Drug therapy includes therapeutic drugs and drugs to relieve symptoms. Because of the special structure of lumbar intervertebral disc, it is difficult for general drugs to play a therapeutic role, so general western medicine only has analgesic effect, mainly to relieve clinical symptoms, and can not achieve the purpose of treating lumbar intervertebral disc herniation.
Physical therapy, including electrotherapy and physical oppression, can't be solved. When the drug effect is blocked, the symptoms of low back pain will recover immediately, and it will have side effects on the human body. The common physical therapies for lumbar disc herniation mainly include microwave, intermediate frequency, low frequency, ultrasound and laser. These treatments can improve local inflammatory reaction, promote the repair of local soft tissue and improve symptoms.
There is also a kind of hyperthermia commonly used in physical therapy of lumbar disc herniation, such as Chinese medicine hot compress, which can promote local blood circulation and improve the condition. For example, Miao Jiushan's traditional Chinese medicine cold compress can obviously decompose and absorb the nucleus pulposus. However, after the symptoms of lumbar disc herniation appear, it is recommended to rest first, and the effect will be better after physical therapy rest. If the patient does not rest for treatment, the symptoms may not be obviously relieved, or the effect may not be good. Therefore, for patients with lumbar disc herniation, it is generally recommended that patients try to avoid factors that induce disease recurrence or aggravate symptoms while treating or paying attention to daily. These factors mainly refer to sitting for a long time, bending over to carry heavy loads and catching cold. Good living and working habits should be maintained at the same time of treatment in order to have good results.
In most cases, the first method to treat lumbar disc herniation is physical blocking therapy, and this method can be divided into two types, one is intraspinal blocking and the other is nerve root blocking. In fact, according to its surface meaning, intraspinal closure refers to injecting drugs into the spinal canal, while nerve root closure refers to injecting drugs around the nerve root. The drugs injected are mainly adrenal glucocorticoid and local anesthesia. Under the stimulation of hormones, aseptic inflammation and nerve root edema can be alleviated and eliminated, and narcotic drugs are used to relieve pain. Anesthesia will make them more sensitive. We all know why there has been low back pain recently. In fact, it is mainly due to the compression of nerve by lumbar intervertebral disc, which leads to nerve root edema and serious sterility, thus leading to some other symptoms in various parts.
In addition to physical therapy, lumbar disc herniation can also be treated with massage and acupuncture. Because most patients with lumbar disc herniation are accompanied by symptoms such as chronic lumbar muscle strain, then go to the hospital at this time and take some physical massage and acupuncture treatment to relieve muscle tension. Patients who have done this kind of treatment will know that they will be more comfortable when they do physical therapy, and their physical symptoms will be obviously alleviated after completion, which shows that if you take some acupuncture and massage, the symptoms will be obviously alleviated. In fact, there are many methods to treat lumbar disc herniation, physical therapy or other methods. As long as the disease can be cured, it is a good way. Therefore, in the process of treatment, in addition to cooperating with the doctor's treatment, you should also know some other auxiliary methods to help you treat your illness faster.
Complete recovery is inseparable from rehabilitation exercise.
Before making a rehabilitation training plan for yourself, first, make a corresponding treatment plan according to your symptoms, examination results and muscle condition that needs to be evaluated. In the EU, letter, search. Looking for' Miao Jiushan'. Make an assessment of your situation.
We emphasize the importance of evaluation because of the existence of individual differences. For example, at that time, one person's low back pain was caused by sedentary and poor sitting posture, which led to muscle strain, while another person's low back pain was mainly caused by muscle strength deficiency and strain, so the targeted treatment scheme was different.
In addition, everyone's basic situation is different, and the difficulty and intensity of training are also different. After a certain period of training, it is necessary to adjust the treatment plan according to the situation to avoid the injured muscles.
You can do it at home.
Evaluation test
The following test actions can be done at home by yourself. Pay attention to the positive questions.
