1, supine health care method

Patients with low back pain take supine position. First, support his feet, elbows and head at five o'clock in bed, and lift his waist, back, buttocks and lower limbs off the bed surface. When he feels tired, he will return to a calm supine position to rest. Repeat this method for about 10 minutes, and exercise once in the morning and once in the evening.

2, prone health care method

The patient takes a prone position, puts his upper limbs behind his back, and then forcibly lifts his head, chest and legs off the bed surface, making his body in an inverted arch shape until he feels a little tired. This method is repeated for about 65,438+00 minutes, once every morning and evening. If you persist in exercising for a long time, you can prevent and treat the occurrence and development of lumbar muscle strain and bow-waist syndrome.

3, low back tapping massage health care method

The patient sits first, holding his left hand in an empty fist state, and using his left fist on his left waist from top to bottom. After patting slowly for ten minutes, massage your left hand in your palm for about five minutes, twice a day. Finally, your right hand and left hand move in the same way. The effect is best when you can feel the feeling of fever in the massage area, so you will feel very relaxed after exercise.

4. Hot compress or physical therapy

Every night, you can use a hot water bag or a therapeutic spirit to hot compress the painful part, or you can use bran 1.5 kg. After frying in an iron pan, add 0.25 kg of vinegar, stir well, put it in a self-made cloth bag, and then put it on the low back pain area and cover it with a quilt for heat preservation and hot compress. You can buy a far infrared hyperthermia instrument or Zhou Lin spectrometer for physical therapy. This method can promote blood circulation in the waist, dispel wind and remove dampness, promote blood circulation and dredge collaterals.

5. Drug therapy

Patients with lumbar muscle strain and obvious tenderness points can be blocked with 1 ml prednisolone needle and 5 ml 1% procaine, once a week, and three times is 1 course of treatment. After the low back pain is relieved, you can start waist exercise. You can also take Tongbi tablets or Zhuanggujie pills, enteric-coated aspirin and indomethacin orally to consolidate the therapeutic effect and prevent the recurrence of low back pain.

Clinical manifestations of lumbar sprain with extended data;

Patients have a history of lifting heavy objects, and some patients complain about hearing the bell. After the injury, the severe person has severe pain and cannot move immediately; The light person can still work, but the pain gets worse after rest or the next day, and he can't even get up. At the time of examination, the patient's waist was stiff, the lordosis disappeared, and there was the possibility of scoliosis and sacrospinous muscle spasm. There are obvious tenderness points in the injured area.

1, with a history of lumbar sprain, more common in young adults.

2. Severe pain in one or both sides of the waist, limited activity, inability to turn over, sit and walk, and often maintain a certain forced posture to relieve the pain.

3. Lumbar muscle and gluteal muscle spasm, or cord-like hard objects can be touched, the injured part has obvious tenderness points, and the physiological curvature of the spine changes.

4. I feel low back pain after trauma and can't continue to exert myself. Pain is persistent, aggravated during exercise, and cannot be eliminated after rest. Cough, talk loudly, abdominal exertion, etc. Will increase the pain. Sometimes there is a noise or a sudden fracture of the waist when you are injured.

5, the waist is stiff, it is difficult to take the initiative, it is difficult to turn over, and the sacrospinous muscle or gluteus maximus is tense, which makes scoliosis.

6. There are tenderness points at the injury site, such as the sacrospinous muscles on both sides of the spinous process, the transverse processes of both sides of the lumbar spine or the tenderness behind the iliac spine, which are mostly muscle or fascia injuries. Tenderness on both sides of spinous process is mostly caused by intervertebral facet joint injury. Those who have tenderness in sacroiliac joint are mostly sacroiliac joint injuries.

7. Generally, there is no radiation pain in lower limbs, and some patients have pain in lower limbs. The straight leg elevation test was positive and the reinforcement test was negative. When it is difficult to identify, procaine can be used to block local pain points. If the pain point is relieved or disappeared, it is involved pain, and if the leg pain has not changed, it is nerve root radiation pain.

References:

Baidu encyclopedia-flashing waist