Where to apply moxibustion for lumbar disc herniation

Written by Na Hong Wei
Orthopedics
Updated on September 25, 2024
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If moxibustion is used to treat a lumbar disc herniation, the main acupoint is the Jiaji acupoint located on both sides of the herniated disc, along with the Jiaji acupoints immediately above and below it. For example, if you have a herniation between the 3rd and 4th lumbar discs, you should moxibust the 2nd, 3rd, and 4th Jiaji acupoints, and so on. In addition to the main acupoint, there are auxiliary acupoints chosen based on the different symptoms of different patients. Generally, if there is significant back pain, the acupoint on the affected side is the Yaoyan. If there is muscle tension and tenderness in the buttocks, match with Huanjiao and Yibian. If there is muscle tension on the back of the thigh, match with Chengfu, Yinmen, and Weizhong. If there is numbness on the outer side of the thigh, match with Fengshi, and for calf numbness, match with Weiyang, Chengshan, and Yanglingquan. If there is numbness on the top of the foot, followed by weakness in the foot or toe region, match with Taixi, Jiexi, and Xiexi.

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Written by Lv Yao
Orthopedics
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Lumbar disc herniation symptom diagram

The herniation of the lumbar disc occurs due to degeneration of the disc, causing the nucleus pulposus to protrude backwards from the ruptured annulus fibrosus, compressing the spinal cord and nerve roots, thus leading to a series of symptoms. There will be pain in the lumbar region, and restricted flexion and extension movements of the waist. Symptoms may include numbness in the lateral calf and dorsum of the foot, weakness in walking, decreased muscle strength in the dorsiflexion of the big toe and ankle. In severe cases, there may be loss of control over urination and defecation. Therefore, when a disc herniation occurs, it is important to diagnose and treat it early to avoid worsening of symptoms.

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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 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 Wang Cheng Lin
Orthopedics
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How is a herniated lumbar disc treated?

The treatment methods for lumbar disc herniation currently fall into two categories in clinical practice. The first is conservative treatment, which primarily involves methods like massage, acupuncture, electrotherapy, magnetic therapy, and traction to alleviate symptoms of pain and restricted movement in the lower back. If conservative treatment proves ineffective and the patient's condition worsens, accompanied by radiating pain and numbness in both legs, it indicates that the herniated disc has severely compressed the nerve roots. At this point, the effectiveness of conservative treatment becomes very poor, and the only option may be to undergo surgical treatment. The primary goal of surgery is to remove the herniated disc, and if the patient has spinal instability, it also involves the use of screws and plates to restore spinal stability.

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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.