Acupuncture and moxibustion lumbar disc herniation lumbar and leg pain numbness treatment after rehabilitation exercise prevention and recovery

Lumbar intervertebral disc herniation due to long-term poor sitting posture and inappropriate exercise and labor caused by lumbar pain and lower extremity radiating pain hemp more than 80% of the patients can be cured by bed rest and appropriate exercise and other non-surgical treatments, so the lumbar intervertebral disc herniation rehabilitation exercise is particularly important. 1, absolute bed rest in the early acute stage, including large, urinate and do not get out of bed, so that you can lift the weight, muscle and external load on the pressure of the disc, is the basic treatment of disc herniation. You need to lie on a hard board bed, and you can cooperate with the treatment of lumbar traction, heat application, physical therapy, acupuncture, massage and so on at the same time. Acute patients are generally in bed for three weeks after a significant improvement. At this time that should gradually start the lumbar and dorsal muscles exercise, and can be in the waist (elastic hard) under the protection of get up and move. However, it is still necessary to continue to strengthen the low back muscle exercise in bed, and gradually cancel the waist circumference. It is not possible to use the waist cuff for a long time without strengthening the back muscle exercise, otherwise it will make the low back muscle atrophy, and it will be impossible to get rid of the waist cuff in the future. 2.Related treatment 2.1 Pelvic traction can further reduce the pressure in the intervertebral disc, with better therapeutic effect, especially for early patients. 2.2 Tui na massage: the technique should be gentle and violence should not be used. 2.3 Drugs: the use of dehydrating drugs and hormonal drugs mainly makes the edema of the compressed nerve root subside and reduces the inflammatory reaction. Some symptomatic pain medications can also be used. 3.1 The first stage (3-5 days in total) ① Supine straight leg elevation and lower limb flexion and extension exercise: to prevent nerve root adhesion, the first time from elevation of 30 degrees to start, the holding time to be able to tolerate the gradual increase in time, and gradually to 10 times / group, 2-3 groups / day. See Figure 1. ② Ankle dorsiflexion and dorsiflexion: hold each movement for 10 seconds as long as you can tolerate, repeat 20 times/group, 3-4 groups/day. See Figure 2. 3.2 Phase 2: (mainly for low back muscle exercise) ① 5-point support method (5-7 days): lie flat on a hard board bed, use the head, feet and elbows to support at 5 points, raise the hips, and lift the hips as high as possible. Hold for as long as you can tolerate, starting at 10 seconds. Repeat 20 times/group, 2-3 groups/day. See Figure 3. ② 3-Point Support Method (7-9 days): Lie flat on a hard surface bed, support your head and feet at 3 points, lift your hips and buttocks as high as you can. Hold time to be able to tolerate after the start to 10 seconds, repeat 20 times / group, 2-3 groups / day. See Figure 4. ③ 4-Point Support: i.e. Arch Support (9-10 days). Lie flat on a hardboard bed and use both hands and feet to support the body in the shape of a bridge. Hold for as long as you can tolerate and then start to 10 seconds, repeat 20 times/group, 2-3 groups/day. See Figure 5. ④ Flying Swallow Pointing Water Method (10-15 days): the patient is in a prone position, the two upper limbs are placed on both sides of the torso, at the beginning of the two upper limbs backward, the head and neck backward, chest off the bed, learn the above actions and then instruct the legs to straighten, together, and lifted to the rear. Finally, the upper limbs, head and neck and lower limbs movements are coordinated, only the abdomen on the ground. The number of repetitions should be small to large, and the principle of gradual progress should be adopted. Hold time to be able to tolerate after the start to 10 seconds, repeat 20 times / group, 2-3 groups / day (Note: severe lumbar spine fracture belongs to the unstable type of fracture, should be appropriate lumbar dorsal muscle exercise, so that the fracture to obtain a certain degree of reset, and finally get out of bed with a lumbar girdle and other supportive devices). See Figure 6. 3.3 Third stage. (Starting at 30 days) Instruct the patient to use the waist cuff correctly to avoid twisting the spine during activities. Choose a waist cuff that corresponds to the patient’s body type, generally from the upper to the upper rib arch and the lower to the lower iliac crest, and should not be too tight. Practice getting out of bed under the circumstance of wearing a waist cincher, standing practice method, that is, standing with feet apart and shoulder-width apart, hands crossed at the waist, chest and abdomen, so that the lumbar back muscle contraction. Walking posture is correct, head up chest and abdomen, sitting position must be upright, do not bend over. 4. Discharge health education 4.1 After discharge, continue the exercise content learned in the hospital, selective implementation, the number of times depends on the specific situation, the amount of exercise gradually, there are certain intervals in the exercise, to avoid excessive lumbar strain. 4.2 Don’t use waist circumference continuously for more than three months, so as not to cause muscle wasting atrophy. 4.3 Avoid strenuous activities and lifting heavy objects within three to six months, avoid sedentary activities, running and jumping as much as possible, avoid sleeping on soft beds, adopt bending knees and squatting posture for extracting heavy objects when lifting them from the ground, establish a good lifestyle, sleep on a hard board bed, and exercise the lumbar back muscles for more than half a year to enhance the lumbar muscles and spinal stability, so as to minimize the episodes of chronic lumbar pain, and prevent the lumbar injuries and the recurrence of lumbar disc herniation. 4.4 Strengthen nutrition and keep a good state of mind. 4.5 Pay attention to keep warm and avoid cold stimulation. 4.6 Simple lumbar compression fracture, get out of bed 8 to 12 weeks after the injury, do not bend over, practice bending over after 3 months, and participate in labor appropriately after 4-6 months.