What are the treatment methods of lumbar disc herniation?

After suffering from lumbar disc herniation, it can be generally divided into surgical treatment and non-surgical treatment according to the different conditions. It is generally recommended to stay in bed, lie on your back, lie flat, and avoid strenuous exercise, running and jumping, and carrying loads. Keep warm to avoid catching a cold. The following is my recommendation for the treatment of lumbar disc herniation, hoping to help you.

Treatment of lumbar disc herniation

Non-surgical treatment of lumbar intervertebral disc

Most patients with lumbar disc herniation can be relieved or cured by non-surgical treatment. Its treatment principle is not to restore the degenerated and prominent intervertebral disc tissue to its original position, but to change the relative position between the intervertebral disc tissue and the compressed nerve root or to partially recapture it, so as to relieve the pressure of the nerve root, loosen the adhesion of the nerve root, eliminate the inflammation of the nerve root and relieve the symptoms.

Non-surgical treatment is mainly suitable for people:

(1) young, first attack or short course of disease; ② Symptoms are mild, and can be relieved by themselves after rest; ③ No obvious spinal stenosis was found by imaging examination.

Common non-surgical treatment:

1, massage, massage, acupuncture, physical therapy:

It mainly uses various techniques or instruments to act on meridians and acupoints through human body surface, so as to achieve the purpose of preventing and treating diseases. It has a certain analgesic effect on patients and is a widely used and effective treatment method.

2, physical traction therapy:

Mainly for patients with lumbar disc herniation, two opposite forces are applied to the affected part at the same time, and the purpose of relieving pain is achieved by weakening or eliminating the pathological stress that is unfavorable to the condition.

3. Close the needle:

There are mainly anesthetic drugs and hormone drugs in the closed needle, and the closed needle is only a local anesthetic pain point, which freezes the blood circulation and nerve exchange locally in exchange for a period of analgesic effect.

Second, the surgical treatment of lumbar intervertebral disc

In recent years, minimally invasive surgical techniques such as microendoscopic discectomy, microendoscopic discectomy and percutaneous discectomy have reduced surgical injuries and achieved good results.

(1) people suitable for surgical treatment.

(1) Those who have a medical history of more than three months and are ineffective after strict conservative treatment or effective after conservative treatment, but often relapse and have severe pain;

(2) It is the first attack, but the pain is severe, especially the symptoms of lower limbs are obvious, and the patient is difficult to move and fall asleep, showing a forced posture;

③ Combined with cauda equina nerve compression;

④ Single nerve root paralysis, accompanied by muscle atrophy and decreased muscle strength;

⑤ Patients with spinal stenosis.

(2) Surgical methods: Partial laminectomy and articular process resection through the posterior lumbar incision, or discectomy through the intervertebral disc space. After laminectomy, the central disc herniation is removed through epidural or epidural disc. Patients with lumbar instability and lumbar spinal stenosis need spinal fusion at the same time.

Causes of lumbar disc herniation

1, basic factor

The degeneration of nucleus pulposus is mainly manifested by the decrease of water content, which can cause small-scale lesions such as instability and loosening of vertebral segments due to water loss. The degeneration of annulus fibrosus is mainly characterized by decreased toughness.

2. Damage

Long-term repeated external forces cause minor injuries and aggravate the degree of degeneration.

3, the weakness of their own anatomical factors

In adulthood, the intervertebral disc gradually lacks blood circulation and its repair ability is poor. On the basis of the above factors, some inducing factors that can lead to the sudden increase of intervertebral disc pressure may make the nucleus pulposus with poor elasticity pass through the fibrous ring that has become less tough, thus leading to nucleus pulposus protrusion.

4. Genetic factors

There are reports of familial lumbar disc herniation.

5, lumbosacral congenital anomalies

Including lumbosacral, lumbosacral, hemivertebra deformity, facet joint deformity and facet joint asymmetry. The above factors can change the stress on the lower lumbar spine, and increase the internal pressure of the intervertebral disc, which is prone to degeneration and injury.

6. Inducing factors

On the basis of intervertebral disc degeneration, some factors that can induce the sudden increase of intervertebral space pressure can cause nucleus pulposus protrusion. Common inducing factors include increased abdominal pressure, improper waist posture, sudden weight bearing, pregnancy, cold and dampness, etc.

Matters needing attention in lumbar disc herniation

1, avoid excessive bending and twisting of the lumbar spine, and do not sit for a long time.

2. Avoid carrying heavy objects and reduce the stress on the lumbar spine.

3. Patients in acute phase are not very active. When they go to the toilet on the ground, they can wear a special medical waist line to strengthen the stability of the lumbar spine.

4. In the acute phase and during treatment, it is advisable to lie on a hard bed.

5, massage and massage should go to the orthopedics and massage department of a regular hospital.

6, pay attention to the waist and lower limbs to keep warm, not greedy, otherwise it will induce or aggravate symptoms.

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