Discharge instruction after internal fixation of lumbar disc herniation

1, pay attention to the lumbar region to keep warm. 2, master the correct sitting, lying, standing, walking and posture to reduce the chance of acute and chronic injury. (1) sit with chest up, abdomen tight, chairs should have armrests and backrests to provide adequate support for the lumbar back, so that the knees are slightly higher than the hips; (2) stand with chest up, abdomen tight, feet level with the shoulders, do not rotate the waist, maintain the “neutral position” of the spine, so that the spine physiological bending; (3) supine with a soft pillow under the knees; (4) self (4) keep the shoulders, hips, waist and ankles in a straight line when turning over; (5) support the waist with both hands to protect the waist and reduce the pressure on the lumbar discs; (6) keep the waist and back as straight as possible when picking things, squat and bend the knees instead of bending over, and objects should be as close to the body as possible; (7) use a low stool when picking up objects at high places, and do not stand on tiptoe to get things; (8) have preparatory activities when moving (8) activities should first have preparatory activities, avoid waist and back overextension, do not turn sharply, squatting, sudden rise and other actions. (9) back exercise must pay attention to persistent, the purpose is to strengthen the muscle strength of the back muscles to enhance the stability of the spine. (10) for long-term sitting workers, pay attention to the height of the table, chair to appropriate, and should regularly change the posture, pay attention to rest, so as to avoid excessive fatigue. Workers who need to bend over frequently at work should regularly perform stretching and thoracic activities, and use wide belts to protect the waist. 3.Stay in a hard bed after discharge from the hospital, and stay in bed as much as possible for 3 months. 4.Family training: The success of disease treatment is inseparable from the active participation and supervisory role of family members, and most of the patients’ rehabilitation training is done at home. Therefore, the knowledge of rehabilitation training after surgery and after discharge from the hospital will be taught to the family in advance, so that they can understand and participate in the later training, so that the patient’s family understands in advance the method and importance of adherence to rehabilitation exercises, to solve the problem of poor patient compliance, and to facilitate the supervision and guidance of patients to adhere to self-functional exercise Can improve the effectiveness of treatment of spinal fracture rehabilitation training after surgery. 5, prohibit physical labor and strenuous activities, especially attention to prohibit bending and carrying heavy objects.