Hospital treatment principles are: tendon and bone, both internal and external treatment, acute and slow different, health care and treatment combination. Acute stage: 1, general treatment: in the acute stage of lumbago attack, advocate appropriate bed rest, local cold compresses, in order to prevent the further development of the condition, lying in bed to hard board is appropriate. Severe cases can be placed on both sides of the waist sandbag braking. 2, Western medicine treatment: can also be used to good fast local spray, or hormone plus procaine pain point closed. Also can be used intravenously dexamethasone, lincomycin, etc.. Chronic: I. Tuina treatment (a) basic manipulation (for lumbar muscle sprain) 1, the patient takes the prone position, the doctor with both hands palm and palm root along the bladder meridian 1, 2 lateral line line from the back to the buttock transverse stripe to do palm kneading method, repeated application of the art, the time of two minutes. 2.Doctor use both thumbs to do continuous pressure along the patient’s lumbar vertebrae on both sides of the “Hua Tuo Jie Ji Point” (0.5 inches beside the spine), lumbar 1-sacral 1 section, with the focus on the painful parts of the operation, repeat the operation, time 2 minutes. 3.Doctors use multiple fingers or elbows to rub the patient’s lumbar muscles on both sides (mainly referring to the sacral spine muscle) and gluteal muscles, focusing on the muscle tension, from light to heavy, repeat the operation, time 2 minutes. 4.Doctor use both thumbs to knead the kidney Yu, the upper ring jump, the commission in the middle, Yongquan and sensitive points (located in the Yongquan medial 1 transverse finger), each point kneading about 1 minute. 5, the patient takes the supine position, the doctor uses multiple fingers to knead the patient’s quadriceps muscle, time 1 minute. Then press Yanglingquan, Thigh Pass and Sprain Point (1 inch below 1 inch adjacent to Sanli of the hand), and knead each point for about 1 minute. (ii) Continuous displacement manipulation Localized lesions can be effectively loosened by continuous displacement manipulation, which can loosen the tension and spasm of the soft tissues to achieve the purpose of relieving pain by loosening. Treatment, the patient lying down position, the operator in the lumbar pressure point, with the inner thumb to the depth of the spinal direction to push the lesion of the soft tissue, and sustained force to maintain the displacement of 20-30 seconds, and then use the palm of the hand from top to bottom of the lesion part of the soft tissue pressure, rationalization, repeat 3 times for a treatment, once a day, until the lesion elimination, pain disappears. (C) symptomatic treatment 1, supraspinous ligament and interspinous ligament injuries (1) lumbar flexion and extension pressure method: the patient takes a sitting position, the doctor sits behind him, so that the patient’s lumbar flexion to the maximum, so that the spinous processes gap widening, while the doctor with both thumbs in the damage to the pressure, and then the patient’s lumbar straighten to form a counteracting role. Then press the points of the great vertebrae and the lumbar acupoints. (2) Lumbar traction method: the patient takes a sitting position, the doctor stands behind him, passes both hands from the patient’s armpits, hugs the chest, moves the waist a little bit to make it relax, and then violently lifts up the upper body, at this time, there is a sense of traction in the patient’s waist, and there is a ringing sound. 2, supraspinous ligament and interspinous ligament injury, accompanied by spinous process deviation and small joint misalignment Seated lateral transfer method (right side as an example): the patient takes a seated position, the doctor stands on the right side of the back of the left hand, the left thumb against the right side of the spinous process of the deviation, and the other hand through the front of the chest to the opposite side, wrenching the shoulder, and asked to twist the waist to the right in front of the maximum, the doctor does the counteracting push and wrenching at the same time with the hands of the lumbar sound as good. 3, lumbar muscle injury with scoliosis deformity lumbar rotation push and carry method (to the right side, for example): the patient takes a sitting position, the doctor sits behind him. The patient’s left hand rests on the right shoulder, the doctor’s right hand passes through the patient’s right armpit, holds the upper end of the patient’s left elbow, and the doctor uses the root of the left palm to hold the highest point of lateral bending, so that the patient will automatically rotate to the right side to the maximum, and the muscles will be relaxed. Then, the doctor in the right hand at the same time the smooth pull, with the left hand to the side bend protruding force push pressure, can be heard due to twisting wrong vertebral body small joints and produce a ringing sound, such as small joints have the wrong stitches, can be returned to the position. Subsequently, press A Shi point, Kidney Yu, the upper ring jump, the stalk gate and other points. 