PUSM

Lumbar disc herniation is a series of clinical manifestations resulting from the degenerative change of the lumbar disc, causing the nucleus pulposus tissue to protrude, compressing or stimulating the nerve root. The most common clinical manifestations of lumbar disc herniation are low back pain, numbness of the lower extremities, and radiation pain.

The common incidence of lumbar disc herniation is the elderly, long-term sedentary people, heavy manual laborers, women with multiple pregnancies, etc.

How to treat lumbar disc herniation: You do not have to undergo surgical treatment for lumbar disc herniation. The methods for treating lumbar disc herniation include conservative treatment and surgical treatment. Surgery is not the main treatment for lumbar disc herniation. About 90% of the lumbar disc herniation Conservative treatment of patients with disc herniation is effective.

Young people, professional people with high incidence of intervertebral discs, if they have slight waist pain, they can change their habits, sit down soon, bend less, adjust their working posture, and do low back muscle exercise. If the above method is not effective, you can follow the doctor's instructions to take oral pain medicine + muscle relaxant, or external plaster. For low back pain and leg pain, which seriously affects life, there is lumbar disc herniation in imaging, but the lumbar disc signal is good and there is no lumbar instability. Minimally invasive surgery can be considered. For middle-aged and elderly people over 50-60 years old, conservative treatment is not effective for more than half a year, the intervertebral disc herniation is heavy, and there is lumbar instability. In this case, internal fixation is required.

What is the minimally invasive surgery for lumbar disc herniation? Now the most popular minimally invasive surgery for the lumbar spine is percutaneous endoscopic surgery, which can be divided into lateral and posterior approaches. Percutaneous endoscopic surgery of the lumbar spine is to insert the working channel through the intervertebral foramen of the human lumbar vertebrae or the space between the lamina, and remove the protruding disc nucleus pulposus, so that the patient's symptoms are relieved.

What kind of patients are not suitable for minimally invasive lumbar surgery: Lumbar spine instability, lumbar spondylolisthesis, protruding disc base is wide, patients with severe lumbar spinal stenosis, and patients with cauda equina syndrome, this situation is not suitable for minimally invasive surgery Invasive surgery is needed and internal fixation surgery is needed. In addition to the situation mentioned in the appeal, simple lumbar disc herniation can be performed with minimally invasive surgery.

How to recuperate after minimally invasive surgery: Under normal circumstances, take more rest to avoid long-term bending, lifting heavy objects, and doing heavy manual labor, and to ensure a good standing and sitting posture and strengthen the exercise of the lower back muscles. This will minimize the probability of recurrence after surgery and reduce the risk of reoperation.