Correcting bad living and working habits, avoiding standing for a long time, carrying heavy objects with correct posture and losing weight are all helpful to the prevention and treatment of lumbar muscle strain.
Low back pain can be relieved after proper exercise or frequent body position change; Sleeping with a small pillow at the waist can also relieve symptoms; Standing with hands akimbo can make the waist feel comfortable and relieve pain.
Wear waist protection if necessary.
Under the guidance of a doctor, strengthen the functional exercise of back muscles.
medicine
Non-steroidal anti-inflammatory drugs
Such as diclofenac diethylamine emulsion and flurbiprofen cataplasm. It can effectively relieve inflammation and local muscle and soft tissue pain. If the pain is severe, etoricoxib, celecoxib and other drugs can be added orally.
block therapy
If there is a specific pain point or site in lumbosacral region, lidocaine and triamcinolone acetonide can be injected into the pain point for blocking treatment if necessary.
Surgical therapy
This disease generally does not require surgical treatment.
Oral Chinese medicine
Treatment should be based on tonifying kidney, supplemented by products that promote blood circulation, eliminate evil and dredge collaterals. However, simple oral administration of traditional Chinese medicine has a long course of treatment and is easy to relapse. Usually, oral administration and external application of traditional Chinese medicine cooperate with each other, and the curative effect is more obvious.
Kidney deficiency type
For patients with kidney-yang deficiency, it is advisable to warm and tonify kidney-yang, and add and subtract Bushen Huoxue decoction; Patients with kidney yin deficiency should nourish kidney yin by adding or subtracting white Dihuang Pill, Dabuyin Pill, or taking oral Chinese patent medicines such as Zhuangyao Shen Jian Pill.
Qi stagnation and blood stasis type
For the treatment of promoting blood circulation, removing blood stasis, promoting qi circulation and relieving pain, Dalong Powder is added with Eucommia ulmoides, Dipsacus, Taxilli and Tzu Chi.
Wind-cold-dampness type
Prescriptions for expelling wind, dispelling cold and eliminating dampness should be modified with Notopterygium Shi Sheng Decoction or Duhuo Jisheng Decoction.
Damp heat type
Treating damp heat, treating papaya, coix seed, radix rehmanniae, cortex phellodendri, Herba Siegesbeckiae, etc. with Ermiao decoction.
External use of traditional Chinese medicine
External use of traditional Chinese medicine to treat lumbar muscle strain is simple, cheap and effective. Through different dosage forms and methods, the drug is applied to local lesion sites or acupoints, and the curative effect is remarkable.
Can be used externally, such as safflower oil, bonesetting water, bone oil spirit, etc. Or topical traumatology plaster, such as Shangshi Zhitong Plaster, Baozhen Plaster, Zheng Qi Xiaotong Plaster and Wenjing Tongluo Plaster.
Manipulative therapy
It is basically the same as the massage and kneading methods for treating lumbar sprain and contusion. For elderly patients, the manipulation should be light, especially the pulling manipulation should be used with caution to avoid causing adverse reactions. Manual therapy is 1 time every other day, 1 time is1course. During the treatment, you should not be tired and avoid catching a cold.
Generally, massage the waist and legs first, then massage the erector spinae on both sides, infer the waist muscles, massage or stir the waist muscles or ligaments, and apply excessive flexion, waist stretching or waist traction when necessary. The technique should be light, soft, flexible and safe, and avoid strong violence so as not to aggravate the injury.
needle therapy
Acupuncture has the functions of dredging meridians, regulating yin and yang, enhancing immunity and improving physique, and has a wide range of clinical indications. As an outstanding representative of non-surgical therapy, acupuncture has become an important means to treat lumbar muscle strain, which has the advantages of remarkable curative effect and few side effects.
It mainly includes filiform needle therapy, moxibustion, pricking collaterals and bloodletting, fire needle, needle knife, skin needle, electroacupuncture and floating needle.