I was once told that “there is a miracle doctor somewhere, specializing in the treatment of back pain, no matter what the cause, what lumbar disc protrusion, lumbar spinal stenosis, a press will be good. Can’t disbelieve, my family relative XXX is cured there, lying in, walking out!” Such a miracle doctor although the registration fee is very expensive, but the opportunity is very tight, have been booked until next year. Oops! I’m a professional crest surgeon and I’m really embarrassed to hear such a description! This is not a miracle doctor, this is simply a miracle. From the perspective of clinical practice, I don’t believe in the above myth. I think most people, when they hear such words, are also half-hearted, but the key is that people “want” to believe that it is true, especially patients suffering from back pain are more willing to believe, because this statement is very relevant to their wishes. Then, people will ask questions and say, “If this is not true, how can it be described in such detail?” I can, to give you an analysis. Massage therapy is indeed a treatment method that is still relatively effective for certain back pain. For example, lumbar strain is a lot of people have got, to the hospital or blind massage parlor, pressed twice, will relieve a lot. But note that here refers to strain lumbar muscle soft tissue inflammation, after massage, promote blood circulation, relieve lumbar muscle tension spasm, it can be said that the treatment is still more correct. There is another condition, clinically become: lumbar small joint disorder syndrome, manifested as sudden onset severe lumbar pain, can not move, forced position, turning over in bed are very difficult; pathogenesis is the lumbar spine degeneration by the lumbar intervertebral disc and both sides of the small joints composed of lumbar motor function unit becomes unstable, small joint abnormal activity will be small joint capsule inner layer of synovial membrane stuck into the small joint gap, resulting in severe lumbar pain. At this time, the massage will reset the synovial membrane, lumbar pain will be immediately relieved, the effect can be described as magical. Well, the miracle doctor spoken of at the beginning, in fact, should have cured certain patients with lumbar spine small joint disorders by pressing a little. So it was widely spread by everyone how amazing. Here, this miracle doctor also stole a concept, that is, the lumbar pain as lumbar disc herniation and lumbar spinal stenosis, lumbar pain is a symptom, lumbar herniation is the name of the disease, the two are not in the use of a category. So for patients with lumbar disc herniation, is there a magical effect of tui na massage? I will first briefly talk about what is a lumbar disc herniation. The human crest is made up of many vertebrae in series, the vertebrae resemble a barrel-shaped object, and every two adjacent vertebrae are separated by intervertebral discs and connected to each other. The vertebral bodies are hard and the intervertebral discs are soft and flexible, which allows the crest not only to support the body, but also to have a large range of motion; the discs also act as shock absorbers between the vertebral bodies, cushioning vertical impact loads. The intervertebral disc consists of a central nucleus pulposus and a surrounding fibrous ring that supports the envelope. As the crest degenerates, the water content of the nucleus pulposus gradually decreases from 90% to 70% or even less, and the viscoelasticity and initial shape recovery of the nucleus pulposus gradually decreases to the point where it cannot rebound. At the same time, the fibrous ring composed of cross-aligned fibers is also degenerating, initially small cracks, slowly converging into large cracks, forming a natural weak zone in the posterior lateral part of the disc where there is no posterior longitudinal ligament obstruction, when the internal pressure of the disc increases (when bending too heavy), the nucleus pulposus will move backward or even break through the ligament fascia from the weak zone to stimulate the dural sac (accommodating the nerve) and nerve roots, when the patient will This is accompanied by severe back and leg pain, which we call lumbar disc herniation. The lumbar disc herniation pathogenesis, for massage I have a few questions: 1, the location of the herniated nucleus pulposus is very deep, in the crestal canal, how the external force to the nucleus pulposus, and just push the nucleus pulposus back to the original position, and how to bypass the adjacent nerves do not damage the nerve only push the nucleus pulposus 2, the normal intervertebral disc will not protrude, protrusion is inevitably the nucleus pulposus tissue dehydration degeneration and damage to the annulus fibrosus have If you can’t, how can you guarantee that the nucleus pulposus will honestly stay in the receding position and won’t protrude again? 3, the protruding nucleus pulposus tissue will be considered by its own immune system is a foreign body, and secondary immune and chemical inflammation, massage and how to push back this inflammation? Some people say that the protruding nucleus pulposus will be attacked by the autoimmune system and will eventually be absorbed and disappear without special treatment. This statement may be true for some individual miniaturized protrusions, but for larger protruding nucleus pulposus with nerve adhesions that have been calcified, how long will patients wait until the nucleus pulposus is absorbed? This is called covering the whole picture with bias. The back and leg pain of a herniated disc is often so intense that they don’t even want to wait a minute. I don’t think they can answer these three questions. The power of tui na massage can reach the muscles of the lumbar region at the deepest. For herniated lumbar discs, it is better to take regular treatment. If we are unfortunate enough to have lumbar pain and are unable to judge the severity of the condition ourselves, it is still advisable to get a specialist to check the nature of the disease before treatment begins and then take it. Otherwise, this treatment will not only be of no benefit, but may also aggravate the condition.