Is acupuncture successful in pain relief from lumbar spinal stenosis

Posted by missvikki @missvikki, Feb 14 1:09pm

I am presently trying a corrective therapy device which involves electrical stimulation but after only 5 weeks nothing has improved. I thought maybe I should try acupuncture instead. I am having great pain when walking.

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@sequoia

I believe acupuncture will /could help you. I’ve used acupuncture for my lower back years back, and now for muscle spasms in my shoulder& rib area. I believe it works if you find a licensed acupuncturist. Mine studies in China and is a dr of acupuncture. Good luck & bless

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I have severe spinal stenosis and cannot do surgery so the best thing I can do for it is stretching that lumbar out by bringing my knees up to my chest . That will work for a while I haven’t tried acupuncture but I think I might try it. Someone told me Medicare will pay now but I haven’t checked about that part I will be interesting in knowing if it helps you

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@jfsherley

I have severe spinal stenosis and cannot do surgery so the best thing I can do for it is stretching that lumbar out by bringing my knees up to my chest . That will work for a while I haven’t tried acupuncture but I think I might try it. Someone told me Medicare will pay now but I haven’t checked about that part I will be interesting in knowing if it helps you

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@jfsherley Medicare advantage plans probably pay, but Original Medicare does not. I have supplemental insurance, that will pay if Medicare denies claims. I’m working through this right now. Crossing my fingers or all goes well for that submittal.
The best of luck to you. I’m thinking if stretching works , the acupuncture would help loosening muscles and that area. I had muscle spasms - we think from breast surgery - and I no longer have spasms. 💪🏼

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@delia74

Joe, I respectfully disagree with you on icing the lower back.
I do experience serious issues with lower back (and hip joints), and often get pain ranging from P.Scale 4 (and constant) up to a level 8-9 (out of 10). Most recent episodes were from late November, all of December (Pain Scale levels 6 to 8), and into January (upped to a 9 out of 10, at times felt like a 15)....Couldn't walk, stay standing for more than 10 to 15 minutes, and awakened daily in acute pain that affected me viscerally, along with impaired, non-restorative sleep.
My large heating pad was what alleviated my agony.
I spent much time on/off throughout the day with the heavenly pad, propped with pillows. I was so grateful for the comfort and reduction in pain (which at times took hours to achieve). Used Aleve carefully and sparingly, the only pain med that I can take, as well as Blue Emu cream (no odor). Made appointment with pain management doctor, and agreed to steroid shots because I was seriously miserable. Dang those shots hurt! But then again, my derriere is highly sensitive to pain since there are "fibromyalgia points" in that area, so I just clenched my jaw and dealt with it.
That was this past Friday late-afternoon (heavy snow interfered with original appointment date). By Saturday afternoon ALL of the excruciating pain in my lumbar region (and leading UP the spine) was GONE😁. And hip pain was reduced tremendously (Pain Scale Level 5). Have not had to apply heat all weekend thus far, and it is now nearly 6:30 AM on Sunday, two days post injections. And I am actually SMILING today, instead of having misery painted on entire face😁. I can walk, sit, stand, and FUNCTION! I feel as normal as can be, considering what my body dishes out.

