Teo Korean Medicine Clinic Bundang Herniated lumbar disc
30-Second Answer
We check your current symptoms and when they began, the cause, and what makes them worse.
If there are nerve symptoms such as leg numbness, we also check where they appear.
We check tenderness and range of motion, pelvic tilt and leg length difference, cervical and thoracic displacement and asymmetry, and tenderness at each spinal segment.
We review discomfort and symptom changes after the previous treatment and plan the next treatment.
Please check first
If sensation around the anus or perineum becomes dull, if you cannot feel the urge to urinate or suddenly cannot hold it, or if both legs become weak, emergency care is needed immediately.
If fever comes with it, if it does not ease with rest and hurts more at night, if you lose weight for no reason, or if you have a history of cancer, other causes such as spinal infection or tumor must be checked first.
Checklist
We check the following items in care for a herniated lumbar disc.
Main concern
Onset and Cause
Aggravating situations
Past history · previous treatment · current medications
Tenderness
Range of motion
Pelvic tilt and leg-length difference
Cervical and thoracic displacement and asymmetry
Tenderness by spinal segment
Distribution of nerve symptoms such as leg numbness
Treatment methods and order
Based on what we find, we use the following treatments.
For about the first week, treatment is 3-5 times a week; in weeks 2-3, three times a week on alternate days; then twice a week.
When correction is the goal
Three times a week initially, then twice a week.
Related information
Neurological symptoms
We also assess neurological symptoms such as arm or leg numbness and their distribution.
TMJ and upper cervical spine
We assess the jaw joint and upper cervical spine together.
At your next visit
We review discomfort and symptom changes after the previous treatment and plan the next treatment.
Common questions
We set out symptoms that look similar and the order of tests, told apart.
How are a lumbar disc and stenosis different?
With a lumbar disc, discomfort can worsen when you bend forward or when you cough or sneeze, and pain or numbness may spread from the buttock down the leg. With spinal stenosis, it is typical to find walking difficult for long, to feel better after sitting and resting, and to feel discomfort when bending backward. We do not decide from one movement alone; we also check when it began and how the nerve symptoms are distributed.
Why do you ask about sitting and walking?
This is because the suspected cause can differ depending on whether it worsens when you sit and bend your lower back, or whether your legs go numb while walking so you have to rest. If you note not only where the pain is but also about how many minutes of walking brings on symptoms, whether it eases when you sit, and whether it changes with a cough or a sneeze, it helps us identify what makes it worse.
Do I need an MRI or X-ray first?
Not all low back pain needs imaging first; we judge whether it is needed after examining tenderness, range of motion, and nerve symptoms. Reduced sensation around the anus or perineum, difficulty passing urine, and weakness in both legs call for emergency care first. If there is fever, night pain, unexplained weight loss, or a history of cancer, other causes such as infection or a tumor must also be checked first.
What should I write down before my first visit?
Write down when your back pain started and what brought it on, and which is hardest: sitting for a long time, walking, or bending. It also helps to mark specifically how far the leg numbness runs — the buttock, thigh, calf, or foot. Telling us your past treatment history and current medications helps us when we set the care plan.
Lumbar disc, learn more
Covers cases that are mistaken for pain similar to the process by which a lumbar disc herniation develops.
A lumbar disc and spinal stenosis differ from the cause onward
A herniated lumbar disc (lumbar disc herniation) appears when the disc tissue, which absorbs shock between the vertebrae and keeps them from striking each other, moves out of place and presses on or irritates a nerve. Spinal stenosis comes from a degenerative change in which the ligaments and joints around the spinal canal thicken and the passage the nerves run through becomes narrower; a herniated lumbar disc differs in that it comes from a structural change in which the disc tissue leaves its place.
The disc has no blood vessels, so it does not receive nutrients and oxygen directly through the blood; the components it needs are delivered by diffusion through the surrounding cartilage endplate. For that reason, moving often or stretching lightly rather than staying in one posture for a long time may help, and because pain that runs from the lower back down the leg can look the same as stenosis, we do not decide from symptoms alone but confirm through examination.
There is also pain that is mistaken for a lumbar disc herniation
When there is low back or buttock pain, people often think first of a herniated lumbar disc, but similar pain can also appear when there is a problem in the sacroiliac joint of the pelvis. Pain or numbness may worsen when sitting cross-legged or with the legs crossed, and discomfort may grow when standing up from sitting or turning onto your side.
This kind of pain often worsens at night and can look like a herniated lumbar disc, so if pain continues even though tests show no clear disc abnormality, problems in other areas should be checked as well. Noting whether the pain is worse while sitting or when changing position gives a useful reference for telling the causes apart at your visit.
Answers to search questions
Explains the causes of a lumbar disc problem, the range of Korean medicine care, and what to check before a surgical consultation.
When do we consult about a lumbar disc operation?
We are a Korean medicine clinic and do not perform surgical procedures; whether an operation is needed must be judged at a medical institution that can carry out the necessary tests. Rather than looking at the degree of low back pain alone, check where the leg numbness spreads, changes in strength in both legs, changes in urination and bowel movements, and sensation around the anus and perineum. In particular, if sensation in that area becomes dull, if you newly have difficulty feeling or holding urine, or if new weakness develops in both legs, emergency care comes first. For other consultations about an operation as well, preparing when the symptoms began, the movements that worsen them, previous imaging, and your past treatment history helps in assessing your current condition.
