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How to treat lumbar disc herniation
General exercise is not suitable for patients with lumbar disc herniation, but swimming can not only help them exercise, but also benefit the lumbar spine.

Patients with lumbar disc herniation should mainly rest in bed, so ball games such as yoga, aerobics, badminton and table tennis are not suitable for patients with lumbar disc herniation.

Swimming is a good exercise, but we should pay attention to the correct posture, the water temperature should not be too low, we should make full preparations before swimming, the swimming time should not be too long, and there should be certain intervals during exercise to avoid excessive waist fatigue.

Patients with lumbar disc herniation can also do five-point support exercises in bed: lying on your back, bending your legs, and lifting your hips with your feet, elbows and back of your head as fulcrums (five-point support), such as arch bridge. With the progress of exercise, you can put your arms on your chest and practice with your feet and the back of your head as fulcrums.

Lumbar intervertebral disc protrusion exerciser

With the increase of age, people have more and more opportunities to have low back pain. Besides lumbar muscle strain and acute lumbar sprain, lumbar disc herniation is another common cause of low back pain in middle-aged and elderly people. This kind of low back pain is just back pain. In severe cases, the waist can't be straightened, accompanied by numbness, soreness and pain in the lower limbs. Because lumbar disc herniation is a degenerative disease, it is impossible to completely eradicate this kind of low back and leg pain; Only by paying attention to self-care at ordinary times can we alleviate the symptoms and prevent the pain from recurring.

This paper introduces a set of family self-health exercises. People with low back and leg pain caused by lumbar process may wish to do 1-2 times a day.

The first section: prone position, lying flat on the hard bed, preparing.

Section 2: Prone position, with elbows propped up for 3 minutes, then restored and trimmed 1 minute, and repeated for 6-8 times.

The third section: prone position, hands propped up, elbows straightened, recovered after 3 minutes 1 min, repeated 6-8 times. You can take a deep breath, take a breath, and then exhale until you finish breathing. At this time, you will feel the waist sinking, so that the lumbar spine can return to its original normal physiological curvature as much as possible.

Section 4: Use ironing board or wooden board at home, add safety belt or strong belt, and firmly tie the waist. Prone position, hands up, persist for 3 minutes and then recover, repeat 6-8 times.

Section 5: Lie on your stomach, put a pillow under your abdomen, put your hands behind your back, lift your legs, head and shoulders as much as possible for one second, then let go and relax, and repeat for 6 ~ 8 times.

Section 6: Relax. After doing the above exercises, do some knee bending exercises.

Rest in a correct sitting position, that is, sit in a hard chair with your hips close to the root of the chair. If possible, it is best to place a cylindrical backrest in the center of the chair back, with your shoulder blades as close as possible to the chair back and your legs naturally relaxed.

Section 7: Standing and Stretching. Stand up straight, with your feet slightly apart, your hands on your back and your fingers together. Fingers backward, hands as props, the body bent back as far as possible above the waist, knees kept straight. Hold for a second or two, then return to the starting position. Every time you repeat the exercise, try to bend the upper body more backward and more curved than before to achieve the maximum possible extension.

Lumbago caused by lumbar process should also observe the following three points:

1. Sleep on a hard bed every night.

2. When lying on your back, put a thin and soft pillow under your waist.

3. When the low back pain is acute and severe, you should stay in bed immediately. If you can't lie flat, you can lie on your side or prone. Don't do the above exercises at this time. Avoid bending over for three or four days, such as bending over to sweep the floor, mop the floor and wash your hair.

Patients with lumbar disc herniation can use the following methods for self-rehabilitation exercise.

1, Swallow-style: Patients lie prone on the bed, support their stomachs, raise their heads, stretch their arms back forcefully, and lift their legs back like swallows for a few seconds or more, 8 ~ 12 times in each group, depending on their ability.

2, arch bridge type: supine position, bilateral elbow flexion, hip flexion, knee flexion. At five o'clock, with the head, elbows and feet as the support, stretch the abdomen and waist into an "arch bridge" shape for several seconds or more, each group 10 ~ 20 times, depending on their own ability.

3, space car: that is, push the air to increase strength, lie on your back, support your waist with both hands, and push the air with both lower limbs to make a bicycle. Time is gradually increasing.

Preventive methods of lumbar disc herniation;

1, correct posture. Avoid sitting for a long time, such as the upper body is straight, the abdomen is closed, the jaw is miniature, and the lower limbs are close together. If possible, it is best to put a footstool or footstool under your feet, so that the knee joint is slightly higher than the hip. When sitting in a chair with a backrest, you should lean on the back of the chair as far as possible on the basis of the above posture, so that the muscles of the lumbosacral region will not be too tired. After sitting for a long time, you should also exercise and relax your lower limb muscles.

2. Adjust your body position. Healthy people should always change their postures when sitting for a long time. For example, when they stand up from a sitting position, they have to do 1 ~ 2 waist stretching activities. Patients with a history of low back and leg pain should change their posture, stretch for about half an hour to 1 hour, and do targeted exercise under the guidance of a doctor if necessary, so as to prevent and delay the degeneration of intervertebral disc.

