Lumbar Injuries: Insights from Traditional Chinese Medicine

Lumbar spine injury grade 3?

During my first visit to a nearby traditional Chinese medicine clinic, I had cupping done on my lower back, and the marks were deep purple.
A few days ago, I went to a different integrated Chinese medicine clinic for the same issue, and this time the marks were light purple.
There is a significant difference in color between the first and second cupping sessions, which were about a month apart.
After nearly a month, I had another cupping session and also visited the rehabilitation department, where I had an X-ray taken.
The doctor said there were no issues with my bones, but my lower back pain persists despite rehabilitation.
The acupuncture left three small wounds, which have been slightly moist and have not healed for almost three weeks now.
I usually heal from small wounds relatively quickly, so I am concerned whether the wounds might be infected with bacteria, especially since one of the wounds is larger.
Could this be related to the heat therapy I received?

Ying, 10~19 year old female. Ask Date: 2013/10/21

Dr. He Yujun reply Traditional Chinese Medicine

Hello, this user.
The varying shades of color observed after cupping can indeed serve as a reference for the circulation of qi and blood in the affected area, as well as the presence of any bruising.
However, the depth of color can also be influenced by factors such as the intensity of the suction and the duration of the cupping session, so it is essential to consider the specific circumstances at that time to understand the differences between the two sessions.

Regarding your second question about acupuncture-related wounds, typically, if the acupuncture needles are properly disinfected with alcohol swabs, there should not be any issues with wounds or infections.
I would like to inquire whether moxa was applied at that time or if any medicated patches were used after the acupuncture.
The high temperature from moxa or an allergic reaction to the medicated patch could potentially lead to blisters, and if they rupture, it may result in the aforementioned wound and moist condition.
Since this was not mentioned, I cannot make a judgment.

As for heat therapy, if the wound was caused by a ruptured blister, applying heat may lead to secondary inflammation in the area.
In this case, it is crucial to keep the wound clean to prevent infection.

Reply Date: 2013/10/21

More Info

Understanding lumbar injuries, particularly from the perspective of Traditional Chinese Medicine (TCM), involves a multifaceted approach that considers not only the physical aspects of the injury but also the underlying principles of TCM. In your case, the variations in the color of the cupping marks and the persistent pain you are experiencing suggest a complex interaction between injury, healing, and possibly infection.

Cupping Therapy and Color Variations
Cupping therapy is a common practice in TCM, used to promote blood circulation and alleviate pain. The color of the marks left by cupping can indicate different conditions within the body. Dark purple marks typically suggest stagnation of blood and qi (energy), indicating that there may be a significant amount of tension or injury in that area. On the other hand, lighter marks, such as the pale purple you observed during your second session, may indicate that the blood flow is improving and that the stagnation is resolving.

The time interval between your cupping sessions, along with the changes in color, suggests that your body is responding to the treatment. However, persistent pain despite these treatments may indicate that there are underlying issues that need to be addressed.

Persistent Pain and Potential Infection
The presence of small, moist wounds from acupuncture suggests that there may be a risk of infection, especially if the area is not healing as expected. In TCM, the healing process is viewed holistically, and any signs of infection—such as increased redness, swelling, or discharge—should be taken seriously. If you suspect that the wounds may be infected, it is crucial to consult a healthcare professional to assess the situation and provide appropriate treatment.

TCM Diagnosis and Treatment
In TCM, lumbar injuries are often categorized based on the nature of the pain (sharp, dull, radiating) and the accompanying symptoms (numbness, weakness, etc.). The practitioner may also consider the emotional and lifestyle factors that contribute to your condition. For instance, stress can exacerbate muscle tension and pain, and dietary habits can influence overall health and healing.

Your TCM practitioner may recommend a combination of treatments, including acupuncture, herbal medicine, and dietary adjustments, to support your recovery. Herbal remedies might focus on nourishing the blood and qi, promoting circulation, and reducing inflammation.

Rehabilitation and Exercise
While TCM provides valuable insights and treatments, it is also essential to integrate rehabilitation exercises into your recovery plan. Gentle stretching and strengthening exercises can help restore mobility and stability to the lumbar region. However, it is crucial to work with a qualified physical therapist who understands your specific condition and can tailor a program that complements your TCM treatments.

Conclusion
In summary, understanding lumbar injuries through the lens of TCM involves recognizing the significance of symptoms, treatment responses, and the holistic nature of healing. The variations in cupping marks reflect your body's healing process, while persistent pain and potential infection warrant further medical evaluation. Collaborating with both TCM practitioners and conventional healthcare providers can provide a comprehensive approach to your recovery, ensuring that all aspects of your health are addressed. If you have concerns about your wounds or ongoing pain, do not hesitate to seek medical advice to ensure a safe and effective recovery process.

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