Non-surgical treatment is the basic treatment of lumbar disc herniation, and about 80% patients can be relieved and cured after conservative treatment. But the judgment of conservative treatment also puts forward higher requirements for doctors. They should not only ask the patient's medical history comprehensively, carefully check the body, carefully refer to the relevant auxiliary examinations, but also have a comprehensive understanding and mastery of the disease, not only take appropriate therapy, but also guide the patient to carry out correct rehabilitation exercises. In addition, it is necessary to know the psychological status of patients in detail, especially for patients who have been ill for a long time or have psychological fears. It is necessary to let them put down their ideological burdens and actively cooperate with the treatment in order to achieve good therapeutic effects.

1, stay in bed;

2. Traction therapy;

3. Massage therapy;

4. Physical therapy;

5. The treatment of anti-inflammatory and analgesic drugs mainly includes: Voltalin, etc. These drugs are suitable for most patients, but a few patients have side effects such as gastrointestinal reaction, such as nausea, vomiting, stomachache and diarrhea. Use with caution or disable in patients with digestive tract ulcer.

6. The application of drugs to relieve nerve root edema, such as mannitol and hormones, has a very prominent anti-inflammatory and analgesic effect, especially in the acute episode of lumbar disc herniation. However, people with renal insufficiency should use mannitol with caution, and it is easy to have symptoms such as rebound phenomenon when they stop using hormones.

Second, surgical treatment.

The surgical principle of lumbar disc herniation is strict aseptic operation, try to keep unnecessary bone structure and soft tissue structure, achieve full exposure with minimal trauma, and carefully and thoroughly remove the diseased tissue to achieve the therapeutic purpose. Traditional discectomy includes fenestration, hemilaminectomy and total laminectomy. The fenestration method has less soft tissue separation and limited osteotomy, and has little influence on spinal stability. Can be used for most intervertebral disc herniation. Hemilaminectomy can be used for patients with disc herniation complicated with obvious degenerative changes who need extensive exploration or decompression.

If the central protrusion adhesion is obvious, or the central lumbar spinal stenosis needs bilateral exploration and decompression, total laminectomy can be used. In addition to traditional discectomy, there are percutaneous lumbar discectomy and late minimally invasive lumbar discectomy.

Micro-lumbar discectomy has been carried out in our country. These unconventional surgical methods have certain limitations, which require long-term practice and continuous improvement, and have high technical requirements for doctors. Complications of minimally invasive treatment of lumbar disc herniation are often heard, which aggravate the pain of patients. Therefore, we should strictly grasp its special indications, pay attention to prevent complications and seek the greatest benefits for patients. Lumbar disc herniation with complex lumbar diseases such as lumbar instability, lumbar spondylolisthesis, spinal stenosis, huge protrusion and recurrence of protrusion may require lumbar fusion surgery.