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How to treat lumbar disc herniation? Please recommend it.
Early lumbar disc herniation has mild symptoms and does not require special treatment. First, pay attention to bed rest to avoid external pressure on the lumbar spine. Second, actively exercise the muscle strength of the lumbar spine by other methods, increase the strength of the anterior ligament, posterior ligament and lateral ligament of the lumbar spine, prevent the compression of the intervertebral disc, and break through the protection of normal ligaments and muscles of the human body. Strengthening lumbar muscle exercise can prevent and delay the occurrence and development of lumbar spondylosis and treat early lumbar disc herniation. According to the survey, the probability that lumbar disc herniation continues to attack and develop has dropped by 80% among people with developed lumbar muscle ligaments and great strength. Therefore, strengthening the exercise of ligaments and muscles around the waist is of great significance to the treatment and recovery of lumbar disc herniation. In this regard, it is suggested that patients with lumbar disc herniation should pay more attention to some commonly used medical devices in China, such as low back pain treatment belt and fixation belt, which are commonly used multifunctional treatment methods in China.

Lumbar intervertebral disc exercise

Sitting posture:

① Raise your head and raise your arm at the same time. Inhale when lifting, and exhale when falling. Repeat 8 ~ 12 times.

② The upper body is upright, the shoulders are hunched backward, and the shoulders are lifted upward, and the shoulder blades on both sides are forced to approach. Repeat 8 ~ 12 times.

(3) Hands rested on her hips, with her waist as the axis, turning left and right, alternating left and right for 8 ~ 12 times.

(4) Put your hands on your knees, first straighten your right leg and restore it, then straighten your left leg and restore it. Alternate left and right for 8 ~ 12 times.

Lying position:

① Lie on your back, straighten your legs, naturally put your hands on your side, bend your hips and knees, and at the same time, extend your ankles extremely backward, and then push them obliquely upward to bend your feet as much as possible, alternating left and right, and repeat for 8 ~ 12 times.

② Lie on your back, naturally place your hands at your side, do straight leg lifts, alternating left and right, and repeat for 8 ~ 12 times.

(3) Prone, with legs alternately extended backward, and repeated for 8 ~ 12 times; Then stretch your legs at the same time and repeat 8 ~ 12 times.

④ Lie on your stomach, with your legs still, stretch your upper body backwards for 8 ~ 12 times, and then stretch your upper body and legs backwards for 8 ~ 12 times at the same time.

Standing position:

① Open your feet shoulder-width, stretch your arms backward, cross your hands behind your body, then hold your head up and hold your chest out, and press your hands down at the same time. Repeat 8 ~ 12 times.

(2) feet open, shoulder width, hands akimbo, then turn left and right alternately, repeat 8 ~ 12 times.

③ Stand upright with your hands akimbo, then lift your left and right legs alternately and stand still for 8 ~ 12 times.

(4) Open your feet, shoulder width apart, twist your upper body, drive your arms to swing left and right, and relax your whole body.

conservative treatment

Choosing a regular and effective treatment method without side effects is the key. Traditional Chinese medicine believes that lumbar disc herniation is caused by wind, cold and dampness. The purpose of treating lumbar disc herniation is to dispel wind and cold, promote blood circulation and remove blood stasis, and follow the painless principle of general principles of traditional Chinese medicine to fundamentally treat lumbar disc herniation.

Commonly used methods are as follows:

1. Bed rest: It is a very simple but effective measure for patients with lumbar disc herniation, and bed rest is the basis of non-surgical treatment. The function of bed rest is to relieve the pressure on the spine and make the compressed nerve root protrusion recover slowly. For patients with severe symptoms of lumbar disc herniation, it is required to stay in bed completely and fully, and the bed is preferably a hard bed.

2. Traction therapy: It is one of the most commonly used therapies for patients with lumbar disc herniation. Traction therapy is an effective decompression measure, which stretches the spine in physical form to achieve the purpose of decompression and pain relief. Traction therapy has a long history and obvious effect.

3. Massage therapy: Massage therapy is an integral part of Chinese medicine, which has the advantages of simple method, comfort and effectiveness, and few complications, and has been regarded as one of the comprehensive therapies for lumbar disc herniation.

4. Blocking therapy: Because it is safe, reliable and easy to operate, it is a commonly used injection therapy. Including local sealing of pain points, nerve root sealing of intervertebral foramen and acupoint sealing. It can relieve pain in a certain period of time.

5. Sacral canal injection therapy (sacral therapy) In recent years, a large number of clinical studies have confirmed that injecting different drugs into the sacral canal through the sacral hiatus can treat different diseases in a targeted manner, especially for patients with low back and leg pain caused by lumbar disc herniation, which has obvious effects of relieving pain and restoring lumbar function. It has been widely used in clinic by pain clinics in hospitals at all levels.

