A friend asked me about his parent’s back pain accompanied by twitching or numbness at the back of the leg, often getting up in bed must be stiffened and slowly loosened, and usually feels more pronounced back and knee weakness. Asked me if it was the osteoporosis we talked about before. I told him that it was not osteoporosis, but low back pain. 1.What are the manifestations of low back and leg pain in middle-aged and elderly people? The manifestation of low back and leg pain in middle-aged and elderly people is different from that of young people, they usually have a longer disease duration, and the pain and other symptoms are not serious. The most common pain occurs when brushing teeth or bending over to pick up objects on the floor. 2.Why are middle-aged and elderly people prone to low back pain? As the middle-aged and elderly people grow older, the whole body system starts to degenerate gradually. We have a theory about the degeneration of the human body in Chinese medicine: “Women…seven seven, the Ren pulse is deficient, the Taichong pulse is weak, the heavenly sap is exhausted, the earthly channel is not accessible, so the shape is bad and childless. …Husband…seven or eight, liver qi decay, tendons can not move, the sky is exhausted, less essence, kidney decay, the form is extreme.” Explain that after the elderly, the body structure gradually decay, the texture of the bone and between the bone and the genus structure are produced by degeneration and relaxation, the loss of height between the vertebrae and vertebrae in the spine, will certainly cause ligamentous relaxation and hyperplasia, etc., and then compress the function of the nerve that travels next to the bone. Therefore, it is easy to induce back and leg pain. In addition, the relaxation of the structure is more likely to produce muscle and tendon strain, will also induce the performance of chronic low back pain. 3.What should I do if I have low back pain? Once the back and leg pain occurs, we elderly people do not need to be anxious, we need to grasp a few points: (1) in the acute attack period should pay attention to rest and warmth, especially when the pain first occurs, can not be like young people, hold on, which only makes the pain and disease state repeatedly aggravated, should find ways to control at an early stage; (2) the treatment of disease should be patient, including the onset of the initial process of symptom control, must be longer than the young Some middle-aged and elderly people are more anxious, or some people love to maintain health, so the back and leg pain a little better, no longer continue to treat, this is not possible, because the body of the elderly recovery ability is not so good, so the need to maintain the process of adjusting the control of disease development is more, I often say to the elderly is, you feel better pain (3) for our elderly, Chinese medicine “treatment of the disease” in the awareness of the disease must always be maintained, because our elderly physique is susceptible to the influence of various external factors, a wind will trigger a variety of discomfort Therefore, the usual self-protection is very important. 4, the elderly how to protect the waist? (1) to pay attention to the defense of the wind, cold, damp evil invasion of the body, of which the cold damp evil is the most common. In terms of pathology, because the kidney is weaker in the long summer season, so the waist is susceptible to the attack of dampness and disease, so the residence to avoid damp and cold, clothing to increase or decrease at the appropriate time, to avoid wading in the rain, or sleep in the wet, wind and cold at night, so that the external evil can not be attacked. Modern medicine believes that lumbago can occur due to ankylosing spondylitis, senile osteoporosis, lumbar muscle strain and certain internal diseases, and its etiology is related to metaplasia, and certain bacterial and viral infections are related to this disease. Cold, humidity, malnutrition, trauma, weight bearing, etc., are often the causes of this disease, should pay attention to prevention. (2) Prevent strain and fatigue. In the “Su inter – lifting pain theory” said: “labor is qi depletion.” Excessive strain and fatigue can damage the essence of the kidneys, so the essence and blood of the kidneys will be deficient and will not be able to nourish the bone marrow and moisten the meridians, which will lead to back pain. In daily life, we should pay attention to the combination of work and rest, there is labor but not labor. Sun Simiao, a famous doctor in the Tang Dynasty, said, “The way to nourish the sex, always want to small labor, but not big fatigue and strong can not be ears.” If overworked, strong to do what the force is not enough, it will make the gas consumption and injury to the form. Only the “form of labor