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Please help me find the article of exercise therapy for low back pain.
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The incidence of low back pain caused by various reasons is very high, and almost everyone has a history of low back pain. Although there are many treatments for low back pain, there is still a lack of "panacea". For this, patients with low back pain may feel more deeply. In addition, low back pain has a certain recurrence rate. Although many patients are reluctant, they often become "repeat customers" who "patronize" doctors. So there is no rule of law for low back pain? Not only patients are deeply suspicious of this, but doctors are also very embarrassed. They can't help but sigh that "patients have low back pain and doctors have headaches". We are not helpless in the treatment of low back pain, and the comprehensive therapy based on massage has achieved remarkable results in clinic.

Massage combined with acupuncture, cupping, traction, microwave therapy, semiconductor laser therapy and traditional Chinese medicine steam therapy is effective for patients with low back and leg pain and cervical spondylosis. Such as massage and exercise therapy, or awn needle penetration and lumbar reduction to treat acute lumbar sprain; Manipulation, acupuncture, cervical traction and oral administration of traditional Chinese medicine treat cervical spondylosis; The lumbar disc herniation was treated by routine massage plus lumbar posterior traction, combined with acupuncture, cupping, lumbar traction and traditional Chinese medicine bath. And become the therapeutic advantage of massage department. The overall level of massage technology in the massage department has been continuously improved, which has won the credibility of patients and formed a good influence of "massage to the province" among the people.

Chinese medicine has always emphasized that "prevention before illness, prevention is more important than cure". The most important measure to solve low back pain is prevention. Prevention plays an important role in the medical treatment of any disease. It is a proactive medical method to contain the disease in the "bud" state and prevent it before it happens. The waist structure of human body is complex, with many soft tissues, wide range of activities and considerable load. When engaged in various activities, there are more waist activities, which is the cause of lumbar sprain and low back pain. If we pay attention to the differences of individual's age, sex, physique and working conditions in many aspects and do a good job of waist protection, the incidence, severity and recurrence rate of low back pain will be significantly reduced.

Many patients with low back pain, even patients with severe lumbar disc herniation, often say that low back pain occurs for no reason when they understand the pathogenesis, but in fact, it is really impossible without a cause. Although most patients have no sudden external force, it is often caused by unscientific daily activities such as standing, sitting, lying and walking, which makes the waist in an abnormal physiological state. In fact, the accumulated side effects of a bad posture are more serious than the damage caused by external forces. Therefore, the measures to prevent low back pain should be put not only in labor protection, but also in daily activities such as standing, sitting, lying and walking.

The correct standing posture should be eye-level, jaw miniature, chest upright, back straight, calf miniature, legs upright, and the distance between feet is about the same as the width of pelvis. Of course, keeping a posture for a long time can't last, but it should be a "at ease" posture, and your feet should be exchanged. In addition, the standing time should not be too long. Standing for a while can properly carry out in-situ activities, especially back posture, to eliminate the fatigue of back muscles.

The correct sitting posture should be that the upper body is straight, the abdomen is closed, the jaw is slightly retracted, and the lower limbs are close together. If possible, put a footstool or footstool under your feet, so that the knee joint is slightly higher than the hip, which can make your back more straight and not easy to bend. This sitting posture can keep the lumbar spine upright, because the ligaments and muscles in the lumbosacral region are not overstretched and the body consumes less energy. When sitting in a chair with a backrest, try to lean on the back of the chair on the basis of the above posture, so that the muscles of the lumbosacral region will not be too tired.

Although you can't "lie hunched" during sleep, from the biomechanical point of view, you should also pay attention to your posture. If you don't sleep properly, it will not only induce low back and leg pain, but also cause cervical spondylosis. In ancient China, we were very particular about sleeping posture. Cai Jitong, a poet in the Song Dynasty, put forward in Sleeping Tactics: "Bend over when you sleep, and stretch when you feel right." It means to bend slightly when sleeping on your side and stretch when lying on your back. This can relax muscles, especially back muscles, which is not only beneficial to sleep and sleep, but also can relieve or prevent low back pain. In addition, the bed should be padded with wooden bed, and soft beds such as spring bed and Simmons are easy to change the physiological curvature of lumbar spine, leading to strain of soft tissues such as lumbar muscles.

Normal walking is a natural, rhythmic, seemingly relaxed and effortless lower limb movement. But in the process of walking, besides the movement of lower limbs and pelvis, the spine, especially the lumbar spine, also plays an important role. When walking, the lumbar spine should not be biased to either side, and it should be neutral, otherwise it will easily lead to excessive burden on the waist. Women with low back pain should not walk in high heels, and the heel height is about 3 cm. Because the heel height increases 1 cm, the extension of lumbar spine and the contraction of back muscles will increase exponentially, so the chance of low back pain will increase greatly. In addition, if you walk improperly when going upstairs and downstairs, your feet will "step empty" and flash your waist. Good walking posture can prevent and treat low back pain.

At the same time, you can do some exercises you can, such as swimming is more suitable for patients with low back pain, freestyle and backstroke are more suitable; Carry out medical gymnastics exercises, such as supine leg bending and abdomen lifting, prone swallowing exercises, etc. Do what you can, step by step; Walk backwards for exercise, usually twice in the morning and evening, 20 minutes each time. Try to hold your chest out and raise your thighs as much as possible during exercise; You can also cooperate with the self-massage of the waist to enhance the blood circulation of the waist and strengthen the strength of the back muscles, thus reducing the recurrence of low back pain symptoms.

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