How to treat intervertebral disc herniation?

The occurrence of lumbar disc herniation can be attributed to the result of both intrinsic and extrinsic factors*** acting together. The intrinsic factor is mainly the degeneration of the lumbar intervertebral disc itself. Extrinsic factors are mainly trauma, strain, etc.. The main pathological changes are the rupture of the annulus fibrosus and the irritation and compression produced by the protrusion of the nucleus pulposus. Therefore, the name lumbar disc herniation is not very precise from the point of view of whether it can exactly reflect the pathological changes. However, since the name of lumbar disc herniation has been used for a long time and is still in use today, people have become very accustomed to this name, so we also use this name.

The herniated nucleus pulposus is usually detached in the direction of the spinal canal (i.e., toward the back), but less frequently in the direction of the vertebral body (i.e., upward or downward). A prolapsed nucleus pulposus that stops at the anterior aspect of the posterior longitudinal ligament (PLL) is called "protruding", while one that crosses the PLL into the spinal canal is called "prolapsing". According to the direction of the protruding nucleus pulposus, it can be categorized as: ① unilateral type, which usually produces symptoms on one side of the lower limb only. ② Bilateral type, which produces symptoms in both lower limbs. The central type, can compress the cauda equina, manifested in perineal paralysis and urinary and faecal symptoms.

The lumbar disc herniation can produce a series of changes such as straightening or scoliosis, damage to the spinal nerve roots, narrowing of the intervertebral space, vertebral marginal osteophytes, degeneration of the intervertebral joints, and narrowing of the spinal canal, which leads to delayed and recurring symptoms in many patients.

In general, the protruding nucleus pulposus may be reduced or partially reduced early on, which is more likely in younger patients with better disc elasticity. However, a larger number of patients show further self-healing defense reactions such as fibrosis or atrophy of the nucleus pulposus; however, it is also possible to ossify on the basis of the above changes, and even lead to the formation of a bone capsule at the edge of the vertebral body.

-How to treat lumbar disc herniation - a treasure trove of medications

Analgesic medications used for lumbar disc herniation

Medication, which can be used to supplement symptomatic treatment of lumbar disc herniation.

The severe pain caused by lumbar disc herniation not only brings unbearable pain to the patient, affects sleep and rest, but can even cause some physiological functions of the patient to be disturbed. Therefore, before the definitive treatment, you can take appropriate analgesic drugs. The representative drugs are: Loxone, Cilostro, Prednisolone, Tramadol.

Leson and Cilostro belong to the new non-steroidal anti-inflammatory drugs. They are more popular among patients because they greatly reduce the adverse effects on kidneys and stomach and retain good analgesic and anti-inflammatory effects. Loxone is an imported drug from Japan. In Japan, it is used by 800,000-900,000 people every day, and it has become the most prescribed anti-inflammatory and analgesic drug. Its best feature is its rapid pain relief. However, please do not use it if you are a patient with severe heart, liver or kidney insufficiency, severe blood system disease, or peptic ulcer.

Cilopodium is a new class of anti-inflammatory and anti-rheumatic drugs. It can be used in combination with a variety of anti-hypertensive drugs and diabetes drugs without significant interaction. It is safe and effective to use.

You may not be familiar with ibuprofen when it comes to ibuprofen, but it may not be unfamiliar when it comes to its extended-release capsule, fen-phen. It relieves patients of joint pain, neuralgia strong effect and less side effects make it popular with the majority of patients. Ibuprofen is also available in tablets, granules, and oral solutions in addition to the extended-release capsules. Again patients with gastric and duodenal ulcers should use it with caution.

How to treat herniated lumbar disc

If you suffer from spinal cord and joint surgery, it is recommended that you come to Yan Jinglong, director of the Department of Orthopaedics II at the Second Hospital of the Harvard Medical University. He specializes in anterior and posterior surgeries for difficult cervical spine diseases, as well as anterior and posterior surgeries for thoracolumbar spinal canal lesions, and artificial total hip and total knee replacements. He is the first in China to carry out the new style of cervical spinal canal enlargement by spine suspension, and the first to carry out spinal reconstruction by total discectomy of spinal tumors in the Northeast region. Director Yan Jinglong visits the clinic every Wednesday morning.