If the pain has occurred, please complete the 1 and 2 tests in the exercise evaluation first, and make clear the specific exercise actions applicable in the subsequent exercise plan.
1
Posture assessment
Stand against the wall, with your shoulders and sacrum close to the wall, and observe the distance between the lumbar spine and the wall.
Negative (normal):
Spacing ≤ one palm thick.
Positive (problematic):
Spacing > the thickness of a palm
If your question is yes, pay attention to whether the pelvis leans forward.
2
Action evaluation
Forward flexion test
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Standing posture, feet slightly apart, shoulder-width, all muscles relaxed, spine slowly flexed forward, knee joint can not flex.
Negative:
The whole waist and back are bent into a uniform arc, and the fingertips of both hands are close to the ground.
Front:
The range of motion of lumbar flexion is less than 80, or there is pain during flexion, which generally indicates that the back surface of your body is tight.
Reverse test
Standing posture, feet slightly apart, shoulder width apart, all muscles relaxed, hands akimbo, trunk leaning back as far as possible.
Negative:
There is no pain when the trunk leans back, and the amplitude is sufficient. The shoulders can move backward beyond the heels, and the hips can move forward beyond the toes.
Front:
Shoulders should not move backward beyond the heels of both feet, and hips should not move forward beyond the toes; Or pain in the waist when lying down.
Left and right flexion range of motion
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Lower limb movement (same as flexion activity test), put your hands on your side and slowly bend to both sides.
Front:
When bending sideways, the palm is above the knee joint, or there is pain when bending sideways, indicating that quadratus lumborum is nervous.
rehabilitation training
Do the following:
Sports intervention in lumbar process rehabilitation training can generally be divided into three categories: warm-up activities, targeted rehabilitation training and ending activities, as shown in the following figure.
Here is a conservative introduction to the foam shaft to relax muscles, stretch muscles, practice the flexibility of thoracic vertebrae, and practice thigh strength.
1
Foam shaft relaxes muscles
Foam axis relaxes tensor fascia lata, gluteus maximus and quadratus lumborum.
Relax each muscle for 2 minutes.
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2
Stretch muscles
Stretch gluteus maximus and quadratus lumborum:
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three
Practice the flexibility of thoracic spine
The lumbar spine is stable and the thoracic spine is flexible. If the flexibility of the thoracic spine is not good, the lumbar spine will compensate for the flexibility of the thoracic spine and make the lumbar spine bear more work and load.
The flexibility of the thoracic spine exercises, we introduce the following methods:
Stretching effect of thoracic vertebra
Cat stretching:
The limbs are supported on the ground and fixed, and the pelvis tilts back and forth to guide the spine to do "S" and "C" shaped movements.
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Sitting thoracic spine extension:
Sit in the chair on the back of the chair, and fix the lumbar spine and the following parts so that they extend backward to the upper part of the thoracic spine.
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Thoracic rotation
Kneeling posture trunk rotation training: Knee+one hand is supported on the ground and fixed, one hand is placed on the side of the head, and the trunk rotates to the maximum angle in the direction of raising the hand.
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Sitting torso rotation training:
When the trunk sits straight and the head crosses, the thoracic vertebra will guide the trunk to rotate to one side.
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four
Exercise thigh strength
Leg muscle strength exercises, you can squat against the wall.
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For the above training, you can choose one or several movements according to your physical condition, step by step, practice three times a week and stick to it for one month.
After the symptoms are stable, exercise rehabilitation becomes a part of your life. While exercising, you can recover from your problems and become healthier and healthier.
Special reminder
If the training lasts for more than three months, it is recommended to combine the evaluation of the hospital with your own feelings. If training relieves symptoms, then continue training.
If the symptoms can't be relieved, or the training effect is not good, then your training problem may be some mistakes, so pay attention to adjustment.
Pay special attention to training step by step, and stop as long as you feel uncomfortable, which is more responsible for your health.