When it comes to "lumbar disc herniation surgery", many people hesitate and doubt. Even though many people have particularly severe symptoms, doctors advise them not to have surgery at the time of surgery. In fact, lumbar disc herniation has a "crisis value". When your condition reaches these "crisis values", you need to consider surgery. Next, let Li Weixin, director of the Spine Group of the Department of Neurosurgery of Tangdu Hospital of the Air Force Military Medical University, tell everyone!There are two main ways to have a herniated lumbar disc!
In general, the main methods of lumbar disc herniation are conservative and surgical. Common conservative methods include bed rest, medications, waist wearing, massage, physiotherapy, etc. According to statistics, more than 90% of patients can be relieved of symptoms through conservative**.
Surgery is considered in approximately 10% of patients**. At present, most of the surgeries are minimally invasive, using the natural gap of the human body to perform the surgery. While solving the patient's pain, it can also protect the patient's nerves, muscles and soft tissues to the greatest extent, with high safety, less trauma, low cost and short hospital stay.
Lumbar intervertebral disc herniation is reversed, conservative and ineffective, do you need surgery?
In fact, one of the characteristics of lumbar disc herniation is reverse. Even if you don't do any**, you will feel pain and slowness. This is because in addition to direct compression of the lumbar disc herniation, it is more likely to be a local inflammatory stimulus. Acute disc herniation releases some inflammatory factors locally, irritating nerve roots and causing severe pain. However, the pain does not last long. With the absorption of local inflammatory factors, the symptoms of pain will be relieved after release.
Conservative** generally targets these inflammatory responses. After the inflammation is resolved, there will be some relief of pain symptoms, but the herniated disc and compression remain. Many patients have recurrent pain symptoms if lumbar movement increases or poor lifestyle and work Xi continue.
But in this case, surgery is not necessary. We can understand whether our condition has reached the "crisis direct" of lumbar disc herniation. If this happens, we will have to perform surgery, regardless of whether conservative ** is effective or not. In other cases, you can be conservative**.
There are three types of "crisis values" for lumbar disc herniation:
1 Lumbar disc herniation leads to local muscle atrophy, and surgery must be considered**.
2 Lumbar disc herniation causes weakness in leg lifting and difficulty walking, and surgery should also be considered.
3. Lumbar intervertebral disc herniation leads to spinal stenosis. If you can't walk 500 meters at a time, you have to rest. This is also a crisis value and surgery needs to be considered.
If your condition does not reach a "crisis value", we can be conservative in other situations**.
Lumbar disc herniation