Principles of treatment:

Back muscles relax and accelerate recovery-for example, the pressure of bed rest, in addition to the impact on the body's gravity, maintain a correct rest posture and avoid tight waist muscles.

2。 Appropriate use of drugs, strengthen the efficacy-such as anti-inflammatory painkillers and muscle relaxants, but don't use Chinese medicine indiscriminately, be sure to follow the doctor's advice.

3。 Physical therapy, relieving pain-using the warmth, machinery or electricity generated by physical energy to force its analgesic effect and adjust the tissue back to normal conditions.

4。 Regular maintenance and exercise of abdominal muscles and back muscles.

treat cordially

1。 Conservative treatment: bed rest, correct rest posture, medication, exercise to support the body, abdomen and back muscles with a back frame, electrotherapy, traction and physical therapy.

2。 Surgery: Not every patient with low back pain needs surgery, but patients must be properly screened, such as pain, ineffective conservative treatment, severe tension loss, and insufficient spinal stability. Of course, patients must also be willing to undergo surgical repair before surgery.

3。 Treatment in convalescence: First, we should maintain the correct posture and activities in daily life, such as sitting, standing and sleeping correctly, and then do more rehabilitation exercises to strengthen the muscles of the back and waist.

/& gt； Correct posture article

The importance of health care, understand the correct posture in daily life, waist and back, and tell us what is the correct posture.

1。 Correct posture: the body should ride the pedal flat without hunchback, and the height of the chair needs to be in the backrest of the chair. It's best to just sit at the knee flexion vertical 90 feet and the height behind the thigh, and then have the opportunity to put a small bench under your feet. The chairs sold in the market are all shaped to protect the waist, and they can also be padded on the waist to enhance the support effect on the waist, especially for long-term cars. Those who have cars must be aware of this.

2。 Correct stance: from childhood to adulthood? The lesson of standing at attention, without explaining why, is briefly introduced as follows: straighten your back (to avoid scoliosis-scoliosis), restore your chin and the corrected cervical vertebra (to avoid excessive head reclining and narrowing the intervertebral foramen of cervical vertebra leading to cervical radiculopathy), pull your shoulders back, hold your chest out (to avoid humpback and humpback deformity), contract your flat abdomen, and make your lower back (.

Correct sleeping position: why do you want to mention the correct sleeping position? Because sleeping time accounts for one-third of the time. If this is the time to recover, it will not only lead to lower back rest, but also make you more tired. Because of the incorrect sleeping position, low back pain will haunt your recommendation. You must first find a suitable mattress, which is moderate in hardness and not too soft. Sleeping pills are not hard to find, a suitable bed, lying down and sinking by a third. The right pillow is also important. They must be able to support the neck, spine and cervical vertebrae in order to get enough rest during sleep. As for the sleeping position when I come back, I relax my muscles when I lie flat, and lie beside him with a pillow under my knee, with a soft pillow in the middle. These methods can make the back muscles get a full rest during sleep, and you can sleep more comfortably.

It is very important to add an extra important detail that you may not notice, that is, the posture of getting up and sleeping. The existing patients with low back pain lie sideways (when getting up at the bedside), with their feet on the ground, and then come back and sit up with their hands. Sleep, in reverse order,

Low back pain is the main symptom of pain on one or both sides of the waist, so as to avoid muscle strain caused by excessive support of weight by the waist Shi Liqiang line. A disease and syndrome. Because of western medicine? Nephropathy, rheumatism, lumbar muscle strain, spinal and spinal nerve diseases, lumbago, you can refer to the diagnosis and treatment card.

Treatment and diagnosis of low back pain

Dialectical analysis on the treatment of low back pain

Prepare for emergency money 19 Lumbago Volume 7: "Lumbago, there are five kinds: Shao said that Shao Shen 10 Yueyang is not good. On the basis of lumbago, two winds strengthen the spleen, and the waist is cold. The third is the dispute of kidney, kidney injury and lumbago. In April, I suffered from backache due to falling. Knights need cold sleep, gas injury and low back pain. Pull out all the pain under the back pain. "

Low back pain, due to emotional coldness, blood circulation promoting, blood stasis removing, diuresis promoting, heat clearing and dampness removing, traumatic injury or renal failure, and physical weakness, is often manifested as the basic characteristics of kidney deficiency, such as exogenous pathogens, sprain or strain.

