I. Bed rest
Herniated lumbar disc is not a terminal disease, but if you do not pay attention to daily maintenance, resulting in repeated or aggravated symptoms, the lighter the lumbar pain and limp, the heavier the difficulty in walking, sleepless nights, and even temporary paralysis, incontinence. Daily maintenance plays a vital role in the treatment and rehabilitation of herniated lumbar discs. It can relieve symptoms, reduce pain and improve physical fitness. It can avoid some of the triggers that cause symptoms to worsen such as cold, cough and sneeze caused by the rapid decline of physical fitness during the bed-ridden period, thus shortening the recovery period and playing a role in enhancing physical fitness and preventing recurrence for recovered patients, so it is recommended that patients adhere to lifelong daily maintenance.
Bed rest is the basic treatment for the acute phase of lumbar disc herniation. Bed rest is the consolidation of the exercise and the effect after treatment. After the body is lying down, the center of gravity shifts down and the weight is borne by the head, neck, shoulders, back, waist, lower limbs and heels, so that the force on the spine is greatly reduced and adequate rest is obtained. A hard bed should be used, with a mat 8-10 cm thick and a pillow height of 7 cm is good. Except for eating and urinating and defecating, the patient should stay in bed all day, but should be turned frequently. It should last for at least three to four weeks.
Precautions for the bed rest period: When lying in bed for more than two weeks, try to put a lumbar pad on the flat lumbar area to avoid straightening of the lumbar curvature and avoid pain of the tailbone caused by lying flat for too long. Adhere to the lumbar hot compress and foot soak before bedtime to promote local and lower limb circulation, to avoid the decline of body mass caused by being bedridden for too long and muscle stiffness caused by poor meridian blockage
Atrophy.
Second, hot compress
By applying heat to the waist and discomfort areas can accelerate local circulation, relieve pain, muscle and tendon spasm, nodules, accelerate edema elimination, shorten the edema receding period of sterile inflammation, so as to reduce pain as much as possible, prevent or relieve muscle atrophy and promote recovery. Patients can choose one or two suitable hot compress methods according to their symptoms and conditions.
1, hot water bath: that is, the ordinary bath, pay attention to maintain a higher water temperature, soak until the circumference of the body is hot, no more than 30 minutes. Note: high blood pressure, heart disease patients do not benefit.
2, hot water impact waist: bath remove the shower, with a column of water directly impact the waist and atrophy and discomfort parts, the use of water column impact and heat to play the effect of thermal massage.
3, hot water bag hot compress method: generally with 50 ~ 60 degrees of hot water, loaded into the bag, drain the air, pad with a towel, placed in the lower back, 10 ~ 30 minutes each time. Electric hand warmers are also available instead.
4, salt bag hot compress method: 500 grams of coarse sea salt, put into a pot of dry frying for about ten minutes (or microwave heating), salt yellowing or hot enough, wrapped in a cloth bag, such as ironing clothes ironing lower back, to be the right temperature can be placed directly on the waist hot compress. (Each 500 grams of salt can be fried 15 ~ 20 times, will be fried salt, add two pieces of ginger effect is better.) Note: Taobao has salt moxibustion bag, can replace this method. Patients who cannot lie flat on their back can make the salt bag slightly larger and thinner, and lay it under the waist and buttocks for hot compresses.
5, baking lamp (specific electromagnetic wave therapy instrument, referred to as TDP): there are two kinds, one is invented in Japan, infrared, a direct red light baking. Another through the electric wire heating radiation electromagnetic plate, so that the body receives heat and magnetic. Roast waist or leg crotch and other uncomfortable parts. Note: the roasting lamp is not used continuously for more than three months, so as not to cause false fire on the hyper.
Special reminder: for patients with severe cold limbs, ordinary heat compresses are difficult to play a role or insufficient heat penetration, it is recommended to use mud moxibustion or fire therapy. Mud moxibustion and fire therapy (need to go to the physical store to observe and learn) can be operated at home with the help of family members, mud moxibustion is suitable for scoliosis can not lie flat, can not lie flat patients, regardless of any position, as long as the hot mud applied to the waist and leg points can be. Fire therapy requires lying down and lying flat. It should be reminded that mud moxibustion and fire therapy belong to the health products, personal feeling is through its strong heat principle to promote local circulation, improve the body, so as to achieve the function of promoting recovery, suitable for wind, cold and wet physique and Yang deficiency patients (suitable for long-term cold hands and feet, serious fear of cold, and vice versa, the hands and feet are hot fear of heat is not suitable).