4, posterior superior iliac margin tendon injury flexion and extension squeeze method (to the right side as an example): the patient takes a sitting position, the doctor sits behind him. The patient’s waist is flexed forward and slightly rotated to the left, while the doctor presses the injury site of the posterior superior border of the iliac bone with the relative thumb tips of both hands, and then the patient’s waist is made to do dorsal extension to the right rear, to the extent that the patient feels obvious soreness at the injury site, and the operation of this method is repeated for 2-3 times. Subsequently, press the Zhihu, lumbar eye, stalk gate and sprain points. 5, sacroiliac joint ligament injury, lower limb back stretching pressure method (right side for example): the patient takes the prone position, the doctor stands on the left side, with the tip of the left elbow to press the sacroiliac joint pain point, at the same time, the right hand to move the patient’s right lower limb above the knee to do stretching exercise, hands coordinated with the pressure for 3-5 times. Second, drug treatment 1, western medicine treatment: often oral painkillers such as ibuprofen, fenbid, anti-inflammatory pain, etc.; lumbar muscle strain patients, there are obvious pressure points can be used to prednisolone needle 1 ml plus 1% procaine 5 ml, for the pressure point closed, once a week, 3 times for a course of treatment. When the low back pain is reduced, you can start to waist exercise. 2.Chinese medicine treatment: Chinese patent medicine can choose ginseng spleen pill, tonify the middle and benefit the qi pill, papaya pill or strong bones and joints pill and so on with the only live parasitic pill, blood and pain capsule and other treatments. Soup medicine can be used to alleviate paralysis soup and other additions and subtractions, external medicine can be used nano-point compresses, dog skin paste, force pull cold powder, musk bone paste on the affected area or acupuncture points can be. Physiotherapy can improve the blood circulation in the lesion area of the patients with soft tissue injury, improve the nutrition of the lesion tissue, which is conducive to the recovery of the lesion; most of the physiotherapy can play the role of anti-inflammatory, swelling, and some of them can also regulate the symptoms of phytoneurotic disorders accompanying with the lesion of the soft tissues, and have the effect of pain relief and sedation. General low-frequency and mid-frequency electrotherapy can excite the nerves and muscles. Induction electricity and interference electricity are often used for muscle atrophy after disc herniation. Commonly used physical therapy means are local heat penetration, Chinese medicine ion introduction, ultra-short wave, infrared ray, microwave therapy and low, medium and high frequency electrotherapy. Fourth, acupuncture or warm needle treatment Acupuncture therapy clinically applied mainly based on the basic theories of traditional Chinese medicine, especially the meridian acupuncture point theory. According to Chinese medicine, the human body has twelve meridians, twelve meridians, eight odd meridians and fifteen collaterals, which run through the human body, with the role of the surface and the inside, through the upper and lower, the line of qi and blood, camping yin and yang. Acupuncture and moxibustion treatment, is directly on the acupoints, through the meridian conduction and reaction, to adjust the body’s nutritional qi and blood and viscera function, cure the disease. All generations of masterpieces have on the meridian disease of the exposition, put forward the tendon break, disk turn, tendon crooked, tendon walk, tendon turn, tendon soft, tendon thick, tendon short, tendon atrophy and other detailed classification, for the treatment of meridian disease put forward “pain for the acupuncture”, “treatment to burnt needle movement stabbing to know for the number” of the The treatment of the disease of meridian tendon put forward “pain as acupoint” and “treatment by burnt needle and stabbing to know as number”. In addition, the doctrine of paralysis has been guiding the treatment of soft tissue injury for a long time. Acupuncture and moxibustion applied to soft tissue injury is also based on the understanding of the motherland medicine on soft tissue injury, taking points according to the meridian, diagnosis and treatment, especially by adjusting the qi, blood and yin and yang of the two meridians that run through the lumbar back of the Duchen Jing and the foot solar bladder meridian, activating the blood and eliminating the blood stasis, soothing the tendons and opening up the collaterals, to achieve the therapeutic purpose. The following can be used: Kidney Yu, Large Intestine Yu, Waist Ah Yes Point, and Commission Zhong. Other commonly used points are: Huanjiu, Huizhong, Chengshan, Ashansanli, Jiezhong, Ah Yes, etc., once a day, 10 times for a course of treatment. Moxibustion is an important part of acupuncture therapy, it is the meridians, internal organs and other theories as a guide, the use of mugwort