Clinically, we should first distinguish between chills and fever. They may feel that most of the evidence of exogenous pathogens is exterior syndrome and true syndrome. Sudden acute treatment is suitable for dispelling pathogenic factors and dredging collaterals, cold, dampness and heat, and the evidence caused by deficiency of kidney essence is mainly chronic repeated treatment of internal deficiency. Seven levels of tonifying kidney/> Diagnosis and treatment of low back pain

Cold syndrome, please refer to] Cold pain in the waist in rainy days makes the unfavorable rest worse, with white and greasy tongue coating and heavy pulse.

Methods Dispelling cold and warming gas field.

Formula]

1 Zhu Ling decoction (Zhang Zhongjing's synopsis of the golden chamber)

Prescription: Zingiberis Rhizoma 12g, Radix Glycyrrhizae Preparata 9g, Rhizoma Atractylodis Macrocephalae 15g, Poria 20g, Cortex Eucommiae 12g, Radix Angelicae Pubescentis 20g, Radix Achyranthis Bidentatae 20g and decoction 15g.

Chinese patent medicine

(1) Lumbar pain, twice a day, three times a day.

(2) Jin Shu Huoluo Pills, 1-2 capsules once, twice a day.

(3) Lumbar Bitong Pill, one pill at a time, three times a day.

Unilateral prescription

(1) Operation Arbitrary Decoction (prescription Liu Guoping)

Prescription: 30g of Atractylodes macrocephala, 20g of Coicis Semen, and 0/5g of herbal decoction/kloc-.

(2) Dried ginger herbal powder (Li Zhenqiong's Empirical Formula of Turning Decadence into Magic),

Prescription: 50g of dried ginger, 0g of herbal medicine10g, 0g of angelica15g, 95% alcohol, sieving, baking and locally heating to the affected area. every day

(3) Strong waist

Prescription: Radix Aconiti 30g, Cortex Cinnamomi 30g, Rhizoma Zingiberis Recens 30g, angelica powder 20g, Arisaema cum bile 20g, Radix Paeoniae Rubra 30g, and Camphor 20g, grind * * * into very fine powder, each time for 30? 50 grams, mixed with water into a paste, applied to gauze, while hot on the pain, changed every other day.

Damp-heat syndrome] Fever accompanied by low back pain is aggravated in hot days or rainy days, which can reduce red urine and yellow greasy tongue coating after exercise. , pulse slip number.

The treatment is to clear away heat and promote diuresis, relax muscles and collaterals.

[prescription]

1。 Add and subtract BR/& gt；; The wonderful sound from the main square. Prescription: Rhizoma Atractylodis, Cortex Phellodendri 12g, Coicis Semen 30g, Flos Lonicerae, Rhizoma Dioscoreae Septemlobae 20g, Fructus Chaenomelis, Radix Stephaniae Tetrandrae, Cortex Erythrinae, Radix Achyranthis Bidentatae 15g, and Radix Glycyrrhizae 6g, decocted in water.

Chinese patent medicine

(1) Huoluo Zhitong Pill, L Pill each time, 3 times a day.

(2) Small Huoluo Pills, one pill each, twice a day.

3。 Unilateral prescription

(1) Eupolyphaga Seu Steleophaga powder: 7 Eupolyphaga Seu Steleophaga, dry and grind the coarse end, soak it in 30 ml of Chinese liquor 1 day and night, and take it to the residue once a day.

(2) Bushen Huoxue Decoction (Lai Tian Ge's Clinical Magic New Party)

Prescription: Radix Angelicae Sinensis, Radix Paeoniae Rubra, Fructus Chaenomelis, Rhizoma Alismatis each10g, Radix Rehmanniae15g, Semen Persicae, Flos Carthami, Rhizoma Chuanxiong, Ramulus Cinnamomi, and Honeycomb each 6g and 9g. Salvia Miltiorrhiza and Poria cocos 12g, decocted in water.

Kidney deficiency [syndrome] Low back pain, weakness of feet and knees, and even worse, lying down, often recurring attacks. Pulse or fault.

Methods tonify kidney and replenish essence.

[prescription]

In the main square, Zuo Guiwan (Zhang Jiebin's Complete Works of Jingyue) is increased or decreased.