6, mud moxibustion is a specific part of the human body through hot ironing stimulation, in order to reach the treatment method of curing and preventing diseases. The actual wax is a very good way to get the most out of the wax, and the mineral mud and saffron, angelica, chuanxiong and other herbal powders. The mud moxibustion has strong flexibility, can be applied to any part of the body at will, with blood, anti-inflammatory, wind and dampness, can quickly open the body meridians, the human body will be wind and cold dampness out of the body, to support the capital, promote metabolism, enhance the effectiveness of muscle immunity. Mud moxibustion’s heat stimulation involves not only the surface layer, but also the deeper layers. It is this warm stimulation that causes local skin congestion, capillary expansion, enhances local blood and lymph circulation, relieves the elimination of smooth muscle spasm, accelerates metabolism, and promotes the dissipation and absorption of inflammation, swelling, adhesions, exudates, hematomas and other pathological production.
Method of use.
(1) Remove the lid and first heat in microwave oven for 2~3 minutes, stir well.
(2) clean the skin, hot towel or hot water bag hot compress skin for about a minute, the stirred mud moxibustion evenly on the waist and leg acupuncture points or atrophy parts, thickness 1 ~ 2 cm, covered with plastic wrap, 40 ~ 50 minutes, (time can be extended to two hours according to their own symptoms) remove the mud moxibustion, clean the mud moxibustion and mud moxibustion parts can be.
Attention.
(1) pay attention to the temperature when applying mud, you can put your fingers into the well-stirred hot mud and stir a few turns, or drop the mud on the back of the hand to test the temperature, the temperature is appropriate before applying, so as not to burn.
(2) After mud moxibustion, pay attention to the mud moxibustion parts to avoid wind and water for 4-6 hours, so as not to aggravate the symptoms of internal invasion of wind and dampness.
(3) It is recommended to use mud moxibustion half an hour after breakfast, with the warmth of mud moxibustion to stimulate the body’s Yang steam, with half the effort.
7, fire therapy is a new performance method of moxibustion therapy. It applies the principle of the meridian heat effect of moxibustion therapy, integrated Chinese medicine’s patching method, that is, the drug gas through the meridians among the points penetrate the whole body. When burning, the drugs along the meridian can enter the body through the breathing effect of the skin, thus improving local blood circulation, opening up the meridians, regulating the balance of yin and yang, supporting the immunity of various cells in the body to activate the immunity of the body, in order to achieve the efficacy of disease treatment and prevention.
Fire therapy with open fire, the operation of experience and technology is quite important, a little negligence may burn the skin, remind patients pay attention to safety.
Fire therapy ten contraindications: cloudy days and rain, pregnant women, women’s menstruation, cancer, mental trance, serious heart disease, serious diabetes, serious hypertension, renal insufficiency, serious skin disease.
Fire therapy precautions: do not do on an empty stomach, one hour after meals, fire therapy to drink a lot of warm water (avoid cold rice and cold water), twelve hours after the fire therapy can not take a bath (at least six hours before you can wash your hands with warm water), after doing fire therapy must lie flat on the bed for 45 minutes. Fire therapy can only be done one year after surgery.
Another hot towel hot compress (suitable for summer), baby warmers on the waist and discomfort (suitable for out and about patients), etc.
Three, foot soak, hot drinks, pressure lumbar pad
1.Soak feet
Foot soak at 8:00 pm to 10:00 pm, 9:00 pm foot soak is best. The reason for choosing this time period is that this is the time when the kidney meridian is weakened, at this time soak feet, body heat increases, the blood vessels in the body will expand, which is conducive to blood circulation, thus promoting the circulation of blood vessels in the body, the kidney effect is remarkable. Hot water foot soak can not only nourish the kidneys and liver, but also help to improve the quality of sleep. After soaking feet is not recommended to do other activities, a few minutes apart to sleep to nourish the kidneys better.
