Lumbar disc herniation, rehabilitation exercises should be standardized!

Lumbar disc herniation is a common and frequent disease in orthopedics and a common cause of lower back pain. People often focus on its drug or surgical treatment and neglect rehabilitation exercises. In fact, rehabilitation exercises can adjust the mechanical balance of the spine, enhance the stability of the lumbar spine, significantly improve the patient’s muscle strength and pain symptoms, and achieve the effect of prevention and treatment of lumbar disc herniation. Even after surgery, rehabilitation exercises are needed. Only by adhering to the correct and standardized rehabilitation exercises can we consolidate the efficacy and prevent recurrence. A, lumbar back muscle exercise Strong lumbar back muscles form a strong protection for the spine, help maintain and enhance the stability of the spine, and effectively prevent acute and chronic lumbar injuries and low back pain. Exercise slowly, try to maintain a natural breathing rhythm during the exercise, and gradually increase the number of exercises after adaptation. Swallow pose: prone position, head and neck and both upper limbs as far back as possible, with the abdomen as the fulcrum, the chest and both lower limbs at the same time lift off the bed, so that the torso into an anti-bow, the knee joint must be straight. Maintain the movement as much as possible and gradually extend the time until it is impossible to hold on and then relax. Repeat 3 to 5 times. Five-point support method (arch bridge): go to the pillow supine position, with the head (1 support point), both elbows (2 support points) and both heels (2 support points) as the point of emphasis, the waist and back and hips from the bed, the abdomen raised like an arch bridge. Pause for 5~10 seconds and then lower. Repeat, from 20 times a day to 100 times. Three-point support method: After the strength of the low back is increased, on the basis of five-point support exercise, minus the support of both elbows. Hands on the head, with the head and the heels of both feet to support the body to lift the waist and back and hips. Gradually increase from 20 to 100 reps per day. Chest ascent Exercise: Lie prone, hold your upper body up with your upper limbs straight, and stretch your head back as far as possible to raise your chest. Do it again after resting flat on your back and repeat for 5 to 10 times. Waist extension exercise body upright, legs apart and shoulder width, hands up or forked waist, waist as the axis, the upper body rear extension to the maximum angle, maintain 30 ~ 60 seconds. Restore rest and then do it again, repeat 8 to 10 times. Joint mobility exercise: It can expand the vertebral space, displace the nerve roots and reduce the degree of spinal nerve root compression. The following actions are 10 as a group, depending on the situation, do 3 to 5 groups per day. 1, forward bending: sitting knees, bend forward, both upper limbs touch the toes for 3 to 5 seconds and then sit straight. If this action is easier to complete, you can straighten the knee joint. 2, squat: upright position, head up, chest up, feet apart and shoulder width, both hands crossed waist. The upper body does not move, slowly squatting, pause for 3 to 5 seconds and then stand up. 3, side bend: upright position, head up, chest up, feet apart and shoulder width, both hands crossed waist. Bend to the left side to the maximum angle (left waist pulling sensation), pause 3 to 5 seconds after restoration, and then bend to the right. 10 times on each side. Lower limb exercises: can prevent sciatic nerve adhesions, improve joint mobility and enhance lower limb muscle strength. 1, stirrup exercises: supine position, bend the hip and knee and ankle, so that the knee joint as close to the chest, the back of the foot hook tight, and then forcefully stirrup out to the oblique upper, stirrup out as far as possible after stretching and tense leg, maintain 5 seconds, and finally put down to restore. Alternate legs, 20~30 times for 1 group, the number of groups depends on the condition and physical ability. 2, rear leg extension exercise: upright position, chest up, hands holding the wall or cabinet and other support, legs straight, alternately swing back, swing amplitude gradually increased, each time to do 100 ~ 200, 2 ~ 3 times a day. Suspension lumbar traction hands up to climb a high bar, feet off the ground, so that the body suspended (must pay attention to safety, such as height is not enough, you can bend the two knees, so that the feet off the ground), using their own body weight for lumbar traction. Each suspension traction 1 minute, if the arm strength is not enough can also be divided, but the cumulative time should not be less than 1 minute, traction 2 ~ 3 times a day. Related precautions: 1, rehabilitation exercises should be gradual, persistent. 2, rehabilitation exercise movements should be standardized, quality and quantity. 3, pay attention to maintain the correct posture, to protect the waist, avoid prolonged walking, sitting, standing. 4, obese people should lose weight appropriately to reduce the pressure of weight on the lumbar spine.