Can patients with lumbar disc herniation receive massage therapy?

Nov 14, 2024 Source: Cainiu Health

Dr. Chen Jian

Introduction

Patients with mild to moderate lumbar disc herniation who are not in the acute phase can generally receive massage therapy. Massage can effectively relieve symptoms such as low back pain and muscle tension. The techniques can help release muscle spasms in the lower back and buttocks, widen the intervertebral spaces, reduce intradiscal pressure, and even promote retraction of the herniated material, thereby alleviating compression on the nerve roots. However, it is important to note that massage should be performed only under medical guidance.

Lumbar disc herniation generally refers to lumbar disc herniation syndrome. Patients with mild or moderate conditions who are not in the acute phase can usually receive massage therapy. However, if the condition is severe or currently experiencing an acute episode, massage therapy is generally not recommended. Detailed explanations are as follows:

Patients with mild or moderate lumbar disc herniation who are not in the acute phase can generally benefit from massage therapy. Massage can effectively relieve symptoms such as lower back pain and muscle tension. Therapeutic techniques may help release muscle spasms in the lower back and buttocks, widen the intervertebral spaces, reduce intradiscal pressure, and even facilitate retraction of the herniated material, thereby reducing compression on the nerve roots. However, it is important to undergo massage only under medical guidance, using gentle techniques and avoiding excessive force to prevent injury.

If the lumbar disc herniation is severe, accompanied by obvious symptoms of nerve root compression—such as severe leg pain, numbness, or muscle weakness—or if symptoms are acutely worsening, massage therapy is generally contraindicated. Manipulation may further compress the nerve roots, exacerbate symptoms, and potentially lead to more serious complications. In such cases, conservative treatments such as anti-inflammatory and pain-relieving therapies should be administered first. Massage therapy may be considered only after symptoms have improved.

Patients should follow their doctor's advice for treatment, ensure adequate rest, and avoid strenuous exercise and heavy physical labor. If any discomfort or symptoms arise, it is recommended to seek prompt medical attention and proceed with treatment as directed by a healthcare professional.

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