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Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition) ›› 2024, Vol. 10 ›› Issue (06): 379-384. doi: 10.3877/cma.j.issn.2096-0263.2024.06.009

• Review • Previous Articles    

Progress in Conservative Treatment of Lumbar Disc Herniation

Tianyu Wu1, Zixuan Liu1, Puxin Yang1, Siming Jia1, Kai Ding1, Xiaodong Cheng1, Yonglong Li1, Wei Chen1, Hongzhi Lyu1, Qi Zhang1,()   

  1. 1.Orthopedic Research Institution of Hebei Province,Key Laboratory of Biomechanics of Hebei Province,Department of Orthopaedic Surgery,the Third Hospital of Hebei Medical University,Shijia zhuang 050051,China
  • Received:2024-10-15 Online:2024-12-05 Published:2025-01-06
  • Contact: Qi Zhang

Abstract:

Lumbar disc herniation(LDH)is a common disease in spinal surgery,with the main clinical manifestations including lower back and leg pain, and numbness in the lower limbs, which severely impact patients'quality of life.The treatment of LDH is primarily divided into conservative treatment and surgical treatment. Most patients do not require surgical treatment. There are various methods of conservative treatment, each with different mechanisms of action. These methods have both advantages and limitations.The combined use of multiple therapies is worth attention.Due to the significant differences in the condition and disease progression among patients,exploring how to formulate personalized treatment plans for them is a topic deserving in-depth discussion. This article reviews the latest advances in the conservative treatment of LDH, including non-pharmacological treatments such as traction, exercise therapy, physical factor therapy, massage, and acupuncture, as well as the current status of pharmacological treatment. By analyzing the mechanisms, efficacy, and indications of each treatment, the aim is to offer a reference for clinical practice and to promote the standardization and individualization of conservative treatment for LDH.

Key words: Lumbar disc herniation, Conservative treatment, Physical therapy, Traction therapy, Pharmacological treatment

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