The doctor will formulate a treatment plan suitable for the patient according to the type and degree of the patient's disc herniation. Most patients with disc herniation can be relieved by non-surgical treatment. For those who have obvious spinal cord compression, the doctor may recommend surgery.
preventive measure
Disc herniation can be prevented by scientific daily life management.
1, maintain correct sitting and standing posture, and avoid long-term bow posture.
2. Avoid sitting, standing or holding a posture for a long time. You should get up in time to relax and stretch, so as to relieve the discomfort in your back.
3. Avoid bending over and carrying loads for a long time, and learn the correct skills of bending over and moving heavy objects. When moving heavy objects, you should squat down and bend your knees, keep the objects as close to your body as possible, keep your abdominal muscles tense, protect the muscles with weak waist and prevent pulling.
4. Adjust the pillow and sleep on the hard bed. Generally speaking, it is suggested that the height of the adult's neck pad should be around 10cm, and it is not suitable to sleep on the high pillow, because it will make the neck in a flexion state, and the result is the same as that of the bow posture. In addition, when sleeping on your side, the pillow should be raised to the height where your head is not bent sideways.
5. Keep warm to prevent the waist, neck and shoulders from catching cold.
6. Strengthen the exercise of neck, shoulder and back muscles, such as doing some cervical gymnastics and back exercises regularly.
7. Pay attention to protect the neck, chest and waist during exercise to avoid sports injuries.
8. Avoid trauma, such as wearing seat belts and helmets.
medicine
1, nonsteroidal anti-inflammatory drugs
In most cases, the disease is mainly inflammatory pain. In the absence of contraindications, non-steroidal anti-inflammatory drugs should be considered first, which have anti-inflammatory and analgesic effects. Such as ibuprofen, diclofenac, meloxicam, celecoxib, etc.
2. Muscle relaxants
For muscle spasms, muscle relaxants such as eperisone, chlorzoxazone, flupirtine and tizanidine can be used.
3. Dehydrating agent
For patients with acute disc herniation, dehydration agents, such as mannitol, can be used because of obvious inflammatory reaction, edema of spinal nerve roots and severe pain.
4. Nutritional nerve drugs
The use of nutritional nerve drugs such as vitamin B and mecobalamin also has certain effects.
5. Glucocorticoid drugs
It can speed up the pain relief. However, due to the large adverse reactions of its systemic application, it is not recommended to use it unless the pain is severe or persistent.
6. Others
Some topical Chinese medicine patches also have good effects.
Surgical therapy
Run the surgically removed intervertebral disc and vertebral body to relieve the compression of the spinal cord.
1, surgical indication
(1) Patients with a medical history of more than three months, who are ineffective or effective after strict conservative treatment, have frequent recurrences and severe pain, which seriously affects their daily life and work.
(2) Patients with symptoms of cauda equina nerve compression.
(3) Paralysis patients with muscular atrophy and decreased muscle strength.
(4) Patients with spinal stenosis.
2, surgical contraindications
(1) First attack or recurrent attack without conservative treatment.
(2) Lumbar disc herniation complicated with multiple fibrous tissue inflammation or rheumatism.
(3) The clinical symptoms are suspected of lumbar disc herniation, but they are not typical.