How to treat lumbar disc herniation

Dec 03, 2024 Source: Cainiu Health
Disease description:

Lower back discomfort, can only stand but not sit, examination reveals lumbar disc herniation, how should it be treated?

Doctor's answer (1)
Dr. Chen Jian

The treatment of lumbar disc herniation is mainly divided into two categories: conservative treatment and surgical treatment.

1. Medication: Commonly used drugs include non-steroidal anti-inflammatory analgesics, muscle relaxants, and neurotrophic agents, such as celecoxib, eperisone hydrochloride, and mecobalamin. These medications can relieve pain, reduce muscle spasms, and promote recovery of nerve function.

2. Physical therapy: Includes acupuncture, hot compresses, infrared irradiation, massage, and other methods, which can help improve circulation, alleviate muscle spasms and pain.

3. Rest: Patients should also ensure adequate bed rest and avoid strenuous exercise and heavy physical labor to reduce the burden on the lumbar spine.

4. Exercise: Appropriate physical activities (such as swimming and yoga) can help strengthen the lower back muscles and improve symptoms.

5. Surgical treatment: Patients who do not respond to conservative treatment or develop severe neurological dysfunction may need to consider surgery. Surgical options include minimally invasive procedures (such as discectomy under discoscopy or endoscopy) and open surgeries, primarily aimed at relieving nerve compression and restoring disc function.