How to exercise with lumbar disc herniation

Written by Na Hong Wei
Orthopedics
Updated on September 01, 2024
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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 Na Hong Wei
Orthopedics
1min home-news-image

Lumbar disc herniation is where?

Where does lumbar disc herniation occur? Let's first discuss what a lumbar disc is. A lumbar disc is a fibrous pad located between the upper and lower vertebrae, which can be understood as a joint between the two vertebrae. Its outer layer is made up of a dense fibrous ring, formed in different combinations and arrangements, with a nucleus pulposus in the middle, which primarily functions to bear pressure from various directions and disperse it. Lumbar disc herniation occurs when, for various reasons such as aging, trauma, or pathological changes, the lumbar disc protrudes. If the protrusion does not break through the fibrous ring, it is called bulging. If it compresses and causes the fibrous ring to rupture, it is called herniation. Thus, the herniation can protrude backward, upward, or forward; however, it is mostly the backward protrusion that can cause symptoms by compressing nearby tissues, such as the spinal cord, blood vessels, and nerve roots.

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Written by Na Hong Wei
Orthopedics
1min 36sec home-news-image

What should I do if I have a lumbar disc herniation?

After a lumbar disc herniation, it is essential to first determine the type of herniation you have. Clinically, lumbar disc herniations can be categorized into protrusion, prolapse, extrusion, and sequestration, with protrusion being the most common. Once the type of herniation is identified, treatment can begin. Currently, the treatment methods are diverse and can be broadly classified into six categories. The first is internal treatment with traditional Chinese medicine. Traditional Chinese medicine classifies lumbar disc herniation into four types, each treated with different medications. The second is external treatment with traditional Chinese medicine, such as herbal fumigation and plaster application. The third is traction, which includes bed traction and manual massage. The fourth is acupuncture. The fifth category includes other therapies, starting with resting on a hard board bed for approximately a week, followed by techniques like small needle knife therapy, intradiscal injection, sacral canal injection, and ozone therapy. If conservative treatments prove ineffective, or if symptoms worsen during treatment, surgical intervention may be necessary. Surgical treatment is generally indicated in the following four situations: patients with spinal stenosis, patients who do not respond to conservative treatment or who experience recurrent symptoms after recovery, patients with worsening neurological symptoms, and patients with central lumbar disc herniation causing incontinence. These are the conditions mentioned above.

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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.

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Written by Na Hong Wei
Orthopedics
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Is moxibustion effective for lumbar disc herniation?

As an important treatment method in traditional Chinese medicine, moxibustion has very good therapeutic effects for treating lumbar disc herniation. As long as the acupuncture points are correctly selected, the treatment effect is very good. Specifically, if you choose to use moxibustion for treatment, the main point would be the Jiaji points, and this should include the two adjacent vertebrae. For example, for a L4-L5 disc herniation, you should select points L1 to L5. Auxiliary points should be chosen based on different symptoms of the patient, in combination with different acupoints. For example, if the waist pain is significant, combine with the affected side's Yaoyan point. If the buttock muscles are tense, combine with Huanjiao and Yibian points. If the posterior thigh muscles are tense, combine with Chengfu, Yinmen, and Weizhong points. If there is numbness on the lateral thigh, combine with Fengshi. For numbness in the calf, combine with Weiyang, Chengshan, Yanglingquan, Zusanli, and Xuanzhong points. If the dorsum of the foot is numb, combine with Taixi, Jiexi, and Xiexi.

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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.