Which patients are not suitable for Tuina?

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By Liu’s Health Assistant |

Tuina treatment is generally considered safe and effective for a variety of conditions, but there are certain patient groups and conditions where it may not be suitable. According to the search results and various studies, here are some patients and conditions for which Tuina treatment may be contraindicated or require special consideration:

    1. Severe Rheumatic, Neurological, Cardiovascular, and Metabolic Disorders: Patients with known severe rheumatic, neurological, cardiovascular, and metabolic disorders are often excluded from studies on Tuina treatment .
    1. Serious Spinal Pathology: Patients with serious spinal pathologies such as malignancy, inflammatory or infective diseases, cauda equina syndrome, fractures, spinal stenosis, spondylolisthesis, or nerve root compromise are typically not suitable for Tuina treatment .
    1. Pregnant Women: Women who are pregnant, lactating, or planning to conceive within the next 6 months are usually excluded from studies involving Tuina treatment .
    1. History of Spinal Surgery: Patients with a history of spinal surgery or those scheduled for major surgery within the next 6 months are often not considered suitable for Tuina treatment .
    1. Uncontrollable Cognitive Impairment or Mental Disorder: Patients with severe cognitive impairment or mental disorders such as severe depressive disorder or schizophrenia are generally not suitable for Tuina treatment .
    1. Contraindications to Tuina Manipulation: Patients with conditions like severe osteoporosis, infectious diseases, and skin disorders in the lumbar region are not suitable for Tuina treatment .
    1. Participation in Other Clinical Trials: Patients who have participated in other clinical trials related to low back pain within the past 3 months are usually excluded from Tuina treatment studies .
    1. Skin Conditions: Patients with skin conditions such as phlebitis, open wounds, fractures, or tissue damage in the area to be manipulated are not suitable for Tuina treatment .
    1. Complications: Patients with complications like severe dehydration, metabolic acidosis, disorders of consciousness, seizures, twitching, shock, or azotemia should not receive Tuina treatment .

It’s important to note that the safety and suitability of Tuina treatment can vary depending on the specific condition of the patient and the expertise of the practitioner. Always consult with a qualified healthcare provider before undergoing Tuina or any other form of treatment.