1. Suspension traction method: The patient stands on the low stool under the horizontal bar frame, holds the horizontal bar high with both hands, leaves the stool with both feet, relaxes and straightens the upper limbs, trunk and lower limbs, suspends and pulls the waist with body weight, and swings back and forth and rotates left and right under the traction. Traction 3-5 times a day. Finally, step on the stool and don't let go directly.
2. Stretching traction method: the patient lies on his back and the upper limbs stretch and relax. If his low back pain is stretched, the painful hip and knee joint bend, and then the lower limbs are stretched by habitual force, thus pulling the waist, and sometimes a noise can be heard from the waist; For patients with bilateral low back pain, it can be done alternately, 5- 10 minutes each time, 3-5 times a day.
3. Knee-hugging waist rolling method: supine, bend your knees and hips, hold your hands under your knees, and keep your head as close as possible to your knees, so that the back of the spine is backward. Use your own strength to roll by swinging a chair. At first, because the lumbar muscles were hard, after 1-2 minutes of rolling, the spasm of the lumbar muscles was relieved and the pain was relieved. This method is especially suitable for the elderly.
4. Pressing Taichong point method: The patient takes a sitting position, presses one side of Taichong point (located in the depression in front of the metatarsal 1 2 joint on the dorsum of the foot) for about 3-5 minutes, and then presses the other side. On time or after clicking, the patient turns his waist back and forth, left and right until the pain is relieved or not.
5. Oral medicine: 60g litchi seed, pangolin 15g, a little yellow wine. Grinding the first two flavors into fine powder. Take 9 grams twice a day with warm yellow wine.
6. External treatment can be applied with trauma cream or trauma wine. If the pain is severe, you can take painkillers, indomethacin, ibuprofen and paracetamol tablets. It can also be blocked by prednisolone 1ml and 1% procaine 5ml.
7. Acupuncture treatment often takes acupoints such as Renzhong, Weizhong and Kunlun, which are highly stimulating and can be cupped.
The elderly are slightly careless in their daily lives, such as turning around to take things, lifting heavy objects or coughing and sneezing, etc., which are easy to cause acute lumbar sprain due to improper or excessive force.
The principle that patients must abide by when carrying out auxiliary self-treatment is that it is best to stay in bed for the first three days of acute lumbar sprain, because lying can relax the waist, while sitting and standing, the waist is in a state of weight bearing, and the pain is not easy to relieve; You must sleep on a hard bed. It is difficult to keep the spine in a normal position on the soft bed, and the low back pain will be aggravated. Acute lumbar sprain does not need intense massage or massage within 24 hours, but only gently massages the obvious part of low back pain to relieve lumbar muscle spasm for 3 ~ 5 minutes each time; After 24 hours of sprain, apply a hot towel to the affected area, the temperature is limited to the patient's tolerance, lasting 20 ~ 30 minutes each time, once in the morning and once in the evening; After hot compress, you can stick a plaster on the outside, or tie a belt made of elastic band around your waist with a width of about 7 ~ 13 cm, so that your waist will be more comfortable.
Family nursing care of patients with acute lumbar sprain
Acute lumbar sprain is common in middle-aged people over 40 years old and is often caused by sprain and cold. It was also found that low back pain gradually worsened after sleep and there was a history of fatigue before onset.
(1) It is necessary to stay in bed in the acute stage, and it is best to sleep on a hard bed to keep the spine in a normal position.
(2) In acute stage, it is best to apply cold compress to the waist, and then apply camphor oil after cold compress to promote blood circulation and relieve pain.
(3) Acute phase can also be treated with traditional Chinese medicine to dispel wind and cold, promote blood circulation and relieve pain.
(4) Massage and massage can be done at the doctor's suggestion, but not by yourself. Because repeated massage and excessive stimulation will lead to waist congestion, edema and aggravated pain.
(5) After acute remission, pay attention to the protection of the waist, sit correctly, prevent the invasion of cold, and pay attention to the exercise of the lumbar muscles. You can do some waist twisting movements as appropriate, but not too fast and too hard, but step by step.
The adoption rate of Hudundun was 49.3%, which was reported at 20: 02 on July 25th, 2008.