How to treat a lumbar disc herniation?

Written by Na Hong Wei
Orthopedics
Updated on September 08, 2024
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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
1min 24sec home-news-image

How to exercise with lumbar disc herniation

For patients with lumbar disc herniation, self-exercise is a very important and effective treatment method. First, it is important to maintain the correct sitting posture, sit up straight without leaning sideways, and avoid sitting for extended periods. It is also necessary to keep the waist warm to prevent catching cold. Second, it is necessary to strengthen the exercise of the back muscles, especially the erector spinae and multifidus, with exercises such as single-leg bridges, double-leg bridges, and the "little swallow" exercise. Third, maintain the correct posture in daily life, such as when lifting or holding objects, to avoid increasing tension in the waist and causing unnecessary damage. Fourth, regarding rest, it is crucial to lie on a firm bed and possibly add a thin pad under the waist to keep the hips and knees in a certain alignment, ensuring the waist muscles can fully relax. Fifth, always wear a waist belt during exercise. The waist belt is one of the most important orthopedic supports, serving to immobilize and protect the waist, limiting movement during activity to solidify the effects of earlier treatments. Therefore, patients with lumbar disc herniation must develop a complete and reasonable treatment plan at a regular medical institution and normal physiotherapy institution.

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Written by Chen Hui
Orthopedic Surgery
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How to care for lumbar disc herniation

The intervertebral discs of a normal human body, according to related evidence-based medical research, begin to degenerate around the age of twenty-five. How should we maintain them in daily life? First, when lifting heavy objects in everyday life, it is necessary to do so by squatting partially and then lifting the weight with the strength of your knees and hips when standing up. Do not bend at the waist with straight knees and hips to lift heavy objects, as this can cause severe loading on the lumbar spine, leading to herniated discs. If symptoms are already present, maintenance measures include wearing a lumbar support, sleeping on a hard bed, and undergoing relevant physical therapy, among others.

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Written by Cheng Bin
Orthopedics
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Lumbar disc herniation symptom exercise

There are many exercises for lumbar disc herniation, such as the "little swallow" exercise, practicing lifting the buttocks while lying in bed, performing the bridge pose, supporting your body with three and a half points, and actively engaging in swimming. These exercises can strengthen the patient's lower back muscles, thereby better protecting the lumbar spine and alleviating symptoms of lumbar disc herniation. Additionally, for patients with lumbar disc herniation, besides exercise, it is important to keep warm. Avoid prolonged sitting or standing, avoid excessive bending to pick up heavy objects or lifting heavy weights. It is best to use a lumbar support belt, protect the lumbar spine, sleep on a firm bed. Also, locally apply heat actively, combined with acupuncture, electric heating, cupping, massage, traction, and other physical therapies.

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Written by Na Hong Wei
Orthopedics
1min 12sec home-news-image

Where to apply moxibustion for lumbar disc herniation

After a lumbar disc herniation, if moxibustion treatment is used, there is a concept of main and supplementary acupuncture points. The main point is the Jiaji point at the herniated lumbar disc segment, accompanied by the Jiaji points directly above and below it. For example, for an L4-5 disc herniation, moxibustion would be applied to the Jiaji points of L3-4, L4-5, and L5-S1. Additionally, supplementary points are chosen based on the patient's other symptoms. If there is significant lumbar pain, the Yao Yan (Lumbar Eyes) point on the affected side is used. If there is muscle tension in the buttocks, the Huan Tiao and Yi Bian points are used. If there is tension in the back of the thigh, support would include the Fu Cheng, Yin Men, and Wei Zhong points. If numbness occurs on the outer side of the thigh, the Feng Shi point is used. For numbness in the calf, the Wei Yang, Cheng Shan, Yang Ling Quan, Zu San Li, and Xuan Zhong points are used. For numbness on the dorsum or sole of the foot, the Tai Xi, Jie Xi, and Xia Xi points are included.

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Written by Lv Yao
Orthopedics
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Is running good for lumbar disc herniation?

Lumbar disc herniation is due to the degeneration of the lumbar spine. It results in symptoms from the herniation pressing down on the nerve roots, or the spinal cord, through a rupture in the fibrous ring. The disc mainly serves to cushion and absorb shock in the lumbar region. During running, the load on the lumbar spine and the compression are significantly greater compared to normal walking. Running might exacerbate the condition of herniated discs. Therefore, it is not recommended to engage in running, jumping or similar activities if suffering from a disc herniation. Swimming can be a preferable form of exercise that lessens the load on the lumbar spine.