How to treat lumbar disc bulge

In life, everyone must pay attention to the fact that lumbar disc herniation and lumbar disc bulging are different. Lumbar disc bulging is a protrusion of a bone, while lumbar disc herniation starts from the bottom and slowly moves upward. The lumbar spine will twist to the left or right to varying degrees. Most patients with lumbar disc bulging are caused by lumbar degeneration and lumbar injury, which also includes some neurological factors. Therefore, in terms of treatment, we can achieve the treatment effect through conservative and physical conditioning methods. In addition, we should also pay attention to it in normal times. We can cooperate with anti-inflammatory or inhibitory medications, which can suppress the disease, prevent and treat complications, and at the same time reduce the harm to the body caused by repeated aggravation of the disease.

keep

The so-called conservative treatment of lumbar disc herniation is actually mainly based on the natural course of the disease - a series of self-limiting non-specific treatments. Whether it is effective is mainly related to the characteristics of the disease itself, the duration of the disease and the severity of nerve damage. At present, there is no panacea for the treatment of lumbar disc herniation at home and abroad.

Purpose and mechanism of conservative treatment:

1. Effectively relieve the symptoms of acute attacks of low back and leg pain;

2. Create conditions for eliminating nerve root inflammation;

3. Avoid all factors that may aggravate nerve root compression and stimulation;

4. Nourish nerves and promote recovery of nerve damage (numbness);

5. Reduce the pressure on the intervertebral disc and promote the reduction and absorption of the protruding nucleus pulposus - this happens in a very small number of patients.

We emphasize that the goal of conservative treatment is to subside the pain-causing inflammation and avoid new disc-nerve stimulation, rather than mainly to eliminate or reduce the disc herniation. Conservative treatment requires a controlled course of treatment, which is 3 weeks to 3 months (= natural course of the disease); that is, symptoms generally will not be relieved within three weeks, and if symptoms are still obvious after more than 3 months of conservative treatment, the effect is generally poor (or ineffective). The effectiveness of conservative treatment is about 70-80%, with half of the patients having their symptoms disappear and the other half having mild symptoms for a long time.

Choose postures and activities that can relieve pain. When the pain is obvious, you can stay in bed for about 2 to 3 days. Once the symptoms are relieved, you can engage in certain activities. If you can, you can continue to go to work and do light activities. Compared with the previous strict bed rest for 1 to 3 months, this rehabilitation plan can relieve a higher rate of pain. This conclusion has been confirmed by large-sample controlled trials abroad and is very different from the general concept of treatment and recuperation. Lying on a hard bed for a long time is not only not helpful for recovery, but also will cause a series of bedridden complications such as lumbar muscle atrophy. During the treatment period, you can do activities within your ability, so that you can recover faster.

It can be used in combination with anti-inflammatory and analgesic drugs (such as Celebrex or Voltaren or Ankangxin, etc.), nerve nourishing drugs (such as vitamin B12, Mecobalamin, etc.), and muscle relaxing and blood activating drugs (such as Yaobitong, Huoluodan, etc.). Some patients may benefit from short-term waist circumference (2 to 3 weeks) and physical therapy. Although traditional therapies such as massage and traction are widely popular, their effectiveness lacks evidence-based medical evidence.