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(The diagnosis and explanation of the disease can be skipped.)

It's just a simple lumbar disc herniation, which compresses the nerves and causes pain in the buttocks and legs.

This disease is that part of the lumbar intervertebral disc protrudes backwards, compressing the nerve roots or spinal nerves around the lumbar spine.

This causes the nerves to be stretched, compressed, and irritated, which in turn causes symptoms of leg pain.

Treatment can be improved through proper rest, hot compress, lumbar traction, drug therapy, surgical treatment, etc.

According to common sense, in the early stages of this disease, as long as you rest in bed for a period of time, and use hot water bottles, hot towels and other items to apply hot compresses to the painful areas two or three times a day, the symptoms will basically be relieved quickly.

The symptoms of foot pain and leg numbness will be alleviated quickly. If the pain is excessive, you can take some medicine to relieve it and you will definitely recover.

However, according to the final doctor's diagnosis, Zhang Xiangyang's current condition is so serious that he has to consider surgery.

In fact, there is nothing wrong with having the surgery. The principle of this surgery is to directly remove the protrusion and relieve the decompression of the intervertebral disc. It is also a minimally invasive surgery with only a wound as thick as the tip of a chopstick. During the operation, you can feel the symptoms of the lower limbs instantly alleviated or disappeared, and the results after the operation are also very good.

Zhang Xiangyang said the reason he didn't want to have surgery was that he had heard from other people in the ward that even if he had surgery, the disease would still recur later.

However, this recurrence is more of a problem of lifestyle habits. If the original lifestyle habits are not changed, it does not mean that recurrence will not occur after removal.

Moreover, if lifestyle habits are not changed, conservative treatment is more likely to lead to relapse and the pain will last longer.

Aging and bad living habits are the root causes of intervertebral disc disease. As people age, most of them will have lumbar disc herniation, but not everyone will have lumbar disc herniation. Most lumbar disc herniation can be relieved through conservative treatment.

Zhang Xiangyang's condition was diagnosed as severe central herniation. From a medical point of view, this symptom requires surgery as soon as possible.

Because if this situation continues to develop, it may cause a series of irreversible serious consequences such as lower limb paralysis, urinary incontinence, functional disorders, etc., and the self-perception will not be particularly obvious in the early and middle stages.

Zhang Lan didn’t know whether Zhang Xiangyang’s doctors in the hospital had told him about the consequences before, but judging from Zhang Xiangyang’s condition, he would not consider surgery unless it was absolutely necessary.

In fact, it is right not to have surgery, because surgery has high risks, high costs, and serious side effects. Surgery is not a permanent solution. Too many people relapse not long after surgery.

In other words, the investment is large, the return is small, and the income is not proportional to the return.

It's like buying a lottery ticket. One ticket costs only 2 yuan, but if you win, it's 500 million. Although the winning rate is very low, the benefits are great. Surgery is expensive, risky, has serious sequelae, and a high recurrence rate. The investment and benefits are really not proportional.

If surgery can solve the problem once and for all and prevent recurrence, then it is worth a try no matter how much it costs.

But in fact, if you find patients with different symptoms and consult doctors in Grade A or above hospitals to ask why lumbar disc herniation causes symptoms such as soreness, swelling, pain, and numbness in the waist, hips and legs, all the answers from Western medicine doctors are almost the same: it is caused by the herniation of the nucleus pulposus compressing the nerves!

No matter what the symptoms are, as long as the test report shows lumbar disc herniation, all symptoms are caused by nerve compression.

Then if we ask further, if the herniated nucleus pulposus is removed through surgery to relieve the nerve compression, will the symptoms definitely disappear? Can lumbar disc herniation be cured?

No doctor will give a positive answer to this question, because no matter what the disease is, the doctor will not speak so absolutely.

In Zhang Xiangyang's case, surgery first is definitely the right choice, because the risk increases the later you wait. Surgery should be performed first to remove the protruding part, and then the protrusion will recover or recur later.

Any surgery has certain risks, whether it is minimally invasive or open surgery. Some risks may be relatively small, but that does not mean there are no risks. Take disc surgery as an example. The symptoms of nerve compression can be relieved immediately, and leg numbness can be greatly improved, of course, provided that the surgery is successful. However, a large number of people still have low back pain after surgery.

Current surgeries tend to remove as few intervertebral discs as possible, rather than removing the entire disc as was done in the past, because the intervertebral disc is essential for cushioning between the lumbar vertebrae.

However, removing part of the intervertebral disc will face the risk of a second surgery, because the intervertebral disc may protrude again along the ruptured area.

If surgery can really solve the problem once and for all, I believe this problem will arise. It is precisely because of the uncertainty and incompleteness of surgery that many people hesitate. Even in the hospital, there are various examples of people who have surgery and those who do not.

In fact, there is nothing to be afraid of with lumbar herniation. What we should be afraid of is that the nucleus pulposus breaks through the annulus fibrosus. Once it presses on the nerve roots and continues to press, it will cause edema, inflammation, and pain.

Just like a car, it needs to be aligned and braked every once in a while. The same is true for the human body. Every time you go out, it falls apart and is not in the normal position.

If the intervertebral disc herniation does not exceed 1/2 of the anterior-posterior diameter of the spinal canal, the nucleus pulposus has not dispersed into the spinal canal, the annulus fibrosus of the intervertebral disc has not completely ruptured, and there are no serious Schmorl's nodes, it is generally possible to return to normal through rehabilitation training.

The surgery is to destroy the intervertebral disc, suck out the nucleus pulposus to relieve the pressure on the spinal cord or nerves and relieve the pain, rather than to truly restore the physiological curvature of the spine to normal spinal shape to achieve the treatment purpose.

In other words, the pain is temporarily relieved by damaging the spine. Since the intervertebral disc is damaged during surgery, the force on the intervertebral disc will decrease, and the force on the spine will decrease abnormally. If rehabilitation training is not performed after the operation, more intervertebral disc herniation will occur.

Many minimally invasive surgical options either use high-temperature ozone to ablate the protruding nucleus pulposus, or use corresponding tools to remove the protruding nucleus pulposus from the body.

The surgical plan has many risks. If the bad living habits are not changed after the operation, or if there is carelessness during exercise, the removed or ablated nucleus pulposus may still have a second chance to be squeezed out from the ruptured fibrosis, leading to a secondary recurrence.

Because based on the current medical level, there is no way to repair the ruptured annulus fibrosus through minimally invasive surgery. Even if it is repaired, its strength will not be as strong as the original one.

Of course, large fenestration surgeries, such as fusion surgery, are more thorough. They will remove the herniated disc and fix it with metal, so the possibility of recurrence is relatively low.

However, due to the risks of fenestration surgery, damage to nerves, and limited bending range after surgery, most people would not choose it unless they have no other choice.