What should I do if I have a lumbar disc herniation flare-up?

Written by Na Hong Wei
Orthopedics
Updated on March 21, 2025
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Once a herniated disc occurs, the first step should be general treatment, which involves rest and lying on a hard bed. A soft pillow should be placed under the waist and a soft pad behind the knee joints to help with triangular support recovery and reduce spinal pressure. Second, treatment with traditional Chinese medicine and herbs can be considered, which includes both oral and topical medications and usually has good effects. Third, traction and massage therapy can be considered. Traction is notably effective during the acute phase of a herniated disc. It mainly helps by reducing the pressure on the intervertebral discs, adjusting the gaps in the intervertebral foramina, and thus alleviating the irritation and compression on the nerve roots. Fourth, acupuncture and massage can also be considered, as acupuncture is particularly effective in alleviating symptoms of a herniated disc. Other treatments include small-needle scalpel therapy, target disc decompression through radiofrequency, disc intra-injections, or epidural block. If these treatments do not show significant results, or if there is no improvement and symptoms of cauda equina syndrome appear, then surgical treatment may be necessary.

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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.

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Written by Su Zhen Bo
Orthopedics
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How to perform traction for lumbar disc herniation?

In clinical practice, patients with lumbar disc herniation undergo traction as a common treatment method. During traction, patients should be instructed to lie on their back and then use a pelvic belt for traction. By pulling the lumbar vertebrae, this can reduce the pressure within the spinal canal, alleviate nerve root bleeding and edema, and allow the lumbar muscles and muscle groups to fully relax, thereby relieving the clinical symptoms of the patient. The specific traction weight should be determined according to the patient's body weight and the correct direction of traction should be chosen. For mild lumbar disc herniation, traction can be performed twice a day. For severe cases, continuous traction should be adopted, along with lumbar electrotherapy, physiotherapy, the external application of plasters that activate blood circulation and remove blood stasis, and the intravenous administration of drugs with dehydrating and blood pressure lowering effects.

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Written by Guan Yu Hua
Orthopedic Surgery
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How long does conservative treatment for lumbar disc herniation take?

The main issue in lumbar disc herniation is that the nucleus pulposus ruptures through the annulus fibrosus, causing compression of the nerve roots. These nerve roots at lumbar 4 and sacral 3 form the sciatic nerve, leading to numbness and pain on the posterolateral side of the thigh and the dorsum of the foot. This is a distinctive manifestation of lumbar disc herniation, most commonly seen at the L4-5 and L5-S1 intervertebral spaces, accounting for over 95% of cases in outpatient settings. Conservative treatment primarily involves strict bed rest, local application of heat, sleeping on a firm mattress, pre-warming the lower back, and taking medications to promote blood circulation, relieve pain, and nourish nerves. Generally, symptoms will gradually abate and disappear within approximately 10 to 14 days, with noticeable symptom reduction after about 7 days. For cases where conservative treatment is ineffective and symptoms recur, interventional surgery such as ozone nucleolysis can be sought. Ozone therapy can help reduce the pressure on the intervertebral discs, increase their volume, and relieve nerve compression. Surgical trauma is relatively minor, the procedure is currently well-practiced, and the side effects are relatively low. It may be worthwhile to consult a local hospital for more information.

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Written by Na Hong Wei
Orthopedics
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Where to press for lumbar disc herniation

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 Lv Yao
Orthopedics
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Can a lumbar disc herniation heal by itself?

Lumbar disc herniation cannot heal on its own. The protrusion of the disc is due to degeneration of the nucleus pulposus, which herniates through a ruptured annulus fibrosus, compressing the nerves behind it and causing symptoms such as pain, numbness, and weakness when walking. In the early stages or upon the first occurrence of lumbar disc herniation, symptoms can be alleviated through conservative treatment, such as strengthening the muscles in the lower back, appropriately applying traction, and wearing a lumbar support to reduce symptoms and prevent the herniated disc from further compressing the nerves. If the herniation is severe and it is not the first occurrence of this condition, surgical treatment is recommended. Therefore, lumbar disc herniation cannot heal on its own.