Treatment of Chronic Low Back Pain Due to Lumbar Disc Herniation

Written by Cheng Bin
Orthopedics
Updated on March 13, 2025
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For the treatment of chronic lower back pain caused by lumbar disc herniation, the following methods need to be applied:

1. It is necessary to strengthen the patient's lower back muscle strength through exercise, which can better protect the lumbar spine and effectively relieve the patient's lower back pain symptoms. For example, exercises like the "small swallow fly", swimming, and lifting the buttocks while lying on the bed can be performed;

2. Avoid sitting or standing for long periods, avoid bending over to lift heavy objects excessively, and it is best to wear a lumbar support belt to protect the lumbar spine, and sleep on a hard bed;

3. Actively perform local hot compresses, and combine them with therapeutic methods such as acupuncture, electrotherapy, cupping, and massage;

4. Apply topical ointments that activate blood circulation and remove blood stasis, and take oral non-steroidal drugs like pain relievers and drugs that improve blood circulation and remove blood stasis for treatment, which can be very effective.

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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 Na Hong Wei
Orthopedics
1min 12sec home-news-image

Which department should I visit for a lumbar disc herniation?

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
1min 1sec home-news-image

Which department is for lumbar disc herniation?

The meaning is which department to visit for lumbar disc herniation. If going to a hospital for lumbar disc herniation and if there is a spinal surgery department, the first choice should be the spinal surgery department. If there is no spinal surgery department, then you can visit the general orthopedics department. If it's an acute episode of severe pain due to lumbar disc herniation, and you want to address the pain issue, you can visit the pain management department. The pain management department has unique methods for treating sciatica caused by lumbar disc herniation, and the treatment results are very good. If it's a chronic lumbar disc herniation, and you need some rehabilitative treatment or physiotherapy, you can also visit the rehabilitation department or the physiotherapy department. In summary, for lumbar disc herniation, you should first visit the spinal surgery department, then the general orthopedics, visit the pain management department if addressing pain, and go to rehabilitation if seeking recovery.

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Written by Wang Cheng Lin
Orthopedics
1min 11sec home-news-image

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 Na Hong Wei
Orthopedics
1min 40sec home-news-image

Lumbar disc herniation has what manifestations?

Lumbar disc herniation has the following clinical manifestations. First, lower back pain accompanied by unilateral radiating pain in the lower limbs. Second, numbness in the localized area. Third, weakness in the toes. Fourth, decreased temperature in the affected limb. Upon examination, the first finding is a reduced natural anterior curve of the lumbar spine, which we refer to as a flat or board-like back. Second, it can also cause the lumbar spine to bend to one side, possibly toward the affected side or the healthy side, depending on the location of the herniation. Third, there is a fixed tender point beside the lumbar spine, which plays an active role in diagnosis and treatment. Fourth, due to pain, there is a limitation in the movement of the lower back; normally, the lumbar spine can flex 45 degrees forward, extend 20 degrees backward, and bend 30 degrees to each side. If these ranges of motion are not achievable, it indicates a significant limitation in lumbar activity. Fifth is the neurological localization examination, which primarily involves different sensory disturbances, motor disturbances, or muscle atrophy depending on the site of compression. There are also some special tests, like the straight leg raise test, reinforcement test, healthy side leg raise test, as well as the neck flexion test and femoral nerve stretch test. Lastly, additional diagnostic tests like CT or MRI can provide specific information on the location and stage of the lumbar disc herniation.