Acute lumbar sprain treated with acupuncture
I. Etiology.
There are two main causes of this disease causing soft tissue injury of the lumbar region.
(1) lumbar sprain: lumbar sprain is mostly caused by walking and slipping, jumping, flashing and twisting the body, running, mostly due to muscle ligaments suffer from strain, so the injury is lighter.
(2) lumbar contusion laceration: lumbar contusion laceration is a more serious injury, such as high climbing, lifting, carrying heavy objects in the process, excessive force or improper posture, with improperly caused by lumbar muscle fascia, ligaments, small intervertebral joints and joint capsule injury and tear.
Second, symptom performance.
Patients immediately after the injury appeared lumbar pain, a continuous severe pain, the next day can be more serious because of local bleeding, swelling, lumbar pain; some just slightly twist the lumbar, there is no obvious pain at the time, but after rest the next day feel lumbar pain. Restricted lumbar movement. The pain can be aggravated by coughing, sneezing or urinating or defecating. The pain is often relieved by holding the waist with hands when standing and by supporting the chair with both hands when sitting.
The pain occurs immediately on one or both sides after the lumbar muscle is sprained; sometimes the pain can occur half a day or overnight after the injury, and the lumbar movement is obstructed, and the pain is slightly lighter at rest, and more severe when moving or coughing. On examination, local muscle tension, pressure pain and traction pain are obvious, but there is no petechial hemorrhage (with the exception of those with external impact).
III. Diagnosis.
The patient has a history of lifting heavy objects, and some patients complain of hearing a crisp ringing sound. After the injury, the pain is severe in severe cases, and the patient cannot move immediately; in mild cases, the patient can still work, but the pain increases after rest or the next day, and he cannot even get up. On examination, the patient is seen to have stiffness of the lumbar region and loss of lumbar anterior convexity, and may have scoliosis and spasm of the sacrospinal muscles. Obvious pressure pain points can be found at the injury site.
IV. Auxiliary examinations.
The auxiliary examination method of this disease is mainly X-ray examination.
1, the injury is relatively light, X-ray plain film no abnormal performance;
2, the injury is serious, the X-ray shows general ligament injury more than no abnormal findings, or see the lumbar physiological protrusion disappeared supraspinous, interspinous ligament rupture lateral film shows increased interspinous distance or combined spine, articular fracture.
V. General treatment.
1, if the countryside travel, and meet the lumbar sprain, the emergency can not find a doctor, in this case, should let the patient absolutely lying down to rest. If travel with a small refrigerator, you can take out the ice, wrapped in cloth, put on the affected area of the waist to reduce the sprain caused by subcutaneous bleeding, while the ice also has a pain-relieving effect.
2, stop work, labor, absolute bed rest. Should be supine on a hard bed, a thick bed, a soft pillow under the waist, can reduce pain and relieve muscle spasm.
3, the day of the sprain do not hot compress and massage, so as to avoid local vasodilatation, oozing blood and aggravate edema. 24 hours later, the local available hot compress, massage, pulling fire groove treatment, or salt fried hot cloth wrapped around the affected area, or with finger
The injured muscles of the lower back can be evenly struck with the fingertips, palm edge or half-clenched fist; safflower oil and rice wine can also be used to apply and rub the affected area to promote local blood circulation and harmonize qi and blood. Muscles, ligaments, fascia, etc. in the sacral area
Acute injury caused by sudden stretching of soft tissues and exceeding their elastic limits. Acute lumbar sprain can be immediately followed by severe pain and even a sense of lumbar rupture. At this time. Lumbar afraid to move, walking difficulties, serious cases even bedridden
The person cannot turn over when lying in bed. The pain in the lumbar region is continuous, and coughing, sneezing, and abdominal exertion can make the pain intensify
Sixth, acupuncture treatment.
1. Acupuncture points: Houxi, Sanma, Lumbar Pain Point
Houxi point is on the ulnar side of the hand, slightly clenched fist, when the distal palm transverse stripe head of the small finger (5th metacarpophalangeal joint) after the red and white flesh interval; three points slightly clenched fist, in the hand after the index finger (2nd metacarpophalangeal joint), radial recess; lumbago point on the dorsal side of the hand, when the 2nd and 3rd metacarpal bones and the 4th and 5th metacarpal bones, when the wrist transverse stripe and metacarpophalangeal joint midpoint, two points on one side, a total of four points left and right.
2.Sprick hair.
Choose 30# or 28# milli-needle, 3 inch 2, 1.5 inch 4, take 3 inch milli-needle, from the Houxi point into the needle to the three points out, take 1.5 inch milli-needle in the lumbar pain point from both sides to the palm oblique stab 0.8 ~ 1.2 inch. After entering the needle can be appropriate to use the twisting technique of lifting and inserting, retaining the needle for 30 minutes, using the technique once every five minutes.