We once met a casualty who had back pain after a fall. At that time, both legs were able to move and felt normal, but after being carried to the hospital by his workmates, it was found that he could not move both legs, and after the doctor’s examination, it was found that he had a spinal fracture complicated by spinal nerve injury. In this case, the fracture was caused by improper handling, so let’s talk about how to deal with traumatic injuries after a fall. No matter how the injury is, the first thing to do is to properly protect, of course, there are two meanings of this protection, one is to protect the whole body, because we are often outside activities or walking when we are injured, then you should immediately leave the place where the danger may occur, such as the middle of the road, the sides of the construction site, crowded places, etc., to avoid another unnecessary injury. Another kind of protection is to protect the injured part, limit the activity of the injured part, we call it braking, limit the activity of the injured part has several benefits, first can avoid inappropriate activities caused by secondary injuries, some people feel as if they can still walk after the sprain, they think it is not a fracture, so they continue to move, the result is that the original incomplete fracture becomes a complete fracture, the original undisplaced fracture becomes a displaced fracture, the original non-comminuted fracture becomes a displaced fracture. The original fracture did not shatter into a comminuted fracture, originally around the good ligament joints are pulled; this is like a car flat tire and continue to drive, the original is the inner tire burst, the result of the outer tire including hubs and what is broken, and finally can only replace the entire part, but the car can change parts, we can change parts? Oh, so we say that this is because of inappropriate activities aggravate the local injury. Once the injury should be done after proper protection, clear injury severity, for any kind of injury is very important; second local braking can reduce local reactive swelling, conducive to early recovery, we can often see, sprains or bruises often occur after the local swelling pain, Chinese medicine’s explanation is the trauma caused by qi stagnation blood stasis, but in fact, there is also a distinction, the general qi stagnation is The pain is more obvious than the swelling, and the pain and swelling caused by qi stagnation is easier to dissipate, while blood stasis is heavier swelling, accompanied by local bruising, once formed, it takes a longer time to dissipate, we say in Chinese medicine “qi hurts pain, shape hurts swelling”, so in the early stage of injury we should try to control it in the stage of qi stagnation In this way, even if a fracture exists, there will be a better recovery environment. Therefore, after the injury, regardless of whether there is a fracture, should be localized immediately to protect and restrict activities, those who rub hard, want to activate blood stasis, is absolutely not possible, will only be more and more swollen. More and more pain, the injury is getting more and more serious. How can bystanders help the elderly who have fallen? It should not be difficult to answer the question of whether we should help an elderly person who has fallen when we see him around us, and whether we should rescue the injured elderly person, but how to help the elderly is only appropriate, we can refer to the “Technical Guidelines for Fall Intervention for the Elderly” published by the State Ministry of Health on September 6, 2011. The guide suggests that if the elderly try to stand up by themselves, they can be assisted to get up slowly, sit or lie down to rest and observe, and only leave after confirming that they are okay; if the elderly are unconscious; or if the elderly are conscious, but after questioning, it is found that the elderly cannot remember the fall, they should be considered as possible syncope or cerebrovascular accident, and those present should immediately call the emergency number. If there is trauma or bleeding, stop the bleeding and bandage immediately; if there is vomiting, tilt the head to the side and clean the vomit from the mouth and nose to ensure smooth breathing; if you need to move, ensure smoothness and lie down as much as possible. If there is no relevant expertise, do not just move, so as not to aggravate the condition, you should immediately call the emergency number; query whether there is lumbar, back pain and incontinence and other indicators of lumbar spine damage situation, then someone is asking, if the injury after how to recover? 1, how to recover after injury tendons There are people think that if the injury, go to the hospital to check that the bones are not fractured is fine, even if a little swelling and a little pain is okay, and then want to go shopping, want to dance to go dancing, the results of time found that the original painful parts or repeatedly in pain, swollen places can not be swollen for a long time, the new injury has become an old injury. In fact, we can not ignore the rehabilitation of the injured tendon, and this rehabilitation treatment can be carried out at home, and the rehabilitation treatment carried out at home itself mainly includes the following items: 1 hot compress, which is helpful for the elimination of local swelling and the reconstruction of blood circulation; 2 functional exercise without resistance, this exercise can prevent the adhesion of the joint, and at the same time can promote the dissipation of bruising and swelling with this kind of exercise. After the treatment of fracture, how to recover the function (briefly talk about the rehabilitation in the hospital, focus on how to recover at home) Generally, after the fracture, the hospital doctor will recommend the first cast or splint fixed, or is the surgical treatment Fixed back home, how to rehabilitate the treatment, in fact, except for the fixed joint parts, other parts should be exercised as soon as possible, and exercise In the early stage after the fracture, there is another way to promote the healing of the fracture. The force of the percussion should be such that the fracture site can feel the vibration and mild soreness, not too light and not too heavy, too light is not effective, too heavy is not good for some comminuted fractures and oblique fractures, which may cause displacement. No matter what kind of fracture, whether you are treated surgically or non-surgically, after the removal of fixation, the fracture site and the adjacent joints are bound to have more or less dysfunction, which needs to be restored by functional exercise, and many patients will find that there is a very obvious feeling of tugging during the exercise of these parts, which is the effect of adhesions, and sometimes the serious bruising and swelling at the time of the injury will aggravate this situation, that western medicine The doctor may instruct each patient to strengthen the functional exercise, while we have the advantage of Chinese medicine and patients can carry out treatment at home, is to use the soup decoction of Chinese medicine to fumigate the affected area, such treatment has the effect of activating blood circulation and removing blood stasis, dredging the meridians, if the patient has time, we can use the internal and external use of Chinese medicine at home combined with the doctor’s guidance for different parts of your If the patient has time, we can use Chinese herbal medicine at home to treat the fracture and the function of the fracture. How can the elderly avoid trauma after a fall? The occurrence of falls in the elderly is not an accident as commonly believed, but a potential danger, so falls in the elderly can be completely prevented and controlled. In fact, in order for the elderly not to be injured or not to develop serious consequences after injury, they need to rely on the usual conditioning, and the main principle is to strengthen the tendons, bones and coordinate the whole body. The main principle is to strengthen the muscles and the stability of the joints. We often say in Chinese medicine that as the elderly grow older, the tendons lose their strength, and the tendons do not relax, which means that the tendons of the elderly are like rubber bands that age and relax, and cannot restrain the relationship between bone and bone well. Once the ligaments degenerate, the function of the corresponding nerve receptors is also affected, and they cannot inform the brain about the state of the joint very well and quickly, and once an injury occurs, the brain cannot control the muscles very quickly for coordinated protection, and thus an injury or even a fracture occurs. Nowadays, some tiptoe training can help maintain the stability of the muscles and ligaments around the ankle joint and prevent joint degeneration, but I think that from the point of view of functional coordination, slow and continuous exercise is more conducive to the adjustment training of the stability of each joint, such as taijiquan (fan, sword), baguaquan, etc. have a good effect, and the simplest slow walking stone road is also conducive to improving the response of the bottom of the foot to the feeling of the road. Strengthen bones: tonifies the liver and kidneys, strengthens tendons and bones. Coordinate the whole body: you can do some practice, mainly Taijiquan, Five Animal Play, etc.