Monday, October 8, 2012

Lumbar herniated Disc


Approach to lumbar disc

Korean acupuncture and herb Clinic’s lumbar radiculopathy program




normal Lumbar X-ray
Normal Lumbar MRI
 
 
Lumbar Spine is very important for our ordinary life.
Because of the healthy spine, we can run, walk, love, sit, study, etc…
You probably have some concerns that how come acupuncture help lumbar disc?
Let me have some opportunity to explain to you.
 
What do you think of Lumbar disc?
 
Someone thinks that If there is protrusion or buldging on the M.R.I. image. But only image cannot match with the symptom.
Someone Thinks that if there is a symptom of radiculopathy, it could be a lumbar disc. But lumbar radiculopathy can occur when you have a tumor or stenosis. These can make the radiculopathy as well.
 
Lumbar Disc diagnosis must be matched with Image and physical examinations, symptoms and signs. We call it “symptom and sign correlation”
 
There was one study at 2001, Dr. Javic took images of normal people who don’t have any lower back pain. 91%of image was degenerative sign and 64% was buldging, 32% was protrusion, 6% was extrusion!!
 
Consequentially, The image shouldn’t be the priority for the decision to take operation.
Then, What kind of sign or symptom would be the indication of operation?
1. Severe pain isn’t reduced by aggressive treatment such as admission over 1 month
2.Herniated disc compress nerve root excessively, so that muscle weakness and atrophy occurs.
3.Herniated disc compress cauda equina, so there is some problem in urination, defecation. erection
 
How manage Lumbar Disc in Korean Acupuncture and Herb Clinic?
We are using Electro-Acupuncture, cupping, Herbal medications to reduce the pain and inflammation.
And In you place, you are going to have icing on your lower back, and nerve stretching, piriformis muscle compression
Stage1
     When you have severe pain. And difficulty in ordinary activity
     ->electro-acupuncture, cupping, herbal medication for inflammation
     ->bed rest 2-3days
     ->icing at least 90min. 5times in a day
     ->nerve mobilization, piriformis muscle compression by tennis ball
Stage 2
When you can sleep without pain relief, and can walk in 5min, slowly
electro-acupuncture, cupping, herbal medication for inflammation
Core strengthening exercise
Icing at least 90min. 3times in a day
Nerve mobilization, piriformis muscle compression and stretching
Stage3
When you can sit over 10min, walk over 20 min. in normal spped
Electro-Acupucnture, cupping, herbal medication for inflammation
Core strengthening exercise
Icing at least 60min. 2-3times in a day
Nerve mobilization, Stretching
Stage4
When you can walk over 40 min in fast speed, or jogging
Acupuncture and cupping-if necessary
Core strengthening exercise
Nerve mobilization- if necessary
Continue rehabilitation exercise for healthy life
 
Our goal is not reducing pain, but, Healthy and happy life
 
 
Shukran.


1 comment:

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