Psychological relief and exercise methods for lumbar disc herniation

Lumbar disc herniation is defined as a disease in which the herniated nucleus pulposus compresses the nerve roots after the rupture of the annulus fibrosus, causing mainly low back and leg pain. There is no name of lumbar disc herniation in Chinese medical texts. The lumbar intervertebral disc is equivalent to a micro-movement joint and is composed of a hyaline cartilage plate, a fibrous ring and a nucleus pulposus, which are distributed between the lumbar vertebrae. The lumbar intervertebral disc degenerative changes or trauma caused by the rupture of the fibrous ring, the nucleus pulposus from the rupture, compression of the lumbar nerve, and the emergence of lumbar leg radiated pain, so the medical profession considered lumbar disc herniation belongs to the category of “lumbar leg pain, paralysis”. The first thing you need to do is to change your lifestyle and understand the disease correctly, and sleep on a hard bed in your daily life. Modern research believes that most patients can be relieved by conservative treatment, rehabilitation exercises play a pivotal role in lumbar disc herniation. 1, psychological guidance: (a) fear of psychology: each lumbar disc herniation patients are most worried about causing paralysis, fear of losing the ability to work and live is the main psychology of patients, especially patients with severe disease or has appeared limb dysfunction, more likely to produce this psychology. Countermeasures: Popularization and education of scientific knowledge of lumbar disc herniation, so that he or she understands that as long as the scientific and appropriate treatment, the above-mentioned situation can be completely avoided, even in severe types, as long as the proper treatment, can also be avoided or improved (or cured) after treatment, in order to eliminate their pessimism, fear psychology. (B) pessimism: Most of the patients who have failed some treatment or have little effect, serious cases can produce pessimism and anxiety. In addition to the factors related to treatment, this psychology is also related to the patient’s psychological role. Countermeasures: Help the patient analyze the reasons for treatment failure or poor efficacy, if the treatment is inappropriate, change to the correct treatment method, if the course of treatment is not enough, help the patient overcome impatience, stabilize emotions, patiently cooperate with treatment, establish confidence to overcome paralysis and treatment. Especially for those with various neuropsychiatric symptoms, limb paralysis and speech disorders, appropriate hints can be given to promote their recovery. (3) Impatience: Mostly related to personality, occupation and age. Many patients hate to be cured the next day, they ask doctors to use the best therapy, the best drugs, and require satisfactory results in the shortest possible time. When the patient’s requirements are not met in the short term, some patients lose confidence, change their primary care physician, and request a change in treatment. Countermeasures: Inform the patient that the evolution of lumbar disc herniation is a slow process, therefore, treatment and rehabilitation will take some time, and more rehabilitation time will be needed as the disease progresses and the degree of severity of the disease increases. Patients must understand this and overcome impatience, otherwise, it will not only affect the efficacy of the treatment, but also keep the patient in an unstable state for a long time, so that it is often difficult to adhere to a treatment that requires a certain amount of time to show its efficacy. Therefore, should also try to overcome and change this psychological state. 2, rehabilitation exercise methods and precautions: rehabilitation exercise is very important for patients with lumbar disc herniation, the root cause of lumbar disc herniation is long-term unreasonable posture, so correction of posture is the core and fundamental. Rehabilitation exercise is the most basic conservative treatment method, which can reduce the compression of nerves and spinal cord by the herniated material and make the symptoms reduce or disappear. Even after surgery, rehabilitation exercises should be used to consolidate the effect and avoid recurrence. The correct posture is to keep the waist and spine upright and to reduce lumbar lordosis. Walking backwards is a proven method, as the body’s center of gravity moves backwards when walking backwards, which is good for the uprightness of the spine, because the spine is on the back side of the body, so shifting the center of gravity backwards is an effective way to correct posture. The same when standing, the forefoot of both feet on a thick book, as long as the heel is lower than the palm of the foot, the center of gravity shifted back, you can correct the posture. Just the use of external compulsory force, the method in the dance form training teaching, for beginners more commonly used. If you have conditions, you can use negative heel shoes, the sole is high in the front and low in the back, at any time to force the center of gravity backward, in daily life can be used instead of walking backwards, safer and easier to adhere to. Rehabilitation exercise must also be careful not to overdo it, a little fatigue needs to rest, and maintain a low intensity of mild exercise. As long as the body’s center of gravity moves backward, it can correct the posture is conducive to the uprightness of the spine to reduce the curvature of the lumbar spine, slow down the symptoms, beneficial, correct a little is a little, after the symptoms are reduced, still need to adhere to a period of time as consolidation, consolidation period may not feel anything, but the consolidation period is necessary to prevent relapse is what patients need to pay special attention to. At the same time a little to pay attention to the rehabilitation exercise principle of gentle exercise, avoid impatience and eagerness to prevent excessive exercise more than they can tolerate. The patient with a herniated disc should not wear any shoes with a heel, high heels are harmful is common knowledge, and the role of mid-heeled shoes and slope heels are the same, are allowing the center of gravity to shift forward, easily leading to increased spinal curvature, compared with high heels is only a matter of degree, and academics have long pointed out that mid-heeled shoes are beneficial to health is pseudoscience. This unfavorable factor is easy to ignore, for patients with herniated discs, is to add insult to injury, and patients who need rehabilitation exercises should pay more attention. You can also take the following lumbar back muscle exercise methods: 1, 5-point support method and 3-point support method: the patient supine position, hands flexed, that is, with the head pillow. Both shoulders and feet follow the bed force, abdominal convexity such as a bridge, so that the waist and back and thighs and calves leave the bed as high as possible, try to raise the abdomen and knee joints to reach the highest possible height, and maintain 3-5min, and then put down a moment of rest together a fall for a movement, 20 C30 times continuously, twice a day, on the basis of the former method of exercise, to be slightly enhanced strength of the lumbar back muscles to strong support method, namely supine position, hands on the head or placed on the chest, with the head, double heel as a support point to lift the hips, 40 times each time, 2 times a day. 2.Flying swallow: patient lying on the stomach, both lower limbs straight, hands and upper arms back to the hip, palms up, with the abdominal muscles as a support point, lumbar muscles, upper limb muscles and lower limb muscles at the same time force contraction, ang chest / waist lift, as far as possible to make the chest and abdomen leave the bed, such as flying swallow, maintain 5min, above, and then put down for a moment of rest, 5-15 times in a row, according to their physical condition to adjust the number of times, generally start When the number of times should be less, and later increase as appropriate. Abdominal muscle strength training. Move the hip: take the supine position, both legs straight, first the most retreat to the direction of the foot force a stretch at the same time the right leg to the direction of the head shrink to help, at this time the pelvis was left low right high position, and then change the right side, alternating left and right, each 20-30 times. Foot stirrups: take the supine position, try to flex the hip and knee joints, the back of the foot hook tight, and then the heel of the foot to the oblique upper stirrups out. After the stirrups out of the size of the leg muscle contraction tension, in the lower restore, first healthy leg after the affected leg. The two legs alternately do 20~50 times each. Stretch: take a standing position, legs apart and shoulder width, both hands hold the waist, the body to do back stretching action, and gradually increase the magnitude, restore rest and then do, repeat 10 ~ 20 times.