I will be seeing a spine specialist, since I have no intentions of dealing with steroid shots for the balance of my life. I don't expect miracles, and I don't favor surgery or implants, so the amazing heating pad will be used as and when needed. But cold on that area for me just cannot happen.
Based on spine MRI (without contrast) done Jan. '23, there is a great deal going on with my lumbar area in particular. (My insurance verified that another MRI can be done since it's been more than a year and pain has progressed.) In radiologist's report (I capitalized certain words): "...mild retrolisthesis at L2-L3 and L3-L4...broad-based posterior DISC BULGE and mild bilateral facet arthropathy resulting in mild bilateral neural foraminal NARROWING and mild central canal NARROWING. Also IMPINGEMENT of bilateral descending L3 NERVE ROOTS within the right and left lateral recesses." As if that were not enough, L3-4 are also affected and shows "...posterior DISC BULGES, with MODERATE TO SEVERE right neural foramina narrowing, moderate left neural foramina narrowing and moderate central canal narrowing; IMPINGEMENT of bilateral descending L4 NERVE ROOTS with right and left lateral recesses." L4-L5 also shows "...DISC BULGE and moderate bilateral facet arthropathy resulting in mild to moderate bilateral neural foramina narrowing but no significant central canal narrowing."
THANKFULLY, L5-S1 shows only mild facet arthropathy, no spinal canal or neuroforaminal stenosis."
Geeesh! Yes, there is a great deal going on in that region. 🤔😳

I won't go to a back orthopedist because a few years ago when there was so much less going on with my back, and such a doctor told me brusquely "Look, I'm a SURGEON! You want surgery, I can do that for you, otherwise I can't help you." Nice, huh? So I walked out and didn't seek further help at that time...But NOW, I will be seeking help of spine specialists, some 18 YEARS after I was brushed off by that haughty, arrogant orthopedist within the medical group to which I belonged at the time.

I'm 75, can't take codeine/morphine or other such drugs, and react horribly to anesthesia (hallucinations and losing consciousness) so surgery is not a viable option for me...looking forward to specialist's assessment and recommendations. And I researching info on a lumbar support pillow. Meantime, the trusted heating pad is within easy reach to use as needed.
Definitely an individual choice, a decision based on what has been effective for each person. I wish only the best for everyone looking to achieve relief.👍🏼😊

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Well Delia I'm glad you found something that works for you. I am a little surprised that icing would not help a bulging disc shrink, and also surprised the disc hasn't retracted.

My understanding is that heat, while providing almost instant relief, draws blood to the area where it is applied (on any part of the body). This is an inflammatory reaction, and once the heat is removed, the pain comes back, sometimes worse than before due to inflammation.

There is no "one size fits all" for back pain. Way too complex. And as for that surgeon and his attitude, the hell with him. You deserve better!

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@jfsherley

I have severe spinal stenosis and cannot do surgery so the best thing I can do for it is stretching that lumbar out by bringing my knees up to my chest . That will work for a while I haven’t tried acupuncture but I think I might try it. Someone told me Medicare will pay now but I haven’t checked about that part I will be interesting in knowing if it helps you

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Surgery can remove arthritic growth inside vertebra and this can give the nerve bundles more room. Surgery is never without its risks. Stenosis is a narrowing of the spinal canal, usually caused by bone growth inside the canal (arthritis).

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@heyjoe415

Well Delia I'm glad you found something that works for you. I am a little surprised that icing would not help a bulging disc shrink, and also surprised the disc hasn't retracted.

My understanding is that heat, while providing almost instant relief, draws blood to the area where it is applied (on any part of the body). This is an inflammatory reaction, and once the heat is removed, the pain comes back, sometimes worse than before due to inflammation.

There is no "one size fits all" for back pain. Way too complex. And as for that surgeon and his attitude, the hell with him. You deserve better!

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Gracias for responding, Joe...
My pain management doctor (who has been handling my back and hip pain, as well as the CRPS in left foot), supports using the pad for alleviating my at-times seriously intense pain. No, heat does not provide instant relief, it does take time, and whether applied to my back or my foot/ankle, will take a minimum of about an hour (for ankle) and up to a few hours for the lumbar area. But how sweet it is when I can finally move without intense pain! Residual low pain yes, but no high-scoring pain. And no, I do not experience worsened pain after heat is removed, nor does it come back with vengeance. When it does, it is not biting into my back, thank God!