and other flammable drugs, in the acupuncture points or the affected area burning fumigation, can be over the warmth of the effect of the meridians to achieve the therapeutic purpose. Moxibustion can warm through the meridians, dispel cold, blood circulation, dissipate blood stasis and swelling, lift the gas, lead the gas downward, on the stagnation of blood stasis, wind, cold and damp paralysis caused by low back and leg pain, have a better therapeutic effect. There are many types of moxibustion, in the treatment of the soft tissues of the lumbar region, in addition to needle handle moxibustion combined with acupuncture, you can also use moxa rolls moxibustion alone, moxibustion through ginger, moxibustion through garlic, and foam moxibustion can be used. You can also choose kidney Yu, large intestine Yu, Chibian, Huanjiao, Chengfu, Yinmen, Huizhong, Yanglingquan and other points, choose a number of points, direct moxibustion, each moxibustion point for 15-20 minutes, every other day, 15-20 times for a course of treatment. Injection therapy Injection therapy, Zhichuan therapy, that is, with the appropriate drugs injected into the pain site or around the nerve root, to improve the inflammatory stimulus, so as to alleviate the symptoms of a treatment method. Injections are based on drugs such as saffron, angelica, adrenal glucocorticoids and other drugs. Under the action of hormone, it can reduce and eliminate the aseptic inflammation and edema of the nerve root; anesthesia drugs for pain relief, anesthesia nerves so that their sensitivity is reduced. Sixth, small needle knife treatment small needle knife closed loosening is the main method of needle knife medical treatment of soft tissue injury pain, in the diagnosis of clear, accurate positioning on the basis of the application of small needle knife closed loosening, peeling, cutting and loosening of the lesion of the soft tissues of the adhesion, contracture, scarring, to lift the dynamic balance of these pathological factors that cause the dynamic balance, in order to restore the dynamic balance of the soft tissues and biomechanical equilibrium, the theory of this guide the clinical treatment! This theory guides the clinical treatment, which can achieve immediate effect on pain caused by many soft tissue injuries, such as lumbar disc herniation, lumbar three transverse processes syndrome and so on. After the needle knife surgery, the pain symptoms are instantly relieved, which proves that the cause of pain in lumbar herniation and other diseases is soft tissue injury. Can be taken in the pain point or paravertebral joint protrusion site or tension higher multiple rows of extensive stripping. Seven, lumbar exercise method 1, lumbar muscle exercise health care method: supine health care method: patients take the supine position, first feet, elbows and head five points, support on the bed, the waist, back, buttocks and lower limbs to force up a little away from the bed, maintain fatigue, and then return to the calm supine position to rest. Repeat this method for about 10 minutes, every morning and evening exercise. 2, prone health care method: the patient to take the prone position, put both upper limbs on the back, and then force the head and chest and legs to force up off the bed, so that the body was reverse arch type, adhere to a little fatigue until. Repeatedly exercise according to this method for about 10 minutes, once a day in the morning and evening. If long-term persistent exercise, can prevent and treat lumbar muscle strain and the occurrence and development of low head syndrome. 3, lumbar back percussion massage health care method: the patient sits in a seated 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. Gently knocking 10 minutes, and then use the left palm up and down massage or rubbing 5 minutes or so, twice a day. Then reverse the right hand with the same left hand movement method. Feel the burning sensation in the massage area, the effect is better, after the movement of self-conscious and comfortable. This exercise method can promote lumbar blood circulation, can lift the spasm and fatigue of the lumbar muscle, good effect on the prevention and treatment of age-related lumbar muscle strain. Eight, how to carry out rehabilitation, functional exercise 1, dietary regulation: lumbar pain in the diet of people, generally with the normal people do not have much difference. However, we should pay attention to avoid excessive consumption of cold and damp food, even in summer, should not drink more frozen drinks. For cold and slippery fruits, such as watermelon, should not eat too much at a time. For chronic low back pain persistent, can always take some solid kidney waist Chinese medicine, such as six flavors of dihuang pill, kidney qi pill, ten whole dazhuang pill, etc., according to the physical condition and the condition of the appropriate choice. 