Chinese medicine is a Chinese medicine, inherent in the "external treatment of the reason that the internal treatment of the reason that the external treatment of the medicine that the internal treatment of the medicine, the difference, the law ear", "cream can cure the disease, no different from the soup" and other sayings.
The Chinese lumbar/pain/recovery/positive/paste is made of Cornus Officinalis, Cuscuta Chinensis, Deer Antler Gum, Radix Paeoniae Alba, Semen Coix lacryma, Lonicera japonica, Hetong Pi, Hippocastanum, Cortex Bupleurum, Epimedium Brevicornum, Atractylodes Macrocephalae and other valuable Chinese herbs. As a typical representative of TCM plasters for the treatment of disc round lumbago, it has a series of advantages such as high viscosity, high content of active ingredients, slow precipitation and long-lasting effect. 1.Conventional open surgery (including: half laminectomy, total laminectomy, transabdominal disc surgery) 2.Discoscopic surgery
3.Artificial lumbar disc replacement 1.Collagenase chemodissolution therapy 2.Ozone injection therapy 3.Percutaneous laser disc decompression 4.Radiofrequency thermo-coagulation target puncture technology
(I): Physiotherapy, Tuina therapy, Acupuncture and moxibustion therapy
Physical therapy includes electrotherapy, three-dimensional traction, herbal vaporization, heat therapy and other methods, and massage, acupuncture and other treatment purposes are basically the same. It is to relieve the patient's clinical symptoms, rather than a cure. Because most of the patients with lumbar protrusion are accompanied by chronic lumbar muscle strain, pear-shaped muscle tension, lumbar disc herniation compression of the nerves with the nerves through the parts of the muscle spasms caused by low back and leg pain, general hospitals will use physical therapy, massage, acupuncture and other means of treatment to relieve muscle tension and spasm. So patients who have had physical therapy will be more comfortable when they have physical therapy. Physical therapy, massage, acupuncture and other treatments are only used in conjunction with lumbar disc herniation, and if the condition is serious, the only way to find other treatments.
(2): Surgery
1. Conventional open surgery:
Conventional open surgery includes total laminectomy, hemilaminectomy, transabdominal disc surgery, vertebral body fusion and so on. The purpose of the surgery is to directly remove the nucleus pulposus of the diseased lumbar intervertebral disc and relieve the nerve root compression to achieve the therapeutic purpose. Due to the special physiological position of the lumbar spine, the surgery destroys the normal physiological structure of the lumbar vertebrae, resulting in large surgical injuries, which is easy to cause postoperative instability of the lumbar vertebrae, postoperative adhesion of scar tissues, and a series of adverse reactions such as accidental injury to the nerve root during the surgery, so most of the patients are afraid of the surgery, and how to avoid the above adverse reactions caused by the surgery? This has been a major problem in the medical community.
2, collagenase dissolution
The main component of human intervertebral disc is collagen tissue, the use of collagenase on collagen molecules of specific solubility, through the collagenase injection into the herniated disc site, so that the protruding material in the collagen component is destroyed, dissolved, and can be achieved to make the protruding material smaller, disappear, so as to lift the nerve compression, to improve the clinical symptoms of the purpose.
3, ozone nucleolytic surgery (PIMOI): the therapy uses a fine needle to puncture into the intervertebral disc, injecting a small amount of ozone gas to make the nucleus pulposus tissue dehydrated and atrophied, so as to achieve the purpose of decompression of the intervertebral disc. The main principle is to use the instantaneous completion of the ozone, the powerful oxidation function, to achieve dehydration, anti-inflammatory and analgesic effect.
4, percutaneous laser lumbar disc decompression (PLDD): the use of laser energy to make the lesion of the nucleus pulposus cavitation, reduce the pressure in the intervertebral disc, alleviate and eliminate the pressure on the sciatic nerve or spinal nerve to achieve the purpose of treatment.
5, percutaneous endoscopic discectomy (PED): discoscopy is divided into lateral discoscopy and posterior discoscopy. Lateral discoscopy is based on the cut suction, additional discoscopy system. It is safer and more effective to perform suction under discoscopic monitoring. Posterior discoscopy combines the advantages of lateral discoscopy and intervertebral small window technology, only in the disc lesion corresponding to the point to open a small mouth, put into the discoscopy system, the use of fine surgical instruments, complete the process of removing the lesion nucleus pulposus, to achieve the therapeutic purpose.
