
How to treat lumbar degenerative changes
After a CT scan reveals degenerative changes in the lumbar spine, how should treatment be conducted?

Lumbar degenerative changes are mainly manifested as reduced water content and decreased elasticity of the lumbar intervertebral discs, along with bone spur formation at the vertebral edges. These changes may cause nerve compression, leading to symptoms such as low back pain, leg pain, or numbness. Common treatment methods include:
1. Lifestyle modifications: Such as weight control, avoiding prolonged bending or sitting, and strengthening lumbar and back muscle exercises to enhance lumbar stability and slow the progression of degeneration.
2. Physical therapy: Including massage, acupuncture, and physical rehabilitation therapies to improve local blood circulation and reduce pain.
3. Pharmacological treatment: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation; muscle relaxants may be used to relieve muscle tension; analgesics or neurotrophic medications might also be required.
4. Surgical treatment: For patients with severe symptoms affecting daily life and who have not responded to conservative treatments, surgery may be considered. Surgical options include discectomy and spinal fusion, aimed at relieving nerve compression and stabilizing the spine.
Medication should be taken under the guidance of a qualified physician. If discomfort occurs, prompt medical consultation is recommended.