How to treat lumbar disc herniation and bulging?

Lumbar disc disease is a relatively common disease in modern life. The occurrence of this disease is relatively complicated and is often related to long-term labor and unhealthy living habits before onset. Therefore, in order to keep the lumbar spine healthy and support the body for a long time, it is necessary to improve living habits and increase recuperation time. The most common lumbar disease is lumbar disc herniation. This disease will bring great inconvenience to the patient's life. Reduced mobility, sitting and standing pain, etc. are all relatively large impacts. Let's take a look at the explanation of how to treat lumbar disc herniation.

Through the use of special instruments, the intervertebral space is entered under X-ray monitoring, and part of the nucleus pulposus is crushed, sucked out or vaporized by laser, thereby reducing the pressure within the intervertebral disc and relieving symptoms. It is suitable for patients with bulging or mild herniation, but not suitable for patients with lateral recess stenosis or obvious herniation, or those whose nucleus pulposus has prolapsed into the spinal canal.

Surgical treatment of lumbar disc herniation:

(1) Indications for surgery: ① Patients with a history of more than three months, who have no effect on strict conservative treatment or who have been effective with conservative treatment but have frequent relapses and severe pain; ② Patients with severe pain, especially in the lower limbs, who have difficulty moving and sleeping and are in a forced posture; ③ Patients with cauda equina compression; ④ Patients with single nerve root paralysis, accompanied by muscle atrophy and decreased muscle strength; ⑤ Patients with spinal stenosis.

(2) Surgical method: Through a posterior lumbar incision , partial resection of the lamina and articular processes, or disc resection through the interlaminar space. For central disc herniation, laminectomy is performed followed by epidural or intradural discectomy. Patients with lumbar instability and lumbar spinal stenosis require spinal fusion surgery at the same time.

In recent years, minimally invasive surgical techniques such as microdiscectomy, microendoscopic discectomy, and percutaneous transforaminal endoscopic discectomy have reduced surgical damage and achieved good results.