Can lumbar disc herniation be treated with an injection block?

Written by Guan Yu Hua
Orthopedic Surgery
Updated on March 17, 2025
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Lumbar disc herniation can be treated with an injection, which mainly uses caudal epidural steroid injections. This approach has a certain therapeutic effect but is limited. For example, it may relieve the patient's pain for about a week, after which symptoms may gradually reappear. I believe that this treatment method is more about addressing the symptoms rather than the root cause. For ineffective conservative treatments, such as resting on a hard bed, applying local heat, minimizing prolonged sitting, and lying down as much as possible except for going to the toilet or eating, symptoms will generally gradually alleviate over about 10-14 days. This can be combined with drugs that promote blood circulation and relieve pain, and drugs that nourish the nerves, as well as some diuretic drugs to relieve the pressure on the intervertebral discs. This can alleviate the stimulation of the nerve roots by the nucleus pulposus of the intervertebral discs, affecting nerves from L4 to S3, which may cause numbness and pain in the back of the thighs, the dorsum of the calves, or feet. The symptoms vary depending on the stage of compression but the difference isn't significantly large. For cases where conservative treatment or injections are ineffective, we can consider interventional surgeries like ozone nucleolysis, which are currently performed skillfully with minimal damage and quick recovery. You can consult a hospital for more information.

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Written by Lv Yao
Orthopedics
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What is lumbar disc herniation?

Lumbar disc herniation is a condition caused by the rupture of the fibrous ring of the intervertebral disc, protrusion of the central nucleus pulposus, which compresses the nerve roots or the spinal cord, resulting in a series of symptoms. For example, it can cause pain in the lower limbs and instability in the lumbar spine, leading to pain in the waist, as well as pain in the waist when walking or standing, and even sensations of numbness and tingling in the lower limbs. In severe cases, it can cause symptoms affecting urination and defecation.

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Written by Na Hong Wei
Orthopedics
1min 35sec home-news-image

How to treat a lumbar disc herniation?

Clinically, the treatment of lumbar disc herniation usually involves the following three aspects. The first is conservative treatment, which is mainly for those patients whose lumbar disc herniation is not very severe and does not cause substantial compression of the nerve roots and spinal cord. The first step includes general treatment, that is, after developing a lumbar disc herniation, one needs to lie flat in bed, rest on a hard bed, and then rest. The second is treatment with Chinese herbal medicine, the third with Western medicine, and the fourth is traditional Chinese medicine rehabilitation treatment, which includes traction, massage, acupuncture, and others. There is also physical therapy, which includes treatments like shockwave thermotherapy and microwave therapy. Often, some patients experience symptom relief after conservative treatment. There are also some patients whose symptoms do not improve during treatment, and even worsen, at which point surgical treatment is needed. Surgical treatment has its strict indications. However, once within the range of these indications, surgical treatment should be considered. Surgical treatment now is divided into minimally invasive therapy and conventional surgical treatment. The third is other treatments, which are also numerous, including ozone therapy, sacral canal treatment, intradiscal injections, and so on. Therefore, the treatment of lumbar disc herniation mainly depends on the degree of protrusion and clinical symptoms, which are analyzed comprehensively to select a suitable treatment method.

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Written by Na Hong Wei
Orthopedics
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Precautions for Lumbar Disc Herniation

For patients with lumbar disc herniation, self-prevention and self-treatment are very effective methods. What should be paid attention to in daily life? The first point is to maintain a correct sitting posture, sit upright, do not lean back, and avoid sitting for long periods. It is also necessary to keep the waist warm and prevent it from getting cold. The second point is to engage in some exercises, mainly those that strengthen the muscles of the lower back, such as large swallow flight, small swallow flight, single bridge, and double bridge. The third point is that in daily life, it is important to pay attention to maintaining the correct posture when working, avoiding putting too much pressure on the lumbar spine, and not using brute force. The fourth point is that in terms of rest, it is best to sleep on a hard bed and add a small pad at the waist or a soft pillow under the knee joints. This can keep the knee and hip joints at a certain degree of flexion, allowing the muscles of the lower back to fully relax. The fifth point is to wear a waist brace under the guidance of a doctor. This waist brace is a very common orthopedic support, which functions to immobilize and protect the waist. Moreover, for patients with lumbar disc herniation, it can greatly increase the stability of the lumbar spine and consolidate the effects of previous treatments. Therefore, patients with lumbar disc herniation must pay attention to these details in daily life.

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Written by Lv Yao
Orthopedics
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Can a lumbar disc herniation heal by itself?

Lumbar disc herniation cannot heal on its own. The protrusion of the disc is due to degeneration of the nucleus pulposus, which herniates through a ruptured annulus fibrosus, compressing the nerves behind it and causing symptoms such as pain, numbness, and weakness when walking. In the early stages or upon the first occurrence of lumbar disc herniation, symptoms can be alleviated through conservative treatment, such as strengthening the muscles in the lower back, appropriately applying traction, and wearing a lumbar support to reduce symptoms and prevent the herniated disc from further compressing the nerves. If the herniation is severe and it is not the first occurrence of this condition, surgical treatment is recommended. Therefore, lumbar disc herniation cannot heal on its own.

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Written by Cheng Bin
Orthopedics
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Treatment of Chronic Low Back Pain Due to Lumbar Disc Herniation

For the treatment of chronic lower back pain caused by lumbar disc herniation, the following methods need to be applied: 1. It is necessary to strengthen the patient's lower back muscle strength through exercise, which can better protect the lumbar spine and effectively relieve the patient's lower back pain symptoms. For example, exercises like the "small swallow fly", swimming, and lifting the buttocks while lying on the bed can be performed; 2. Avoid sitting or standing for long periods, avoid bending over to lift heavy objects excessively, and it is best to wear a lumbar support belt to protect the lumbar spine, and sleep on a hard bed; 3. Actively perform local hot compresses, and combine them with therapeutic methods such as acupuncture, electrotherapy, cupping, and massage; 4. Apply topical ointments that activate blood circulation and remove blood stasis, and take oral non-steroidal drugs like pain relievers and drugs that improve blood circulation and remove blood stasis for treatment, which can be very effective.