Is lumbar disc herniation difficult to treat?

Written by Li Jin
Orthopedics
Updated on February 06, 2025
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Patients with lumbar disc herniation, after standard and regulated treatment, can mostly effectively alleviate symptoms, and even achieve clinical recovery. The treatment for lumbar disc herniation mainly includes non-surgical treatment and surgical treatment. The specific method of treatment to be used should be comprehensively considered based on symptoms, physical examination, imaging studies, and other factors. For non-surgical treatment of lumbar disc herniation, it is recommended that patients protect their lower back in daily life, develop correct habits of using the lower back, and avoid lifting heavy objects partially and other heavy physical activities involving the lower back. During stable periods of the condition, some exercises to strengthen the lower back and spinal functions can be performed. At the same time, when symptoms occur, anti-inflammatory analgesics, neuro-nutritional drugs, and other medications can be used. Treatments can also be combined with hot compresses, physical therapy, massage, and acupuncture. These conservative treatment methods generally can achieve good results. When conservative treatment is ineffective or functional impairment occurs, surgical treatment can also be considered. (Specific medication use should be guided by a doctor.)

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Written by Na Hong Wei
Orthopedics
1min 36sec home-news-image

What should I do if I have a lumbar disc herniation?

After a lumbar disc herniation, it is essential to first determine the type of herniation you have. Clinically, lumbar disc herniations can be categorized into protrusion, prolapse, extrusion, and sequestration, with protrusion being the most common. Once the type of herniation is identified, treatment can begin. Currently, the treatment methods are diverse and can be broadly classified into six categories. The first is internal treatment with traditional Chinese medicine. Traditional Chinese medicine classifies lumbar disc herniation into four types, each treated with different medications. The second is external treatment with traditional Chinese medicine, such as herbal fumigation and plaster application. The third is traction, which includes bed traction and manual massage. The fourth is acupuncture. The fifth category includes other therapies, starting with resting on a hard board bed for approximately a week, followed by techniques like small needle knife therapy, intradiscal injection, sacral canal injection, and ozone therapy. If conservative treatments prove ineffective, or if symptoms worsen during treatment, surgical intervention may be necessary. Surgical treatment is generally indicated in the following four situations: patients with spinal stenosis, patients who do not respond to conservative treatment or who experience recurrent symptoms after recovery, patients with worsening neurological symptoms, and patients with central lumbar disc herniation causing incontinence. These are the conditions mentioned above.

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Written by Na Hong Wei
Orthopedics
1min 32sec home-news-image

Is a herniated lumbar disc serious?

Lumbar disc herniation is primarily due to degeneration of the lumbar disc or secondary pathological changes caused by this degeneration, which then stimulate blood vessels, nerve roots, and the spinal cord, leading to a series of clinical symptoms. Lumbar disc herniation is categorized into four types. The mildest type is the bulging type, followed by the protruding type, the more severe extrusion type, and finally the most severe, the sequestration type. Generally, lumbar disc bulging is relatively mild and conservative treatment is usually effective. Depending on the site and degree of compression, lumbar disc herniation may be treated conservatively, but some cases require surgical intervention. Most cases of disc extrusion require surgery because the extrusion leads to spinal stenosis, compressing all or part of the blood vessels, and it can also compress the spine and nerve roots, causing irreversible damage, and medications or massages can't reverse the condition. The fourth point concerns lumbar disc prolapse, meaning the nucleus pulposus falls into the spinal canal through the tear. This is one of the few emergencies seen in spinal surgery. If this occurs, immediate surgical treatment is necessary. Therefore, the severity of lumbar disc herniation mainly depends on the type and degree of the herniation, as well as the location and direction of the herniation, and which treatment method needs to be used.

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Written by Chen Hui
Orthopedic Surgery
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How to care for lumbar disc herniation

The intervertebral discs of a normal human body, according to related evidence-based medical research, begin to degenerate around the age of twenty-five. How should we maintain them in daily life? First, when lifting heavy objects in everyday life, it is necessary to do so by squatting partially and then lifting the weight with the strength of your knees and hips when standing up. Do not bend at the waist with straight knees and hips to lift heavy objects, as this can cause severe loading on the lumbar spine, leading to herniated discs. If symptoms are already present, maintenance measures include wearing a lumbar support, sleeping on a hard bed, and undergoing relevant physical therapy, among others.

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Written by Wang Fei
Orthopedics
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How to relieve stiffness in the lower back caused by lumbar disc herniation?

Lumbar disc herniation is very common in clinical settings. The peak incidence age is around forty, typically in middle-aged adults, though some cases occur in the elderly due to degenerative lumbar changes, bone proliferation, or osteoporosis-induced herniation. Patients with lumbar disc herniation usually experience discomfort in the lower back, muscle spasms, and sometimes numbness and soreness in the legs. If such stiffness and discomfort occur, one approach is to rest in bed. Additionally, applying heat, gentle massage, and treatments to relieve muscle spasms can be beneficial. Treatments such as acupuncture and physiotherapy can also help alleviate muscle spasms in the lumbar region, thus easing the stiffness.

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Written by Na Hong Wei
Orthopedics
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What department should I see for a lumbar disc herniation?

For herniated lumbar discs, you should visit either the Department of Spine Surgery or Orthopedics. The specific department depends on the hospital you choose to visit. If the hospital is a high-level institution, grade three or above, it will certainly have a Department of Spine Surgery, so this would be the first choice. However, if the hospital is a community clinic or a second-tier hospital, it might not have a Spine Surgery department, so you would need to visit the general Orthopedics department. Although herniated lumbar discs are a common orthopedic condition and can be treated in Orthopedics, visiting a specialist in Spine Surgery can often provide more expert care as these doctors may have higher levels of experience and expertise in treatment.