How is the cause of a lumbar disc problem confirmed?
We do not decide on a single cause for discomfort in the lower back and legs; we start by asking when it began and what brought it on. We check which is hard — sitting for long periods, walking, or bending forward — whether it changes with coughing or sneezing, and where the leg numbness appears along the path from the buttock to the foot. We listen to your history of past treatment and your medications, and we also examine tenderness and range of motion, pelvic tilt and leg-length difference, and tenderness at each spinal segment. If the pattern is that numbness comes on while walking and eases when you rest or sit, a process of distinguishing it from other conditions such as spinal stenosis is also needed.
What is done in non-surgical care for a lumbar disc?
In Korean medicine care, the method is chosen from acupuncture, electroacupuncture, bee venom pharmacopuncture, corrective pharmacopuncture, cupping, moxibustion, Chuna manual therapy, physical therapy, and ICT, according to the symptoms and physical condition found. Chuna manual therapy starts at the pelvis and legs and proceeds in the order of the lumbar, thoracic, and cervical regions, with steps added or skipped as needed. We review what felt uncomfortable after the previous session and how symptoms have changed, and adjust the treatment plan. However, if there are emergency signs, or fever, night pain, unexplained weight loss, or a history of cancer, checking for other causes such as infection or a tumor comes first, before this care begins.
What should you prepare before looking for a place that is good at lumbar disc operations?
Rather than declaring one institution good, the first step is being ready to convey your current condition in full. Write down when your back pain began and what brought it on, how it changes when you bend or walk, how it behaves when you cough or sneeze, and where numbness and weakness appear in the leg. Bring any previous test results, and it helps to organize your past treatment history and current medications as well. Whether a surgical procedure is needed, the method, and the expected course vary with examination and test results, so please confirm them directly with an institution that carries out such procedures.
What determines the cost of surgical treatment and procedures for a lumbar disc?
Because we do not perform surgical procedures, we do not provide prices for operations or for procedures at outside medical institutions. Clinic fees may also vary with the type of treatment chosen, the area treated, the number of visits, and the materials used, so a single price is difficult to set before treatment. National health insurance, auto insurance, and indemnity insurance each apply under different standards, and the scope can differ depending on your policy and the treatment items. Please confirm the actual coverage and your out-of-pocket share with our clinic at the time of treatment, and with the relevant insurer if needed.
FAQ
What is checked in lumbar disc care?
We check the chief complaint, when and why it began, what makes it worse, past medical history, previous treatment, and current medications. We also check tenderness, range of motion, pelvic tilt and leg length difference, cervical and thoracic displacement and asymmetry, and tenderness at each spinal segment.
Do you also check leg numbness?
We also check whether there are nerve symptoms such as leg numbness, and where they appear.
In what order is Chuna manual therapy performed?
We proceed in the order of pelvis and legs, lumbar spine, thoracic spine, and cervical spine, adding or skipping parts as needed.
How is the treatment cycle decided?
For about the first week, sessions are 3–5 times a week, 3 times a week on alternate days in weeks 2–3, and twice a week after that. If correction is the goal, sessions are 3 times a week early on and twice a week after that.
What do you check at return visits?
We review discomfort and symptom changes after the previous treatment and plan the next treatment.
How are a lumbar disc and spinal stenosis told apart?
A lumbar disc may become more uncomfortable when you bend forward or cough or sneeze, while spinal stenosis typically makes it hard to walk for long but eases when you sit and rest. We do not draw conclusions from symptoms alone; in the examination we check the distribution of nerve symptoms and what makes them worse.
Do you perform lumbar disc operations?
As a Korean medicine clinic, we do not perform operations. If loss of sensation around the anus or perineum, changes in urination, or weakness in both legs appear for the first time, we first direct you to emergency care and the necessary tests before any discussion of an operation.
Do a lumbar disc and spinal stenosis differ from the cause onward?
Yes, they differ. A lumbar disc problem stems from a structural change in which the disc tissue between the vertebrae moves out of place and presses on or irritates a nerve, while spinal stenosis stems from a degenerative change in which the ligaments and joints around the spinal canal thicken and the passage the nerves run through narrows. However, pain that runs from the lower back down the leg can look similar in both, so it needs to be checked through a consultation.
Does back pain always mean a lumbar disc problem?
No. Problems in the sacroiliac joint of the pelvis can also cause pain similar to a lumbar disc problem. If the pain worsens when sitting cross-legged or with your legs crossed, when getting up from sitting, or when turning over in bed, and gets worse at night, other areas need to be checked as well even if tests show no disc abnormality.
Suin-Bundang Line and Shinbundang Line Migeum Station, Exits 1 and 2 · Exit 1 — 2F of Geumsan Gem World (JS King Hotel) on the right · Exit 2 — 2F of Geumsan Gem World (JS King Hotel) on the left
Bus
Get off at Migeum Station 2001 Outlet bus stop; walk 288 m
Teo Korean Medicine Clinic Bundang Lumbar Disc Herniation Service Area
Teo Korean Medicine Clinic Bundang: Lumbar Disc Herniation care, patients come to us from Geumgok-dong·Jeongja-dong·Gumi-dong·Sunae-dong·Seohyeon-dong·Imae-dong·Yatap-dong.
The subway stations used are Migeum Station·Jeongja Station·Ori Station·Sunae Station·Seohyeon Station·Imae Station·Yatap Station.