If you suffer from degeneration, trauma, tumors or inflammation of the spine, you can also come to see Tian Wanli, an associate professor in the Department of Orthopaedics at the Second Hospital of Harbin Medical University. He is well versed in the surgical treatment of these diseases. In particular, he specializes in the surgical treatment of spinal tumors and aseptic necrosis of the femoral head. Prof. Tian Wanli is in clinic all day on Thursdays.

If you need an artificial joint implant, we recommend that you come to see Su Enliang, vice president and director of orthopedics at Harbin Orthopedic Traumatology Hospital. He has been engaged in the treatment of orthopedic diseases for 19 years, and has completed more than 1,000 surgeries with a success rate of more than 90% since he started artificial joint implantation in 1990. Dean Su Enliang also specializes in the treatment of bone transfer, bone trauma, and bone nonunion. The clinic is open every Friday afternoon.

The Department of Orthopedic Surgery of Harbin Red Cross Center Hospital, under the leadership of Orthopedic Director Yu Jingyuan, performs a wide range of complex surgeries, including the reimplantation of severed fingers, with success. Director Yu not only has rich clinical experience in the treatment of complex fractures of the hip and fractures of the limbs, but also specializes in the surgical and non-surgical treatment of lumbar disc herniation, lumbar spinal stenosis, and femoral head necrosis. Dr. Yu is available on Tuesdays for all-day clinic visits.

-How to treat lumbar disc herniation - medical navigation station

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-How to treat herniated lumbar disc - Essential Q&A

Q: Has been diagnosed with herniated lumbar disc, herniation of the 3rd, 4th and 5th joints, and neural effusion, and inquired about where to treat it?

A: It is recommended to go to the Department of Orthopedic Surgery, Second Hospital of Medical University.

Q: The patient's age is 55 years old: lumbar disc herniation, asking where to treat a little better? How much does it cost?

A: It is recommended to go to the Department of Orthopedic Surgery of the Second Hospital of the Medical University, and the cost of treatment can only be known according to the treatment modality.

Q: Asked the previous issues of the program introduced in the treatment of ankylosing spondylitis surgery hospital where.

A: First and Second Hospitals of Medical University.

Q: The original doctor diagnosed neuritis now I suspect that the lumbar disc herniation right leg also hurts. What should I do? What do I need to do to go to the hospital?

A: To the hospital to do a ct examination can confirm the diagnosis.

Q: 02 CT report diagnosis: 1.L314 L415 intervertebral, disc bulging plant with L314 L415; plane spinal stenosis 2.L5/S disc herniation < central type > mild 3.lumbar spine small joint degenerative osteoarthropathy 4.aortic arteriosclerosis. What is the best treatment plan based on this report?

A: If the herniated disc is symptomatic, it is recommended to choose conservative or surgical treatment according to the condition; aortic sclerosis is common in the elderly, and can be left untreated if asymptomatic.

Q: My mother's CT diagnosis of ligament calcification, usually lumbar pain, can not take Western medicine, what medication is good?

A: You can consider making closed treatment.

Q: The patient is 54 years old, suffering from lumbar osteomalacia, asked what better drugs and metallurgical methods?

A: At present, there is no effective treatment of Western medicine for this disease, often using symptomatic treatment. Adjunctive treatments include ultraviolet light therapy, massage and traction, and acupuncture. Since there is no ideal treatment with western medicine, in recent years Chinese medicine has also been used in China to treat this disease.

Q: Herniated lumbar disk, afraid to sit. How to treat it?

A: If you have been diagnosed, you can choose conservative or surgical treatment according to your condition.

Q: Recently always lumbar pain uncomfortable, lumbar spine pointed disc herniation how to treat?

A: Depending on your condition, you can choose conservative or surgical treatment. But you on the back pain is not diagnosed disc herniation, do not diagnose yourself, have a disease in time to seek medical attention.

Q: The child suffers from ankylosing spondylitis, asked in which hospital treatment is better.

A: Medical University Second Hospital Rheumatology Department.

Q: Lumbar and right leg pain, the magnetic **** vibration examination for L4-5,L5-S1 disc herniation, and L4-5 level of spinal stenosis, L5-S1 level of bilateral intervertebral foramen narrowing, how to carry out the treatment? Is non-surgical treatment effective?

A: I don't know what the degree of stenosis is, but in your case you should choose surgery. If you don't want to have surgery, you can use traction to see if it works.

