Spinal degeneration, leg numbness, nerve compression?
Due to degeneration, I am experiencing lower back pain and have difficulty standing up straight immediately after sitting down.
Recently, the cold weather triggered my rhinitis, causing me to sneeze multiple times, which led to numbness in my legs.
I received the MRI results for my lumbar spine, which indicate a rupture at the L4-L5 level that is compressing the nerve, resulting in discomfort in my right leg.
I have been experiencing this leg numbness for over two months.
The rehabilitation doctor explained that the likelihood of self-absorption of the rupture is low, so they recommended minimally invasive surgery.
However, with the approaching holidays, I prefer not to undergo surgery, so I am continuing with rehabilitation treatments such as stretching, shortwave therapy, and electrical stimulation.
I would like to inquire if there are any other treatment options available in traditional Chinese medicine, as my family hopes to avoid surgery if possible.
Josey, 30~39 year old female. Ask Date: 2022/12/12
Dr. Gao Peiyi reply Traditional Chinese Medicine
1.
Traditional Chinese Medicine can perform acupuncture (electroacupuncture) and prescribe herbal medicine (to invigorate blood circulation, resolve stasis, clear heat, and eliminate dampness) to alleviate symptoms.
2.
If the symptoms have been present for less than six months and the numbness in the foot is confirmed to be related to the lesion, minimally invasive procedures are recommended.
Reply Date: 2022/12/12
More Info
Managing nerve compression and associated symptoms such as leg numbness can be a complex issue, especially when considering both Western and Traditional Chinese Medicine (TCM) approaches. In your case, the MRI results indicating a herniated disc at the L4-L5 level that is compressing the nerve root, leading to discomfort and numbness in the right leg, suggest that you are dealing with a significant mechanical issue that may require careful management.
From a Western medical perspective, the recommendation for minimally invasive surgery is based on the understanding that a herniated disc can lead to persistent nerve compression, which may not resolve on its own. The fact that you have been experiencing numbness for nearly two months indicates that the nerve may be under significant pressure, and while conservative treatments like physical therapy, electrical stimulation, and stretching exercises can provide relief, they may not address the underlying issue if the herniation is severe.
On the other hand, Traditional Chinese Medicine offers a different perspective on managing such conditions. TCM views health as a balance of Qi (energy), blood, and the proper functioning of organs. In cases of nerve compression, TCM practitioners often focus on restoring the flow of Qi and blood to alleviate symptoms and promote healing. Here are some TCM approaches that may be beneficial for your condition:
1. Acupuncture: This is one of the most well-known TCM practices. Acupuncture involves inserting thin needles into specific points on the body to stimulate the flow of Qi and blood. For nerve compression, acupuncture can help reduce inflammation, alleviate pain, and improve circulation to the affected area. It may also help to relieve muscle tension that could be contributing to your symptoms.
2. Herbal Medicine: TCM practitioners may prescribe herbal formulas tailored to your specific condition. Herbs such as Du Huo Ji Sheng Tang (for lower back pain) or Yao Tong Pian (for pain relief) may be used to strengthen the kidneys and nourish the liver, which are believed to support the back and alleviate pain. Always consult with a qualified TCM practitioner to ensure that the herbs are appropriate for your condition and do not interact with any medications you may be taking.
3. Tuina (Chinese Therapeutic Massage): This form of massage focuses on manipulating the body’s soft tissues to relieve pain and improve circulation. Tuina can be particularly effective for musculoskeletal issues and may help to alleviate the tightness and discomfort associated with nerve compression.
4. Cupping Therapy: This technique involves placing cups on the skin to create suction, which can help to improve blood flow and reduce muscle tension. Cupping may provide relief from pain and promote relaxation in the affected area.
5. Dietary Adjustments: TCM also emphasizes the importance of diet in maintaining health. Consuming foods that are anti-inflammatory and nourishing for the body, such as leafy greens, nuts, seeds, and fish rich in omega-3 fatty acids, can support overall health and may aid in recovery.
6. Lifestyle Modifications: Incorporating gentle exercises such as Tai Chi or Qi Gong can help improve flexibility, strength, and balance, which may alleviate some of the pressure on your spine and nerves.
While TCM can provide supportive care and may help alleviate some symptoms, it is essential to maintain open communication with your healthcare providers. If your symptoms persist or worsen, it is crucial to consider the surgical options recommended by your physician, especially if there is a risk of permanent nerve damage.
In conclusion, while you explore TCM options, it is vital to continue with your rehabilitation exercises and follow up with your healthcare provider regarding your condition. Combining both Western and Eastern approaches may offer the best chance for recovery and improved quality of life. Always consult with qualified practitioners in both fields to ensure a comprehensive and safe treatment plan.
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