Prescription: Radix Rehmanniae Preparata 15g, Rhizoma Dioscoreae 20g, Fructus Lycii, Fructus Corni, Semen Cuscutae, Poria, Cortex Moutan 12g, Herba Taxilli and Carapax et Plastrum Testudinis (fried first) 30g, Radix Achyranthis Bidentatae 15g, and Rhizoma Alismatis with Cortex Moutan 10g.

If you are short of people, you want to go to Cortex Moutan, Alisma orientalis, Radix Aconiti Lateralis Preparata 12g, Cortex Eucommiae 15g, Cortex Cinnamomi 5g, Herba Epimedii 12g, and Plastrum Testudinis.

Chinese patent medicine

(1) Jin Shu Huoluo Jian Yao Pill, 5g, three times a day.

(2) Guxian tablets, 4.6 times each time, 3 times a day.

(3) Yao Qiang Bushen Pill, each time10g, three times a day.

3。 Unilateral prescription

(1) Psoralea corylifolia powder: Psoralea corylifolia 10g, decocted in yellow wine at the end of the year, and taken once a day.

(2) (Come to Tian Ge's Clinical New Shenfang)

Prescription: Radix Aconiti Lateralis Preparata 12g, Herba Epimedii, Radix Morindae Officinalis, Cortex Eucommiae, Herba Taxilli, Radix Astragali, Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Radix Paeoniae Rubra, Radix Paeoniae Alba, Radix Achyranthis Bidentatae 15g, Rhizoma Chuanxiong 9g and Caulis Spatholobi 30g. Decoct.

(3) Wenshen Tongluo Decoction (from Tian Ge's Clinical Magic New Party)

Prescription: Radix Aconiti Lateralis Preparata 18g, Ramulus Cinnamomi 9g, Herba Epimedii 18g, Radix Morindae Officinalis 15g, Radix Paeoniae Alba 15g, Radix Salviae Miltiorrhizae 15g, Radix Achyranthis Bidentatae 15g and Radix Angelicae Sinensis 65438+5g.

(4) Bushen Zhuangyao Decoction (Li, Chaofang)

Prescription: Radix Rehmanniae Preparata 20g, Cornus officinalis 15g, Chinese yam 15g, Eucommia ulmoides Oliv. 12g. , Rhizoma Cibotii 12g, Radix Paeoniae Rubra 15g, Radix Salviae Miltiorrhizae 15g and Herba Taxilli 30g.

Other therapeutic smearing methods

(1) kusnezoff monkshood 15g, ginger 10g, a little salt, finely ground * * * Jin, fried with a little wine, and the external application of cloth is heartbreaking. Suitable for cold-dampness lumbago

(2) 30g of scallion and 0g of rhubarb10g, mashed by * *, fried and externally applied, which is heartbreaking. Suitable for damp-heat lumbago.

(3) Angelica sinensis, Ligusticum Chuanxiong, Olibanum and Myrrha, each 30g, and vinegar 300ml, soaked in vinegar for the first four hours, and then moved into a pot for heating 10. Then soak gauze and put vinegar, and hot compress Liang Yu lumbago instead of continuous application for 4-6 hours each time, twice a day, which is suitable for blood stasis lumbago.

Ironing method: cinnamon 30g, Evodia rutaecarpa 90g, ginger 120g, light blue 30g, pepper 60g, stir-fried, hot-wrapped, rolled, cold-drawn and hot-fried. Suitable for lumbago due to kidney deficiency.

3。 Acupuncture generally takes Shenshu Venezuela, and for those with cold and dampness at local acupoints or Ashi points, Fengfu, Yaoyangguan strain, Shu Ge, subacute, kidney deficiency and important Fructus Aurantii Immaturus and Taixi are added. According to the actual situation, the syndrome should be treated by reinforcing and reducing method, flat reinforcing and reducing method or acupuncture method. Severe low back pain, cupping and bloodletting at waist acupoints.

prescribe a diet

(1) Eucommia ulmoides pot kidney: Eucommia ulmoides 30g, 1-2 kidneys, add appropriate amount of water, and take the soup for kidney deficiency and lumbago.

(2) Pepper root snake hot pot: 50 grams of pepper root? 250 grams of snake soup, seasoned, suitable for low back pain caused by cold and dampness. BR/>； 5。 Massage therapy was first applied to low back pain and peripheral rolling or extrapolation, according to Shenshu, Dachangshu, Hirschsprung's disease and tender points, plus acupuncture points according to syndrome differentiation or appropriate corresponding actions. Then press, rub, rub.

