Postoperative rehabilitation for lumbar disc herniation

Neck, shoulder, lumbar and leg pain is a common orthopedic disease, especially cervical and lumbar spine disease is the most common. Whether it is conservative treatment or surgical treatment, its rehabilitation training is very important, but people often only pay attention to treatment and ignore rehabilitation training, in fact, many neck, shoulder and lumbar pain diseases can be prevented by rehabilitation training. The purpose of rehabilitation training after radiofrequency thermal coagulation targeting of cervical and lumbar spondylosis and other minimally invasive surgeries is to rebuild the balance system of biomechanics inside and outside the spinal canal, enhance and protect the stability mechanism of the cervical and lumbar spine, and restore its stage function. Only by adhering to correct and standardized rehabilitation training can we consolidate the therapeutic effect, fully recover and achieve less recurrence. Rehabilitation training, in addition to the therapeutic effect, also has a strong health care effect. ①Training time: 1 time each day in the morning and evening, adhere to lifelong. ②Training intensity: from weak to strong, varying from person to person. ③training response: in the initial 1 month or suddenly increase the intensity of training, the original symptoms are normal, adhere to the training after 3 months, the symptoms can disappear completely. 1, lumbar disc herniation postoperative bed rehabilitation training thumb dorsiflexion confrontation rehabilitation training (postoperative day l): supine position, the assistant will right thumb on the patient above the metatarsophalangeal joint, let the patient thumb try to upward (dorsiflexion) to the extreme point at the same time, instant confrontation, even do 10 movements, twice a day. Ankle dorsiflexion rehabilitation training (postoperative day 2): In the supine position, the assistant presses the knee joint of the affected limb and has the patient’s foot hook upward (dorsiflexion) to the extreme point with all possible force, insist for 3-5 seconds, then repeat, and do 10 movements in a row. Straight leg raise rehabilitation training (postoperative day 3): supine position, let the patient cross the thumb, then hook the foot (i.e. 1 and 2 at the same time), straighten the leg, slowly raise it up to the point of soreness and discomfort, hold it for 3-5 seconds, slowly lower it, then repeat, and do 10 movements in a row. Femoral nerve rehabilitation training: prone position, natural relaxation of the body, two lower limbs straight, first lift the healthy side of the lower limb to the highest point, adhere to 3-5 seconds, slowly put down, and then lift the affected side of the lower limb to the highest point, adhere to 3-5 seconds, slowly put down, and so on alternately, each repeated l0 times. 2.Post-discharge rehabilitation Five-point pose: supine position, two lower limbs straight, two heels (2 pressure points), two elbows (2 pressure points), the back of the head on the bed (1 pressure point), lift the waist and back and buttocks to the highest degree, insist 3-5 seconds, slowly put down, repeat l0 times. Half bridge: supine position, bend both legs to 90 degrees, head back on the bed, both upper limbs relax naturally, lift the waist and back and hips to the highest degree, insist 5-10 seconds, slowly put down, repeat l0 times. Three-point pose: (supine position, both lower limbs straight, both heels (2 pressure points), the back of the head on the bed (1 pressure point), both upper limbs naturally relaxed, forcefully lift the waist and back and buttocks to the highest degree, insist on 3 to 5 seconds, slowly put down, repeat l0 times. 3.1 month rehabilitation training after discharge Anterior flexion: sitting position in flexion, both upper limbs touch the toes on the inside of both legs for 3-5 seconds, repeat l0 times. Feet touching: sitting position, both lower limbs straightened, upper body at 90 degrees to the lower body, then both upper limbs straightened forward try their best to touch the toes for 3-5 seconds, repeat 10 times. Squatting: standing, both hands crossed waist, then waist into a straight line squatting pause 3-5 seconds, then stand up, repeat 20 times. Bend-over style: standing position, hands crossed waist, bend down to the maximum degree, pause 3-5 seconds, then get up, repeat 20 times. Swallow pose: prone, two upper limbs backward, four fingers together, thumbs out, two lower limbs straight, even the head and neck backward up to the maximum degree, adhere to 3-5 seconds. Put down slowly. Flexion and extension exercise: prone, both upper limbs, lower limbs into 90 degrees of abdominal retraction, the body stretched forward to the maximum extent, adhere to 5 ~ l0 seconds, and then backward flexion IIn to the heel, adhere to 5-10 seconds, repeat 10 times. Back extension: standing position, hands crossed, bend down to the maximum degree, pause 3-5 seconds, then get up, repeat 20 times. Waist bend on both sides: standing with arms crossed, bend to the left and right side 20 times each. Lumbar gyration: standing with arms crossed, rotate to the left and right 20 times each. 4, lumbar spine disc herniation after discharge precautions ① must do rehabilitation training on time, must be standardized, standard, up to the amount. ②Prohibit bending over to carry heavy objects. ③Prohibit turning around after bending (such as splashing water). ④Prohibit sudden excessive bending or straightening of the waist.