How should I deal with a herniated lumbar disc?

Lumbar disc herniation is a series of symptoms that arise from a herniated nucleus pulposus or a ruptured and protruding annulus fibrosus. In some cases, there is an obvious trigger for the sudden onset of the disease, but in other cases there is no obvious trigger for the gradual onset of symptoms. In general, the symptoms may gradually decrease during the first few days of the disease, and then reappear due to some minor activities. The most common symptoms are low back pain and sciatica, and in some cases, abnormal sensation and weakness in the affected limbs. In addition to pain, some people may experience foot drop and urination disorders. From clinical observation, the herniated nucleus pulposus type is more common in young adults. In fact, herniated nucleus pulposus and fibrous ring rupture often coexist. The purpose of rehabilitation training is to release the contracture of soft tissues (lower back muscles, hip flexors, hamstrings, etc.). 2, restore the mobility and stability of the intervertebral joints. 3.Enhance muscle strength. 4.Improve posture. 5.Improve the balance and coordination of the spine. Based on the above purpose, we developed the following training methods: 1, the training of lateral convexity of the spine (right convexity of the spine as an example) (1) supine position, the right upper limb against the side of the body, the left upper limb straight up on the side of the head, inhalation of the two upper limbs are extended to the direction of the tip of the hand, while lifting the chest and shoulders. Recover when exhaling. (2) prone position, two upper limbs against the side of the body, inhalation of the right upper limb to maintain the original position backward lift, the left upper limb raised to the end of the head, while lifting the head so that the upper body out of the bed, exhalation recovery. (3) Kneeling position with both hands on the ground and both knees, head up when inhaling, left upper limb up to the end of the head, right lower limb straightened and lifted back. Exhale when the recovery. (4) kneeling on the left leg with the knee bent, the right lower limb straightened booth, right hand crossed waist. Inhale to lift the left upper limb and bend to the right side, and recover on inhalation. (5) kneeling on bended knees, both upper limbs naturally dropping to the side of the body. When inhaling, bend to the right side, extend the left upper limb to the upper right side of the head, and extend the right upper limb downward to support the ground with the hand, and recover when inhaling. (6) upright position, two fingers crossed in front of the lower abdomen, inhalation trunk back, two hands up over the head, the right lower limb back with jumping tip point. Exhale when the recovery. (7) in the upright position, the feet are separated by shoulder width, bend to the right side when inhaling the left upper limb up over the head, the right upper limb in the back of the body for shoulder joint inward movement. Recover when exhaling. 2, atrophy muscle training (1) static muscle contraction. Lower limb muscles to carry out a rhythmic isometric contraction, which has a good exercise effect on the atrophied muscles. (2) supine position, alternate straight leg raise on the healthy side and the affected side of the lower limb. (3) Prone position, alternate posterior extension of the lower limb on the healthy side and the affected side. (4) Equipment support for training. 3, low back and abdominal muscle training Most scholars believe that internal compression can reduce the load on the spine, abdominal muscle contraction can make the internal pressure rise, low back muscle groups and can stabilize the spine. Therefore, the training of the lumbar back muscles and abdominal muscles is essential for people with lumbar disc herniation. (1) prone position, the two upper limbs are out of the booth, lifting the head and chest upper limbs are also lifted off the bed, while the lower limbs straight position backward lifting “swallow-like”. (2) prone position, lower limbs straight alternate backward extension. (3) Supine sit-ups. (4) Group body roll. Sitting on the bed surface, both hips and knees flexed, hands clasped in front of the knees, the waist and back on the bed surface for rolling. (5) Standing position, feet apart at shoulder width, knees slightly flexed, lumbar vertebrae drumming back and forth. (6) In the standing position, the feet are separated by the same width as the shoulders, the knees are slightly flexed, the arms are crossed, and the pelvis is rotated clockwise and counterclockwise. (7) Standing position, feet apart and shoulder width, hands down on the side of the body, lumbar vertebrae swinging from side to side. Second, the use of brace brace is mainly used lumbar girth. The lumbar girth can limit the mobility of the spine and increase the intra-abdominal pressure, thus reducing the load on the spine and playing a role in stabilizing the spine; on the other hand, wearing a lumbar girth can have a relaxing effect psychologically, and the tense trunk muscles can be relaxed. However, the long-term use of muscle contracture and muscle strength and low negative effects, but also in the psychological dependence on the role of the time to use the waistband to limit.