My pain management doctor provided relief this past Friday, because the hip pain did not allow me to ambulate. Dang those needles hurt! But what blessed relief! I was actually smiling yesterday, and able to make rolls to go with the homemade pasta sauce (with ground chicken meatballs). Today, Monday, I am still happy to have been released from the pain in lumbar area. The hip joint still hurts a bit (P.Scale 5 to 6) but there's osteoarthritis at play also. And I can walk, and ambulate the stairs.
Will be seeking help from spine specialist (which my pain doctor supports, seeing how complicated the issues are in my lower spine).

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@heyjoe415

Well Delia I'm glad you found something that works for you. I am a little surprised that icing would not help a bulging disc shrink, and also surprised the disc hasn't retracted.

My understanding is that heat, while providing almost instant relief, draws blood to the area where it is applied (on any part of the body). This is an inflammatory reaction, and once the heat is removed, the pain comes back, sometimes worse than before due to inflammation.

There is no "one size fits all" for back pain. Way too complex. And as for that surgeon and his attitude, the hell with him. You deserve better!

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@heyjoe415 I just wanted to chime in here. Spinal discs in adults do not have a blood supply so probably don't respond like other body parts to heat or cold. That is why damage to them becomes a problem and over time. The moisture in the discs dries out as we age and discs naturally shrink a bit. If they are herniated and the inner jelly like nucleus is spilled out, the disc will loose some height because of that. I had that situation and my disc lost half it's height before my cervical fusion spine surgery. While the spine is forming and growing, there is a blood supply, but it disappears during normal development. Discs are also under a lot of pressure bearing 80% of body weight on the discs in the spine while the other 20% is on the facet joints of the spine. I have heard of bulging discs that can stop bulging, and I've had that with one of mine as a result of physical therapy and seen that on my MRIs of the thoracic spine.

Jennifer

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@jenniferhunter

@heyjoe415 I just wanted to chime in here. Spinal discs in adults do not have a blood supply so probably don't respond like other body parts to heat or cold. That is why damage to them becomes a problem and over time. The moisture in the discs dries out as we age and discs naturally shrink a bit. If they are herniated and the inner jelly like nucleus is spilled out, the disc will loose some height because of that. I had that situation and my disc lost half it's height before my cervical fusion spine surgery. While the spine is forming and growing, there is a blood supply, but it disappears during normal development. Discs are also under a lot of pressure bearing 80% of body weight on the discs in the spine while the other 20% is on the facet joints of the spine. I have heard of bulging discs that can stop bulging, and I've had that with one of mine as a result of physical therapy and seen that on my MRIs of the thoracic spine.

Jennifer

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Thank you so much for the great info!
Question: Do you mean that PT contributed to one of your discs stop bulging? As in "get back into place"? Was PT on that area painful?
I am opposed to having anyone touch/manipulate my spine, especially a chiropractor. About 35 years ago, a chiropractic adjustment resulted in my leaving with pain, which continued for several days. I crossed off chiropractic care altogether. And I did not have bulging discs at that time, so with the present spinal condition the thought of anyone touching those areas is not at all appealing.

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@sequoia

@jfsherley Medicare advantage plans probably pay, but Original Medicare does not. I have supplemental insurance, that will pay if Medicare denies claims. I’m working through this right now. Crossing my fingers or all goes well for that submittal.
The best of luck to you. I’m thinking if stretching works , the acupuncture would help loosening muscles and that area. I had muscle spasms - we think from breast surgery - and I no longer have spasms. 💪🏼

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I have been told that original Medicare may pay for acupuncture.

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@bayhorse

I have been told that original Medicare may pay for acupuncture.

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@bayhorse I filed acupuncture invoices to Original Medicare in December. The claims were denied. 🤷‍♀️

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@sequoia

@bayhorse I filed acupuncture invoices to Original Medicare in December. The claims were denied. 🤷‍♀️

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After sitting for five hours reminiscing with old school friends, my sciatica acted up!!
For the first time, I tried acupuncture and it absolutely worked. I did go 2-3 times a week for a few weeks.
Medicare does not pay.

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