Can lumbar disc herniation be reduced and treated?

Yes, in April last year, the New England Journal of Medicine published an article on the herniation of lumbar disc without surgery.

The main content of the article is that a 29-year-old female patient began to present with pain in her right leg accompanied by paresthesias 6 months ago, and no incontinence. About 5 months ago, an MRI (lumbar magnetic resonance) showed that a herniated lumbar disc caused spinal narrows and nerve root compression.

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The patient opted for conservatism**: physical** and epidural glucocorticoids (mainly for anti-inflammatory and analgesic effects). Five months later, the second MRI, as shown below.

Obviously, the herniated lumbar disc has been retracted. That is to say, without surgery, only conservative**, through exercise** and other means, it is possible to retract the herniated lumbar disc (mainly refers to the process of generating new water and fluid after the repair of the ruptured fibrous ring).

The reason is: the human body has a certain ability to repair itself (the fiber ring can be repaired by itself, but it takes a long time and needs to cooperate with a certain method).

Medications** can act as anti-inflammatory and analgesic in the acute phase, can effectively relieve pain, and can support subsequent exercise**.

The role of movement** in this.

1.Simple, smaller exercises, such as the first stage of the scissor leg, can work the deep muscles near the lumbar disc (making it more toned), reduce the pressure on the lumbar disc and promote its repair.

2.Some stretching exercises, such as supine abdominal flexion, can relax the lower back muscles and promote muscle flexibility.

3.For example, flexural nerve stretching can reduce the pressure of the sciatic nerve, promote its nerve recovery, and effectively relieve symptoms such as pain and numbness.

4.Some high-intensity exercises, such as lateral plank hip raises, can enhance the strength of the core muscles of the back and effectively reduce the risk of lumbar disc herniation.

Generally speaking, it takes 3 months for muscles to recover, and longer for nerves, so exercise** is a long-term and consistent process. Of course, the exercise here is not simply any exercise, it needs to be evaluated in detail to determine what exercise needs to be done according to specific symptoms and other information.

First of all, you should change your posture and not sit for a long time or rest more on the computer, and do not carry heavy objects, and you can also cooperate with the exercise **, if you are not old and do not have serious osteoporosis or slippage, you can insist on hanging a horizontal bar to try.

A herniated lumbar disc can be cured in a variety of ways**. Most patients may have lumbar intervertebral disc herniation, some patients are more irritable after the disease, and may repeatedly ask the doctor whether the lumbar intervertebral disc herniation can be cured, **There are many ways to lumbar intervertebral disc, as follows:

1. Conservative**: If it is a preliminary manifestation, it is mainly conservative**, which includes taking drugs, massage, physiotherapy, hot compresses, etc.;

2. Surgery**: If the symptoms persist and fail to be relieved, or abnormal manifestations such as urinary and urinary disorders appear, necessary surgery is required in time. At present, the surgical process of lumbar disc herniation is to clarify the cause of herniation and compression of nerve, avoid continuing to compress nerves, so that nerves can be relieved, no longer compressed, and there will be no lumbar pain and pain in both lower limbs, numbness, fatigue, etc., **lumbar disc herniation.

Although the patient's fibrous ring cannot be reversed and repaired, some patients with mild disease can achieve the above degree as long as they actively carry out conservative and reasonable exercises. Prompt surgery is still recommended for some patients with severe disease**. Please do a detailed physical examination to check the lower back and buttocks for soft tissue injuries, because more than 80% of the pain in the back and legs is caused by myofascial trigger points in the lower back and hips, although you have a herniated disc in the lumbar spine, but maybe her pain is not caused by the herniation.

Do more physical exercises, increase muscle strength, such as the adjustment of the waist, back and back muscles, etc., and often carry out activities related to the lumbar spine to keep the lumbar spine in a stable state. The psoas major and abdominal muscles increase the stability of the lumbar spine. Nerves have a trophic effect on muscles.

When nerve damage lasts for a long time, muscles may degenerate due to this condition, or some patients may have reduced activity due to pain, resulting in degeneration, disuse, volume reduction, and atrophy, as well as decreased and weakened muscle strength.

Many patients do not require special**. As long as you stay on bed rest, the symptoms are significantly reduced, and the CAMA is moderately soft and hard. Lying on the cama can reduce the pressure on the interspinal discs, reduce protrusion, try to put the arms and hands in the front position, which is conducive to the flexibility of the shoulder joint and the effort of the palm to sensitivity and knowledge, in particular, the support function and balance of the two arms are exerted to the extreme, the body skeleton slowly recovers, and various spinal diseases and complications can be alleviated and **.

