Tuina for lumbar disc herniation

Abstract

Background: Lumbar disc herniation (LDH) is an important factor of causing leg pain and numbness. As a secondary discipline of Traditional Chinese Medicine, tuina is widely used for the treatment of LDH in China even in other nations while its clinical value is not acknowledged universally. So, we focus on this article aims to evaluate its efficacy and safety of LDH. Methods: Electronic databases involving Cochrane Library, PubMed, Web of Science, EMBASE, China Science and Technology Journal, China National Knowledge Infrastructure, Wanfang and Chinese Biomedical Literature Database will be pertained with appropriate search strategy. And RevMan V.5.3.5 software will be conducted as the assessment tool for bias risk, data synthesis, subgroup analysis as well as meta-analyses. Results: This systematic review will provide a high-quality synthesis of current evidence of tuina for LDH. Conclusion: This protocol will determine whether Tuina is an effective and safe treatment method for LDH.

New progress in rehabilitation treatment of intervertebral disc herniation

“…For example, kneading and kneading manipulation can promote local blood circulation and relieve pain; the manipulation of pushing and holding can adjust the position and posture of the spine and relieve the symptoms of nerve root compression. At the same time, the higher the frequency of massage treatment, the longer the course of treatment, the better the curative effect, but the specific prescription still needs to be adjusted according to the specific situation of patients [21].…”

Diagnosis and non-operative treatment of lumbar disc herniation

“…Through manipulation, tuina improves the flow of Qi and blood in the region [29]. Tuina could release tension in muscles, help to correct abnormal positions of the lumbar spine, and alleviate symptoms and pain caused by compression of nerve roots [30]. It can also reduce inflammation and foster local repair of damaged muscles in the lumbar region [29,30].…”

“…Tuina could release tension in muscles, help to correct abnormal positions of the lumbar spine, and alleviate symptoms and pain caused by compression of nerve roots [30]. It can also reduce inflammation and foster local repair of damaged muscles in the lumbar region [29,30]. However, the efficacy of tuina remains controversial as there are few published reviews or meta-analyses regarding its safety and efficacy [29,30].…”

“…It can also reduce inflammation and foster local repair of damaged muscles in the lumbar region [29,30]. However, the efficacy of tuina remains controversial as there are few published reviews or meta-analyses regarding its safety and efficacy [29,30].…”

“…However, tuina has been accepted by most patients in China because of its advantages of quick relief of symptoms, low cost, and characteristics suitable for multiple conditions [30].…”