How to exercise for lumbar disc herniation and lumbar spine fracture?

Lumbar disc herniation is a multi-infarct and common disease. It is mainly caused by lumbar disc strain degeneration, rupture of the fibrous ring or nucleus pulposus prolapse, etc., which stimulates or compresses the spinal nerve causing lumbar pain, soreness and painful numbness in the legs, and in serious cases causing urinary and fecal disorders and lower limb paralysis. So what are the exercise methods for lumbar disc herniation? Functional exercise for herniated lumbar disc Please carry out under the guidance of medical care, any exercise is not suitable during acute attack, and bed rest should be taken. Phase I: Immediately after surgery 1. supine straight leg raising exercise and lower limb flexion and extension exercise: prevent nerve root adhesion, initially start from 30°, hold time from 15 seconds, gradually increase, 10 times/group, 2-3 groups/day. 2. ankle dorsiflexion exercise: hold each movement for 10 seconds, repeat 20 times/group, 3-4 groups/day. Phase 2: Any of the following methods can be used (mainly for lumbar back exercises) and it is recommended to start in the 3rd-4th week after surgery. Patients without disc herniation can also choose the following methods for lumbar back muscle exercise in general 1. 3-point support method: lie flat on a hard bed, support with head and feet at 3 points, prop up the hips and lift the hips as high as possible. Hold for 10 seconds, repeat 20 times / group, 2-3 groups / day. 2, 4-point support method: that is, the arch bridge support method. Lie flat on a hard bed, use both hands and feet to support the body all over, in the shape of an arch bridge. Hold for 10 seconds, repeat 20 times / group, 2-3 groups / day. 3, 5-point support method: lying flat on a hard bed, with the head, feet, elbows 5-point support, the hips will be lifted up, hips as high as possible. Hold for 10 seconds, repeat 20 times/group, 2-3 groups/day. 4.Small flying swallow: lying prone with the hard bed, head, double upper limbs, double lower limbs back extension, abdomen contact bed area as small as possible, in the shape of a flying swallow. Hold 5-10 seconds, repeat 20 times / group, 2-3 groups / day. Postoperative precautions for lumbar disc herniation and lumbar fracture: Instruct patients to use the lumbar girth correctly to avoid twisting the spine during activities. Choose the lumbar girth corresponding to the patient’s body type, generally up to the upper rib arch and down to under the iliac crest, and it should not be too tight. Practice getting out of bed with the lumbar girth on, and practice the standing exercise method, i.e., stand with feet shoulder-width apart, hands crossed at the waist, chest up and belly out, so that the lumbar back muscles contract. When walking with correct posture, head up, chest up and abdomen in, sitting position must be upright, do not bend over. 1.Continue the exercise content learned in the hospital after discharge, selective implementation, the number of times time depends on the specific situation, the amount of exercise gradually, a certain interval in the exercise, to avoid excessive strain on the waist. 2.Do not use waist circumference continuously for more than 3 months to avoid muscle cost atrophy. 3. Avoid strenuous activities and lifting heavy objects within 3-6 months, avoid sedentary, running, jumping as much as possible, avoid sleeping on a soft bed, when lifting heavy objects from the ground should take a bent knee, squatting posture extraction, establish a good raw lifestyle, often change sitting posture, strengthen the lumbar back muscle exercise for more than six months, enhance the lumbar muscles and spinal stability. Reduce the onset of chronic low back pain, prevent lumbar injury and review of lumbar disc herniation. 4.Strengthen nutrition and maintain a good state of mind. 5.Pay attention to keep warm and avoid cold stimulation. 6.For simple lumbar compression fracture, get out of bed 8-12 weeks after injury, do not bend, practice bending after 3 months, and participate in labor appropriately after 4-6 months.