A common cause of back and leg discomfort is a herniated disc (PLID). The incidence of PLID is estimated to be between 1.9% in men and 7.6% in women, but no clear pattern emerges. [1] People with PLID are more likely to experience lower back pain (such as sciatica), Marfan syndrome, and nerve disorders due to nerve root compression. [2,3]. This can cause leg pain. Collagen, proteoglycans and glycosaminoglycans are components of the lumbar intervertebral disc. Therefore, spinal pressure decreases. Degenerative disc disease is characterized by impaired fatty acid synthesis by fibro chondrocytes. [4,5]. When the disc becomes dry and compressed, it puts more pressure on the surrounding annulus fibrosus. When exposed to high pressure, the disc's elasticity will deteriorate, causing its contents to break. Under heavy biomechanical loading, the annular fibers of a healthy disc brake, causing some elements of the disc to protrude. When the annulus fibrosus or ossification ring breaks away from the disc due to a pathology called disc separation, this condition is known in the medical community as slipped or slipped intervertebral disc (PLID). Stomach and bladder failure is considered an emergency and should be treated as such. Common causes of leg and back discomfort include slipped or herniated discs in the lower back. Sometimes discomfort, numbness and tingling in the legs may occur due to a herniated disc. These events led to a very serious situation. Disc prolapse occurs when the disc matrix dries out. Lumbar disc degeneration is just one of the conditions covered by the umbrella term "lumbar disc disease," which also includes other sources of the back and sciatic nerve. This image shows a herniated disc in the lower part of the spine. Approximately one-third of back pain can be traced to lumbar disc degeneration. If the hernia puts pressure on the nerves that give sensation to the skin, muscle weakness and numbness occur. Pain that radiates from one leg to the foot is a symptom of nerve damage that usually begins in the hip or hip (sciatica). No matter how skilled the driver is, the chance of being involved in an accident increases when PLID is present. One of the most dangerous jobs for women is domestic work, private service provider or tailoring. These women are just like men in their work. According to medical records, workers are hospitalized at higher rates when PLID occurs.

Case Report

A 45-year-old male patient was admitted to our hospital for treatment due to low back pain seven years ago. The device used in this experiment, which was carried out under controlled conditions in a laboratory environment, is the MR1 device of the lumbosacral spine. MRI results showed that the dural sac at the L4,L5 level was stretched and the lateral recesses disappeared bilaterally due to yellow flap hypertrophy in the joints and swelling of the posterior disc. Thecal sac depression at the L1-L2 level due to posterior disc herniation. Due to posterior disc herniation, the sheath collapsed at the L5-S1 level. Early degenerative changes occur in the lumbar spine. The presence of PLID is consistent with these findings. Low back pain is often treated with mobilization, manipulation, and stretching of the lumbar spine and lumbar acupuncture. Waist movement and manipulation is a method we use to relax our patients. The results of the clinical trial were encouraging and all results were accepted. It was stated that the patient's condition improved after the acupuncture treatment applied to his back for the 12th time. To the patient's complete surprise, his back pain started to subside immediately (Figure 1).

Figure 1: A, B: Giving Acupuncture at the Lumber Region

Most of the complaints are related to the spine, and the cause of discomfort is back pain and disc prolapse. As a result, the incidence of back pain is higher than any other orthopedic condition (low pain). Lumbar disc prolapse is usually treated with laminectomy surgery [6]. Clinical studies have shown that the drug is safe to use and can reduce pain, reduce tumor size, increase blood flow, and eliminate blood vessels and nerves [7]. The concept of meridians is fundamental to the practice of acupuncture and should not be underestimated by acupuncture practitioners. We will explore these ideas in more detail in the article below. Muscles and the nervous system work together to create communication and action [8]. This was made possible by the joint work of the two systems. A 60-year-old female patient was admitted to our hospital with a complaint of back pain that she had been experiencing for approximately seven years. Healing from excruciating pain is a difficult process. We tried hard ourselves, but we did it independently and paid for the information ourselves. This clinical study used magnetic resonance imaging (MRI) to evaluate the lumbar spine. The patient's MRI results revealed posterior intervertebral disc herniation, facet joint yellow valve hypertrophy at the L4-L5 level, resulting in depression in the genital area and loss of both lateral recesses A herniated disc causes the teeth in the sheath of the L1 and L2 vertebrae to form. Posterior disc herniation at the L5-S1 level causes collapse of the ventricular wall of the shell. Lumbar spine degeneration is diagnosed early. These results are consistent with the existence of PLID. Someone involved in this scenario is denoted by the acronym PLID. Acupuncture used in conjunction with physical therapy can help relieve a patient's symptoms. This turned out to be the best option, all things considered. After 12 acupuncture sessions, the patient reported a reduction in back pain. However, this disease is well treated with medication.

The results of the investigation later surprised experts. After twelve acupuncture treatments, the patient reported feeling discomfort in her lower back. The pain in my back was gone. Using acupuncture to treat lumbar disc herniation has been proven successful (PLID).

1. Wu, J.P. et al. “Surgery.” Public Health Publishing House, Beijing, year 2000, pp. 2216–2221.
2. Kim, K.H. et al. “Acupuncture for patients with lumbar spinal stenosis: a randomised pilot trial.” Acupuncture in Medicine vol. 34, no. 4, 2016, pp. 267–274. doi: https://doi.org/10.1136/acupmed-2015-010962
3. Glazov, G. et al. “Low-level laser therapy for chronic non-specific low back pain: a meta-analysis of randomised controlled trials.” Acupuncture in Medicine vol. 34, no. 5, 2016, pp. 328–341.doi: https://doi.org/10.1136/acupmed-2015-011036
4. Zhang, Y. et al. “Chinese massage combined with core stability exercises for nonspecific low back pain: a randomized controlled trial.” Complementary Therapies in Medicine vol. 23, no. 1, 2015, pp. 1–6.doi: https://doi.org/10.1016/j.ctim.2014.12.005
5. Tang, S. et al. “Treating low back pain resulted from lumbar degenerative instability using Chinese Tuina combined with core stability exercises: a randomized controlled trial.” Complementary Therapies in Medicine vol. 25, 2016, pp. 45–50.
6. Shin, B.-J. “Risk factors for recurrent lumbar disc herniations.” Asian Spine Journalvol. 8, no. 2, 2014, pp. 211–215.doi: https://doi.org/10.4184/asj.2014.8.2.211
7. Su, G. et al. “The clinical observation of treating lumbar disc herniation resulted from stagnancy of both blood and qi using acupuncture.” Chinese Journal of Traditional Chinese Medicine vol. 23, 2011, pp. 320–322.