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Herbal Supplements and Spine Health: What You Need to Know

The OUCH Center’s Guide to Safe Supplement Use

Many people turn to herbal supplements as a natural way to improve their health, including for relief from back pain and other musculoskeletal conditions. While herbal remedies can provide benefits, it’s important to recognize that "natural" does not always mean safe. Like prescription medications, herbal supplements can have side effects, interact with other drugs, and even pose risks before surgery.


At The OUCH Center, we prioritize patient safety and education. Here’s what you should know before adding herbal supplements to your health routine, especially if you're managing spine-related pain or considering an orthopedic procedure.


Herbal Supplements: A Growing Trend

Herbal supplements, classified as dietary supplements, have gained widespread popularity in the U.S. Consumers spend billions annually on products ranging from turmeric for inflammation to ginseng for energy. However, while these remedies are widely available over the counter, they are not subject to the same rigorous testing as prescription drugs.


The Risks of Herbal Supplements

1. Potential Drug Interactions

Many supplements contain biologically active compounds that can interfere with prescription and over-the-counter medications. For example:

  • Gingko biloba, garlic, and St. John’s Wort can thin the blood, increasing the risk of excessive bleeding when taken with medications like aspirin or blood thinners (e.g., Coumadin).
  • St. John’s Wort can reduce the effectiveness of heart medications, antidepressants, and even birth control pills.
  • Feverfew, ginger, and ginseng can interact with nonsteroidal anti-inflammatory drugs (NSAIDs) such as Advil® and Aleve®, potentially increasing gastrointestinal bleeding risks.


2. Risks Before Surgery

Many herbal supplements can affect the body's response to anesthesia, blood clotting, and immune function. If you are scheduled for a surgical procedure, inform your doctor about any supplements you are taking. Some common pre-surgical concerns include:

  • Increased bleeding risk: Herbs like gingko, garlic, and vitamin E can thin the blood, increasing the risk of excessive bleeding during surgery.
  • Changes in blood pressure: Certain herbs, such as goldenseal and dandelion, can contribute to hypertension or swelling, which may complicate surgical outcomes.


Patients should discontinue herbal supplements at least 2-3 weeks before surgery unless otherwise directed by their doctor.


3. Quality Control Issues

Unlike prescription medications, dietary supplements are not always tested for purity and potency. Studies have found that some herbal products contain heavy metals, pesticides, or undisclosed ingredients. When purchasing supplements, look for third-party testing and reputable brands.


Who Should Be Cautious About Herbal Supplements?

Certain individuals are at higher risk for negative effects from herbal supplements, including:

  • Pregnant and nursing women
  • Patients with chronic conditions such as diabetes, heart disease, or hypertension
  • Older adults who may metabolize supplements differently
  • Children (Always consult a pediatrician before giving supplements to minors)


If you are considering herbal supplements for back pain, inflammation, or general health, consult your healthcare provider first.


How to Make Safe Choices

If you use or are considering using herbal supplements, follow these safety guidelines:

✔ Check with your doctor or pharmacist before starting any supplement.

✔ Avoid exceeding recommended doses—more is not always better.

✔ Be cautious of long-term use of herbal supplements (more than several weeks).

✔ Report any side effects to your healthcare provider or the FDA’s MedWatch program.


FDA Reporting Information:

  • Phone: 1-800-FDA-1088
  • Online: www.fda.gov/medwatch


Final Thoughts: Balancing Natural and Medical Approaches

At The OUCH Center, we recognize that herbal supplements can be helpful for some patients. However, safety should always come first. If you are managing spine-related pain, speak with our orthopedic specialists before adding any supplement to your routine. We can help you explore evidence-based treatments that complement your health needs.


For expert guidance on spine care and pain management, contact The OUCH Center today:  (818) 643-4346 | (626) 389-3893 | (888) 899-6464.