This article guides the experts:
Wang Zhiyun Associate Chief Physician Associate Professor
Spine Surgery, Shunde Hospital of Southern Medical University
The elastic soft tissue that connects between the vertebrae is called the intervertebral disc. Lumbar disc herniation is caused by external forces, nucleus pulposus tissue Protrusion causes irritation or compression of adjacent spinal nerve roots, resulting in lumbar spinal problems such as lumbar pain or sensory disturbances. How to treat lumbar intervertebral discs should be judged according to the symptoms and course of the disease, and the appropriate treatment method should be selected.
Non-surgical treatment
without surgery is called non-surgical treatment, and most patients are suitable for non-surgical treatment to relieve or even cure lumbar disc herniation. Applicable objects are young patients with first onset, short course of disease and mild symptoms.
1. Strictly bedridden. This method is suitable for patients who have a first attack. A complete bed rest for about 3 weeks can help relieve symptoms, maintain an absolute bed position, and do not have any standing, sitting, and other postures for better results.
After the end of the bedridden period, it is recommended to wear protective gear for activities, and do not bend over and hold weight for several months. This method is very simple, but the operation time is long and difficult to adhere to. After remission, it is necessary to assist in strengthening the back muscles to reduce the possibility of recurrence.
2, traction massage. Increased disc pressure due to lumbar disc herniation is often accompanied by muscle spasms. This symptom usually occurs in patients with a certain medical history but not a deep degree.
For such patients, the use of pelvic traction can help increase the width of the intervertebral space and reduce the pressure of the lumbar intervertebral disc, supplemented by massage to relieve lumbar muscle spasm, and help the lumbar disc herniation to be absorbed. However, this method needs to be carried out under the guidance of a professional doctor, and violent operations may lead to aggravation of the condition.
3, drugs and injections. When the lumbar disc disease is severe, inflammation can occur. Certain oral drugs can help inhibit the production of inflammatory factors, relieve inflammation symptoms, and promote the synthesis of lumbar disc cartilage matrix components. At the same time, by injecting therapeutic drugs into the lumbar intervertebral disc, it can reduce lumbar pain caused by degenerative diseases of the lumbar intervertebral disc and improve spinal function. The
nucleus pulposus and the protruding part are cut into the lumbar intervertebral space with special equipment under X-ray monitoring, and the bulging part is crushed and sucked out or laser vaporized to directly reduce the pressure in the lumbar intervertebral disc, thereby alleviating symptoms. However, this method is only suitable for patients with mild lumbar disc herniation or bulging of the nucleus pulposus. This method should not be used if there is stenosis of the lateral recess, more lumbar disc herniation, or the nucleus pulposus prolapsed into the spinal canal.
Surgical treatment
When the course of the disease enters the middle and late stages, surgery is needed to help relieve the disease. At this time, the more damaged lumbar spine tissue will be removed, and depending on the symptoms of the disease, spinal fusion may be required.
is a disease caused by accumulated injuries on the basis of degeneration. The treatment of lumbar disc herniation is difficult to cure. Only by preventing and reducing accumulated injuries, correcting living habits and working posture, can the probability of lumbar disc herniation be reduced. Medical Union Media Super GroupHealth Science Contest
