How do patients with lumbar spinal stenosis undergo rehabilitation and care?

  Lumbar spinal stenosis is one of the causes of common lumbar spine diseases such as low back pain and lumbar leg pain. It is often asymptomatic when walking quietly or at rest, and after walking for a certain distance, symptoms such as pain, numbness and weakness in the lower extremities appear, and need to squat or sit down to rest for a period of time before being able to continue walking. With the aggravation of the disease, the walking distance becomes shorter and shorter, and the time needed to rest becomes longer and longer.  1.Physical therapy: various physical factors (sound, light, heat, magnetic, etc.) can improve local blood circulation, relax muscles, eliminate inflammatory edema and local hard nodes, and relieve pain. Such as direct current drug ion introduction therapy, medium frequency electrotherapy, external light therapy and magnetic therapy, etc.  2.Tui-na and massage therapy: manipulation treatment for lumbar spinal stenosis can relax the tendons, disperse the stagnant blood and loosen the adhesions, so that the symptoms can be relieved or disappear. It can be divided into palm massage method, lumbar shaking method, straight foot bending waist method and stirrup traction method.  3.External fixation treatment: (1) In acute attack, bed rest should be taken for 2-3 weeks, and those with severe symptoms can be fixed with flexion-type plaster undershirt or brace to reduce the movement of lumbar back extension; (2) Adopt effective and patient-tolerated traction method, 1~2 times a day, 15~30 minutes each time, 2~3 weeks as a course of treatment.  4, after non-surgical treatment is ineffective and the symptoms are serious, surgery can be used: the purpose of surgery is to release the compression of nerve tissue and blood vessels in the lumbar spinal canal, nerve root canal or intervertebral foramen. Commonly used surgical methods are nerve root decompression, intervertebral plate enlargement opening, laminectomy (total laminectomy, hemi-laminectomy), etc., which can be applied according to the patient’s condition and the operator’s experience.  5, for patients with lumbar spinal stenosis, in addition to the above rehabilitation treatment, the following points should be done: (1) psychological care. Doctors and patients’ families should take the initiative to understand patients’ thoughts and psychological activities, educate and explain the relevant knowledge, eliminate patients’ fears, and enable patients to actively cooperate with treatment; (2) correct daily lying posture. Patients should sleep in a lateral posture in daily life to make the lumbar spine posteriorly convex in order to increase the volume of the spinal canal and reduce compression; (3) functional exercise. After remission, the lumbar back muscles and abdominal muscles should be strengthened, while walking, sitting, squatting, and lateral outward swinging can also be practiced to strengthen the leg muscles.