Q: Ask the expert I lumbar disc herniation has been diagnosed now left thigh pain knee cold, right shoulder pain now eat a kind of Lin Haijiu dragon tendon bone tablets this drug has no efficacy should be how to treat?

A: After the diagnosis can be preferred conservative treatment, massage or traction therapy, if the effect of conservative treatment is not obvious or clinical symptoms worsened, it is recommended that surgical treatment.

Q: I have pain in my waist and thighs, the examination is pang out, after treatment, but the calf began to numbness and acidity, please ask how I have to treat to be completely cured

A: still caused by the expansion of the latter condition, the latter change, it is recommended that CT examination according to the condition of the continued treatment.

Q: right lower back pain for two months, diagnosed as lumbar cone disc herniation, please ask the conservative treatment.

A: Conservative treatments are as follows: traction, massage, closed treatment, lying in a hard bed. It is important to note that conservative treatment also needs to be carried out under the guidance of a professional doctor, otherwise the consequences will be very serious.

Q: In addition to the lumbar disk herniation, now the joints of the limbs have pain symptoms. Does lumbar disc herniation cause rheumatoid arthritis?

A: There is no such connection, they are two different diseases. It is recommended to seek further medical treatment for joint pain.

Q: My father more than a month ago began to waist pain, after massage treatment waist is now no pain, but now the calf pain is so bad, do not dare to go down to the ground. The traction did, cyanocortisone and mannitol also played. I am now at home on bed rest, but it has been more than half a month, but the pain has not been relieved. I wonder what kind of treatment can be effective?

A: Bilateral or unilateral leg pain? It is recommended to do CT examination first. After confirming the diagnosis, treatment.

Q: lumbar disc after surgery implantation of artificial nucleus pulposus-like tissue is not conducive to functional recovery?

A:

Yes.

Q: My mother suffers from lumbar disc herniation, has done CT, for lumbar 4, 5 section herniation, and there are two sides of the hip ligament thickening, is now taking traditional Chinese medicine treatment, I do not know if it is suitable?

A: The effect of traditional Chinese medicine in treating herniated disc is not clear, it is recommended to go to the regular hospital for examination, according to the severity of the disease to choose the appropriate treatment.

Q: 51 years old, gas poisoning, now has dementia, can not stand, will not eat, incontinence, asked to which hospital?

A: It is recommended to go to the Department of Neurology, Second Hospital of Medical University.

Q: The patient's age 33 years old, now cold, feel numbness of the feet, the right side of the lumbar pain, to the hospital to check the lumbar disc herniation, and rheumatism has no relationship? Now the injection of snow on a artemisinin a course of treatment, the effect can be. Can I continue to inject this drug?

A: lumbar disc herniation and rheumatism are not necessarily related, rheumatism treatment is under the guidance of the doctor's strict medication, it is recommended to stop using the drug to the doctor for examination.

Q: 48 years old, rheumatism 10 years, taking Linhai sinew and bone Ning 2 courses, the condition aggravated inquiry. Can I continue to take this medicine? What other good medications are available?

A: The treatment of wet is under the guidance of the doctor's strict medication, it is recommended to stop using the drug for medical examination.

Q: Patient age 41 years old: hip pain, asked if it is necrosis of the femoral head? What are the symptoms of necrosis of the femoral head?

A: Hip pain alone cannot diagnose osteonecrosis of the femoral head, it is recommended to do x-ray examination first.

Q: 40 years old, asked the lumbar disc herniation can lead to kidney pain, how can cause if how to treat, how to check the lumbar disc herniation?

A: CT examination can detect lumbar disc herniation, usually does not cause kidney pain.

Q: 27 years old, last April when the car fell once, the left leg numbness, sat in traction, massage, acupuncture, the effect is not good, and now still can not hold heavy things, sit for a long time back pain, asked whether it can still be smelted, how to treat. If it's not, can I go skiing, running or hiking?

A: It is recommended to make a CT examination, if it is the lumbar spine of the injury, surgery can be cured, but after surgery to reduce the amount of exercise and strenuous exercise.

Q: 36 years old, lumbar pain, until the tailbone are painful, did not go to the hospital, asked whether it is a lumbar disc herniation?

A: In terms of symptoms can not be sure, it is recommended to make a CT examination.

