Functional exercise program after lumbar disc herniation Phase I: (total 3-5 days) 1. Supine straight leg raising exercise and lower limb flexion and extension exercise: prevent nerve root adhesions, initially start from 30°, hold time gradually increase from 15 seconds, 10 times/group, 2-3 groups/day. Li Anping, Department of Joint Surgery, Hainan Provincial People’s Hospital 2. Ankle dorsiflexion and dorsiflexion exercises: hold each movement for 10 seconds, repeat 20 times/group, 3-4 groups/day. Phase 2: (mainly do lumbar back muscle exercise) 1. 5-point support method: (5-7 days after surgery) Lie flat on a hard bed, support with head, feet and elbows at 5 points, lift your hips up and lift your buttocks as high as possible. Hold for 10 seconds, repeat 20 times/group, 2-3 groups/day. 2.3-point support method: (7-9 days after surgery) Lie flat on a hard bed, support with your head and feet at 3 points, hold your hips up and lift your hips as high as possible. Hold for 10 seconds, repeat 20 times/group, 2-3 groups/day. 3.4-point support method: that is, arch bridge support method (9-10 days after surgery) lie flat on a hard board bed, use both hands and feet to support the body all the way up in the shape of an arch bridge. Hold for 10 seconds, repeat 20 times/group, 2-3 groups/day. 4.Flying swallow point water method: (10-15 days after surgery) lying prone with the hard bed, head, both upper limbs, both lower limbs posterior extension, abdomen contact bed area as small as possible, in the shape of flying swallow. Hold for 10 seconds, repeat 20 times/group, 2-3 groups/day. (Note: Severe lumbar fractures are unstable fractures, and appropriate lumbar back muscle exercises should be performed to obtain a certain degree of fracture repositioning, and finally get out of bed with a support such as a lumbar girth.) Phase 3: (Beginning 30 days after surgery) Instruct the patient to use the lumbar girth correctly to avoid twisting the spine during activities. Choose a waist girth corresponding to the patient’s body type, generally up to the upper rib arch and down to under the iliac crest, and it should not be too tight. Practice getting out of bed with the lumbar girth on, i.e. standing with feet shoulder-width apart, hands crossed at the waist, chest up and abdomen out, so that the lumbar back muscles contract. When walking with correct posture, head up, chest up and abdomen in, sitting position must be upright, do not bend over. Discharge guidance 1.Continue the exercise content learned in the hospital after discharge, selective implementation, the number of times time depends on the specific situation, the amount of exercise progressively, a certain interval in the exercise, avoid excessive strain on the waist. 2.Do not use waist circumference continuously for more than 3 months to avoid muscle disuse atrophy. 3.Avoid strenuous activities and lifting heavy objects within 3-6 months, avoid sitting, running and jumping as much as possible, avoid sleeping on a soft bed, take a bent knee and squatting posture when lifting heavy objects from the ground to extract, establish a good life style, change sitting posture frequently, strengthen the lumbar back muscle exercise for more than six months to enhance the lumbar muscles and spinal stability. Reduce the onset of chronic low back pain, prevent lumbar injury and review of lumbar disc herniation. 4.Strengthen nutrition and maintain a good state of mind. 5.Pay attention to keep warm and avoid cold stimulation. 6.For simple lumbar compression fracture, get out of bed 8-12 weeks after injury, do not bend, practice bending after 3 months, and participate in labor appropriately after 4-6 months.