If you do a sample survey or a small-scale survey on lumbar disc herniation, there are only three questions: Do you know about lumbar disc herniation? Do you think it is necessary to go to the hospital for lumbar disc herniation? Then you know which department number should be assigned to the hospital Is it?
Judging from my clinical experience, the result is not hard to guess. I believe that most people's answers to the first two questions will be surprisingly similar: know (subconsciously touching the waist); no, it is necessary in serious cases. But the answer to the third question will definitely be very different. Orthopedics, neurosurgery, rehabilitation, pain... and so on.
Let's analyze these three questions.
The first question "Do you know about lumbar intervertebral disc herniation?" In fact, it is to explain the commonness of lumbar intervertebral disc herniation and most people have limited knowledge of lumbar intervertebral disc herniation. Although lumbar disc herniation is common, many times the public's understanding is really wrong. For example, some friends hope to "press the herniated disc back" through massage and other techniques after lumbar disc herniation. There is obviously no medical basis. Common but not well understood, it is most people's understanding of lumbar disc herniation.
The second question "Do you think it is necessary to go to the hospital for lumbar disc herniation?" is actually an extension of the first question, which examines the harm caused by the patient to the human body caused by the lumbar disc herniation. In life, many friends think it is back pain. In fact, the main hazard of lumbar disc herniation is that it affects the lumbar nerves, causing the patient to have leg numbness, leg pain, and even unable to walk normally, and dysfunction. Therefore, lumbar disc herniation not only needs to go to the hospital, but also to the hospital in time to avoid serious nerve compression! The third question "Which department should I go to the hospital?" is the first two questions and it is a level of investigation . We all know that doctors are divided into different departments, and the doctors in each department are different. But for patients with lumbar intervertebral disc herniation, it’s not that they don’t know which department to use when seeing a doctor, but that they “do not know how to choose”. Because there are too many choices!
After lumbar disc herniation, you will get completely different results if you check "Which department should you go to" on the Internet; if you go to a different hospital, the doctor may recommend different departments for you according to the situation of the hospital. . How to say it, in fact, it is impossible to say which is right and which is wrong. Generally speaking, the treatment of lumbar disc herniation is mainly mentioned in the four departments of orthopedics, neurosurgery, rehabilitation, and pain (of course, interventional, physical therapy, etc.). There is no doubt that these departments can treat lumbar Herniated discs, and each has its own strengths.
As a neurosurgeon, one cannot say which department is not good. Just talk about the advantages of neurosurgery in the treatment of lumbar disc herniation! As mentioned earlier, the main harm caused by lumbar disc herniation to patients is compression, It affects the lumbar nerves, and neurosurgeons are most concerned about nerves. When formulating a diagnosis and treatment plan, neurosurgeons start from decompressing the nerves and always adhere to the minimally invasive concept, exchange the smallest trauma for the greatest surgical effect, and avoid injury during the operation to treat the patient.
Let’s put it this way, in the treatment of lumbar disc herniation, neurosurgeons always insist on neuroprotection as the center, to relieve nerve compression as the purpose, and with the concept of minimally invasive, relying on micro-neurosurgical technology, with the help of an operating microscope, to remember Equipment such as microscope and neuroelectrophysiological testing can solve the fundamental problems of patients. It is undoubtedly a better choice for patients.
Of course, neurosurgeons do not only operate. Clinically, if the patient's condition is relatively mild, it is generally recommended that the patient go to other departments such as rehabilitation physiotherapy for corresponding treatment. In fact, neurosurgeons are more often responsible for triage and surgery, so it is generally recommended that patients choose neurosurgery when they first visit a doctor and when they need surgery!