Q: 52 years old, two years ago was diagnosed with lumbar disc bulging, traction massage can not go to the root, can not be a long time long road, leg numbness, asked if surgery, how much does it cost?

A: can surgery, the cost of about 8,000 yuan.

Q: patient age 21 years old, is an athlete, often play blue ball, in doing sports lumbar spine pain, usually life does not hurt, asked if you still want to continue to play blue ball should be how to treat?

A: lumbar pain after exercise is mostly due to sprains and strains during exercise, pay attention to joint protection, you can bring a waist cuff.

Q: age 34 years old symptoms for ,lover before 5 years got lumbar disc herniation, do traction, did not recidivate. Last year, Lunar New Year and committed once, the eighth to the orthopedic hospital, the central type of 4-5 disc herniation, do the massage, the effect is not good, ask always do traction on the body there is no harm, there is no good treatment, need to pay attention to some of the problems?

A: Traction is not harmful, but if the effect is not good, it is best to switch to surgical treatment.

Q: Patient age 27 years old: last year, a fall in a car, yesterday at home to do relocation, stretching machine suddenly malfunctioned, resulting in more pain in the waist, numbness in the legs, ask can continue to do relocation? Why do I still have pain after being hit by someone in a car?

Answer: There may be muscle or soft tissue injuries at the site of the collision, and traction is a form of physical therapy, so you can continue, but pay attention to the debugging.

Q: The patient female age 35 years old, the symptoms of small buttocks, thin legs, previously had a gynecological surgery, anesthesia tube placed in the lumbar region about a week before taking out, is now a leg pain, asked whether the current back pain is related to the lumbar region?

A: You can do a CT scan to confirm the diagnosis.

Q: 44 years old, CT diagnosis of spinal stenosis, 4-5 joints protruding, is a highly sensitive body, can not take medicine and use topical drugs, bed can be relieved, asked what can be done to relieve pain?

A: You can do a little traction and massage.

Q: I got the lumbar disc herniation in 2003 4, 5 knot, after treatment now not too tired when it does not hurt, may I ask the doctor can I get pregnant? If I am pregnant, can my back be supported?

A: The herniated disc will not affect your normal pregnancy, pay attention to the protection of the waist after pregnancy.

Q: Age 27 years old, asked about lumbar pain, the third vertebra deformation, to which hospital can be diagnosed?

A: The first choice for diagnosis is CT, the Department of Orthopedic Surgery of the Second Hospital of the Medical University can confirm the diagnosis.

Q: How to treat lumbar disc herniation? I am a patient of lumbar disc herniation, 99 years for three-dimensional traction, some relief, but in recent days always wake up with back pain in bed, I would like to ask the doctor, what is the cause and how to treat?

Answer: It is still more likely to be a disease of the lumbar spine, and it is recommended to make a CT examination to confirm the diagnosis and treatment.

Respondent: kgdxk - 天下兵马大都督 十八级 11-20 09:25

Give you an external washing formula to try. Gui Zhi, Wei Ling Xian, Fenghuang, Mu Gua, Wu Jia Pi, Astragalus, Ox Knee 30 grams each, Angelica sinensis, fine Xin, Jing Wu, frankincense, myrrh, safflower, licorice 15 grams each. Add 2000 ml of water, soak for 24 hours and decoct for 40 minutes.

Smoke for 20 minutes, then wash for 10 minutes when the medicine is 40 degrees. 2 times a day.

To economize, each dose can be repeated for 2 days.

Responders: string ya df - senior manager level 6 11-20 09:33

First to the local Chinese medicine hospital to use conservative treatment for a period of time, such as the effect is good on the cure until, otherwise, only consider surgery.

Respondent: fjf7207 - Manager Level 5 11-20 18:15

Lumbar disc herniation is also known as "lumbar disc fibrous ring rupture disease". The intervertebral disc is the connecting part between the vertebrae, in addition to the first and second cervical intervertebral discs, adults **** there are 23 intervertebral discs. This disease is prone to 20 - 40 years of age, children and adolescents rarely develop, typical nucleus pulposus herniation does not occur in the elderly, clinically lumbar 4 - 5 and lumbar 5, sacral vertebrae between the discs are most likely to be lesions.