3. Strengthen the functional exercise of back muscles, such as flying swallow and arch bridge.

Strengthening back exercise can prevent lumbar disc herniation.

Lumbar disc herniation is most common in young people, especially manual workers or sedentary people. For example, drivers and copywriters often have symptoms such as low back pain, leg pain and numbness of limbs due to incorrect sitting posture or sedentary behavior, which eventually leads to lumbar spondylosis. Intervertebral disc, located between vertebrae, is composed of tough outer layer and soft gelatinous core, which is elastic and has four functions of connection, stability, shock absorption and movement.

When the human back is overstressed, the gelatinous substance in the intervertebral disc will be squeezed out from the fragile point of its outer layer, which will compress the nerve roots and cause pain. When the intervertebral disc is damaged by external force, the soft substance in the center will squeeze out the outer layer from the weak point under pressure, which will make the intervertebral disc lose its buffering function and compress the nerves in the protruding part of the intervertebral disc, causing pain. Among the 23 intervertebral discs in the human body, Lumbar 4 and Lumbar 5 sacral vertebrae are particularly prone to protrusion.

Strengthen back exercise

When the acute symptoms of disc herniation are relieved, gentle exercise should be carried out in time to strengthen the strength of back muscles and restore the mobility of spine, such as swallowing water, raising straight legs and supine arch bridge.

Swallow with water in the prone position, straighten the upper limbs to the side, and the head and shoulders drive the upper limbs to lift backwards; Then lift the straight legs of both lower limbs backwards and upwards; The last two actions are carried out at the same time, such as Xiaoyan's watering action. Repeat 10 ~ 20 times.

Keep your legs straight and raise your supine position. Keep your legs straight and put your hands on your sides naturally. When the straight leg is raised, the angle can be gradually increased, and the legs are raised or the lower limbs are alternately raised, each time 10 ~ 20 times. Note: the lifting angle of both lower limbs should be based on the patient's tolerance, and should not be forced, and should be put down when there is pain.

When the supine arch bridge is supine, the hands are rested on her hips, the legs are bent 90 degrees, and the feet are placed on the bed. The upper body is supported by the occipital part and the elbows, and the lower body is supported by the feet, forming a semi-arch bridge shape, and the trunk is upright. When erecting the trunk bridge, separate your knees slightly to both sides, and repeat 10 ~ 20 times.

It is particularly emphasized that the action of bending forward should be strictly controlled at ordinary times. When lifting or moving heavy objects, you should not bend over, but kneel down first, then stand up, keep your waist straight, and avoid taking part in labor that requires waist twisting and excessive burden to prevent symptoms from recurring. When you sleep, you should lie on a hard bed, avoid lying on a soft bed and don't lie on Simmons. Avoid catching cold and gluttony for cold things, and strengthen the protection of the waist and back. It is best to wear waist protectors, one is to prevent catching cold, and the other is to play the role of sports protection.

Lumbar disc herniation is a common disease, mostly occurring in young people aged 20-40. Of the patients, 10%- 15% needed surgery. The purpose is to restore the prominent lumbar intervertebral disc to normal and relieve the compression on the nerve.

However, the completion of the action is only half the battle. Tan, director of spine surgery in China-Japan Friendship Hospital, told the reporter that postoperative care of lumbar intervertebral disc is very critical and has a great influence on the recovery of patients. There are many cases of successful operation in clinic, but the condition is aggravated by improper nursing.

Within 6 hours after operation, the patient must lie flat, which helps to compress the wound and prevent bleeding. Such as the patient's breathing, blood pressure, heartbeat, etc. Stable, and can turn over with the help of nursing staff 6 hours after operation. The so-called "axial turning over" means that the upper and lower bodies turn to one side at the same time to avoid twisting the waist, otherwise it will seriously damage the newly repaired lumbar spine. After 24 hours, the patient can try to turn over by himself.

Three days after operation, the patient can start some basic exercises, such as straight leg lifting and lower limb flexion, to promote blood circulation in the back and legs. 1 week or 10 days later, patients can start to exercise back muscles, mainly in two ways: "arch bridge" and "swallow"

When the arch bridge moves, people lie on their backs, their feet and heads touch the ground, try to raise their waist and pelvis to form an arch bridge, and then slowly put it down, and so on for many times. On the other hand, swallows are just the opposite of arch bridges. People lie on their stomachs, with their heads and feet as high as possible. Even after leaving the hospital, the lumbar function will recover, so we should stick to these two exercise methods.

Generally, patients are discharged 2 weeks after operation. Patients discharged from hospital should wear waistlines for three or four months. There are steel bars or hard plastics inside the waist line, which can limit the twisting and bending of the waist and reduce the damage to the lumbar spine caused by exercise.

