(1) Bed rest: It is necessary for patients in acute stage to stay in bed, which can reduce the pressure of body weight on intervertebral disc and reduce the stimulation of activities on nerve roots, thus promoting the regression of nerve root inflammation.
(2) Manual massage: There are many methods of manual massage, which are divided into two categories: soft tissue massage and osteopathic massage. Literature reports that its curative effect is satisfactory, and about 60-85% patients are cured by this therapy. Through clinical observation, manipulation can not completely reabsorb the protruding nucleus pulposus, but only slightly change the position relationship between the nerve root and the protrusion, thus reducing the pressure of the nucleus pulposus on the nerve root. At the same time, manual massage can also reduce the pressure of posterior joint or ligamentum flavum on nerve roots. Through the neurohumoral regulation in the action area, it can alleviate ischemia and acidosis, accelerate the clearance of inflammatory and painful substances and acidic metabolites, reduce the edema absorption of nerve roots, and improve local microcirculation and nutritional metabolism.
(3) Traction: Traction is a traditional treatment for lumbar disc herniation. Its main function is to enlarge intervertebral space, open posterior joint and enlarge intervertebral foramen, reduce lumbar lordosis and relieve muscle tension.
2. Surgical treatment of lumbar disc herniation:
Indications of surgical treatment: ① symptoms of huge protrusion or compression of cauda equina or foot drop; ② The annulus fibrosus was broken and the fragments of nucleus pulposus entered the spinal canal; (3) Early patients with ineffective or ineffective non-surgical treatment; (4) Long-term conservative treatment and repeated authors; ⑤ Patients with severe spinal stenosis or posterior osteophyte.
Through the introduction, I believe that patients with lumbar spondylosis have a certain understanding of the treatment methods of lumbar spondylosis, and remind everyone that how to choose the treatment methods of lumbar spondylosis depends on the special circumstances of patients.