[Etiology]

Lumbar intervertebral disc fibrous ring in the posterior lateral weaker, the posterior longitudinal ligament in the entire length of the spine are uninterrupted, but since the first lumbar vertebrae below the plane of the posterior longitudinal ligament gradually narrowed to the 5th lumbar vertebrae and the 1st sacral vertebrae, the width of the original is only equal to half of the lumbar-sacral area is to withstand the largest part of the dynamic and static forces, the posterior longitudinal ligament of narrowing, resulting in the natural structural aspects of weaknesses, nucleus pulposus easily to the back of the intervertebral discs. Weaknesses, the nucleus pulposus is easy to protrude to the posterior sides.

The causes of this disease are internal and external. Internal causes are degenerative changes in the intervertebral discs themselves or developmental defects in the discs; external causes include injury, exertion, and exposure to cold.

The intervertebral discs lack blood supply and have a weak repair ability. Moreover, in daily life and labor, due to weight bearing and spinal movement, the intervertebral discs are often subjected to extrusion, pulling and torsion from all sides, and therefore are prone to degenerative changes such as atrophy and weakening of elasticity, which are the main factors for the occurrence of the intrinsic causes.

(1) Trauma, especially accumulated strain injury, is an important cause of fibrous ring rupture. Due to the lumbar spine arrangement is physiological anterior convexity, the intervertebral disc is thin and thick in front of the back, when people are bending forward, the medullary school moves backward, due to the influence of body weight, muscles and ligaments and other tensions, the nucleus pulposus produces a strong resistance to elasticity, and the size of this resistance to elasticity and the size of the pressure of the load is proportional to the size of the pressure of the weight. In this case. If this force is too large, or the disc annulus fibrosus itself has been defective, there is a possibility that the nucleus pulposus breaks through the annulus fibrosus to face the lateral and posterior bulging or protruding, causing nerve root, cauda equina or spinal cord compression symptoms.

Generally between 20 and 30 years of age, the annulus fibrosus begins to degenerate, the elasticity decreases, the stress is added to these degeneration or elasticity decreases in the annulus fibrosus, such as lumbar sprain, is very easy to cause the rupture of the annulus fibrosus. At this age, the nucleus pulposus can still maintain its gelatinous state and expansion, because the nucleus will be squeezed between the fissure, so as to affect the healing of the fissure, even if the fissure is small, the nucleus pulposus did not break through the fiber ring for a while, but because of the fissure continues to exist, and may be in the future in the continuous activities and extrusion of the development. If the sprain causes a large crack in the annulus fibrosus, the protruding nucleus pulposus can cause acute sciatica.

Between the ages of 30 and 40, if the fibrous tissue in the nucleus pulposus increases, but has not yet caused the disc to narrow, the resistance of the nucleus pulposus to degeneration, on the contrary, becomes greater than in the semi-liquid period, and the likelihood of nucleus pulposus protrusion becomes relatively small, so the degeneration of the nucleus pulposus is in some ways a protective mechanism for the organism.

After 40-50 years of age, if the degeneration of the nucleus pulposus, annulus fibrosus and cartilage plate are very obvious, the disc atrophy changes widely, the injury, rupture and protrusion are mostly small, put is not easy to cause typical sciatica. Unless the broken annulus fibrosus is squeezed in the spinal canal, it will not cause acute symptoms. If the degeneration of nucleus pulposus has reached an advanced stage, and the annulus fibrosus remains intact, the intervertebral space is significantly narrowed, so that bone spurs or labral degeneration occurs at the edge of the vertebral body.

(2) cold Many patients with lumbar intervertebral disc herniation, no history of trauma or strain, only cold, cold. The reason may be due to the intervertebral discs have developmental defects, after the cold flow so that the lumbar back muscle spasm and small blood vessel contraction, affecting the local blood circulation, which affects the nutrition of the intervertebral discs, at the same time, muscle tension spasm, can increase the pressure on the intervertebral discs, especially for the discs have been degeneration, can cause further damage, resulting in the protrusion of the nucleus pulposus. Traditional Chinese medicine believes that the pathogenesis of this disease has the following three main causes:

(1) acute flash frustration, stagnation of qi and blood stasis;

(2) external wind-cold and dampness, meridian occlusion;

(3) prolonged illness and labor injury, kidney deficiency type.

[Clinical symptoms]

(1) Lumbar pain Most patients have a history of lumbar pain for weeks or months, or a history of recurrent lumbar pain episodes. The degree of lumbar pain varies in severity, and in severe cases it can affect turning over and sitting up. The symptoms are usually relieved by rest, and the pain can be aggravated by coughing, sneezing, or straining during bowel movements.

