Do Calcium and Glucosamine Help with Herniated Discs During Pregnancy?

Is calcium and glucosamine effective for herniated discs?

Hello Doctor, I am currently 18 weeks pregnant and experiencing severe pain due to nerve compression, making it difficult to walk or sit.
I have been bedridden at home and use a wheelchair when going out.
I underwent an MRI, which confirmed a herniated disc in my lumbar region.
Currently, I can only attend physical therapy and receive electrical stimulation and lumbar traction.
My family believes I should increase my calcium and glucosamine intake, and they insist that I take 10 calcium tablets and 30 glucosamine capsules from Amway every day.
This raises my concern about whether taking such a large quantity is truly beneficial.
Additionally, is it possible for lumbar traction to help the cartilage retract? Thank you, Doctor.

Yu, 30~39 year old female. Ask Date: 2022/07/28

Dr. Chen Yongxue reply Orthopedics

Hello.
1.
My family believes that I should increase my intake of calcium and glucosamine.
They insist that I take 10 calcium tablets and 30 glucosamine capsules from Amway every day.
This makes me wonder if taking such a large quantity is truly beneficial.
It may not be helpful.
2.
Additionally, is it possible for spinal traction to help the cartilage to regenerate? It may not necessarily restore it.
First, it is important to confirm that the symptoms are caused by a herniated disc.
This may require a physician to perform a physical examination to see if the findings align with the MRI results.
If the symptoms are not related to a herniated disc, lumbar traction would be completely ineffective.
Currently, many clinics require patients to undergo rehabilitation while neglecting the accuracy of the diagnosis, which is not ideal.

Reply Date: 2022/07/28

More Info

When dealing with a herniated disc during pregnancy, it's essential to approach treatment with caution, considering both the safety of the mother and the developing fetus. Your situation, involving significant pain due to nerve compression, is understandably distressing, and it's good that you are seeking information on how to manage it effectively.

Calcium and Glucosamine
Calcium is crucial during pregnancy as it supports the development of the baby's bones and teeth. The recommended daily intake of calcium for pregnant women is about 1,000 mg, which can typically be achieved through a balanced diet rich in dairy products, leafy greens, and fortified foods. While taking calcium supplements can help meet this requirement, taking excessive amounts, such as ten tablets a day, may not be necessary and could lead to potential side effects, including constipation or kidney stones.

Glucosamine, on the other hand, is a supplement often used to support joint health and may help with osteoarthritis symptoms. However, its safety during pregnancy is not well-established. While some studies suggest that glucosamine does not pose a significant risk, there is insufficient evidence to recommend its use during pregnancy. Therefore, it is advisable to consult with your healthcare provider before continuing or starting glucosamine supplementation.

Herniated Discs and Treatment Options
For a herniated disc, conservative treatments are usually recommended, especially during pregnancy. Physical therapy, which you are currently undergoing, is a beneficial approach. Techniques such as electrical stimulation and traction can help alleviate pain and improve mobility. However, the effectiveness of traction in "pulling back" the herniated disc is variable and may not always yield significant results. It's essential to communicate with your physical therapist about your pain levels and any concerns regarding your treatment plan.

Pain Management
In terms of pain management, non-pharmacological methods such as heat therapy, gentle stretching, and prenatal yoga can be beneficial. These methods can help relieve tension in the back and improve overall comfort. Additionally, maintaining proper posture and using supportive cushions while sitting can also alleviate some discomfort.

Medication Considerations
If your pain is severe and impacting your quality of life, it’s crucial to discuss this with your obstetrician. They may consider safe pain relief options that are appropriate for your stage of pregnancy. Non-steroidal anti-inflammatory drugs (NSAIDs) are generally avoided during pregnancy, especially in the third trimester, but your doctor may suggest alternatives that are safe for you and your baby.

Conclusion
In summary, while calcium is essential during pregnancy, the amount you are considering may be excessive. Glucosamine should be approached with caution, and you should consult your healthcare provider before continuing its use. Focus on non-invasive treatments for your herniated disc, and maintain open communication with your healthcare team regarding your pain management and overall health. Your well-being and that of your baby are paramount, and finding a balanced approach to managing your symptoms is key.

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