Exploring Traditional Chinese Medicine for Lumbar Disc Slip and Pain Relief - Traditional Chinese Medicine

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Issues related to taking traditional Chinese medicine for joint pain and lower back discomfort?


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 advised against further spinal traction.
I have learned some exercises from a physical therapist that I do daily.
Since Western medicine has its limitations, I am seeking more proactive treatment through Traditional Chinese Medicine (TCM).
I currently have the following questions:
1.
I was prescribed Chinese herbal medicine to be taken three times a day, but the doctor advised that during the course of treatment, I should avoid consuming juicy fruits and Chinese cabbage, as well as vitamin C and probiotics, because they are considered too cooling.
Is this level of restriction necessary?
2.
The TCM practitioner mentioned that during the medication period, I should focus on nourishing Qi and blood, and that I should refrain from performing certain exercises taught by the physical therapist, as they may affect the recovery of my lumbar spine.
Is this really necessary?
3.
After six months of medication, once my lumbar spine has healed, is it possible and reasonable to seek TCM or manual therapy to realign the L4-L5 spondylolisthesis back to its original position?

Ankang, 60~69 year old female. Ask Date: 2023/09/24

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 has different backgrounds and experiences, with some placing a strong emphasis on dietary considerations.
Please communicate with the TCM practitioner regarding these related matters.
2.
Generally, for significant injuries, it often takes about six months to return to the original condition.
The rehabilitation exercises required during this period depend on the specific area and the nature of the initial injury.
Regarding the exercise component, appropriate recommendations cannot be made without a proper diagnosis and treatment.
3.
If the dislocation is not too severe, it may be possible to restore it through appropriate manual therapy and adjustment.
However, if the dislocation is severe and causes considerable pain and discomfort, surgical treatment is recommended.
For further evaluation, please consult an orthopedic or neurosurgeon.

Reply Date: 2023/09/24

More Info


Exploring Traditional Chinese Medicine (TCM) for lumbar disc slip and pain relief is a multifaceted approach that requires careful consideration of various factors, including dietary restrictions, exercise limitations, and the overall treatment plan. Here’s a detailed response to your questions based on the principles of TCM and general medical knowledge.


1. Dietary Restrictions During TCM Treatment
The dietary restrictions suggested by your TCM practitioner, such as avoiding juicy fruits, cabbage, vitamin C, and probiotics, are likely based on the belief that these foods can introduce "cooling" properties into the body. In TCM, maintaining a balance between "yin" (cooling) and "yang" (warming) is crucial for healing. Foods that are considered too cooling may exacerbate conditions like lumbar disc slip, which is often associated with "qi" (energy) stagnation and "blood" deficiency.

While these dietary recommendations may seem strict, they are not uncommon in TCM. However, it is essential to communicate openly with your TCM practitioner about your concerns. Not all practitioners will have the same approach, and some may allow for a more flexible diet. It’s also important to ensure that you are receiving adequate nutrition, especially if you are undergoing a prolonged treatment plan.


2. Exercise Limitations During Treatment
The recommendation to refrain from certain exercises while taking TCM herbs is rooted in the idea that rest and recovery are vital for healing, particularly in cases of structural issues like lumbar disc slip. TCM often emphasizes the importance of allowing the body to heal without additional strain. However, this does not mean that all forms of exercise should be avoided. Gentle stretching, walking, or specific rehabilitative exercises may still be beneficial, provided they do not exacerbate your pain.

It is crucial to find a balance between rest and activity. Engaging in physical therapy or exercises that are specifically designed for your condition can help maintain mobility and strength without putting undue stress on your lumbar region. Always consult with both your TCM practitioner and your physical therapist to create a comprehensive plan that considers both perspectives.


3. Realistic Expectations for Recovery
Regarding the possibility of realigning the lumbar vertebrae after six months of TCM treatment, it is essential to understand that while TCM can be effective in managing symptoms and promoting healing, it may not always be able to correct structural issues like a lumbar disc slip completely. The effectiveness of TCM treatments, such as acupuncture or herbal remedies, can vary significantly from person to person.

If your lumbar slip is classified as grade 1, there may be potential for improvement through conservative treatments, including TCM. However, if the slip is more severe or if there are significant symptoms, surgical intervention may be necessary. It is advisable to have a thorough evaluation by an orthopedic or neurosurgeon to discuss the potential need for surgery if conservative treatments do not yield satisfactory results.


Conclusion
In summary, exploring TCM for lumbar disc slip and pain relief can be a valuable part of your treatment plan. However, it is essential to maintain open communication with your healthcare providers, both in TCM and Western medicine, to ensure a comprehensive approach to your health. Dietary restrictions may be strict, but they should be tailored to your individual needs. Exercise should be carefully monitored, and realistic expectations should be set regarding recovery and the potential for structural correction. Always prioritize your overall well-being and seek professional guidance when making decisions about your treatment options.

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