(2) Radiating pain in the lower limbs Radiating pain in the sciatic nerve region of one side of the lower limbs is the main symptom of the disease, which often occurs when the low back pain disappears or decreases. The pain starts from the buttocks and gradually radiates to the back of the thighs, the outside of the calves, and in some cases to the outside of the dorsum of the foot, the heel or the ball of the foot, affecting standing and walking. If the prominence is in the center, it is in the cauda equina symptoms, and if the prominence is bilateral, the radiation may be bilateral or alternating.

(3) Lumbar movement disorders Lumbar movement is affected in all aspects, especially in posterior extension disorders. In a few patients, it is significantly limited in forward flexion.

(4) Scoliosis Most patients have varying degrees of lumbar scoliosis. The direction of the scoliosis can indicate the location of the protrusion in relation to the nerve root.

(5) Observation of numbness: those with a long course of the disease often have subjective numbness. It is mostly limited to the posterior-lateral calf, dorsum of the foot, heel, or ball of the foot.

(6) the affected limb temperature drop Many patients feel cold in the affected limb, objective examination, the temperature of the affected limb is lower than the healthy side; some dorsal arterial pulsation is also weaker, which is due to the sympathetic nerve stimulation. This is due to the sympathetic nerve stimulation. It must be differentiated from embolic arteritis.

How to treat:

[Treatment principle]

Lumbar disc herniation can be divided into surgical and non-surgical therapies for non-surgical therapies, in addition to self-conditioning needs to be appropriate, some of the disease can also be acupressure, acupuncture, as well as traction therapy, the principles of treatment are as follows:

1 Reduce the pressure in the intervertebral discs, increase extradural pressure, prompting the herniation back to the annulus fibrosus.

1 Reduce the pressure in the intervertebral disc and increase the pressure outside the disc, so that the protruding material can return and create favorable conditions for the repair of the annulus fibrosus;

2 Change the position of the protruding material, loosen the adhesions, and relieve or reduce the compression on the nerve root;

3 Enhance the local air circulation, and promote the recovery of the damaged nerve root to its normal function.

[Non-surgical therapy]

There are various non-surgical therapies for lumbar disc herniation, and the commonly used methods are as follows:

1. Bed rest Bed rest is a very simple but effective measure for patients with lumbar disc herniation, and bed rest is the basis of non-surgical therapy.

2. Traction therapy Traction therapy is one of the commonly used therapies for patients with lumbar disc herniation. Traction therapy has a long history, and the current method of traction therapy has been greatly developed.

3. Waist cuffs and support beltsWaist cuffs and support belts for patients with lumbar disc herniation are mainly aimed at braking, so that the damaged lumbar discs can get sufficient rest locally to create good conditions for the recovery of the patient's organism.

4. Tui na therapy Tui na therapy is a part of the motherland medicine, has the advantages of simple method, comfortable and effective, less complications, etc., has been used as one of the comprehensive therapy for lumbar disc herniation.

5. Acupuncture and moxibustion therapy includes body acupuncture, auricular acupuncture, electroacupuncture, blood cupping, hand acupuncture, and scraping therapy. Acupuncture therapy for the treatment of lumbar intervertebral disc herniation has the advantages of good therapeutic effect and does not require special equipment. It is easy to master and so on.

6. Closed therapy Closed therapy is a fast and effective treatment for lumbar disc herniation. Because it is safe and reliable, easy to operate, the efficacy is certain, so it is the treatment of lumbar disc herniation a better non-surgical therapy. It includes methods such as pain point closure therapy, epidural cavity closure therapy, and nerve root closure of the putamen.

7. Chinese and western drug treatment of lumbar disc herniation drug treatment in general, only as a kind of symptomatic relief for the main purpose of auxiliary treatment means. Other therapies such as physical therapy, qigong, and medical sports.

It can be said that non-surgical treatment is suitable for all patients with lumbar disc herniation, and even for those who need surgery, non-surgical treatment plays a very important role before and after surgery. In the following cases, non-surgical treatment must be considered first:

1. The first onset of the disease, in addition to obvious symptoms of cauda equina damage (i.e., weakening of the lower limbs, or even paralysis, corresponding sensory deficits or anomalies, urinary incontinence, urinary disorders, etc.), otherwise, it is not suitable for surgery.

