1. Surgery and minimally invasive treatment: Traditional discectomy, chemolysis of extradiscal nucleus, laser disc ablation and percutaneous discectomy are not suitable for patients with discogenic low back pain.
2. In foreign countries, electrothermal nucleus pulposus ablation and annuloplasty are widely used.
electrothermal
Valvuloplasty/nucleoplasty (IDET)
Treating discogenic low back pain. According to Joel,
Sal and Jeff
Sal reports,
After a one-year follow-up with IDET, the total effective rate is close to 70% to 80%. Complications are rare, the complications of intervertebral infection and nerve injury are less than 65438 0%, and no serious complications occur. It should be noted that patients with multi-level disc degeneration and disc stenosis may not be satisfied with the curative effect.
3. Intradiscal injection of methylene blue
4. Spinal fusion
5. Disc replacement
6. Ozone nucleolysis: Recently, ozone nucleolysis was used to treat discogenic low back pain in China, and the reported total effective rate was 76.6~8 1%.