Can a herniated lumbar disc be massaged?

Written by Na Hong Wei
Orthopedics
Updated on September 02, 2024
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Lumbar disc herniation can be treated with massage, and as a part of conservative treatment, massage is a very important method with generally good effects. Its role is to relieve muscle spasms, expand blood vessels, increase local blood circulation, and promote cellular metabolism of soft tissues. The techniques primarily include rolling and rubbing, supplemented by grasping and grinding methods. The main acupuncture point targeted is the Jiaji point, centered on the lesion between the two vertebral bodies. Other auxiliary acupuncture points include Yaoyangguan, Mingmen, Shenshu, Bahui, Huanjiao, Yinmen, Fucheng, Weizhong, Chengshan, and Yanglingquan.

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Written by Qiu Xiang Zhong
Orthopedics
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Lumbar disc herniation symptoms

Patients with lumbar disc herniation can exhibit a variety of clinical symptoms which may differ according to age, gender, duration of illness, and the location of the herniation. Among these, back pain is a symptom that occurs in over 90% of the patients. The pain is primarily located in the lower back and the sacral area, most commonly presenting as persistent dull pain. Another common symptom is radiating pain in the lower limbs, which may extend from the lower back and buttocks to the back of the thigh, front or back of the calf, all the way to the heel. The nature of the pain is primarily radiating and piercing. Additionally, there may be reduced sensory and motor functions in the lower limbs as well as cauda equina syndrome symptoms.

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Written by Na Hong Wei
Orthopedics
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Symptoms of lumbar disc herniation

The symptoms of a herniated lumbar disc are 1. back pain 2. leg pain 3. both back and leg pain. The essence of a herniated lumbar disc is that, after the disc protrudes, it compresses the surrounding nerve roots or the spine, leading to a series of clinical symptoms. Depending on the area of compression, different symptoms may occur; some people experience back pain, others leg pain, and in more severe cases, both back and leg pain. Therefore, pain is the primary symptom of a herniated lumbar disc. However, following the pain, there often occurs a restriction of movement. If a certain posture is not correct, it triggers pain. In severe cases, it may cause numbness or weakness in both legs, or result in urinary or bowel dysfunction.

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Written by Na Hong Wei
Orthopedics
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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 Na Hong Wei
Orthopedics
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How to exercise with lumbar disc herniation

How to exercise with lumbar disc herniation. Patients with lumbar disc herniation should pay attention to the following points if they want to exercise. First, ample preparation is necessary; only with sufficient preparatory work before exercising can injury be avoided during the workout. Second, it is advisable to wear a lumbar belt as much as possible. As an important orthopedic support, the lumbar belt helps to brake and protect the waist, and it limits the amount and range of lumbar spine movement to prevent injuries. The third point is that exercises for lumbar disc herniation should primarily focus on strengthening the muscles of the lower back, specifically exercises like the single bridge, double bridge, large and small swallow movements. By strengthening the back muscles, such as the erector spinae and the multifidus muscles, the stability of the lumbar spine can be enhanced, significantly reducing the risk of further aggravation of the lumbar disc herniation.

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Written by Su Zhen Bo
Orthopedics
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Can a herniated lumbar disc cause leg pain?

Patients with lumbar disc herniation can experience leg pain, which is a typical clinical manifestation. After the nucleus pulposus protrudes, it can stimulate the dura mater and nerve roots, causing pain in the leg areas innervated by the nerves, or localized skin numbness, and decreased muscle strength in the lower limbs. Some patients may also experience difficulties bending over or walking normally. Additionally, some may have abnormal bowel and bladder function, and exhibit changes in reflexes like hyperactive or absent knee and Achilles reflexes. Diagnostic confirmation can be achieved through electromyography, as well as CT scans and MRI of the lumbar spine. For treatment, patients may be advised to lie flat on a hard bed, use lumbar support, and employ pelvic traction. Additionally, treatments such as massage and manipulation may be recommended.