and not tired”, in order to protect. The kidneys collect kidney energy and avoid the occurrence of back pain. (3) Pay attention to a reasonable diet. If you eat too much meat, protein or eat too much salty things, then produce more nitrogen, if not excreted, will cause their own poisoning. Wine and strong stimulating food should not be taken too much, so as not to overload the kidneys, and daily water intake should not be too much, too fast, especially not too much cold drinks, so as not to increase the burden on the heart and kidneys. (4) Pay attention to the rational use of drugs. Drugs are mainly excreted through the kidneys. The middle-aged and elderly people often have arteriosclerosis, the blood flow of the kidney is reduced accordingly, the filtration rate of the glomerulus is reduced, when the blood passes through the glomerulus, the drugs, metabolic waste and other filtration is reduced, then with the urine excretion will also be reduced, so it is easy to cause the accumulation of drugs in the body and poisoning, especially the elderly people with significantly reduced kidney function, medication should be more cautious. Such as commonly used drugs such as antibacterial agents can make the kidney function is reduced, do not abuse. (5) the reasonable application of waist circumference, I advocate waist circumference in the acute period for protection, but can not stand also with sitting also with sleeping also with, sleep in bed is not necessary to bring, one waist circumference can not play a supporting protective role, the second is not conducive to skin ventilation oxygen exchange, so we advocate in the acute period of lumbar pain is obvious, to waist circumference protection, but bed can not bring, to the subacute period, that is, after the pain is slowly relieved. gradually reduce the wearing time to gradually functional exercise to promote their own muscle function recovery, ligament joint stability. 5.How to strengthen the lumbar exercise in the middle-aged and elderly? From the perspective of human anatomy, more waist exercise, can make the waist bones, joints, muscles to delay the aging process, so that the muscle attachment of the bone protrusion increases, improve the blood circulation and metabolism of the bone, so that the density of the outer layer of bone thickening, bone more solid, delay the aging process of osteoporosis, decalcification, can strengthen the toughness of the joints, improve the elasticity and flexibility of the spine and joints. According to the meridian theory of traditional Chinese medicine, the waist is where the Governor’s vein passes through, and “the Governor’s vein through the spine belongs to the kidneys”, “the Governor’s vein is smooth, the kidneys are vigorous”. Only regular waist exercise can help fill up the kidney. As the “kidney collects essence”, the kidney is strong, the kidney is sufficient, full of energy, vital energy, the body can remain healthy. Regular waist exercises can also improve the blood supply to the kidneys, improve the elimination of metabolic waste from the kidneys, and also help the kidneys to reabsorb water and other beneficial substances. There are many sports for waist exercise, such as taijiquan, fitness qigong, Badaanjin, Yijinjing, five-animal play, etc. These sports exercise to “waist axis”. Waist action, can be active abdominal blood circulation, but also delay the waist bones, joints, muscles, ligaments aging, to prevent some of the diseases caused by this. Fitness waist to pay attention to five points: (1) exercise before the preparation activities, such as turning the waist, waist rubbing, forward bending, back extension, lateral bending, and kidney area massage activities, so that the strength and coordination of the waist muscles to achieve a good state, the activity time is generally about 20 minutes. (2) fitness activities to do “three tuning”, that is, adjust the mind (intention), breath (breathing), adjust the body (posture). In the fitness activities, by adjusting the mind, focus attention; by adjusting the breath, so that the breathing rate to fine, slow, even, long requirements. To adjust the body is to pay attention to the correct posture of the movement. (3) Reasonable arrangement of waist exercise load. The amplitude and intensity of practice should be gradual, to exercise the limb mild soreness as the standard, “not hurt for this”, to avoid excessive fatigue of the waist (4) in strengthening the waist leg muscle strength and stretching exercise at the same time, but also pay attention to abdominal muscle exercise. Research has proved that if you can choose more than two items in each exercise, it will produce better results. (5) once the back injury, should be early diagnosis and treatment, and pay attention to not exercise before healing, so as not to aggravate the condition.