Choosing shoes for lumbar disc herniation should be rational.
Science and Technology Daily 2011April 14 Our reporter Lu Suxian
■ healthy dialogue
Lumbar disc herniation is a frequently-occurring disease today, which is difficult to recover, so it is necessary to change the unreasonable lifestyle. The choice of shoes is an unavoidable problem.
Patients with lumbar disc herniation should not wear high heels, which is a recognized basic principle, so many patients choose flat shoes, such as comfortable old Beijing Melaleuca shoes. But some people say that flat shoes are not good for your health. You should wear middle heels. The reasonable height of the heel is 2-3 cm. This statement is widely circulated, leaving many patients at a loss.
In fact, the statement that high-heeled shoes are beneficial completely violates the conclusion of the scientific community and is related to the personal health of patients, so it is necessary to clarify it. The relationship between heel and low back pain is clear, and the sole has basic function, which directly affects the center of gravity of human body. The reason why high-heeled shoes hurt the waist is because it forces the human body's center of gravity to move forward, which is easy to increase the pelvic forward tilt and lumbar curvature, and the waist is overstressed, resulting in injury. Then the heel is lower, and the disadvantage is reduced by one point. Flat shoes with no heels at all are certainly harmless. The middle heel shoe is an intermediate stage. Compared with high heels, the harm is only half that of pot calling the kettle black. This is the simplest logical problem.
Others say that the heel of middle-heeled shoes can absorb the vibration of the body when walking and has the protective effect of "avoiding vibration", so the heel is necessary and patients should have this protection. This statement completely distorts and steals scientific concepts. The "vibration" that needs to be avoided specifically refers to the mechanical vibration of dozens or more times per second. All vibration avoidance is aimed at mechanical vibration and has nothing to do with human movement. The Sub-committee on Human Vibration Response of the Technical Committee of Machinery and Vibration of the International Organization for Standardization has specially studied the influence of its own vibration on human health, and concluded that "the human response caused by vibration when walking or running is beneficial." It can be seen that the statement that middle heel shoes are beneficial is contrary to scientific conclusions. Moreover, as early as 2000, at the academic annual meeting of China Foot and Ankle Surgery, there was a paper that comprehensively discussed the disadvantages of middle-heeled shoes, and the conclusion was that middle-heeled shoes were pseudoscience, which was strongly recommended and supported by Professor Chen Baoxing, an authoritative expert in foot surgery.
Not only are flat shoes harmless, but many doctors also recommend that patients with lumbar disc herniation use negative heel shoes in their daily lives. The front of the sole is high and the back is low, which is supported by three national inventions and many academic papers. Heel shoes are very common in Europe and America. In Japan, patients with low back pain have received rave reviews. Negative heel shoes also make use of the basic function of the sole. Contrary to high heels, they force the body's center of gravity to move backward, reducing pelvic forward tilt and lumbar curvature. Insisting on using them can gradually correct posture and is conducive to rehabilitation. It is safer and easier to stick to the same principle as retreating. If you are interested, you can do a simulation experience, stand barefoot, step on a 20 mm thick book with your forefoot, and feel whether the lumbar spine is straight or not. Negative heel shoes are not contradictory to the existing treatment and rehabilitation methods, but also conducive to the consolidation and improvement of the existing curative effect, which is why doctors recommend them to patients.
In short, patients with lumbar disc herniation should be rational in the choice of shoes to avoid unnecessary injuries. Fashion and health are often antagonistic, especially in shoes and health. Some unscientific statements can be judged by logic.