Diagnosis and treatment of lumbar muscle strain

  Low back pain is a common condition, and many people have low back pain or have had low back pain.  There is a most common type of low back pain, pain in the lumbosacral joint centered on about a palm-sized area, or vague pain, or soreness and discomfort, reduced in the morning when you get up, aggravated after activity, can not sit for a long time, long standing, bending back difficulties. Most of the people who go to the hospital for examination, X-ray and blood test are also normal. Although most people suffering from low back pain can live normally and insist on working, but over time, it will affect the efficiency of work and reduce the interest in life. This kind of low back pain is often called kidney deficiency low back pain in Chinese medicine, which is also known as lumbar muscle strain low back pain.  Why does lumbar strain lumbago occur? The lumbar region is the midpoint of the human body, the lumbosacral joint is the only large joint that bears the body’s gravity, is the hub of the lumbar activities, forward and backward, left and right side bending, turning are involved, no matter movement or activity, the joints here than the whole body which joints are subjected to the force are large. Labor intensity or activity, joint activity on more. The activities of the joints have the participation of muscles, so the muscles here are prone to fatigue and injury. Lumbar muscle strain has the meaning of lumbar muscle strain into disease. Some people even if physical activity is not much, labor intensity is not much, but because of the wrong posture, the spine is in a half-bent state, the back muscles have been tense, over time, also produced strain, further development of the formation of sterile inflammation, stimulation of nerve endings, causing pain, so the back pain occurred.  The back pain of lumbar muscle strain can be prevented. How to prevent it? First of all, we must strengthen the exercise, improve physical fitness. Especially people who sit for years, the muscles of the lower back are weak and easily damaged. Therefore, there should be a purpose to strengthen the exercise of low back muscles, such as doing some of the flexion, back extension, left and right lumbar side bending, gyration and supine, sit-up movements, so that the lumbar muscles developed and strong, strong ligaments, flexible joints, to reduce the chance of disease. Obese people should lose weight to reduce the burden on the waist. Secondly, we should pay attention to self-regulation, work and rest, to avoid long-term fixed in a movement and mandatory bending action, such as standing for a long time can squat, squatting not only to relax the waist and leg muscles, but also to reduce the consumption of physical energy.  Then is to pay attention to a variety of postures in life, such as extracting heavy objects from the ground, should be bent knees squatting, to avoid bending to increase the burden; take heavy objects, the body as close as possible to the object, and make it close to the abdomen, legs slightly squat; to a high place to take things, not reach should not be forced; sleep should keep the spine bent. Avoid moisture and cold is also very important.  Exercise therapy for lumbar muscle strain The main symptom of lumbar muscle strain is lumbar soreness and pain, lumbar pain is often accompanied by lumbar muscle tension spasm, lumbar mobility is limited, bending difficulties. Severe cases can affect daily work and life. Practice has proved that exercise therapy has a better effect on it.  1, lumbar muscle exercise health care method: supine health care method: patients take the supine position, the first two feet, elbows and head five points, supported on the bed, the waist, back, hips and lower extremities to force up slightly away from the bed, maintain fatigue, and then restore the calm supine position rest. Repeat this method for about 10 minutes, exercise once a day in the morning and evening.  2, prone health care method: the patient to take a prone position, the double upper limbs back on the back, and then force the head and chest and legs up hard to leave the bed, so that the body is anti-bow type, adhere to a slight sense of fatigue. According to this method repeatedly exercise about 10 minutes, once a day in the morning and evening. If long-term adherence to exercise, can prevent and treat the occurrence and development of lumbar muscle strain and low head syndrome.  3, lumbar back percussion massage health care method: patients using a sitting position, first with the left hand holding an empty fist, with the left fist in the left side of the waist from top to bottom. After 10 minutes of gentle percussion, then massage or rub the left palm up and down for about 5 minutes, twice a day. Then reverse the movement method with the right hand with the left hand. They feel a burning sensation in the massage area, the effect is better, and feel comfortable after the movement. This exercise method can promote lumbar blood circulation, can release the lumbar muscle spasm and fatigue, the prevention and treatment of middle-aged lumbar muscle strain good effect.  4, hot compress or physiotherapy: every night available hot water bag or heat therapy spirit in the painful parts of the hot compress, also available bran 1. 5 kg, in the iron pot after frying paste, and then add vinegar 0. 25 kg speed stirring evenly, put into homemade cloth bag, and then placed in the lumbar painful parts of the quilt covered with warm hot compress. Families with conditions can purchase their own far infrared heat therapy device or Zhou Lin spectrum instrument and other physical therapy. This method can promote lumbar blood circulation, can also dispel rheumatism, blood circulation, the treatment of lumbar muscle strain patients with good results.  5, drug therapy: for patients with lumbar muscle strain, with obvious pressure points can be used prednisolone needle 1 ml plus 1% procaine 5 ml, for pressure points closed, once a week, 3 times for a course of treatment. After the back pain is reduced, you can start back exercise. You can also take oral medication, such as Tongzhi tablets or bone and joint pills, enteric aspirin and anti-inflammatory pain, to consolidate the treatment effect and prevent the recurrence of low back pain.