If you are a patient with lumbar disc herniation, you need to pay attention to the following aspects in the rehabilitation process: 1. Establish confidence in rehabilitation Due to the acute and chronic lumbar pain after the disease, abnormal sensation in the lower limbs, which in severe cases leads to a decline in living ability and affects the normal life and work of the patient. Therefore, most patients produce anxiety, fear, depression, dependence and other adverse psychological reactions. In fact, for most of the low back pain caused by lumbar disc herniation, non-surgical treatment has good effect and is the treatment method of choice for most patients; only a few patients who are not sure of the effect of long-term non-surgical treatment, or who have some effect but have recurrent symptoms, can consider surgical treatment; a few patients who have lower limb muscle paralysis and urinary and fecal dysfunction due to severe nerve compression should be operated as soon as possible; in addition, a few In addition, a small number of patients with acute onset of symptoms, severe pain, and serious impact on life, and it is estimated that non-surgical treatment is not effective, surgery can be considered as early as possible. The recent results after surgery are generally good. A 20-year postoperative follow-up survey in the Department of Orthopedics of China-Japan Friendship Hospital found that the success rate of surgical treatment for lumbar disc herniation is 85% to 90%. 2, acute onset of bed rest In the acute phase of the disease must be less active, reduce the number of lumbar flexion and extension, the patient better absolute bed rest 72 hours. If necessary, you can wear a special medical bib to increase abdominal pressure and ensure the stability of the lumbar spine. However, medical bibs should not be worn for a long time, so as not to cause lumbar muscle atrophy. Resting on a hard bed can make the pain symptoms significantly relieved or gradually disappear. The lumbar disc pressure is highest in the sitting position, middle in the standing position and lowest in the lying position. If the pain does not recur, light work will be resumed gradually in 4 to 6 weeks, and the time of lumbar girth protection is generally 1 to 3 months according to the condition. 3.Scientific exercise After the pain is relieved, you can start to focus on increasing the function of the lumbar back muscle exercise, all in a hard bed. Early and gradual rehabilitation training methods include: ① straight leg raise method: supine position, hands under the buttocks, slowly lift both lower limbs, knees can be slightly flexed, adhere to 10-15 seconds, and then repeated, can effectively prevent nerve root adhesion; ② five-point support method: lying down, with the head, elbows, feet five-point support, the hip will be propped up, raised to the highest position; ③ four-point support method: with hands and feet to support the body all in an arch bridge; ④ three-point support method: lying flat, with the head, feet three points of support, the back of the buttocks will be propped up, the hips as high as possible (except for patients with cervical spine pathology); ⑤ swallow method: prone, head, double upper limbs, double lower limbs rear extension, abdominal contact with the bed area as small as possible, in the shape of a swallow. All of the above exercises 3 to 4 times a day, 15 to 20 times each time, gradually, gradually increase the number of times, and should be adhered to for more than six months after healing. When the disease is not attacked, the activity is not restricted, but must first warm up, do more preparatory activities, and exercise with the correct waist. Among the various fitness methods, swimming without weight-bearing is most suitable for patients with lumbar disc herniation. 4, stand and sit labor has a delicate standing feet apart and shoulder width, walking chest abdomen and head, sitting upright, so that the lumbar back muscle contraction. Avoid stretching, sharp turn, sudden rise, sedentary, strenuous jumping and running action, should not do a large bending and weight bearing to reduce the pressure on the intervertebral discs. The lumbar forward movement should be reduced, bend the hip and knee when extracting objects, straight waist to take things; squatting and lifting heavy objects, the back should be straight and not bent; when carrying heavy objects, rather push than pull; when carrying and lifting heavy objects, the hip and knee should be bent and squatted, the waist and back straightened, mainly applying quadriceps strength, lifting heavy objects with force, and then walking. Avoid taking uncomfortable, tense position or posture to prevent aggravation of lumbar injury. 5, massage do not long time lumbar disc herniation patients do not do a long time massage, easy to trigger the yellow ligament hypertrophy, resulting in lumbar spinal stenosis, is not conducive to recovery. 6, indoor and outdoor temperature difference do not too big attention to indoor and outdoor temperature difference is not too big, the temperature is suddenly high and low easy to cause lumbar disc herniation recurrence. Do not use air conditioning in the summer “greedy cool”, indoor and outdoor temperature difference in about 5 ℃ is more appropriate. 7, what kind of bed is more suitable too soft bed in the human body weight pressure can form the middle low, four high side of the form, it is easy to cause the lumbar back muscle tension increase, day after day leads to local muscle, ligament balance disorder, directly affect the physiological curve of the lumbar spine, so that the disc force is not uniform. Therefore, from the perspective of treatment and prevention of lumbar disc protrusion (bulge) disease, the choice of hard bed is more appropriate. But the simple application can also make the lumbar vertebrae produce mild curvature, so the general use of the bedding should be laid loose and soft suitable, that is, hard board soft pad, so as to maintain the balance of the lumbar vertebrae to a large extent. In addition, the fire bed in the cold areas in the north of China also has very similar advantages to the hard board bed, and can be heated to keep out the cold and produce heat therapy, which is good for relaxing the spastic muscles and relieving pain. 8, scientific diet to regulate nutrition The dietary structure of patients with lumbar synostosis should pay attention to maintaining a balanced diet, especially to consume foods containing more calcium, phosphorus, protein, vitamin B, vitamin C, vitamin E, to ensure sufficient nutrients to enhance bone strength, muscle strength and improve recovery functions. Calcium is the main component of bone, to be fully ingested, in the growth and development period since needless to say, after adulthood bone calcium is also constantly metabolizing. In addition, calcium ions in the blood have a stabilizing effect on the mind. It can play a role in relieving anxiety brought about by pain. Protein is an indispensable nutrient for the formation of muscles, ligaments, bones, nerves, etc. These tissues are also undergoing renewal at all times, requiring large amounts of new protein. B vitamins are essential nutrients for nerve work, not only to relieve pain, but also to eliminate fatigue. The fibrous ring of the intervertebral disc is formed in part by connective tissue. The formation of connective tissue cannot be achieved without vitamin C, especially during the repair phase after the rupture of the fibrous ring, which requires large amounts of vitamin C. Vitamin E has the effect of dilating blood vessels, promoting blood flow and eliminating muscle tension, which is used to relieve pain and slow down tissue aging. The following is a partial list of foods rich in the above nutrients, for lumbar disc herniation patients to use in the dietary regimen. 1, protein content of food are: pork, chicken, beef, animal liver, fish, shellfish, cheese, eggs, soybeans, soy products, etc.. 2, calcium content of food are: small fish, milk, cheese, yogurt, sesame, roti, leafy vegetables, seaweed, etc.. 3, vitamin B content of food are: pork, eggs, animal liver, mackerel, sardines, salmon, soybeans, peanut rice, sesame, green leafy vegetables, corn, wheat bran, etc. 4, rich in vitamin C foods are: sweet potatoes, potatoes, cabbage, cauliflower, rape, peppers, cilantro, celery, strawberries, persimmons, lemons, oranges, etc. 5, high vitamin E content of food are: eel, vegetable oil, almonds, peanut rice, sesame, soybeans, mackerel, fish roe, scallops, etc.