Wearing a medical peri-waist is an essential adjunctive treatment for lumbar disc herniation, but sometimes it is difficult to explain the use of a peri-waist to a patient in an outpatient clinic in a few words, so many doctors simply suggest it, or simply do not mention it, making such a tool for conservative treatment of lumbar herniation not play its proper role. There are many types of peri-waist, how to choose a correct peri-waist, how to wear correctly, to avoid misunderstandings hope that this small science can be helpful to lumbar disc herniation sufferers. 1, the principle of medical peri-waist treatment of lumbar disc herniation First of all, the main purpose of wearing a lumbar peri-waist for patients with lumbar disc herniation is braking, which is to limit the movement of the lumbar spine such as flexion, extension and rotation. The benefits of lumbar spine braking are: (1) reducing the risk of aggravating the herniated disc caused by lumbar spine activities; (2) reducing the stimulation of nerves by the herniated disc caused by lumbar spine activities; (3) reducing muscle spasm and inflammatory stimulation in the lumbar region of patients with lumbar disc herniation, reducing the burden on the lumbar spine ligaments, and reducing low back pain. Secondly, wearing a lumbar circumference has a certain support and weight-bearing effect. When a patient with a herniated lumbar disc stands up, the vast majority of the weight of the upper body is pressed against the herniated disc, which can aggravate the degree of protrusion, especially when moving around, the impact on the herniated disc is greater. Wearing the appropriate waist circumference, part of the upper body weight can be transferred down through the ribs – waist circumference – iliac bone, the waist circumference generated by the wrapping force and tension of the abdominal muscles can also transfer weight. In this way, the force on the lumbar vertebrae – intervertebral discs – lumbar vertebrae is greatly reduced, and to a certain extent, the pressure in the intervertebral space is relieved and improved, and the compression of the intervertebral discs on the nerve roots can be significantly relieved. Third, after wearing the waist circumference, will strengthen the strength of the abdominal muscles, reduce the lumbar vertebrae convexity, so that the center of gravity as a whole backward shift, reduce lumbar back muscle strain. Fourth, some circumference waist with magnetic therapy, infrared, heat therapy and other auxiliary functions, can help relieve lumbar back muscle spasm and inflammation of the fascia, reduce low back pain. 2, what people are suitable for wearing medical waist? Acute period of lumbar disc herniation; acute lumbar sprain; acute period of lumbar muscle strain; early period after minimally invasive or open surgery for lumbar disc herniation 3, how to choose the right peri-waist? (1) Ordinary waist recommendation index: ★★★★★★ Advantages: the length of the waist is in line with the length of the patient’s waist circumference, easy to use. This not only limits the movement of greater activity, but also does not affect the appropriate activities, suitable for patients with lumbar disc herniation for daily life. Disadvantages: the braking effect and support of the lumbar spine is relatively weak (2) lengthened waist Recommend index: ★★★★ Advantages: the lengthened waist plays a stronger braking and support role, the treatment effect is exact. Disadvantages: not beautiful enough, has a certain impact on daily life. (3) inflatable peri-waist Recommendation index: ★ Advantages: claim to have a certain traction effect after inflation. Disadvantages: the use of trouble; the amount of inflation will affect the effect of braking and support. (4) multifunctional waist Recommend index: ★★★ Advantages: increase magnetic therapy, infrared, heat therapy and other auxiliary functions Disadvantages: due to the need to fill magnetic therapy, heat therapy and other built-in items, the original braking and support role is weakened. 4.How to wear the waist? How long is it appropriate to wear? Wearing the waist circumference can grasp the time according to the condition, when the symptoms of lumbar and leg pain are heavy, should be strictly worn, get up and stand on, do not take off at will; patients with light conditions, can wear the waist circumference when going out, especially when standing or sitting in a position for a long time, and then take it off when sleeping and resting. The waistband should not be worn for a long time, otherwise it will lead to disuse atrophy of the muscles of the low back, weakness of the low back muscles and dependence on the waistband. Therefore, after the symptoms have gradually subsided, you should remove the waist circumference, and start to gradually resume the normal activities of the waist, and take the initiative to strengthen their own lumbar back muscle exercise. Generally the entire use of time to 4 to 6 weeks is appropriate, the longest do not exceed 3 months. 5, common misconceptions about wearing a waist Myth 1, wearing a waist can safely go down to the ground activities Acute lumbar disc herniation patients with severe symptoms of lumbar pain should be bed rest, can not wear a waist belt to replace bed rest, but in the toilet or necessary activities should wear a waist belt to protect. Misconception two, 24 hours a day wearing waist some patients bed rest also wear waist circumference not relax, this practice is wrong. Lying in bed because the lumbar discs are not subject to gravity, the waist scarf will hardly play a therapeutic role, but only a psychological comfort. The 24-hour uninterrupted wearing of the waist circumference will make the lumbar muscles disuse atrophy, so that patients produce a sense of dependence, once you leave the waist circumference will appear to aggravate the symptoms of the feeling, is not conducive to the recovery of patients.