Where to press for lumbar disc herniation

Written by Na Hong Wei
Orthopedics
Updated on September 17, 2024
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Massage for lumbar disc herniation involves main and auxiliary acupoints. The main acupoint is the Jiaji acupoint at the affected disc side, followed by the Jiaji acupoints immediately above and below it. Auxiliary acupoints are chosen based on the patient's specific symptoms. Typically, if there is significant lower back pain, the affected side's Yaoyan acupoint is used. For tense gluteal muscles with tenderness, the Huanjiao acupoint is selected. If there is muscle tension on the back of the thigh, the Yinmen and Hebei acupoints are advisable. If numbness occurs on the outer side of the thigh, the Fengsi acupoint should be used. For numbness in the lower legs, the Yanglingquan acupoint is suitable. If numbness affects the foot, the Taixi and Yibian acupoints are recommended.

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Written by Wang Fei
Orthopedics
48sec home-news-image

How to relieve stiffness in the lower back caused by lumbar disc herniation?

Lumbar disc herniation is very common in clinical settings. The peak incidence age is around forty, typically in middle-aged adults, though some cases occur in the elderly due to degenerative lumbar changes, bone proliferation, or osteoporosis-induced herniation. Patients with lumbar disc herniation usually experience discomfort in the lower back, muscle spasms, and sometimes numbness and soreness in the legs. If such stiffness and discomfort occur, one approach is to rest in bed. Additionally, applying heat, gentle massage, and treatments to relieve muscle spasms can be beneficial. Treatments such as acupuncture and physiotherapy can also help alleviate muscle spasms in the lumbar region, thus easing the stiffness.

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Written by Lv Yao
Orthopedics
39sec home-news-image

What is lumbar disc herniation?

Lumbar disc herniation is a condition caused by the rupture of the fibrous ring of the intervertebral disc, protrusion of the central nucleus pulposus, which compresses the nerve roots or the spinal cord, resulting in a series of symptoms. For example, it can cause pain in the lower limbs and instability in the lumbar spine, leading to pain in the waist, as well as pain in the waist when walking or standing, and even sensations of numbness and tingling in the lower limbs. In severe cases, it can cause symptoms affecting urination and defecation.

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Written by Wang Cheng Lin
Orthopedics
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Non-surgical treatment methods for lumbar disc herniation

Methods for non-surgical treatment of lumbar disc herniation currently include the following in clinical practice: The first is traction therapy, which can relieve pain and numbness in the lower back, though the effectiveness in alleviating numbness may not be very significant; The second is massage, which can also relieve symptoms of pain in the lower back; The third involves the use of topical plasters, such as non-steroidal anti-inflammatory and analgesic plasters, as well as plasters that activate blood circulation and dissipate blood stasis, to relieve localized pain; The fourth can be achieved through electrotherapy or magnetotherapy; The fifth is acupuncture. Currently, the application of acupuncture to relieve symptoms of lumbar disc herniation in clinical practice is quite evident; it has a better effect than traction. Additionally, oral medications that nourish the nerves are required because patients with lumbar disc herniation might have a protruded disc compressing the nerve roots, possibly causing nerve root damage. Therefore, it is also necessary to take certain nerve-nourishing medications orally to alleviate these symptoms.

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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.

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Written by Guan Jing Tao
Orthopedics
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Lumbar disc herniation X-ray manifestations

For auxiliary examination of lumbar disc herniation, it is recommended to perform CT or MRI of the lumbar spine. Currently, X-ray films are only suitable for examining fractures or abnormal bone structures. Lumbar disc herniation is currently diagnosed based on lumbar spine CT or MRI, which can provide a clearer understanding of the extent of the lesion and its relative position to surrounding tissues. Therefore, lumbar disc herniation should not be examined or diagnosed using X-rays, so do not use X-ray films for the relevant examinations.