How to Treat Lumbar Disc Herniation?

Lumbar disc herniation has become a common disease in daily life. It can have a significant negative impact on patients' physical health and daily lives. If treated actively in the early stages, the condition can be prevented from worsening. In the treatment of lumbar disc herniation, conservative treatment or surgical treatment may be adopted based on the severity of the condition and the patient's physical condition.

1. Minimally invasive treatment is painless, effective, and has a low recurrence rate. Minimally invasive intervention is currently a commonly used treatment for lumbar disc herniation internationally. It is mainly suitable for people aged 30-50, with a shorter treatment time compared to traditional methods. Generally, patients can be discharged within 3-7 days, making it suitable for office workers.

2. Conservative treatment can regulate the body overall and enhance the stability of the waist. However, its disadvantages include a more complicated treatment process and a longer duration, typically around one month. It is recommended for older individuals.

3. Surgical treatment is an option for lumbar disc herniation, but it is not always the best choice. The principle of "avoid surgery if possible" should be adhered to. Surgical treatment has higher risks, larger trauma, slower recovery of the nervous system, and a high possibility of recurrence. Therefore, it is important to carefully consider surgical options as they may have numerous complications.

1. Degenerative changes in the lumbar disc are the fundamental factor. Degeneration of the nucleus pulposus is mainly manifested as a decrease in water content, which can lead to instability and loosening of the vertebral segment due to water loss. Degeneration of the fibrous ring is mainly manifested as a decrease in toughness.

2. Injury caused by repeated external forces over time can lead to mild damage, which exacerbates the degree of degeneration and results in the occurrence of lumbar disc herniation.

3. Weaknesses in the anatomical factors of the intervertebral disc contribute to its susceptibility to herniation. After adulthood, the intervertebral disc gradually lacks blood circulation and has poor repair capabilities.

4. Genetic factors may also play a role in the occurrence of lumbar disc herniation. There are reports of familial occurrence, and the incidence is lower in certain ethnic groups.

5. Congenital abnormalities of the lumbosacral region, including sacralization of the lumbar vertebrae, lumbarization of the sacrum, hemivertebral deformities, small joint deformities, and asymmetric joint processes, can alter the stress on the lower lumbar vertebrae, leading to increased intradiscal pressure and susceptibility to degeneration and injury.