The treatment of the disease is mainly non-surgical treatment, especially suitable for patients with mild symptoms and short course of disease (including life management, physical therapy, drug treatment, etc.). ). For patients who are ineffective in non-surgical treatment, minimally invasive spinal treatment, especially percutaneous spinal endoscopic treatment, can be considered according to the condition. For some patients with serious illness and no indication of minimally invasive treatment, open surgery can be considered.
For patients with first-time attack or mild symptoms and short course of disease, patients whose symptoms can be relieved by themselves after rest, and patients who cannot be operated due to systemic diseases or local skin diseases can be treated conservatively. The specific treatment plan includes:
Stay in bed, generally stay in bed strictly for 3 ~ 4 weeks, protect your waistline and exercise properly;
Nonsteroidal anti-inflammatory drugs and analgesics;
Intravenous infusion of mannitol reduces nerve root edema;
Traction therapy, in which pelvic traction is the most commonly used;
Physical therapy, acupuncture, massage (under the guidance of professional doctors), exercise therapy, medical gymnastics, etc. More than 95% of patients with lumbar disc herniation have low back pain and sciatica. The clinical manifestations are low back pain, radiation pain, numbness and weakness of lower limbs, which can be manifested as scoliosis, decreased lumbar mobility, muscle atrophy or decreased muscle strength.
Patients with severe disc herniation will have dysuria and abnormal sensation in sellar region.
Early symptoms
In the early stage, patients may show low back pain and sciatica when standing or walking in an upright position.