6, percutaneous lumbar disc cutting and suction (PLD): under the image monitoring, the working cannula is directly entered into the intervertebral disc, and part of the nucleus pulposus is taken out with the use of pincer cutting and negative pressure system, which reduces the pressure in the disc and the pressure on the annulus fibrosus, and relieves the compression on the nerve root. The above minimally invasive treatment methods either reduce the volume of the nucleus pulposus to indirectly achieve decompression or repair the annulus fibrosus to achieve the therapeutic goal, but these methods do not directly target the protruding nucleus pulposus for treatment. However, these methods do not directly target the herniated nucleus pulposus and are associated with many complications such as bleeding, infection, narrowing of the intervertebral space, and a higher incidence of nerve damage. For this reason, the first radiofrequency thermo-coagulation target therapy, pioneered by Hongqiang Medical Group, for the treatment of discogenic low back pain, we make use of the functional characteristics of the radiofrequency instrumentation, and after direct observation and repeated clinical practice, we designed a minimally invasive treatment method that can not only eliminate the nucleus pulpus tissues that compress the nerves, but also repair the annulus fibrosus and eliminate the stimulation of inflammatory factors to the hypersensitivity nerve endings in the annulus fibrosus. --Radiofrequency Targeted Thermocoagulation Therapy.
Six safety principles of radiofrequency thermo-coagulation target therapy
One, efficient and safe:
The therapeutic electrode of the radiofrequency instrument dedicated to the nervous system is only 0.7mm, just like an acupuncture needle, and the whole treatment does not require anesthesia, analgesic, antibiotics, hormones, but only a process of physical change, without any side effects on the human body, which directly removes the diseased nucleated tissue without harming normal tissues, making the treatment more effective. It removes the diseased nucleus tissue directly without hurting the normal tissue, making the treatment more green and humanized.
Two, precise positioning:
RF thermo-coagulation target treatment in the C-arm X-ray machine accurate positioning, digital subtraction under the time detection, navigation system under the precise guidance of the direct role in the lesion of the nucleus pulposus, the data is accurate to less than 1mm, the angle of error is less than 1 degree, so that the treatment is more accurate, more effective.
Three, identify the nerve:
Neurological system dedicated radiofrequency instrument is unique in the precise identification of the nervous system and stimulation function, can be measured to the treatment range of 1cm within the nerves, and accurate to distinguish motor nerves and sensory nerves, that is to say, in the treatment of you want to damage the patient's nerves are not possible.
Fourth, precise identification of tissues:
The impedance display function unique to this equipment can accurately distinguish the nucleus pulposus fibrous ring, calcification points, bone and blood vessels, and accurately display the tone and number, so that the treatment is more accurate, safe and error-free.
Fifth, the temperature can be controlled:
Radiofrequency instrument can be arbitrarily adjusted temperature, the error is below 2 ° C, to ensure the safety of the treatment, the treatment is not infected and there is no thermal damage.
Sixth, precise calculation:
The volume of lesions that need to be removed before the treatment is precisely calculated and preplanned, that is to say, how much of the medulla oblongata of the lesion will be removed, so that the treatment is more efficient. Radiofrequency thermo-coagulation target treatment is directly to the protruding pathogenic part of the nucleus pulposus denaturation, coagulation, contraction, reduce the volume, lift the compression, rarely hurt the normal nucleus pulposus tissue, at the same time, directly blocking the release of glycoprotein and β-protein in the nucleus pulposus fluid, the warmth effect on the damage to the fibrous ring, the nerve root oedema, inflammatory reaction within the spinal canal to play a good therapeutic role in the treatment, the treatment of the symptoms immediately disappear and reduce the efficiency of the treatment is high. No local anesthetic, hormones and antibiotics, making the treatment green and safe.
Radiofrequency with a puncture needle is only 0.2MM thick, puncture the patient with minimal pain, safe operation, nerve monitoring function and time, temperature controllability will not cause thermal damage to the nerve root, impedance of the display can be determined by the nature of the tissue to be treated, the temperature of 85-90 ℃ seldom cause bleeding, minimal trauma and high temperature to make the occurrence of infection has a very low probability. Radiofrequency target therapy for herniated disc is a new minimally invasive treatment method that is highly effective, safe, simple to operate and less expensive. It is a qualitative leap in minimally invasive treatment of herniated disc.