Is there any good treatment for a herniated lumbar disc? Urgent .

Is it serious? If it is serious, you may need surgery when you go to the hospital, and if it is not too serious, you can sit on a warm negative mattress in Heng'an Hall; Consult 010-58894458

<> most typical symptom of a herniated lumbar disc is sciatica.

There are many ways to herniate a lumbar disc, and the best method is the one that suits you.

1. The vast majority of lumbar intervertebral disc herniation can be treated with conservative methods, which is the disappearance of symptoms, that is to say, "clinical", conservative methods include: non-steroidal anti-inflammatory drugs, commonly used are, diclofenac sodium, loxoprofen, celecoxib, etc.; Nutritional neurologicals: methylcobalamin, vitamin B1, etc.; Indicated for patients with milder symptoms。Physiotherapy:

Electrical, magnetic, optical, electric, thermal, etc.**; The above is for patients whose symptoms are not too severe. Dehydrating drugs: escin saponins, mannitol, etc.; Traditional Chinese Medicine**.

The mechanism of conservatism ** is to dehydrate the herniated intervertebral disc, reduce the size, and reduce or disappear the compression of the nerve; Eliminates the edema of the nerves, is the disappearance of symptoms. An increase in the pain zone is a decrease in the sensitivity of its tissues to pain.

The location of the herniated disc is related to the nerves.

2. Surgery**, minimally invasive**: posterior disc endoscopy, intervertebral foraminoscope, etc. are suitable for simple intervertebral disc herniation; Open surgery to remove herniated and degenerated discs; open surgery + internal fixation and bone grafting; Indicated for patients with large herniated discs, spinal stenosis, and possible instability.

When there is a lumbar intervertebral disc herniation, how to achieve the best effect, this is mainly to see the degree of lumbar disc herniation found through examination and the clinical manifestations it causes are different, if the problem of lumbar disc herniation is found through imaging examination, but the degree of herniation is not very serious, and there is no problem of compressing the nerve, and at the same time the local pain it causes is uncomfortable, and the symptoms are not the most severe, then in this case you can still consider taking a conservative approach to **, That is, you need to rest as much as possible, don't bend over too much, exercise with weights, and don't get cold.

At the same time, you can do some hot compresses or traction physiotherapy acupuncture, baking lamps and other physical **, and at the same time, you can eat some neck and waist capsules, stretching tendons and other drugs**, so that it is possible to recover slowly, but if the degree of intervertebral disc herniation is found to be more serious through examination, then in this case it may be necessary to take surgery to **, so as to recover better.

The disease is mainly non-surgical**, especially for patients with mild symptoms and a short course of disease, non-surgical ** (including life management, physics**, drugs**, etc.) is preferred. For patients who do not respond to non-surgery**, minimally invasive spinal techniques**, particularly percutaneous spinal endoscopy**, may be considered depending on the patient's condition. For some patients with severe disease and no indication for minimally invasive treatment, open surgery may be considered**.

1. Traction**: Traction** is one of the commonly used cases for patients with lumbar intervertebral disc herniation. Traction has a long history and has been greatly developed.

2. Bed rest: Bed rest is the basis of non-surgery. Clinical practice has proved that most patients with low back pain and leg pain symptoms, especially patients with lumbar intervertebral disc herniation with a protruding pathological type, bed rest can significantly alleviate or gradually disappear the pain symptoms.

3. Closure: Closure is a quick and effective method for lumbar disc herniation. Because it is safe and reliable, easy to operate, and has remarkable efficacy, it is widely used in **lumbar intervertebral disc herniation.

It includes methods such as pain point occlusion**, epidural space occlusion**, intervertebral foraminal nerve root occlusion, etc.

4. Immobilization**: The main function of the waist circumference and support belt is immobilization, which can make the damaged lumbar intervertebral disc obtain local rest and create good conditions for the patient's body recovery.

5. Tuina**: Tuina is massage, which is an integral part of traditional Chinese medicine. Tuina has the advantages of simple method, comfort and effectiveness, and few complications, and has been regarded as one of the complexes of lumbar intervertebral disc herniation.

When there is a lumbar intervertebral disc herniation, how to achieve the best effect, this is mainly to see the degree of lumbar disc herniation found through examination and the clinical manifestations it causes are different, if the problem of lumbar disc herniation is found through imaging examination, but the degree of herniation is not very serious, and there is no problem of compressing the nerve, and at the same time the local pain it causes is uncomfortable, and the symptoms are not the most severe, then in this case you can still consider taking a conservative approach to **, That is, you need to rest as much as possible, don't bend over too much, exercise with weights, and don't get cold.

At the same time, you can do some hot compresses or traction physiotherapy acupuncture, baking lamps and other physical **, and at the same time, you can eat some neck and waist capsules, stretching tendons and other drugs**, so that it is possible to recover slowly, but if the degree of intervertebral disc herniation is found to be more serious through examination, then in this case it may be necessary to take surgery to **, so as to recover better.

There are two methods of conservative ** and surgical **, if conservative** 6 weeks is ineffective and the symptoms are severe, surgery **, surgery has two kinds of surgery: open surgery and minimally invasive surgery, the treatment is the same, I personally prefer minimally invasive**.

The Second Affiliated Hospital of Inner Mongolia Medical University - Spine Surgery - Deputy Chief Physician Li Shuwen.