How to physical exercise for patients with lumbar disc herniation?

For patients with lumbar disc herniation, the ability to play sports is determined by the patient’s condition. Generally speaking, during the acute attack of lumbar disc herniation, it is necessary to rest on a hard bed and take appropriate treatment, and sports are absolutely prohibited. During the remission period of the acute attack of lumbar disc herniation or patients with only mild symptoms in remission, they can participate in sports appropriately, but they should exercise slowly and control the amount of activity appropriately, gradually] avoid sudden and strenuous exercise, and choose sports items, choose sports items with relatively light lumbar activity and load at the beginning, and take such measures as wearing wide belt or waist circumference during exercise. Protective measures. Generally speaking, exercise for patients with lumbar disc herniation can be divided into three main types. 1, lumbar joint activities that is, try to do lumbar extension and flexion without causing pain or discomfort, when the extension and flexion range increases to cause pain or discomfort, then slightly increase some. The purpose is to maintain lumbar flexibility, reduce pain and improve the function of the lumbar joints. 2.Static exercise aims to enhance muscle strength so as to maintain the stability of the movable joints, which can increase the strength of the patient’s activities such as weight-bearing, lifting and support. Static exercise should pay attention to minimize joint tension, the method is to avoid stress on the joint, but use muscle strength to push and pull a fixed object. This fixed object may be a wall, part of the body itself or exercise straps, sticks and so on. For example, when pushing a wall, you can feel the muscles working, but the wall does not move and the joints do not move. Another example is sitting on a chair, hands on both knees force, both knees also on the hands of the reaction force, then the upper and lower limb muscles are working hard, but the body does not move, the joints are not moving. These exercises are examples of isometric exercises, which are good for strengthening the muscles. 3, endurance exercise is a much more active exercise, such as walking, swimming, cycling, jogging and other forms of exercise. It should be noted that endurance exercise is more than simply strengthening the body, but is part of the treatment of lumbar disc herniation. Exercise accelerates blood flow, dilates blood vessels, promotes local and systemic circulation, and also thickens muscle fibers. Exercise can also improve cartilage nutrition and also stretch contracted and adherent tissues to maintain their normal form and further improve function. For patients with lumbar disc herniation, the main thing is to choose an exercise program that is suitable for you and to do it gradually and consistently. The most common problem with endurance exercise is over-exercise, so it should be escalated gradually in terms of distance, time and weight, depending on your situation. It is worth noting that the exercise caused by pain lasting longer than 2 hours, then attention should be paid to reduce the amount of exercise. (1) Distance: This applies to exercises such as cycling, swimming, climbing and going up stairs. For example, if you are currently able to walk 200 meters easily, walking exercise can be first set at 200 meters per walk, three times a week for two weeks, and thereafter the distance can be increased by 50~100 meters every two weeks until you are able to walk 500~1000 meters or more each time. (2) Time: The second way to upgrade endurance exercise is to extend the time. In fact, in many kinds of exercises, increasing time and increasing distance are the same thing, such as walking and cycling. Begin to exercise the time to master to feel comfortable after exercise, such as pedal fixed bicycle, start each pedal 3 ~ 5 minutes, 3 times a week. Continuous 1~2 weeks, after every 1~2 weeks to increase 2~3 minutes, until each time can pedal 20~25 minutes. (3) Weight: When performing certain endurance exercises, such as taking a walk, you can gradually increase the load, thus increasing the endurance. For example, carry 150 grams of weight at the beginning, and increase by 50~100 grams every 1~2 weeks thereafter.