There is one of the most common low back pain. The pain around lumbosacral joints is about the size of the palm of your hand, or it is dull or painful, which is relieved when you get up in the morning and aggravated after exercise. It's hard to sit and stand for a long time. When I went to the hospital for examination, X-rays and blood tests were mostly normal. Although most patients with low back pain can live a normal life and stick to their work, over time, it will affect work efficiency and reduce the interest in life. This kind of low back pain is often called kidney deficiency low back pain in traditional Chinese medicine, that is, low back pain caused by lumbar muscle strain.
Why does lumbar muscle strain cause low back pain? The waist is the midpoint of the human body. Lumbosacral joint is the only big joint in the human body that bears the gravity of the body, and it is the hub of waist activity. Prone leaning, backward leaning, left and right bending and rotation are all involved. No matter exercise or activity, the joint here bears more force than any joint in the whole body. When labor intensity is high or activity is high, there will be more joint activities. All joint activities involve muscles, so the muscles here are prone to fatigue and injury. Lumbar muscle strain refers to the decomposition of lumbar muscle due to overwork. Some people have little physical activity and labor intensity, but because of the wrong posture, the spine is in a semi-bent state, and the back muscles are always tense, which will cause strain over time, further develop into aseptic inflammation, stimulate nerve endings and cause pain, so low back pain occurs.
It can prevent lumbago caused by lumbar muscle strain. How to prevent it? First of all, we should strengthen exercise and improve our physical fitness. Especially those who have been sitting for many years, their back muscles are weak and easy to get hurt. Therefore, it is necessary to strengthen the exercise of back muscles, such as doing some flexion, extension, left and right waist bending, gyration, supine, sit-ups, so that the waist muscles are strong, the ligaments are strong, the joints are flexible, and the chances of getting sick are reduced. Obese people should lose weight and reduce the burden on the waist. Secondly, we should pay attention to self-regulation, combine work and rest, and avoid an action that is fixed for a long time and forced to bend over. If we stand for a long time, we can squat. Squatting can not only relax waist and leg muscles, but also reduce physical exertion.
Then pay attention to all kinds of postures in life. For example, when picking up heavy objects from the ground, kneel down to avoid bending over to increase the burden. When carrying heavy objects, keep your body as close as possible to the object, make it close to your abdomen, and squat your legs slightly; When you hold things high, you should not be forced to reach them; Keep your spine bent when you sleep. It is also important to avoid humidity and cold. Bao Jianguo
Exercise therapy for lumbar muscle strain
The main symptom of lumbar muscle strain is waist pain. Severe low back pain is often accompanied by tension spasm of lumbar muscles, limited waist activity and difficulty in bending over. Severe cases can affect daily work and life. Practice has proved that exercise therapy has good effect on it.
1, waist muscle exercise health care method: supine position health care method: patients take supine position, first support their feet, elbows and heads at five o'clock on the bed, lift their waist, back, buttocks and lower limbs off the bed surface, and when they feel tired, restore to a calm supine position to rest. Repeat this method for about 10 minutes, and exercise once in the morning and once in the evening.
2, prone health care method: the patient takes a prone position, puts the upper limbs behind his back, and then forcibly lifts his head, chest and legs off the bed surface, making his body bow-shaped, and persists until he feels a little tired. Repeat this exercise for about 10 minutes, once in the morning and once in the evening. If you persist in exercising for a long time, you can prevent and treat the occurrence and development of lumbar muscle strain and bow-waist syndrome.
3, waist and back tapping massage health care method: the patient uses a sitting position, first holding an empty fist with his left hand, and using his left fist from top to bottom at the left waist. After tapping 10 minutes, massage or knead with the palm of your left hand twice a day for about 5 minutes each time. Then move with your right hand and your left hand in turn. If you feel burning in the massage area, the effect will be better and you will feel very comfortable after exercise. This kind of exercise can promote the blood circulation of the waist, relieve the spasm and fatigue of the lumbar muscles, and has a good effect on the prevention and treatment of lumbar muscle strain in middle-aged and elderly people.
4. Hot compress or physical therapy: Hot compress the painful part with hot water bottle or hyperthermia spirit or 1 every night. You can use 5 Jin of bran. After frying in iron pan, add 0. 25 kg vinegar, stir well, put it in a self-made cloth bag, then put it on the low back pain area, cover it with a quilt to keep warm and apply heat. Conditional families can buy far-infrared hyperthermia instrument or Zhou Lin spectrometer for physical therapy. This method can promote blood circulation in the waist, dispel wind and remove dampness, promote blood circulation and dredge collaterals, and has good curative effect on patients with lumbar muscle strain.
5. Drug therapy: For patients with lumbar muscle strain, those with obvious tenderness points can be blocked with prednisolone needles 1ml and 1% procaine 5ml, once a week, and three times is 1 course of treatment. After the low back pain is relieved, you can start waist exercise. You can also take Tongbi tablets or Zhuanggujie pills, enteric-coated aspirin and indomethacin orally to consolidate the therapeutic effect and prevent the recurrence of low back pain.
★ Low back pain is a common disease in people's work and life. Especially in people who work in a sitting position for a long time, patients with lumbar muscle strain are more common.
