Dr. Mahmoud Yazdan Panahi
Tehran
Medical treatment of lumbar disc
The following drugs can be used to treat lumbar disc in order to reduce pain and inflammation caused by disc herniation:
- non-steroidal anti-inflammatory drugs; Medicines such as ibuprofen have anti-inflammatory and pain relief properties, which can be obtained without a prescription. Of course, in cases where the patient needs a high dose of these medicines, it is necessary to prescribe them... - Cream and gel; Medicines like Aspercream, which is used topically at the disc site, can be obtained without a doctor's prescription.. These medicines help in temporary pain relief.. If the pain of the lumbar disc increases due to intense activities, you can use topical creams and gels.. Some strong pain relievers for the lumbar disc, such as Tramadol, can only be obtained through a doctor. Prednisone is an oral corticosteroid that is prescribed in the non-surgical treatment of the lumbar disc. Non-surgical treatment of the lumbar disc with physiotherapy... an experienced physiotherapist can reduce the pain caused by the lumbar disc and improve the mobility of the patient by teaching targeted exercises, correct stretching exercises of physiotherapy and corrective exercises for the back and sports exercises to stabilize the back and corrective exercises of physiotherapy and reduce the pain caused by the lumbar disc and improve the mobility of the patient. Reduces... Note that you should not do special exercises at home to treat lumbar disc at home, these are specialized measures and should be done under the supervision of a specialist doctor... injection
Sometimes, the specialist prescribes injectable treatments to relieve pain and inflammation in the area of the damaged disc. This means that the following drugs are injected into the disc site:
1... selective epidural steroid nerve root blocks; which are very effective for reducing inflammation and pain relief.... 2... platelet-rich plasma (PRP) treatment; whose injection will have a significant effect on the recovery of the damaged disc... 3... tumor necrosis factor-alpha inhibitor (TNFi); By blocking specific inflammatory proteins, this drug helps to reduce the inflammation of disc herniation and reduce the intensity of pain.. Lumbar disc massage therapy
Another method that is highly regarded as a way to treat lumbar disc without surgery is massage therapy!.. This therapy should be performed by an expert and experienced person.. In the process of massaging the lumbar disc, it relaxes the tight muscles to relieve muscle spasm. Scottde and Neuro-muscular massage.. spine from the University of California, says about lumbar disc massage therapy:*
> "Massage therapy can help reduce pain and relax the muscles around the spine, but alone it is not considered a complete treatment method for the lumbar disc. To achieve an effective result, it should be used along with methods such as physical therapy, corrective exercises, and sometimes specialized medical interventions."
Heat therapy and cold therapy
The use of cold and hot compresses in a special order is one of the effective methods in the treatment of lumbar disc without surgery.. Warm compress relaxes the contracted muscles and finally reduces the spasm. The use of ice compresses will also reduce the inflammation of the affected area and will have a direct effect on pain reduction... Acupuncture
Recent clinical studies have shown that acupuncture can temporarily help reduce pain caused by a lumbar disc, but its effects are usually limited and short-term. According to a meta-analysis published in the *Journal of Pain* in *2022*, the average pain reduction with acupuncture in patients with herniated discs was only *about 1.2* on the pain scale..Also, another study in *BMJ Open* states that the effectiveness of acupuncture in Comparison with standard methods such as physical therapy or corrective exercises has no significant clinical significance... Therefore, although acupuncture may be used as a psychological or supportive aid, it should not be considered as the primary treatment in the non-surgical treatment of inflammatory lumbar disc disease.. Eliminate trans fats, refined sugars and processed foods from your diet.. Losing excess weight will reduce pressure on the spine and minimize lumbar disc pain.
The table below shows which foods can help heal the lumbar disc and which foods should be limited or eliminated in the process of non-surgical treatment:
Rest for treatment of lumbar disc
Rest for non-surgical lumbar disc treatment does not mean absolute rest. Rather, the patient should give up work that is harmful to the lumbar disc and do only light work... for example, do not lift heavy objects or engage in vigorous activities... Things such as hydrotherapy for the lumbar disc and doing lumbar disc exercises taught to the patient by the physiotherapist will help the patient to feel better. First-line treatments for lumbar disc (and even cervical disc)... Dr. Mahmoud Yazdan Panahi is one of the best doctors you can talk to about the best treatment for lumbar disc... **Is there a definitive treatment for lumbar disc without surgery?**
Lumbar disc treatment without surgery is possible with the help of a series of specialized and principled methods. From drug therapy and physical therapy to massage therapy, heat and cold therapy, and even acupuncture, each helps reduce inflammation, relieve pain, and improve disc function. Choosing the right method depends on the condition of the patient and the severity of the injury. In addition, changing the diet, strengthening the muscles, changing the way of life, strengthening and strengthening the lifestyle, observing the correct principles of rest can have a significant effect on accelerating the recovery process. To achieve the best results, consultation with a specialist doctor and regular follow-up of treatments is necessary...