How to do osteopathy for back pain?

Osteopathic treatment for low back pain: 1. Release muscle spasm in the lumbar and hip area, the patient is in prone position, and the doctor treats the patient with gentle rolling and pressing in the lumbar and hip area and lower limbs to promote the acceleration of qi and blood circulation in the affected area, accelerate the absorption of water in the herniated nucleus pulposus, reduce its compression on the nerve roots, and also relax the tense and spastic muscles. 2. Widen the intervertebral space and reduce the pressure of the intervertebral disc, the patient is in supine position, and the doctor uses manipulation or mechanical The patient is in the supine position, and the doctor performs pelvic traction with manipulation or machinery to widen the intervertebral space and reduce the pressure of the disc, even to the point of negative pressure, so as to promote the herniated object to retract, and at the same time to enlarge the intervertebral foramen and nerve root canal and reduce the pressure of the herniated object on the nerve root. 3. to increase the pressure outside the disc, the patient is in the prone position, and the doctor presses the lumbar area with both hands rhythmically to make the lumbar area vibrate, and with the affected part fixed, the lumbar area is hyperextended by using the double lower limb posterior extension trigger method, with the purpose of promoting 4.Adjust the joints to release the adhesions, the doctor adjusts the joint disorder and relatively enlarges the nerve root canal and intervertebral foramen by using the lumbar oblique wrenching method or rotational reset, etc. Because of the rotational torque generated by the lumbar spine and its intervertebral disc during the oblique wrenching and rotational reset, the position of the protrusion and the nerve root can be changed, and the adhesions of the protrusion and the nerve root can be gradually released in repeated applications. Forced straight leg elevation in the supine position to pull the sciatic nerve and hamstring muscle can play a role in loosening the adhesions.5. Promote the recovery of function of the damaged nerve root. With the patient in the prone position, the doctor rolls, presses, points, kneads and holds the damaged nerve roots and their distribution areas to accelerate the circulation of Qi and blood, so that the atrophied muscles and paralyzed nerves can gradually recover their normal functions.