Lumbar muscle strain is a chronic injury to lumbar muscles, intervertebral discs and ligaments. The reasons can be summarized into three types: first, long-term bad working posture, such as bending over, carrying heavy objects on one shoulder, or habitual bad posture, makes the lumbar muscles in a state of traction for a long time, resulting in cumulative strain degeneration, soft tissue fatigue and back pain; The second type, congenital or acquired lumbar deformity, or lower lumbar shortening deformity, or long-term bedridden after lumbar trauma and long-term fatigue of lumbar muscles; Third, improper treatment Acute lumbar soft tissue injury or repeated injury can not fully repair the tissue, leading to fibrosis or scar formation, which is also the cause of chronic low back pain.
1. Clinical manifestations
The main symptoms are lumbosacral pain or lumbosacral pain, recurrent attacks. Pain can change with climate change or fatigue, sometimes light and sometimes heavy, lingering. There may be extensive tenderness in the waist, and there is no abnormality in spinal activity. At the time of acute attack, various symptoms are obviously aggravated, and muscle spasm, scoliosis and limited functional activities may occur. Some patients may have lower limb traction pain, but there is no string pain and skin numbness. The nature of pain is mostly dull pain, which can be confined to a certain part or spread all over the back.
2. The precautionary principle
People who work in the office for a long time are most likely to suffer from lumbar muscle strain. How to prevent it? This requires you to change your posture frequently at work and correct your bad posture. At ordinary times, it is necessary to strengthen the exercise and protection of back muscles and intervertebral ligaments, and make preparations before exercising or lifting heavy objects to prevent sudden sprain of the waist. You can also take part in Tai Ji Chuan, Wuqinxi and aerobics regularly. These traditional fitness methods are beneficial to prevent lumbar muscle strain.
3. Principles of treatment
Mainly to reduce the burden, pay attention to rest, drug treatment, physical therapy assistance.
(1) General treatment: In the acute stage of low back pain, it is recommended to stay in bed properly to prevent the further development of the disease, and it is advisable to stay in bed with a hard plate. In severe cases, sandbags can be placed on both sides of the waist for braking.
(2) Western medicine treatment: painkillers such as ibuprofen, fenbid, indomethacin, etc. It can be taken orally frequently, or sprayed locally quickly, or it can block the pain points of hormones and procaine.
(3) Chinese medicine treatment: Chinese patent medicines can be treated with Ginseng Jianpi Pill, Buzhong Yiqi Pill, Shen Qiang Tablet, Duhuo Jisheng Pill and Huoxue Zhitong Capsule. Decoction can be selected from the following empirical formulas: Radix Astragali 10g, Radix Codonopsis 10g, Atractylodis Rhizoma 10g, Radix Angelicae Sinensis 10g, Pericarpium Citri Tangerinae 10g, Radix Bupleuri 10g, Cimicifugae Rhizoma 10g, and Rhizoma Cimicifugae Rhizoma. Safflower 10g, Oletum Trogopterori 10g, Rhizoma Cyperi 10g, Achyranthes bidentata 10g, ground fat 10g and Eupolyphaga Seu Steleophaga 10g. Decoct with water twice a day, each time 150ml. For external use, nanometer acupoint sticking, dog skin ointment, Galla Chinensis Bugan powder and Musk Zhuanggu ointment can be applied to the affected part or acupoint.
(4) Physical therapy and functional exercise: The commonly used physical therapy methods mainly include hyperthermia, wax therapy, infrared ray, ultrasonic wave and laser local irradiation. Massage the waist can strengthen the waist and kidney, dredge meridians and prevent lumbar muscle strain. Here are ten methods of self-massage to prevent and treat lumbar muscle strain:
Push: After the hands are rubbed and heated, put them in the middle of the lumbar spine and push them from top to bottom for 30-50 times until a local heat sensation appears.
Pinch: Sit with your feet stretched forward, or bend your knees, or sit up straight. Lift the waist muscles with both hands 15-20 times respectively.
Knead: Take a sitting position. Put your hands with your fingers together, put them on the left and right sides of your lower back, and slowly rub them up and down with your palms until you get hot.
Roll: Make a fist with both hands, roll up and down from the waist and massage. First bottom-up, then top-down, repeated many times. The upper body can be tilted back and forth.
Pressing: put your hands on your hips, press your thumb on the waist eyes on both sides, squeeze hard and rotate the friction, clockwise first, then counterclockwise, 36 times each.
Knock: Make a fist with both hands and tap the lumbosacral part with the back of both fists to avoid pain. At the same time, knock 30 times each.
Grasp: Hands akimbo, thumb in front, press on the waist side, and the other four fingers grasp the skin from both sides of the lumbar spine, from the waist eye to the sacrum in turn, 36 times on each side.
Shake: put your hands on your waist, press the waist and the palm root beside your eyes, and shake up and down quickly 15-20 times.
Pressing: Take the sitting position and rub the middle point with the fingertips of the middle finger 1-2 minutes.
Point: Take the sitting position, and press 1-2 minutes at the center of the legs (the center of the posterior cranial fossa of the knee joint) with the fingertips of both hands. The pressed part should feel sour, numb and swollen.
Besides local massage, shaking the waist can also prevent lumbar muscle strain. Two methods are specially introduced for your reference:
(1) hip rotation, hands akimbo, thumb in front, the other four fingers in the back, middle finger on the waist and eyes standing posture, that is, the kidney meridian points in traditional Chinese medicine. Swing your hips from left to right when inhaling, and from right to left when exhaling. Breathe and inhale once, and do it for 8-32 times continuously.
② Turn your back to a standing position, raise your hands to shoulder width on both sides of your head, with your thumb pointed at the height of your eyebrows and your palms facing each other. When inhaling, the upper body twists from left to right, and the head also twists backwards. When exhaling, twist from right to left, breathe in once, and do it for 8-32 times continuously.
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