This mainly depends on your physical fitness. If you are strong, it is not easy to relapse; if you are poor, it is easy to relapse.

The pathological basis of lumbar disc herniation is degeneration and injury.

Degeneration is a gradual degenerative change with the growth of age, which occurs sooner or later with the strength of physical fitness, the degree of strain and whether the concept of health preservation is taken seriously. The intervertebral disc has degenerated around the age of 20, and obvious wear and cracks have appeared between the ages of 20 and 30. Literature reports that the incidence of lumbar disc herniation is about 70% between 265438-0-40 years old.

Treatment of lumbar disc herniation

1. TCM therapy:

Lumbar disc herniation or nucleus pulposus protrusion caused by degeneration and injury not only exerts mechanical compression on nerve fibers and spinal nerve roots of sinus vertebrae, but also causes aseptic inflammation and adhesion of local tissues. However, spinal instability caused by the loss of expansion of nucleus pulposus can stimulate sinus vertebrae and nerve roots and cause low back pain, so Chinese medicine has obvious advantages in treating lumbar disc herniation.

Traditional Chinese medicine (TCM) aims at the root of the disease and the pathological basis of its degenerative changes, strengthening the body resistance and eliminating pathogenic factors, supplementing liver and kidney with "strengthening tendons and bones" (also known as "anti-degenerative prescription"), promoting blood circulation and removing blood stasis, improving human quality and expelling pathogenic factors, which can fundamentally treat lumbar disc herniation.

Lumbar disc herniation with surgical indications should also be treated as soon as possible. When the protruding nucleus pulposus and degenerated intervertebral disc tissue are removed, the intervertebral space becomes narrower, and lumbar instability can be seen. Vanakkerrecken followed up the patients who underwent lumbar disc surgery, and found that a considerable number of patients' sciatica disappeared, while low back pain persisted, showing weakness in the waist. Lumbar instability can also accelerate the degeneration of adjacent intervertebral discs. In order to prevent other gaps from protruding again, consolidate the surgical effect and maintain the balance between the inside and outside of the spine, it is necessary to take "concentrated solution for strengthening tendons and bones" (also known as "anti-degenerative prescription").

2. Traction, massage and blocking therapy:

Traction, massage, waterlogging and epidural block can relieve adhesion, diminish inflammation and relieve pain, and have certain curative effect on early lumbar disc herniation. Patients with better physique can also maintain a longer time after recovery. As for the theory that "lumbar intervertebral disc can be restored", it remains to be discussed. The theory of early recovery of lumbar disc herniation has some truth. Whether the protruded nucleus pulposus can be recovered by traction massage in the middle and late stage of lumbar disc herniation needs further confirmation. Even if it can be reset, how to make the broken fiber ring repair as before to bear the gravity of the upper body is another theoretical problem that needs to be discussed.

We believe that the clinical symptoms caused by the direct compression of the nerve by the protrusion are only one of the reasons. Lumbar and leg pain caused by protrusion of nucleus pulposus and degeneration of other lumbar stabilizers is more common. Therefore, massage and traction, hard external sealing, fumigation and washing, and traditional Chinese medicine can all achieve certain curative effects. If the main reason is that the nucleus pulposus protrudes and compresses the nerve roots, or the spinal canal stenosis is severely compressed, it cannot be cured without surgical decompression. This is a part of patients who need surgery after conservative treatment fails.