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Title: High Incidence of Back Pain in Elderly: A Warning Against Unsupervised Massage Treatments Elderly individuals frequently experience pain in their neck, shoulders, back, and legs. It’s common for seniors to seek relief through physical therapy or massages, and some even rely on their children to help with these treatments. While massage can effectively alleviate muscle tension, improve blood circulation, and benefit certain chronic pain conditions, it’s crucial to proceed with caution in specific cases, particularly for those with underlying health issues. Recently, a 70-year-old woman named Mrs. Zhang suffered from sudden back pain that lasted for five days. She found it difficult to turn over in bed and had no numbness or tingling in her legs, nor any history of significant trauma. With a history of back pain, Mrs. Zhang assumed it was a recurrence of her chronic condition and asked her children to take her for massage therapy. Unfortunately, instead of finding relief, her condition worsened, prompting her family to take her to the Hunan Provincial Hospital of Traditional Chinese Medicine (TCM). There, she was diagnosed with "osteoporosis and compression fracture of the first lumbar vertebra." Ultimately, Mrs. Zhang required percutaneous kyphoplasty (PKP) surgery. According to Professor Qiu Xiangzhong, a leading expert in orthopedics at the Hunan Provincial Hospital of TCM, common causes of back pain in the elderly include osteoporosis, compression fractures of the lumbar vertebrae, lumbar disc herniation, lumbar muscle strain, lumbar facet joint disorder, lumbar instability, lumbar spondylolisthesis, and lumbar spinal stenosis. He explained that elderly individuals, especially older women, frequently suffer from osteoporosis. This condition causes bones to become brittle, meaning even a minor injury during everyday activities can lead to a fracture. Compression fractures due to osteoporosis can present as acute back pain, difficulty turning in bed, and even radiating pain in areas like the chest or abdomen. A physical examination will typically reveal tenderness and pain upon tapping the vertebrae, and diagnostic imaging such as bone density tests, X-rays, CT scans, or MRIs are essential for determining whether the fracture is new or old. In terms of treatment, Professor Qiu emphasized that absolute bed rest, osteoporosis management, medication, and external bracing are the first steps, with minimally invasive surgeries like PVP or PKP as viable options when necessary. However, he strongly warned against massage therapy for elderly individuals with lumbar fractures or osteoporosis, as it can exacerbate the condition. Specifically, for those with lumbar disc herniation, especially if it's a large herniation or involves nerve compression, massage should be avoided entirely. In cases of lumbar facet joint disorder or disc herniation, professional medical supervision is essential if massage is pursued as a treatment. Professor Qiu urged elderly patients experiencing back pain to seek medical evaluation first to identify the root cause of their discomfort before resorting to massages or other treatments. Unsupervised or non-professional massage can aggravate underlying conditions, leading to more severe complications. Qiu Xiangzhong is a distinguished orthopedist and professor at the Hunan Provincial Hospital of Traditional Chinese Medicine. He is a national academic leader in Traditional Chinese Orthopedics and a mentor to postgraduate students. His expertise includes treating complex and chronic orthopedic diseases, such as osteoarthritis, lumbar disc herniation, and osteoporosis. Since the late 1980s, Professor Qiu has been a pioneer in minimally invasive treatments for lumbar disc herniation in Hunan Province. Clinic Hours: Monday, Tuesday, and Wednesday mornings (6th Floor, Expert Clinic). Authored by Xu Hui, Department of Orthopedics, Hunan Provincial Hospital of Traditional Chinese Medicine.