2, life and living: avoid cold and damp, appropriate to keep warm. Women with low back pain, pay attention to keep warm, especially in winter and spring cold and wet season, especially need to do a good job of keeping warm in the waist. Try to avoid rain and cold, lying at night when the wind. Avoid lying in a damp place for a long time, in the cold and wet season, you can use electric mattress to get rid of cold and keep warm. Frequent activity of the waist, can make the lumbar muscle stretching, promote the blood circulation of local muscles. So for sedentary, long standing work patients, a certain time to appropriate activities of the waist, so that the lumbar muscle can be released tension, there is a role in relieving pain. Such as walking indoors, make some lumbar activities such as gymnastics. 3, pay attention to sexual hygiene: lumbar pain significantly aggravated during the sexual life should be avoided, in the period of relief, should also be appropriate to adjust the frequency of sexual life. Pay attention to menstrual hygiene, keep the vulva clean, avoid urogenital infections, reduce the factors that aggravate back pain. Do a good job of family planning, avoid too many abortions, and choose appropriate contraceptive methods. For low back pain and abnormal menstruation caused by putting the IUD, you can change to other birth control measures to reduce the development of the disease. It is not advisable to girdle the waist too tightly, lumbago patients, do not girdle the waist, because the girdle can cause local blood circulation obstacles, aggravate the condition. Some women after childbirth to maintain a slim figure and the use of girdle method, is inappropriate, the correct approach is to do a good job of postpartum health care exercise, in order to truly achieve the purpose of the key to the United States. 4, exercise: this requires frequent changes in position at work to correct poor posture. Usually to strengthen the lumbar back muscles and interspinal ligament exercise and protection, in sports or lifting heavy objects before to do preparatory activities to prevent sudden exertion so that the lumbar sprain. You can also often participate in tai chi, five bird play, gymnastics exercise, these traditional fitness methods for the prevention of lumbar muscle strain are beneficial. 5, lumbar health gymnastics: (1) push: after the two hands rubbing heat, overlap in the middle of the lumbar vertebrae, from the top down to push and rub 30-50 times, to the local hot feeling until. (2) pinch: sit with your feet stretched out in front of you, or bend your knees, or sit in a sitting position. Squeeze and lift the waist muscles with both hands 15-20 times. (3) Knead: Take a sitting position. Five fingers of both hands together, respectively, on the right and left sides of the lower back, slowly rubbing up and down with the palms, until it is hot. (4) Rolling: Make a fist with both hands and roll and massage from the waist up and down. First from the bottom up, and then from the top down, repeated many times. The upper body can be matched with leaning forward and backward. (5) Press: Cross your waist with both hands, press your thumbs on both sides of the lumbar eye, squeeze and rotate and knead, first clockwise, then counterclockwise, 36 circles each. (6) Knocking: Use both hands to make a half fist, use the back of both fists to knock lightly on the lumbosacral region, to the extent that it does not cause pain. Left and right at the same time, each knocking 30 times. (7) Grasp: hands against the waist, thumbs in front, press on the lumbar side of the immobility, the remaining four fingers from the lumbar vertebrae on both sides of the fingertips outward scratching the skin, from the lumbar eye to the sacral order, both sides of the grasp 36 times. (8) Shaking: place both hands on the waist, press the root of the palm on the lumbar eye, and shake up and down rapidly for 15-20 times. (9) Pressing: Take a sitting position and rub the Renzhong acupoint with the tip of the middle finger for 1-2 minutes. (10) Points: Take a sitting position, with the fingertips of the middle finger of both hands, respectively, press the two legs of the Commission in the middle point (the middle of the back of the knee fossa) 1-2 minutes to be pressed on the site should be sore, numbness, swelling sensation. Shaking the waist can also prevent and control lumbar muscle strain. Specifically introduced two methods for reference: (1) turn crotch transport waist: standing position, hands across the waist, thumbs in front, the remaining four fingers in the back, the middle finger in the lumbar eye, that is, traditional Chinese medicine said that the kidney acupuncture point on the inhalation, crotch swinging from left to right, exhalation, swinging from right to left, an exhalation and an inhalation for a time, can be done continuously 8-32 times. (2) Rotate the waist and turn the back: take a standing position, raise both hands to the sides of the head and shoulder width apart, the tip of the thumb is at the same height as the eyebrow, and the palms of the hands are opposite to each other. When inhaling, the upper body is twisted from left to right, and the head is twisted backward; when exhaling, it is twisted from right to left, and an exhalation and an inhalation is one time, and it can be done continuously for 8-30 times.