When encountering paralysis of the hands and feet, you should go to the hospital for a physical examination in time, diagnose whether there is lumbar intervertebral disc herniation through imaging medicine and physical examination, and pay attention to cultivating living habits and physical exercise on weekdays. There are scientific methods of relief in the acute phase. For patients with severe lumbar disc herniation, we can consider minimally invasive interventional surgery**.

Under normal circumstances, through minimally invasive interventional surgery, patients will not be compressed by lumbar protrusions, and can often achieve the best effect of lumbar disc herniation.

Don't do heavy work in normal times, and you should also pay attention to rest, don't stay up late, develop a good living habits and eating habits, eat more nutritious food, eat more foods with high calcium content, and also need to be combined with some drugs, you can also choose plasters, or you can choose acupuncture or massage to relieve.

It should be massaged frequently, and some ointments should be applied frequently, hot compresses should be chosen to get a very good recovery, and regular exercise should be done. Do a good job of keeping warm.

You should not do heavy work at ordinary times, and you should pay attention to more massage, and you should also pay attention to the combination of drugs for relief, and pay attention to the effect of acupuncture.

Sciatica typically presents with radiating pain from the buttocks, posterior thighs, and lateral calves to the heel or dorsum of the feet, with lower extremity pain in 80% of patients. Low back pain, in particular, is not only the most common symptom of a herniated disc in the lumbar spine, but also one of the first to appear. This action is to help us sort out the "foot sun bladder meridian" in our legs, that is, to help us eliminate the symptoms of pain and numbness in the legs.

Especially for friends with obvious symptoms on the back of the legs, the effect is very good.

<> it is surrounded by cartilage plates on the upper and lower sides, a fibrous ring around the periphery, and a water-rich nucleus pulposus in the middle. The intervertebral disc is elastic, just like the "spring pad" between the vertebrae of the spine, which can reduce and cushion the external force on the spine and cranium during human movement. Usually do more exercises to strengthen the waist muscles, increase the strength of the waist muscles, and properly carry out waist strength exercises.

The little delphinium in the picture below is a common exercise for exercising the psoas muscles, you can do what you can, and feel the force of the psoas muscles in the process of doing it.

Strengthen the head support for a total of five point supports. Push your waist up, try to hold this motion for a while, and then slowly lower it. This movement can be done several times a day depending on the individual's physical condition.

It is advisable to not be physically tired and unwell the next day. I practiced like this, and after three months, my symptoms were reduced a lot, I stepped on the train to Beijing with a waist brace, and I continued to exercise after work, and now it has been almost five years, and the lumbar protrusion has not been committed again, and it is the exercise that has helped me.

Exercise: Mainly exercise on the diseased side, auxiliary exercise on the healthy side, slowly hook the foot to the maximum and stay for 3-5 seconds, and relax for 5 seconds as a time. Exercise 10 times a day for a group, exercise about 6 groups a day, and do not aggravate the symptoms!

Symptoms such as soreness and pain in the lumbosacral region and buttocks, radiating pain and numbness in the lower limbs. However, before the development of lumbar disc herniation, the muscles and ligaments of the lumbar spine and the lumbar vertebrae have already degenerated, and symptoms of lumbar muscle strain such as stiffness, soreness and pain may have appeared.

If it is a slight lumbar disc herniation, there is a high chance of recovery, if it is a more serious lumbar disc herniation, try not to sit for a long time, you can lie down more and bend less, eat a healthy diet, and do not exercise vigorously.

You can exercise through swimming. Swimming can exercise the muscles of the whole body, and it can also better exercise the strength of the lower back, which can make the development of the lower back better, and can also relieve the herniation of the lumbar intervertebral disc.

Be sure to get a massage regularly, don't do heavy work, and go for regular check-ups, and you can also apply some plasters, or let the doctor provide some protective tools.

Avoid exertion, cold, and bad posture, such as long-term bending over to bear weights, squatting work, and recovery can be carried out with appropriate exercises.

This requires more exercise, and if it is severe, surgery or traction can be performed, which can make the lumbar disc recover faster.

Combination of Chinese and Western** plus exercise.

Lumbar disc herniation cannot be recovered on its own, and once the intervertebral disc of a patient with lumbar disc herniation cannot return to its original position, the doctor's job is to alleviate the nerve symptoms caused by the herniated disc for the patient.

Lumbar disc herniation is a physical lumbar disc lesion, which cannot be recovered by itself, and going to the hospital is only for relief.