Why do you need surgery for lumbar disc herniation?
Lumbar disc herniation is one of the more common diseases. Although most people do not need treatment for their symptoms, more than 500,000 people in China still receive surgery for lumbar disc herniation every year.
What kind of "prominence" must be operated on?
And listen to the orthopedic doctor in detail.
Back pain must be a herniated lumbar intervertebral disc?
Although lumbar disc herniation, the name of this disease carries the word "waist", in fact, the main symptom of lumbar disc herniation is "leg pain".
Many patients in the outpatient clinic often say: "Doctor, I have a bad back pain, is it a herniated disc?" The doctor will ask: "Is it a pain in my legs? Are there symptoms of butt pain?" If there is no leg pain and With the symptoms of butt pain, there is a high probability that lumbar disc herniation cannot be diagnosed.
These three "80%" are related to the waist. Regarding waist health, there are "3 80%" data that everyone needs to understand:
1.80% of people will experience very obvious and severe back pain during their lifetime, such as getting up in the morning, suddenly unable to get out of bed, unable to turn over, etc.;
2. 80% of people will self-relief, regardless of whether they receive treatment, after 7-14 days, the symptoms can self-relief;
3. Even if the lumbar disc herniation is diagnosed, 80% of people can relieve themselves through some treatments such as acupuncture, physiotherapy, and medication, without surgery.
When does lumbar disc herniation need surgery?
Do you need surgery for lumbar disc herniation?
When should surgery be performed?
You can refer to the following points:
The operation of lumbar disc herniation is an elective operation, and its main decision is made by the patient.
When the patient's symptoms are ineffective or not effective after conservative treatment, especially easily affecting work and life, it is a common indication for surgery.
In addition, when the patient has the following two conditions, the doctor will strongly recommend surgery.
One is a change in muscle strength, that is, the patient suddenly finds that the foot cannot move, such as being unable to lift up or stepping on the ground; the other is when the patient has problems with urine and urination, such as urinary weakness, fecal incontinence, including perianal numbness.
It should be noted that the choice of surgery is actually a "balance theory", which is to measure the desire for health and the fear of surgery. When the desire for health exceeds the fear of surgery, surgery should be chosen.
Text/Zhu Bin (Beijing Friendship Hospital)