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 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 Wang Fei
Orthopedics
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Can I take calcium tablets for lumbar disc herniation?

Lumbar disc herniation is a very common clinical disease, often affecting the lower back and causing discomfort. It frequently presents with numbness, swelling, pain, and even muscle atrophy in one leg. In the elderly, lumbar disc herniation may be associated with osteoporosis, as bone changes following osteoporosis can lead to poor vertebral stability, ultimately causing disc herniation. Elderly patients with both lumbar disc herniation and osteoporosis should take calcium supplements. However, for young and middle-aged adults who do not have accompanying osteoporosis, taking calcium supplements is not particularly beneficial.

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Written by Lv Yao
Orthopedics
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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 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 Guan Jing Tao
Orthopedics
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Can people with lumbar disc herniation have sexual intercourse?

Appropriate and occasional sexual activity is permissible. During the acute phase of lumbar disc herniation, it is strictly prohibited to engage in excessive physical activities, including sexual activity, as it may trigger or exacerbate symptoms such as increased herniation, nerve compression, and resultant numbness or painful sensations in the lower limbs. However, during the chronic phase of disc herniation, after systematic treatment and significant symptom improvement, sexual activity can be resumed appropriately and occasionally, such as once every two to three weeks, or adjusted according to different age groups to a normal frequency. Additionally, it is important to avoid excessive bending and heavy lifting to prevent worsening the pain and discomfort associated with lumbar disc herniation.