disc herniation, orthopedics, also commonly known as repositioning can not correct the bone

Most patients can.

Most patients with lumbar disc herniation can be relieved or cured by non-surgical treatment. The principle of treatment is not to return the degenerated and herniated disc tissue to its original position, but to change the relative position of the disc tissue and the compressed nerve root or part of the return, to reduce the compression on the nerve root, to loosen the adhesion of the nerve root, and to eliminate the inflammation of the nerve root, so as to relieve the symptoms.

Non-surgical treatment is mainly suitable for: young, first attack or shorter duration of the disease; less severe symptoms, the symptoms can be relieved by themselves after rest; no obvious spinal stenosis in imaging examination.

Extended information

The lumbar spine is the pivot of spinal movement, and the lumbar intervertebral discs and small joints at the back of the lumbar spine form a triple-jointed complex, which is decisive for the stability of lumbar spinal bony structures. It is generally believed that the lumbar intervertebral disc in the three-joint complex of the earliest degeneration, in the lumbar spine degenerative changes play a leading role.

Physiological degeneration of the intervertebral disc begins at the age of 20, and the earliest degeneration begins with the cartilaginous endplates, which are thin and incomplete, and the annulus fibrosus loses its attachment point and becomes thin, which facilitates the degeneration and degeneration of the annulus fibrosus and nucleus pulposus.

Although the annulus fibrosus is strong, overloading can cause friction at the intersection of neighboring layers of annulus fibrosus, resulting in degeneration and hyaline degeneration of the annulus fibrosus, annular and radial fissures occurring in the annulus fibrosus from the inside out, and the annulus fibrosus becomes loose and elasticity decreases. When the vertebral body is subjected to external impact, the degenerated annulus fibrosus can partially show a ring or radial fracture, and the nucleus pulpus content can protrude through the fissures.

If the superficial fibers remain intact, the nucleus pulposus protrudes from the fissure, pushing against the unbroken fibrous laminae in a mound-like protrusion; if the posterior annulus fibrosus laminae are completely broken, the nucleus pulposus may protrude into the spinal canal; if the annulus fibrosus is partially torn, and the detached fragments enter the vertebral canal, all of which can squeeze or stimulate the spinal nerves to produce symptoms.

Baidu Encyclopedia - Lumbar Disc Herniation Rehabilitation

Baidu Encyclopedia - Lumbar Disc Herniation