Foot soak method: once a day. Use an ordinary plastic bucket to heat water (plastic bucket deep, the water is not easy to cool and hot steam can be smoked to the calf), water temperature is appropriate (about 40-50 degrees), the water depth at least submerged ankle bone, but also to the calf. Soak while continuing to add hot water to maintain water temperature, time 10-30 minutes, (time can be adjusted flexibly according to their own physique, soak until the back is hot and slightly sweaty.) Through the heat to relax the meridians on the feet and calves, so that blood circulation is accelerated, improve the blood supply to the heart and brain vessels, with the increasing heat, will be slightly sweating, can unblock the meridians, eliminate the cold and waste in the body, regulate the body temperature to lower the false fire. Drink a cup of hot water after soaking your feet to replenish water in time. (Taobao currently has a deeper electric footbath, you can avoid the trouble of repeatedly adding water)
Note that.
(1) summer can soak until the sweat, dehumidification. Autumn, winter and spring may not sweat profusely, so as not to damage the body’s fluids.
(2) soak feet must avoid the wind, soak feet for at least ten minutes to wait for the pores to shrink before bathing, so as not to invade the wind and humidity.
(3) patients with high blood pressure, heart disease, the water temperature should not be too high, not long bubble.
Foot soak should be adhered to for a long time to improve the circulation of the leg and foot area and enhance physical fitness. Do not arbitrarily add any drugs or salt and vinegar, etc., due to the role of heat, soak feet with drugs are easily absorbed, will have a negative impact on the body (the body cold can add a handful of mugwort together with the bubble, no more than twice a week). Seriously cold body is not easy to sweat people can drink a cup of hot milk when soaking feet, help heat sweat, calcium, help sleep.
Suggestions: conservative patients can sit in a reclining chair with cushions, hands brace the armrests, try to lean back, try to slightly support the body, reduce the lumbar spine force, adhere to the foot soak; can not sit on the bed legs and feet hanging in the bedside foot soak; postoperative strictly bedridden patients can be hot water basin to the bed, lay a waterproof film adhere to the foot soak. Personal advice, for reference only.
2.Hot drinks
Try to drink more hot water and hot soup, which has the effect of inducing heat to help heat, promoting microcirculation in the body, relieving symptoms and accelerating recovery. Recommended pork ribs soup, pig’s foot soup, you can add the right amount of dulcimer and wolfberry, to play the role of the shape; morning fasting drink honey ginger tea, practice: the ginger froth with boiling water, to the water temperature down to lukewarm add honey to mix can drink. Note: ginger is dry, to honey blend, the appropriate amount of autumn and winter season will reduce the amount of ginger, the amount of honey increased in moderation, because autumn and winter is also dry. Spring growth, summer wet heavy, you can increase the amount of ginger in moderation. In addition, you should adjust the ratio of ginger to honey flexibly according to your body type and how you feel after taking it, so that you do not get fire is the most suitable. It is generally recommended that a drink of ginger content in one to three slices, depending on the size of the ginger, the season, personal constitution; drink hot milk before bedtime, help sleep, tonic effect.
3.Pressing lumbar cushion
The pressure lumbar pad can improve the physiological curvature and prevent straightening of curvature, muscle stiffness and tailbone pressure pain caused by long-term bed rest.
Note: Conservative protruders can improve the lumbar curvature and promote lumbar circulation through the lumbar compression pad. Minimally invasive and mini-opening patients can consider trying compression lumbar pads to improve physiological curvature six months after surgery. Patients with internal fixation are not recommended to press the lumbar pad, or seek the advice of the attending physician.
The specific method: three or four fingers thick (about three centimeters high) soft cotton pillow pressed between the waist and back, buttocks on (against) the bed. At the beginning of the pressure will be some pain, to be able to bear the limit (can reduce the thickness of the lumbar pad and shorten the time of a single pressure lumbar pad, and then gradually adapt to gradually increase and extend the time of a single pressure lumbar pad), once to ten minutes to an hour is appropriate, two to three times a day. After about a week, you can gradually increase the time of pressure when you start to adapt.
Note: different symptoms, different stages of recovery, the ability to adapt is also different, early can try to use a towel folded up pressed under the waist, adapt to the later gradually increase; can also try to hot salt bag pad in the waist hot pressure lumbar pad a two-way street, pay attention to the salt bag temperature should not be too high, to prevent burns. Can also wait for the basic symptoms disappear when bedridden and then try to press the lumbar pad. It usually takes three to six months to insist on physiological curvature before it improves significantly.