6。 Preventive nursing

To prevent low back pain, you should avoid sitting or lying on the wetland. If you wade, you should develop a hobby of sweating in the locker room, rubbing your body outdoors all night or eating cold drinks. It rains in summer or your body is hot, wet and steaming. What you should avoid is not trying to lift weights, and you are not ready for strenuous exercise. Kaben is in the kidney, so we should avoid sexual slavery and take care of low back pain too much. Can be used for self-massage, waist exercise, Tai Ji Chuan, bathing or bathing with hot water.

Low back pain is a symptom of waist, unilateral or bilateral pain, which occurs in both men and women, most of whom are women. According to statistics, low back pain is the main cause of gynecological outpatient service, accounting for about 10% of patients. The common causes of treatment are as follows:

Women who have been engaged in textile, printing and dyeing, hairdressing, sales and other standing jobs for a long time have weakened their ability to stretch ligaments due to the continuous erection of lumbar tendons, and accumulated too much lactic acid locally, which inhibited the normal metabolism of lumbar muscles. It may also lead to low back pain due to lumbar muscle strain, frequent backpacking, excessive waist burden, prone to scoliosis, resulting in lumbar muscle strain.

Parasitosis, urinary tract infection, because the female urethra is short and straight, close to the anus with the external urethral orifice, and there are often Escherichia coli, combined with the physiological characteristics of women, urinary tract infection is more likely to occur. If health is neglected, acute and chronic pyelonephritis caused by low back pain manifests as low back pain and radiates to perineum along ureter. Severe urinary tract infections, urinary calculi, tuberculosis and other diseases may also cause back pain.

Reproductive diseases, the life span of female reproductive organs is about 400 times. Some women have also undergone abortion and birth control surgery by shouldering the tasks of pregnancy and childbirth, so the incidence of genital inflammation, salpingitis and pelvic inflammatory disease is high. Inflammation is easy to be complicated with low back pain, uterine contraction and retroflexion, and women also have serious reproductive diseases such as low back pain, hysteromyoma, cervical cancer and ovarian cyst.

Low back pain caused by cold and trauma, rheumatism and rheumatoid arthritis in women, usually due to wind invasion and wet cold during menstruation, childbirth and postpartum, leading to long-term stimulation of the spine. Lumbar sprain may develop into disc herniation, and even affect the flexion, extension and rotation of the spine.

Fatigue during pregnancy and postpartum, with the growth of the fetus, the lumbosacral ligament and pelvic floor of pregnant women are relaxed, and the weight of uterus and gestational age increase, so that the center of gravity of the body moves forward. In order to keep the balance of the body, the waist tends to lean forward, which will cause back pain if you don't pay attention to rest. During pregnancy, fetal development needs enough nutrients such as calcium and phosphorus. If the intake in the diet is insufficient, it will cause osteomalacia and decalcification of pregnant women, thus causing back pain. Excessive bleeding during puerperium, or premature delivery, fatigue, cold, etc. It can also lead to low back pain.

VI is more common in the lumbar vertebrae of elderly women, and the symptoms of lumbar nerve compression will get worse with age. Spondylolisthesis caused by pseudospinal degenerative diseases may lead to lumbar spinal stenosis, which is a common disease. Compressing the spinal cord and nerve roots leads to low back pain and sciatica, which is often caused by osteoporosis leading to vertebral collapse and fracture. The formation of osteophyte in the elderly can cause spinal stiffness and persistent low back pain.

Menopausal women will also suffer from low back pain due to autonomic nervous dysfunction, which is manifested in early morning activities to alleviate the influence of irregular menstruation, dysmenorrhea or emotional crisis, and is also prone to low back pain.

Low back pain is not considered as "tension"

There are many reasons for low back pain. There are dozens of common diseases, such as lumbar hyperosteogeny, bone spur, disc herniation, lumbar hypertrophy, spinal stenosis, lumbar fracture, spinal cord tumor, acute and chronic lumbar trauma or strain, lumbar muscle strain, chronic low back pain of ankylosing spondylitis, etc. In order to exclude disease factors, the general examination is often "lumbar muscle strain". In fact, 40% of low back pain is caused by chronic compartment syndrome. The age trend of low back pain in young people is also very obvious. Some people get this disease when they are 18 years old.

