Which department should I visit for a lumbar disc herniation?

Written by Na Hong Wei
Orthopedics
Updated on March 16, 2025
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Lumbar disc herniation can be treated in five different departments. First, since lumbar disc herniation is a spinal surgical disease, the primary choice is to consult the Department of Spinal Surgery. Second, lumbar disc herniation is also a common orthopedic condition, and almost all orthopedic doctors are familiar with this disease, so you can also consult the Department of Orthopedics. Third, current traditional Chinese medicine has very good conservative treatment effects for lumbar disc herniation, so you can also consult the Department of Traditional Chinese Medicine. Fourth, lumbar disc herniation is a long-term chronic disease, and its treatment process often involves rehabilitation, so the Department of Rehabilitation can also be considered. Finally, since the main symptoms of lumbar disc herniation are pain and limited mobility, many hospitals have established pain clinics or even specialized pain departments to address the pain issues associated with lumbar disc herniation. Therefore, you can also consult the Department of Pain Management. Thus, lumbar disc herniation can be treated in these five departments, with Spinal Surgery being the primary choice.

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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 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 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 Guan Yu Hua
Orthopedic Surgery
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Contraindications of Lumbar Disc Herniation

Patients with lumbar disc herniation mainly exhibit symptoms such as discomfort in the lower back, numbness in the lower limbs, and pain. These are primarily symptoms of sciatica, such as numbness and pain along the back and outer sides of the thighs, calves, and dorsum of the foot. Patients may find it difficult to put on shoes and socks in the morning, and sometimes they may feel as if their tendons are short when walking. It is generally recommended that patients strictly rest on a hard bed and warm up the lumbar region. They can also take some blood-activating and pain-relieving medications. The main precautions include avoiding bending over to lift heavy objects, carrying heavy items, and bearing heavy loads. Patients should avoid sitting or squatting for long periods and should try to lie flat or walk upright instead. If conservative treatment for lumbar disc herniation is ineffective, interventional surgical treatment may be sought.