Low back pain is a common disease in people’s work and life. Especially among people who work in a sitting or standing position for a long time, patients with lumbar strain are more common. Lumbar muscle strain is a chronic injury to the lumbar muscles, intervertebral discs and ligamentous tissues, and the causes can be summarized as three.
The first, long-term poor work posture, such as bending over with one shoulder to carry heavy objects, or habitual poor posture, so that the lumbar muscles are in a state of prolonged strain, resulting in cumulative strain degeneration, soft tissue fatigue is produced by low back pain.
The second, congenital or acquired deformity of the lumbar spine, or shortened deformity of the lower back, or after trauma to the waist, prolonged bed rest, prolonged fatigue of the lumbar back muscles, etc.
The third one, improper treatment of acute injury to the soft tissues of the lumbar region, or repeated injury so that the tissues cannot be fully repaired, producing fibrosis or scar formation, is also the cause of chronic low back pain.
I. Clinical manifestations
The main symptom is pain in the lumbar or lumbosacral region, with recurrent episodes. The pain may change with climate change or exertion, sometimes light and sometimes heavy, and lingering. There may be widespread pressure pain in the lumbar region, and there are no abnormalities in spinal activities. During acute attacks, various
In acute attacks, all symptoms are significantly increased, and there may be muscle spasm, scoliosis and limited functional activity. Some patients may have pulling pain in the lower extremities, but there is no string pain or skin numbness. The nature of the pain is mostly dull and can be confined to one area or spread throughout the back.
Second, the principle of prevention
People who work in the office for a long time are most likely to suffer from lumbar muscle strain, how to prevent it? This requires frequent changes of position at work and correction of poor posture. Usually to strengthen the exercise and protection of the lumbar back muscles and intervertebral ligaments, in sports or lifting heavy objects before the preparation activities, to prevent sudden force to make the lumbar sprain. You can also often participate in taijiquan, five birds play, fitness exercise, these traditional fitness methods are beneficial to the prevention of lumbar muscle strain.
Third, the principle of treatment
Mainly to reduce the weight, pay attention to rest, medication, physical therapy assistance.
(1) General treatment: In the acute stage of lumbar pain, appropriate bed rest is advocated to prevent further development of the disease, and bed rest with a hard board is appropriate. In severe cases, sandbags can be placed on both sides of the waist for braking.
(2) Western medicine treatment: often oral painkillers such as ibuprofen, fenbid, anti-inflammatory pain, etc., can also be used for local spraying, or hormone plus procaine pain point closure.
Fourth, how to carry out daily health care of lumbar muscle strain
Health care exercises for lumbar muscle strain
The main symptom of lumbar muscle strain is soreness and pain in the lumbar region. The heavier lumbar pain is often accompanied by tension spasm of the lumbar muscles, restricted lumbar mobility and difficulty in bending. Severe cases can affect daily work and life. Practice has proved that exercise health therapy has a better effect on it.
1, lumbar muscle strain of lumbar muscle exercise health care method
Supine health care method: patients take supine position, first feet, elbows and head five points, supported on the bed, the waist, back, hips and lower limbs will force up slightly away from the bed, maintain the feeling of fatigue, and then restore the calm supine position rest. Repeat this method for about 10 minutes, and exercise once a day in the morning and evening.
2, lumbar muscle strain prone health care method
Patients take a prone position, put both upper limbs behind the back, and then force the head and chest and legs up and out of the bed, so that the body is anti-bow type, adhere to until slightly fatigued. According to this method repeatedly exercise about 10 minutes, once a day in the morning and evening. If long-term adherence to exercise, can prevent and treat the occurrence and development of lumbar muscle strain and low head syndrome.
3, lumbar strain injury of the lumbar back percussion massage health care method
Patients use a sitting position, first with the left hand to hold an empty fist, with the left fist in the left side of the waist from top to bottom. After 10 minutes of gentle percussion, then massage or rub the left palm up and down for about 5 minutes, twice a day. Then reverse the exercise method with the right hand with the left hand. They feel a burning sensation in the massage area, the effect is better, and feel comfortable after the exercise. This exercise method can promote the lumbar blood circulation, can release the lumbar muscle spasm and fatigue, for the prevention and treatment of middle-aged lumbar muscle strain good effect.
In addition to this, there are two other exercise methods that can be used for lumbar muscle strain.
① turn the crotch to transport the waist standing posture, hands crossed waist, thumb in front, the remaining four fingers in the back, the middle finger pressed in the lumbar eye, that is, on the kidney points in Chinese medicine, inhale, swing the crotch from the left to the right, exhale, swing from the right to the left, an exhale and an inhale for a time, can be done 8 to 32 times in a row.
② rotate the waist and turn the back to take a standing position, both hands up to the sides of the head and shoulder width, thumb tips and eyebrows the same height, the heart of the hand relative. Inhale, the upper body from the left to the right twist, the head also twisted backwards, exhale, from the right to the left twist, a breath for a suction, can be done 8 to 32 times in a row.