2. Patients with a long course of the disease but with mild symptoms and signs.

3. Patients with small protrusions after special examination.

4. Non-surgical treatment should be considered first due to systemic or localized skin diseases, such as old age and poor general condition.

5. Patients who are difficult to make a clear diagnosis for a while can be observed and treated while non-surgical treatment is being carried out, and corresponding measures can be taken to make a clear diagnosis at the same time.

6. Patients with contraindications to surgery or anesthesia and those who do not agree with surgery should also be treated with non-surgical therapy.

[Medicinal diet and medicinal wine]

Medicinal diet:

1. 75 grams of Andrographis paniculata, 20 grams of Chuanchuan Caowu, and 15 grams of Wei Ling Xian. Add 500 ml of water to the above medicine and boil it to 250 ml. Slag and then add 250 milliliters of water, boiled into 125 milliliters, will be successively boiled in the pot of medicinal water, and then add a small rooster to remove the intestinal impurities, cooked with, when eating with an appropriate amount of wine (Wuga Pi wine or Angelica wine is better). Even meat and soup, served in 2 times. Applicable to cold and damp type lumbago, nourishing and strong effect.

2. 20 grams of Cortex Eucommiae, 55 grams of Wilsoniae. Powder, after mixing well, and then take the pig's waist (pig kidneys) 1 - 2, broken, wash away the blood, and then into the powder; spread evenly and then close tightly, *** put people in a bowl, add a little water, with a pot device on the fire for a long time to steam. Eat its pork waist, drink its soup, 1 dose per day (pregnant women are contraindicated). The main treatment of kidney deficiency type lumbar intervertebral disc herniation, has the role of tonifying the kidney, strong bone and strong waist.

3. Fennel simmering pork waist: 15 grams of fennel, pork waist 1. Cut the pork waist on the side, pick off the fascia, and then with fennel *** in the pot with water simmering. Eat pork loin while it's hot, and serve it with yellow wine. Effects: Warming the kidneys and dispelling cold. Mainly cure lumbago.

4. Loofah vine, yellow wine. Choose 1 cut off the root of the loofah vine, roasted on the fire, and then ground. 2 times a day, 3 grams each time, with yellow wine to serve. Effects: Dispel wind, remove dampness, and clear the channels. Cure chronic lumbago.

Medicinal Wine:

1. Wudeng wine: 35 grams of raw Chuanwu, 35 grams of raw Caowu, 35 grams of raw Cortex Eucommiae, 35 grams of Lonicera, 35 grams of Angelica Sinensis, 35 grams of Wujiappi, 35 grams of Haifengteng, 2 Plums, 1500 milliliters of white wine, 100 grams of rock candy, brown sugar, l00 grams. The first 9 flavors of wine decoction for 2 hours, take the liquid add rock sugar, brown sugar, to be dissolved and then add white wine into. Take 1 time in the morning and 1 time in the evening, 10-20 ml each time. Effects: Warming the menstruation, dispersing cold, clearing the channels and relieving pain. Applicable to lumbar pain for a long time, high efficacy, fast results.

2. Duhuo Sen Sui wine: 35 grams of Duhuo, the system of 35 grams of appendages, 20 grams of ginseng. On the drug research fine, mounted in a porcelain bottle, with 500 ml of white wine soaked, spring and summer 5 days, autumn and winter 7 days, often drink service. Effects: Dispersing cold and dampness, warming the center and relieving pain. Applicable to lumbar and leg pain, abdominal cold pain, physical weakness.

3. pain spirit wine: raw Chuanwu, raw grass horse 50 grams each, Tian Sanqi, strychnine 25 grams each. Chuanwu, grass crow wash sliced and dried, with 250 grams of honey decoction; strychnine hair, fried in vegetable oil; Tian panax pseudoginseng crushed. Mix the former medicine with water and decoct twice, the first time to add water l000 ml, concentrated to 300 ml, the second time to add water 1000 ml, concentrated to 200 ml, two times to take the liquid 500 ml, add 500 ml of white wine that is made. 3 times a day, 10 ml each time, 10 days for a course of treatment. Effects: Dispersing wind and activating blood, relaxing tendons and activating collaterals. Used for chronic lumbar and leg pain.