"Healthy Central Plains · Da Medical Dedicated Love" Popular Science Class: Cognition and conservative treatment of lumbar disc herniation

Speaking of back pain, many people think of lumbar disc herniation. In fact, there are many causes of back pain. Most of the low back pain is not caused by lumbar disc herniation. With the changes in the work and lifestyle of modern people, more and more human body inspections have found lumbar disc herniation, and I am very worried about it. In fact, lumbar disc herniation and lumbar disc herniation are two different things.

Most adults go to the waist examination, and they will find that the intervertebral disc has degenerated to varying degrees, manifested as swelling, protruding, and getting off, but only low back pain, and without radioactive pain in the legs.

Only when lumbar disc herniation, accompanied by symptoms such as lumbar pain and radioactive leg pain, can lumbar disc herniation. Add a "symptom", that is the disease and need to be treated.

70%~ 80%of lumbar disc herniation can be cured by conservative treatment without surgery. It can be used at the same time as comprehensive treatment. Commonly used treatment measures are: bed rest, method of massage, pelvic traction, dialectical treatment, and western medicine if necessary.

Common treatment methods are: traction therapy; massage therapy; Chinese medicine therapy; acupuncture therapy; other therapies. Among them, it is particularly respected for massage therapy, Chinese medicine therapy and traction therapy, and the rest are mostly auxiliary treatment methods.

Massage and massage therapy is one of the treasures in the treasure house of the motherland, which is used to treat lumbar disc herniation. The effect will be very good by the experienced doctors.

However, I suggest that there must be CT or MRI results before massage to make a clear diagnosis and do not perform blindly. Otherwise, it may cause the condition to worsen and even paralyze.

In fact, the essence of lumbar disc herniation is that the prominent intervertebral disc caused physical or chemical stimulation to the nerve roots and duct membranes. The massage and massage mainly focuses on soft tissues such as muscle and other soft tissue, which is difficult to return to the prominent intervertebral disc.

The following patients are not suitable for massage massage: patients with central types, fiber rings have been ruptured or nucleus myelopaus has been broken after the longitudinal ligament is prominent; bone hyperplasia is obvious, or lumbar disc herniation is combined with osteopsis; Long, recurrent symptoms, patients with poor treatment multiple times; those who are accompanied by other systemic diseases such as hypertension, heart disease, diabetes, etc.; lumbar disc herniation combined with fractures, bone tuberculosis, osteomyelitis, tumor, etc.

When the intervertebral disc has degraded or protrudes, and is massaged by violent massage, the intervertebral disc protrusion will be enlarged or the fiber ring is broken. Unpredictable.

There are many informal massage institutions in my country. Patients with lumbar disc herniation have to listen to false advertisements. Many patients have aggravated their condition after massaging massage and massage in the informal medical institutions, causing serious consequences.

Other therapies are: bed rest, physical therapy, exercise therapy, etc. For the treatment of lumbar disc herniation, at present, most people tend to be conservatively treated with various non -surgical methods. Only in the case of system conservative treatment, surgical investigation is considered. However, some scholars believe that non -surgical therapy cannot meet the requirements of nucleuucleuclear reset, which leads to a delay in the condition and recurrence of some patients, increasing the difficulty of surgery, affecting the effect of surgery, and thus tending early surgery. There are also a few scholars that surgical treatment can cause great trauma. After surgery, it is no longer a spine with completely normal physiological functions. A few patients still have different waist and leg pain, so they emphasize the meaning of conservative therapy.

There are many complicated methods in the society and are difficult to master. If the exercise is irregular, not only can it not achieve the effect of exercise, but it may also cause other damage. I recommend a few easy -to -master and effective exercise methods.

Five -point support

Lie flat on the sports pad, flexed your hip and knee, the feet are width with the hips, and the upper arms on both sides are attached to the ground, supporting the feet, elbows, and back shoulders. When exhaling, slowly raise your waist and hips to the highest point, and persist at the highest point for 3 to 5 seconds, and then slow down your waist and hips when inhaling. , Repeat 3 groups with a group interval of 20 seconds. Each exercise is sore at the end of the waist, that is, the exercise effect is achieved.

Three -point support

After insisting on exercising five points of support for a period of time, you feel that there is no difficulty and you can use three points to support. Put your hands in front of the torso and exercise with both feet and back shoulders. The method is supported by five points.

Flat support

Lie lying, the elbows are vertically on the ground, the two feet kick the ground, the trunk is straightened, the head, shoulders, hips, and ankles remain on the same plane, the eyes look at the ground, and keep breathing uniformly. 60 seconds/group, 4 groups/time, rest between the group for 20 seconds. Beginners can exercise from two groups/time according to their actual situation.

After a period of back muscle exercise for a period of time, if the symptoms of low back pain are not relieved or worsened, please go to a regular hospital to consult the doctor immediately for standardized treatment.

In addition, in addition to the lumbar disc herniation, in addition to lumbar and back muscle exercise, in addition to the lumbar spine stretching exercise and strength training of 2 to 3 times a week, we must also actively correct bad work and living habits, such as: do not sit for a long time. ; If you have to carry heavy objects, remember not to bend over, keep your knees and keep your spine stand upright, try to hold the items, use the power of the lower limbs instead of the power of the back; do not "collapse" or "bend down" when driving Put a cushion on the waist to support the waist.

Supply: Wang Yongfei, Henan Orthopedic Hospital

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