The low back position of the car body provides support and protection for the human body. People who sit in the office for a long time, or because they work for a long time, maintain a posture for a long time and lack exercise, are easy to cause lumbosacral pain and cause chronic osteofascial compartment syndrome. However, some repeated injuries have accumulated the incidence of many patients with chronic low back pain and chronic osteofascial compartment syndrome. It may lead to the disappearance of compartment space in fascia under pressure, muscle blood flow, degeneration of loose adipose tissue, and back pain of patients walking, sitting or having more terrain. Keeping a posture for a long time is easy to hurt your back and hurt your back. Important clinical features of chronic compartment syndrome.

Link chronic lumbago massage

Rub: Sitting posture, put your hands and five fingers together on the left and right back lumbar vertebrae, and slowly rub your palms inward and up and down, which is hot. & ltBR/ Rolling: Make a fist with both hands, roll left and right with your waist down, massage, push your head back and forth repeatedly from bottom to top.

Push: Rub your hands with heat and heat, and push and rub them from top to bottom in the middle of the lumbar spine for 30-50 times until there is fever locally.

Pressing: Put your hands on your hips, press your thumb on your waist eyes respectively, and rotate and knead, first clockwise and then counterclockwise, for a total of 36 times. BR/>； Pinch: Sit with your feet stretched forward, or bend your knees, or pinch your hands while riding, and let your waist muscles 15-20 times. about

Knock: It is advisable to make a fist with both hands, and the hearts of the two fists should beat the waist outward, which will not cause pain almost at the same time. Knock on the door.

Grasp: Hands akimbo, thumb in front, waist motionless, the other four fingers grasp the skin. On both sides of the lumbar spine, I grabbed the tail from the waist with my fingertips, and I grabbed it 36 times at a time with my hands.

Vibration: Hold one waist with both hands, and quickly shake the palm inward at the palm root and 15-20 times at the waist and eyes.

Pressing: Sit down and rub Renzhong point with the fingertips of your left or right hand for 1-2 minutes.

Point: Sit still and point your leg (knee) 1-2 minutes with your fingertips until it appears, according to the feeling of acid, numbness and swelling in the Ministry of Industry and Information Technology.

Problems can be seen in the "walking" of rehabilitation medical knowledge.

BR/>； Gait analysis regularly reveals the causes and laws of abnormal gait, and evaluates the degree of injury and rehabilitation. The rehabilitation doctor uses a special machine to "walk" around the patient, and the doctor provides objective diagnosis of bone, muscle and nervous system diseases such as health, sub-health status, orthopedics, neurology and surgery according to the patient, which provides objective and realistic basis for the formulation of surgical plan, postoperative effect evaluation and rehabilitation treatment effect evaluation.

Four new concepts of orthopedic rehabilitation medicine

* Not only for the rehabilitation of patients with late or sequelae, but also for early clinical rehabilitation, so as to strengthen the recovery of clinical rehabilitation consciousness.

Orthopedic rehabilitation professional skills should not only be mastered, but also be familiar with diseases, such as the principle of injury and whether clinical treatment and rehabilitation are consistent.

It is not only an alliance of rehabilitation therapists in various treatment departments in the team, but also an interdisciplinary team composed of doctors in related clinical departments such as orthopedics, which is closely linked to provide patients with the best rehabilitation treatment.

* We should not only give full play to the role of non-surgical rehabilitation and functional rehabilitation, but also fully understand the value and role of functional rehabilitation necessary for plastic surgery and introduce rehabilitation surgery. Orthopedic surgery should be done for patients in time to correct deformities and enhance their functions.

For a long time, people have always thought that it is best to sleep on a hard bed when complaining about low back pain. In order to verify whether this traditional theory is scientific, Spanish scientists have recently done relevant experiments. The experimental results show that patients with low back pain have moderate hardness mattress types to relieve low back pain, but it is not the hard bed that is often said.

The researchers explained that because hard mattresses can provide better support for the whole body, doctors generally recommend that patients with back pain use hard mattresses. But experiments show that in order to relieve the back pain itself, the hardness of the mattress should be moderate, not too hard. Researchers say that the waist is one of the most prone parts of the body to problems. At some stage, most people will leave back pain in their lives, either because of injury, careless waist or accident. At the same time, few people know that the cost of treating low back pain is staggering.

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