The mud moxibustion patients mud moxibustion at the same time, lying down under the waist pad a thin lumbar pad, mud moxibustion effect and the effect of pressure lumbar pad will be more significant, in addition to reduce the pain of pressure lumbar pad.
Four, sunshine, avoiding mouth and other precautions
The sun will cause a series of physiological changes, such as accelerating blood circulation, promoting the production of vitamin D and calcium absorption, preventing osteoporosis, eliminating multiple viruses and bacteria, reducing colds and less depression. Proper sun exposure helps vitamin D become more active, resulting in less inflammation in the body and better vascular health. Sun exposure has the effect of replenishing Yang energy and replenishing the right energy. The normal function of the body’s internal organs is supported by Yang Qi, and when Yang Qi is full, the body’s ability to resist disease is increased. The sun is a great way to strengthen your body and immune system.
There are two best time periods for sunbathing, one is from six to ten o’clock in the morning. This time the sun has just risen, the sun’s infrared rays are more, while the ultraviolet rays are relatively few. So the sun will make you feel the sun is quite soft, not strong, will have a warm and soft feeling. It can help you to carry out some healing effects. Especially for blood circulation and blood stasis, has a very strong effect. It should be noted that the weather is bad when you can not go out too early in the sun, otherwise it will cause the temperature is too low cold or cause other unnecessary diseases. The second is 4:00 pm to 5:00 pm, although its ultraviolet light is still strong, but the strongest ultraviolet A light, and this light to promote our digestion, or intestinal absorption of calcium and phosphorus absorption, has a very good effect. Remember to drink a small cup of tea after sunbathing. Also note that you can’t sunbathe through the glass, the glass will block the sun’s substances and can’t be used for the body.
The lumbar protrusion period avoid mouth: beer, watermelon, bitter melon, chili and other cold, irritating food, into the refrigerator food must be heated. Avoid air conditioning refrigeration, electric fans and natural breezes, avoid getting cold, avoid staying up late, try to take a lunch break, abstain from sexual intercourse. Lifetime avoid sleeping on soft beds (hard board beds, can lay one or two more quilts).
Lumbar disc herniation – contraindications for patients
As diabetes has its contraindications, offending the contraindications will aggravate the disease; lumbar herniation also has many contraindications, many patients have aggravated or relapsed, either leading to surgery, or post-operative relapse, almost all are offended by the contraindications of lumbar herniation maintenance. There are many cases of post-operative recurrence, including recurrence of holding a child, recurrence of bending over and holding a bag of 100 pounds, recurrence of carrying a bucket of water, recurrence of playing basketball, recurrence of playing mahjong… Recurrence is sometimes just a minute mistake, but getting better can take three, five, one and a half years, or even only a second surgery. Post-operative maintenance is extremely important, and this article is not only applicable to conservative treatment patients, but also to post-operative patients.
The idea of struggling with lumbar herniation – lumbar herniation is a disease that seriously affects the quality of life of the branch; lumbar herniation should be properly maintained for a lifetime of maintenance and scientific exercise; lumbar herniation can never be cured, but must be maintained so that it does not attack and has fewer attacks, and as much as possible, no surgery must be done. (such as urinary and fecal difficulties or incontinence, not timely surgery will cause irreversible consequences, pain for life)
Lumbar protrusion patients are contraindicated: avoid sitting and standing for a long time, avoid driving for a long time, do not strongly turn your back, bend hard, lean back and lower your back, straighten your legs and touch the back of your feet with your hands, standing long jump, throwing hula hoops, jumping rope, doing sit-ups, lifting heavy objects, playing basketball, practicing yoga.
These actions can induce recurrence or aggravation of back problems. You should never do the above actions during the attack period, otherwise you will add fuel to the fire, and you should not do the above actions even if you have no symptoms. Any time you pick something up, please squat down and pick it up, if you bend over to pick it up may hurt your back. A colleague of mine bent over a while ago to pick up something to turn over the lumbar protrusion. Don’t be sedentary, and don’t wear high heels for female patients.
Sitting on the bed or sitting in the seat is the most stressful of all sitting positions, so it is recommended that patients especially avoid it. (The above forbidden actions think they are iron man can be an exception)