What are the ingredients of the blood-activating injection for lumbar disc herniation?

When there are some problems inside the lumbar spine, such as fibrosclerosis or blood stasis, it will cause lumbar disease. In modern society, due to people's unhealthy living habits, the most common lumbar disease is lumbar disc herniation. People who have treated diseases such as lumbar disc herniation should know that the most common treatment method is to get a blood-activating injection. So what ingredients are contained in the blood-activating injection for lumbar disc herniation?

1. Non-surgical treatment

Chemical nucleolysis uses collagenase or papain, which is injected into the intervertebral disc or between the dura mater and the protruding nucleus pulposus, to selectively dissolve the nucleus pulposus and annulus fibrosus without damaging the nerve roots, thereby reducing the pressure within the intervertebral disc or reducing the size of the protruding nucleus pulposus, thereby alleviating symptoms. However, this method carries the risk of allergic reactions.

Most patients with lumbar disc herniation can be relieved or cured through non-surgical treatment. The treatment principle is not to restore the degenerated and protruding intervertebral disc tissue to its original position, but to change the relative position of the intervertebral disc tissue and the compressed nerve root or partially retract it, thereby reducing the pressure on the nerve root, loosening the adhesion of the nerve root, eliminating the inflammation of the nerve root, and thus alleviating the symptoms. Non-surgical treatment is mainly suitable for: 1. young patients, first-time patients or patients with a short course of illness; 2. patients with mild symptoms that can be relieved by themselves after rest; 3. patients with no obvious spinal stenosis on imaging examination.

2. Percutaneous nucleotomy/laser vaporization of the nucleus pulposus

Through the use of special instruments, the intervertebral space is entered under X-ray monitoring, and part of the nucleus pulposus is crushed, sucked out or vaporized by laser, thereby reducing the pressure within the intervertebral disc and relieving symptoms. It is suitable for patients with bulging or mild herniation, but not suitable for patients with lateral recess stenosis or obvious herniation, or those whose nucleus pulposus has prolapsed into the spinal canal.

3. Surgery

(1) Indications for surgery: ① Patients with a history of more than three months, who have no effect on strict conservative treatment or who have been effective with conservative treatment but have frequent relapses and severe pain; ② Patients with severe pain, especially in the lower limbs, who have difficulty moving and sleeping and are in a forced posture; ③ Patients with cauda equina compression; ④ Patients with single nerve root paralysis, accompanied by muscle atrophy and decreased muscle strength; ⑤ Patients with spinal stenosis.

(2) Surgical method: Through a posterior lumbar incision, partial resection of the lamina and articular processes, or disc resection through the interlaminar space. For central disc herniation, laminectomy is performed followed by epidural or intradural discectomy. Patients with lumbar instability and lumbar spinal stenosis require spinal fusion surgery at the same time.