Choosing Between Traditional and Western Medicine for Back Pain Relief - Rehabilitation

Share to:

Lumbar issues?


Hello, doctor.
I would like to ask about an old injury in my lower back.
It has improved a lot, but I still feel some discomfort when I get too tired.
Applying heat helps a lot.
Which specialty should I see for this? Is traditional Chinese medicine or Western medicine better?

Kay, 30~39 year old female. Ask Date: 2022/09/04

Dr. Li Yanheng reply Rehabilitation


It is recommended to visit the rehabilitation department for X-ray and musculoskeletal ultrasound examinations.

Reply Date: 2022/09/04

More Info


When it comes to choosing between traditional Chinese medicine (TCM) and Western medicine for back pain relief, it's essential to consider several factors, including the nature of your injury, your personal preferences, and the specific treatments available in each approach.

Understanding Back Pain and Treatment Options
Back pain can arise from various causes, including muscle strain, ligament sprain, herniated discs, or even underlying conditions like arthritis. Given that you have a history of an old injury, it's crucial to assess whether the pain is due to residual effects of that injury or if new issues have developed over time.

Western Medicine Approach
In Western medicine, the approach to back pain typically involves a thorough evaluation, which may include physical examinations, imaging studies (like X-rays or MRIs), and possibly referrals to specialists such as orthopedic surgeons or physiatrists. Treatment options may include:
1. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce inflammation and alleviate pain. Muscle relaxants may also be prescribed if muscle spasms are present.

2. Physical Therapy: A physical therapist can develop a tailored exercise program to strengthen the muscles supporting your back, improve flexibility, and promote better posture.

3. Injections: Corticosteroid injections may be used to reduce inflammation in specific areas of the spine.

4. Surgery: In severe cases, surgical options may be considered, especially if there is nerve compression or structural issues.

Traditional Chinese Medicine Approach
On the other hand, TCM offers a holistic approach to treating back pain. This may include:
1. Acupuncture: Inserting thin needles into specific points on the body can help relieve pain and promote healing by improving blood flow and reducing inflammation.

2. Herbal Medicine: TCM practitioners may prescribe herbal formulas tailored to your specific condition, which can help alleviate pain and promote recovery.

3. Tuina (Chinese Therapeutic Massage): This form of massage focuses on manipulating the body's soft tissues to relieve pain and improve circulation.

4. Qi Gong and Tai Chi: These gentle exercises promote flexibility, strength, and relaxation, which can be beneficial for back pain management.

Which is Better?
The choice between TCM and Western medicine largely depends on your personal preferences and how your body responds to different treatments. If you have found relief through heat therapy and are open to alternative methods, TCM might be a suitable option for you. Many patients appreciate the holistic approach of TCM, which focuses on balancing the body's energy and addressing the root causes of pain.

Conversely, if you prefer a more structured approach with diagnostic imaging and evidence-based treatments, Western medicine may be more appropriate. It is also worth noting that many patients find success with a combination of both approaches. For instance, you might start with Western medicine for an accurate diagnosis and initial treatment, then incorporate TCM methods like acupuncture or herbal remedies for ongoing management.

Consultation and Collaboration
Regardless of the path you choose, it is crucial to consult with healthcare professionals from both fields. A collaborative approach can ensure that you receive comprehensive care tailored to your specific needs. If you decide to pursue TCM, consider informing your Western medicine provider about the treatments you are receiving to avoid any potential interactions or complications.

In summary, both TCM and Western medicine offer valuable tools for managing back pain. Your decision should be based on your comfort level, the severity of your symptoms, and your overall health goals. Always prioritize open communication with your healthcare providers to create an effective treatment plan that works for you.

Similar Q&A

Exploring Traditional Chinese Medicine for Lumbar Disc Slip and Pain Relief

Due to an X-ray examination, it was found that there is a Grade 1 spondylolisthesis at the L4-L5 levels and lower back pain. I have been taking Western medication for pain relief and have undergone two sessions of rehabilitation. However, due to the spondylolisthesis, my doctor a...


Dr. Hou Yuchang reply Traditional Chinese Medicine
1. Since it is not possible to know the herbal prescription provided by the traditional Chinese medicine (TCM) practitioner, it is also impossible to determine the dietary restrictions and recommendations that should accompany the herbal treatment. However, each TCM practitioner ...

[Read More] Exploring Traditional Chinese Medicine for Lumbar Disc Slip and Pain Relief


Traditional Chinese Medicine Approaches for Migraine and Chronic Pain Relief

Hello, Doctor: What are the treatment methods in Traditional Chinese Medicine (TCM) for prodromal migraines? Can TCM treat panic disorders? Is it less harmful to the body? Can long-term back and腰 pain be treated with TCM? Thank you for your response.


Dr. Yan Sumei reply Traditional Chinese Medicine
Migraine, panic disorder, and chronic lower back pain may involve different medications in traditional Chinese medicine (TCM), but the treatment steps are similar. First, practitioners will take the pulse, conduct a medical interview, and differentiate syndromes based on the prin...

[Read More] Traditional Chinese Medicine Approaches for Migraine and Chronic Pain Relief


Understanding Your Back Pain: When to Seek Medical Help

The physician would like to ask: I have pain in my back located on the left side, near the waist, slightly above that area, close to the spine. It hurts particularly when I lie down at night, to the point where I can't sleep, but sitting or standing doesn't hurt as much...


Dr. Wang Zhaomin reply Rehabilitation
Back muscle strains or spinal-related injuries can cause pain. It is recommended to visit an orthopedic or rehabilitation specialist for early diagnosis and treatment.

[Read More] Understanding Your Back Pain: When to Seek Medical Help


Managing Bone Spurs: Rehabilitation vs. Traditional Chinese Medicine Options

Hello, Dr. Chen! My brother has bone spurs on his spine, and the surgeon recommended surgery, which scared him. He is also worried about potential side effects, so he decided to consult traditional Chinese medicine instead. The TCM treatment for bone spurs involves rehabilitation...


Dr. Chen Xianchang reply Rehabilitation
(1) If there is severe nerve compression causing muscle atrophy or compression of the nerves responsible for urination, surgical treatment should be considered. (2) Traditional Chinese medicine can reduce pain, and acupuncture can have similar effects. (3) Manual therapy carries ...

[Read More] Managing Bone Spurs: Rehabilitation vs. Traditional Chinese Medicine Options


Related FAQ

Traditional Chinese Medicine

(Rehabilitation)

Lower Back

(Traditional Chinese Medicine)

Back Soreness

(Rehabilitation)

Lumbar Spine

(Rehabilitation)

Back Pain

(Family Medicine)

Old Injury Pain

(Rehabilitation)

Back Pain

(Orthopedics)

Coccyx Pain

(Rehabilitation)

Herniated Disc

(Rehabilitation)

Medication Consultation

(Traditional Chinese Medicine)