What sequela does lumbar disc herniation have after surgery?

The intervertebral disc of human body generally begins to degenerate after the age of 20, and the fibrous ring loses its elasticity due to degeneration, resulting in cracks. External force may aggravate the crack and make the nucleus pulposus protrude. After a few patients catch cold in the lumbar spine, the muscle tension increases, which leads to an increase in the internal pressure of the intervertebral disc and promotes degenerative disc herniation. Therefore, trauma and pathogenic wind, cold and dampness are the external causes of disc herniation. Lumbar disc herniation is easy to occur because the load and mobility of lumbar vertebrae are greater than those of thoracic vertebrae, especially between 4-5 and 5- sacrum 1. It is the midpoint of the whole body, with greater load and mobility. Therefore, it is most likely to cause lumbar disc herniation. If the nucleus pulposus or annulus fibrosus protruding into the spinal canal does not compress the nerve roots, but only stimulates the posterior longitudinal ligament, low back pain is the main reason. If the posterior longitudinal ligament breaks and compresses the nerve root, leg pain is the main cause. Most patients with this disease can be caused by lumbar sprain or fatigue, and a few have obvious history of external injury and no fatigue, mostly because the fibrous ring is too weak. Common treatment methods generally think that rest can reduce the extrusion pressure of nerve roots, promote the backflow of nucleus pulposus and eliminate the reactive edema of nerve roots. 1, mechanical traction and traction may not be effective. Traction can reduce the pressure of intervertebral disc, promote the recovery of nucleus pulposus in different degrees, promote the regression of inflammation, relieve muscle spasm and restore the normal articulation of joints. However, if the herniated intervertebral disc is inside the nerve root, it will be more painful, and it is not suitable for the central giant nucleus pulposus protrusion, free protrusion and. In short, traction will reduce the loss of elasticity of the annulus fibrosus. Especially for elderly patients, osteoporosis is prohibited. 2. Surgery believes that lumbar disc herniation can only be eradicated by surgery, so as long as there is no choice for lumbar disc herniation, as long as the patient agrees, surgery will be performed. On the one hand, it increases the unnecessary economic burden of patients, on the other hand, it increases the probability of "lumbar surgery failure syndrome". In fact, the indications of lumbar disc herniation surgery are very strict, and surgery is not the first choice for the treatment of lumbar disc herniation. Lumbar nerve is rich and easy to get hurt. 3. Incorrect functional exercise will aggravate the compressed nerve load, leading to sciatic nerve injury and lower limb paralysis. According to different prominent parts, proper manual reduction and functional exercise can be cured. 4. Blocking therapy Blocking therapy is an epidural injection therapy with high surgical skills and skilled techniques. Generally in the hands of anesthesiologists, sometimes a treatment is not effective. But it still doesn't change the compression on the nerves. (1) According to Chinese medicine, the disease of lumbar vertebrae lies in the kidney, and the kidney deficiency is unrestrained, so it slips, thus damaging the meridians, and it hurts if it is blocked. The treatment should be dredging the governor and promoting blood circulation, tonifying the liver and kidney, expelling wind and removing arthralgia. Commonly used drugs can be salvia miltiorrhiza and Eucommia ulmoides. Rhizoma Cibotii, Radix Achyranthis Bidentatae, Radix Saposhnikoviae, Herba Taxilli, Radix Clematidis, Radix Gentianae Macrophyllae, Caulis Spatholobi, Radix Dipsaci, Radix Angelicae Sinensis, Squama Manis, Radix Glycyrrhizae, etc. Can be added or subtracted according to syndromes. (2) Folk herbs also have a unique effect on this disease, such as safflower water lily, osmanthus skin, four-season onion, and vinegar applied to the lumbar spine. In my opinion, it is not ideal to treat lumbar disc herniation with drugs alone. The most important thing is in reset and functional exercise. After the sciatic nerve is compressed, the lower limbs are always numb without changing the compression point. After using different manipulative reduction and functional exercise according to different protrusion, using some traditional Chinese medicine treatment is helpful to recover more effectively. This has few side effects and high cure rate.