What is the best treatment for a herniated lumbar disc?

Massage is one of the effective methods of lumbar disc herniation, although it has the characteristics of less pain and quick effect, but massage also has indications and contraindications, that is, not all patients with lumbar disc herniation can be massaged. Therefore, patients must go to the massage department of a regular medical institution and ask a doctor to decide whether it is suitable for massage**. Generally speaking, according to the position of the herniation of the nucleus pulposus of the lumbar intervertebral disc, it can be divided into two types: lateral posterior protrusion and posterior protrusion.

I am a secondary school Chinese teacher, I was picking up a skin during a test mark, and suddenly felt a drilling pain in my left lower back, and then felt the strength in my lower back weakened, so I immediately went to the hospital for examination, and was told that it was a herniated disc in the lumbar spine.

Since then, I have been in the process of being a long and painful **. The doctor advised me to try to avoid sitting or standing for long periods of time, and it was best to change positions in my seat every hour. However, as a middle school Chinese teacher, I had to sit for a long time in the classroom every day, and I needed to correct test papers and prepare lessons, so I couldn't avoid standing or sitting for a long time.

Even though I do a lot of health exercises every day, I still have frequent lower back pain.

The long-term poor working posture has caused irreversible damage to my lumbar spine, resulting in a lifelong "occupational disease". Today, my herniated disc injuries have become more and more serious and frequent, which has brought inconvenience and distress to my work and life.

Whenever lumbar spine pain attacks, I can only take medication, perform acupuncture**, and take hot compresses under the guidance of a doctor. And these measures can't completely ** my low back pain, only temporarily alleviate the pain level and wait for the next episode.

Occupational diseases have had a great negative impact on my body and mind. Physically, my herniated disc became a permanent problem, making me feel weak and anxious from time to time. Psychologically, I was also very nervous and worried, fearing that my lower back pain would affect my students or even make it impossible for me to continue teaching.

However, I can't give up my career and responsibilities as a teacher just because of my physical problems, I will still do my best to maintain a good mental state and a positive attitude, and although my physical handicap hinders my work and life, I will still try my best to overcome it and persevere to the end. What's more, I'm also thinking about ways to avoid making my physical condition worse, such as doing some stretching exercises every once in a while, keeping rest and exercising, etc., to slowly develop healthy habits.

After this painful test, I have learned that physical health is very important to anyone, and no matter what profession we are engaged in, we must pay attention to our physical health while being busy with work. Only by giving the body enough rest and protection can we better fulfill our work responsibilities and life plans.

Maintain proper rest and sleep, and avoid staying in the same position for long periods of time, such as standing or sitting for long periods of time.

Perform physical **, such as hot compresses, cold compresses, massage, traction, etc.

Medications**, such as painkillers, anti-inflammatory drugs, muscle relaxants, etc.

Do appropriate physical exercises, such as stretching, stretching, bending, etc. in the lower back.

Manual** and acupuncture** under the guidance of a doctor.

If the symptoms are severe, surgery can be performed**, such as discectomy, implantation of artificial discs, etc.

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With the advancement of modern surgical techniques and auxiliary equipment, new methods have also emerged for intervertebral disc herniation, such as ozone nucleus pulposus lysis and PLDD between surgery and non-surgery, making it possible to solve intervertebral disc herniation without surgery.

Non-surgical**: 1 Absolute bed rest, should not get out of bed or sit up when urinating or defecating, get up and move with waist circumference after 3 weeks of bed rest, and do not bend over and hold objects for 3 months.

2 Continuous traction 3 Physiotherapy and massage, massage 4 Corticosteroid epidural injection 5 Uretic pulposus chemolysis.

Percutaneous nucleus pulposus aspiration.

Surgery**: Patients with confirmed lumbar disc herniation who have failed to respond to strict non-surgical treatment**, or who have cauda equina nerve compression, may be considered for nucleus pulposus extraction. However, some complications may occur after surgery.

Absolute bed rest is generally recommended, which is simple and effective, but difficult to stick to.

The disease is mainly non-surgical**, especially for patients with mild symptoms and a short course of disease, non-surgical ** (including life management, physical treatment) is preferred.

therapeutic drugs**, etc.). For patients who do not respond to non-surgical**, minimally invasive spinal techniques**, particularly percutaneous spines, may be considered depending on the patient's condition.

Column endoscopy**. For some patients with severe disease and no indication for minimally invasive treatment, open surgery may be considered**.

For patients with a first attack or mild, short-duration of disease, patients whose symptoms can resolve spontaneously after rest, due to systemic disease or localization**.

Patients with diseases that do not allow surgery can be used conservatively** for patients who do not agree to surgery**. Specific** programs include:

Bed rest, - generally strict bed rest for 3 to 4 weeks, waist circumference, appropriate ground activities;

Non-steroidal anti-inflammatory and analgesic drugs**;

Intravenous mannitol reduces nerve root edema**;

Introduction, of which, pelvic traction is the most commonly used;

Physiotherapy, acupuncture, massage (under the guidance of a professional doctor), sports**, medical gymnastics, etc.