In addition, there are many matters needing attention in patients' postoperative life: First, try to stand or lie down and sit less, because the lumbar intervertebral disc bears the greatest pressure when people sit. Secondly, try to avoid heavy physical labor. Third, when taking things in a very low position, take a squat posture and bend less to reduce the endurance of the waist. Finally, we should strengthen the exercise of back muscles and choose swimming. Six months after the operation, you can start cycling. ▲

Rehabilitation treatment of lumbar disc herniation

Ili daily

Lumbar disc herniation is a syndrome caused by degeneration of lumbar disc, rupture of fibrous ring, protrusion of nucleus pulposus and stimulation or compression of nerve roots. This is one of the most common causes of low back pain and leg pain. Most patients have a history of lumbar sprain or low back pain, which can be relieved in the later stage, but the pain of lower limbs is obvious, or both exist at the same time. When the abdominal pressure increases, the pain in the lower limbs intensifies, and when the pain is severe, the patient can stay in bed and it is difficult to turn over. More patients have recurrent pain, which is aggravated with the increase of the number of attacks, the duration is prolonged, the interval between attacks is shortened, and it may be accompanied by numbness of the calf. When the protrusion is large and central, pain in both lower limbs, perineal numbness and even incontinence may occur.

When you have symptoms of low back and leg pain, you should first make a clear diagnosis. Because there are more than 30 diseases that can cause low back and leg pain, blind treatment will delay the illness and bring serious consequences. There are many methods to diagnose lumbar disc herniation, among which CT and magnetic resonance imaging are the most reliable, which can clearly understand the location and degree of protrusion and provide reliable basis for clinical treatment. Patients with short onset time, obvious symptoms, no perineal numbness and difficulty in defecation can choose rehabilitation treatment. CT and magnetic resonance imaging showed large protuberance, perineum numbness and difficulty in defecation. Those who have recovered for more than half a year without improvement can be operated.

There are many methods of rehabilitation treatment, and you can choose one or more as appropriate. It mainly includes: ① Braking: It is advisable to brake in the acute stage and sleep on the hard bed for 2-3 weeks to reduce the activity of the focus, thus helping to alleviate the local inflammatory reaction and relieve the pain. ② Lumbar traction: When nerve root stimulation symptoms appear, that is, numbness and pain in lower limbs, it is an indication of traction, which can be applied in acute stage, once a day for about half an hour each time. ③ Electrotherapy: ultrashort wave therapy, modulated intermediate frequency electrotherapy, three-dimensional dynamic interference current therapy and microwave therapy. ④ In addition, there are ultrasonic therapy, magnetic therapy and hyperthermia.

Manual therapy and exercise therapy are very important in the rehabilitation of lumbar disc herniation. There are many kinds of manipulations, such as massage, rolling, pushing, one-finger Zen pushing, pulling, acupoint pressing, palm pressing, lower limb pulling, side pulling and so on. The common method is to let the patient lie on his side, and the therapist locally adopts massage, rolling, pushing, pulling, acupuncturing, palm pressing, lower limb pulling, side pulling and other methods. The massage starts gently and slowly, then heavy and fast, and finally ends with light manipulation. Each time is about 15-20 minutes, once a day, and 20 days is a course of treatment. Patients should be reminded that massage intensity is not easy to master due to the different strength of manual therapists, so they should go to regular hospitals when choosing manual therapists to avoid aggravating their illness. In addition, for chronic patients, exercise therapy can be used. The specific methods are as follows: ① Spinal flexibility training: patients sit, keep their pelvis still, relax their back muscles, and do lumbar flexion and extension, left and right bending and left and right rotation. The moving speed is steady and slow, and the amplitude is gradually increased to avoid causing pain. ② Muscle strength training of back muscles: supine position, leg bending, hip lifting, chest raising and straight waist, just like an "arch bridge", 5- 10 second. Repeat the above actions 10 times, at least 1-2 times a day, and the number of repetitions should be less at first, and then increase as appropriate. Long-term exercise can reduce lumbar disc herniation.

In addition to the correct treatment of lumbar disc herniation, self-care is very important, mainly in the following seven aspects:

1. When the acute symptoms of disc herniation are relieved, gentle exercise should be carried out in time to enhance the strength of back muscles and restore the mobility of spine, such as flying swallow, raising straight legs and supine arch bridge.

2. Maintain the correct sitting posture at ordinary times and try to avoid sedentary. If you really need to sit for a long time, stand or walk at half past one.

3. The action of bending forward should also be strictly controlled. When lifting or moving heavy objects, you should not bend over, but kneel down first, then stand up, keep your waist straight, and avoid taking part in labor that requires waist twisting and excessive burden to prevent symptoms from recurring.

4. Rest on the hard bed when sleeping, avoid lying on the soft bed, and don't lie on Simmons. \

5, strengthen the protection of the back, it is best to wear waist protection, play the role of sports protection.

6. Regular health massage can promote rehabilitation and prevent recurrence.

7. Avoid catching cold and overeating.