How is low back pain treated?

  Due to the changes in life and work of modern people, neck and lumbar back pain is more common. The main reason is that the neck, shoulder and low back are overworked due to sedentary lifestyle, and the intervertebral discs and paravertebral muscles are under tension for a long time, which manifests as stiffness and pain in the neck, shoulder and low back, or difficulty in turning around.  As we age, the frequency of pain attacks increases, the area increases, the duration lengthens and the degree increases. The above symptoms are aggravated after sitting for a long time or doing housework, but relaxed after exercise; aggravated by cold, and alleviated after keeping warm; even triggered by sneezing and spraying or brushing teeth.  In severe cases, one month dare not go down to the ground; when turning over, the pain is as if the waist section is divided into two sections, and even playing “morphine” to stop the pain. Although it is indeed very uncomfortable, but often by others as a “fake illness”, because others see you walk well, a work problem.  The typical myofasciitis, also called muscle strain, commonly known as “pillow” or “flash back”, is actually “cramp” in nature, muscle “strike “, requiring rest. Usually lasts for a week, gradually relieved after rest. The next time you get tired and cold, you will be sick again.  General knocking, massage, hot compresses, physiotherapy, external application, internal medication can reduce the symptoms for a short time, but can not be cured. The reason is that it is impossible to eradicate the two causes of aging (after the age of 20, the body’s intervertebral discs and ligaments begin to age) and strain (ambulatory work and household chores). The so-called minimally invasive surgery, as well as open surgery can not do “rejuvenation” or “delay aging”, because the surgery is only to relieve the symptoms.  The main points of conservative treatment: 1, the acute period of pain is mainly bed rest (bed rest 80%, medicine, massage, physical therapy, traction, acupuncture, cupping, etc. 20%); 2, the usual is to improve the work posture, diligent activity, strengthen the neck and back and lumbar back muscle exercise (breaststroke, small swallow fly).  Therefore, lumbar muscle strain “no treatment”, is also “untreatable”. Mainly rely on our own adjustments to pay attention to posture, strengthen the activities, muscle exercise. Including: 1, pay attention to posture: sitting upright, that is, “sitting like a bell”. Good sofa and car seats are to ensure that the cervical and lumbar spine convexity. The worst sitting posture is about 70 ° forward leaning. Lie flat lumbar spine load of 1.0, standing for 1.5 times the load, tilted forward about 70 ° lumbar spine load 2.5 times.  2, strengthen the activities: 30 minutes of activity cervical and lumbar spine, 60 minutes to get up and walk. This is similar to the 10-minute recess reasoning. Playing computer, cell phone, playing cards, mahjong, painting, playing the piano, household chores and driving, sitting in a car are common triggers of muscle strain, which requires diligent activity during this period.  3, muscle exercise: the best fun activity is breaststroke. You need to lift your head and waist when you get out of the water to change air; and the most economical method is the “little swallow fly”.  However, if you have numbness, pain, weakness, cotton-pilling sensation, difficulty in urinating and defecating, numbness around the anus, etc. – there may be more serious problems – the situation has worsened, then you may need surgery. Please visit your doctor’s office (or even an emergency room) as soon as possible. Surgery may be needed at this time.  Common misconceptions: 1. Hope that health care goods, massage and other methods to cure the disease. I do not know that only I can fight against “aging and strain”. Please do not imagine that “clever” drugs, therapies can fight, reverse “aging and fatigue”.  2, usually do not pay attention to and do not exercise, when the pain temporarily hold the Buddha’s feet, the more exercise the more pain. Little swallow fly in the lumbar spine pain can not do, as the calf “cramp” after the need to rest rather than running.  3, continue to nest in bed reading, watching TV, the cervical spine, lumbar spine did not get a rest, only the rest of the limbs.  4, playing computer, mahjong, housework is not tired, why is still “neck pain” “lumbar swelling”? The reason is that the above activities are resting the limbs and straining the spine.