6. Sacral canal liquid therapy: it is a treatment method that uses a large dose of liquid to drip or inject into the spinal canal cavity, also known as "sacral canal liquid shock therapy". It uses the anatomical characteristics of sacral canal, injects a certain amount of liquid, disperses its pressure, and forces the herniated intervertebral disc to reset. This method is rapid, effective, safe and has few side effects. It is an ideal conservative treatment for lumbar disc herniation. However, due to its complicated operation, it generally needs full-time anesthesiologists for treatment.

7. Lumbar support belt: For patients with lumbar disc herniation, the main purpose is braking, which can make the damaged lumbar disc fully rest locally and create good conditions for the patient's physical recovery. Chinese and western medicine are generally effective, and can be used as adjuvant therapy with the main purpose of relieving symptoms.

8. Other therapies, such as physical therapy, acupuncture, manual reduction, Chinese medicine bonesetting, medical physical exercise, etc.

It can be said that non-surgical therapy is suitable for most patients with lumbar disc herniation, even those who need surgery. Non-surgical therapy plays a very important role before and after surgery.

prevent

In daily life, study and work, we need different postures to form our own habits, which have an important influence on the human body. So we are required to pay attention to the rationality of standing posture, sitting posture, working posture and sleeping posture. Correct bad posture and habits, strengthen exercise, strengthen physical fitness, especially strengthen the functional exercise of back muscles. Because proper exercise can improve muscle blood circulation, stimulate metabolism, increase muscle reflexivity and strength, correct the imbalance of internal and external balance of the spine, improve the stability, flexibility and durability of the lumbar spine, and thus prevent lumbar disc herniation.

sitting position

Many times, people's sitting posture does not depend entirely on themselves, and the seat also plays a certain role in the correctness of sitting posture. Improper sitting posture can also lead to low back pain.

When sitting on a stool, because there is no backrest, people either bend naturally or sit up straight, which can keep the lumbar spine in a natural flexion state and the lumbar muscles in a relatively relaxed state. At this time, the stability of the lumbar spine is maintained by the ligaments around the lumbar spine, and the ligaments around the lumbar spine are easy to strain after sedentary. When sitting upright, the lumbar muscles are in a state of contraction, and the muscles of the back of the sedentary lower back continue to contract, which is prone to strain. Both of the above conditions will produce low back pain. Old people and patients with a history of lumbar disc herniation have poor elasticity and endurance of back muscles and ligaments, and have different degrees of degeneration or injury, so they are not suitable for sitting on stools, especially stools that are too low. Young and middle-aged people are more suitable to sit on stools because of their good elasticity and endurance of muscles and ligaments.

Because the chair has a backrest, it can bear part of the body's gravity, so that the muscles of the back are in a relatively relaxed state, and at the same time, it does not increase the burden of ligaments around the lumbar spine, which can reduce the chance of strain. When sitting in a chair, pay attention to stick to the back of the chair as much as possible. When working, the chair should be pulled as far as possible to the table to shorten the distance between the tables and chairs.

Since the seat has a certain relationship with lumbar disc herniation, what kind of seat is more suitable? Some people have done research in this field, which shows that the angle of the back and the support of the waist at rest are directly related to the disc pressure. That is, when the sitting posture changes from right angle to backward inclination 120 degrees, the pressure in the intervertebral disc can be significantly reduced. At this time, adding a 3CM thick support at the waist can further reduce the pressure in the intervertebral disc. If the support is increased to a thickness of 5CM, the pressure in the intervertebral disc can be reduced to -0.3Mpa. Therefore, a suitable chair requires a backrest with a moderate height and a certain inclination, such as a support with a thickness of 3-5CM at the waist. This posture is suitable for the driver's sitting posture.

Correct posture

Lifting heavy objects off the ground during childbirth, such as incorrect posture, is the most likely action to cause lumbar disc injury. The correct action should be like a weightlifter lifting a barbell. Squat down first, then hold the weight with your arms and stand up, then move your legs to the designated position, and then squat down and put down the weight. The incorrect action is to bend over with straight legs and hold the weight with both arms, and then lift the weight with the strength of the waist and then put it down. Especially when the lift is combined with the rotation of the body, the injury of the lumbar spine will be more serious.

It can also lead to impotence.

Many men will go to andrology if they have impotence. In fact, serious disc herniation will oppress the nervous system such as ponytail and cause nervous impotence. However, because central lumbar disc herniation will not cause large-scale compression of nerve roots, most of the symptoms such as low back and leg pain do not exist in clinic, so this factor is often ignored.

Lumbar disc herniation can cause nervous impotence. Lumbar disc herniation is a common and frequently-occurring disease in clinic. Lumbar disc herniation can cause low back and leg pain, but there are few reports about sexual dysfunction, especially impotence.

Impotence caused by some nervous system diseases can be cured. Clinically, we found many patients with impotence, except mental illness, genital deformity, genital inflammation and low frequency of sexual intercourse, most of them were accompanied by lumbar disc herniation.

However, the central lumbar disc herniation compresses the dural sac, which leads to the impairment of cauda equina nerve function, which can cause-premature ejaculation-and discomfort such as pain and numbness around pelvis and lower limbs. At the same time, it can also cause swelling pain in perineum, perianal region, lumbosacral region and scrotum.