How to recuperate lumbar disc herniation

1. Bed rest is a very simple but effective measure for patients with lumbar disc herniation, and bed rest is the basis of non-surgical treatment. 2. Traction therapy Traction therapy is one of the commonly used therapies for patients with lumbar disc herniation. Traction treatment of lumbar disc herniation is a method to achieve the therapeutic purpose by using the relationship between acting force and reaction force in mechanics and through special traction device. Main function: (1) plays the role of fixing and braking the waist: during traction, under the balance of acting force and reaction force, the pulled waist is in a relatively fixed normal alignment state, and the range and amplitude of movement of the waist are further limited compared with those during bed rest and waist line threading, so as to alleviate or eliminate local inflammatory reactions such as congestion, exudation and edema. (2) Back muscle relaxation: Lumbar disc herniation, due to the compression or stimulation of spinal nerves, is often accompanied by back muscle spasm, which not only leads to pain symptoms in the waist, but also constitutes the alignment of the lumbar spine. Traction therapy can gradually relax back muscles and relieve muscle spasms. (3) Restore the normal alignment of the lumbar spine: If the lumbar spine of the patient is in a physiological curve shape during traction, with the extension of traction time, the phenomenon of improper alignment can gradually return to normal. (4) Improve the relationship between protrusion and nerve: For patients with mild or early lumbar disc herniation, traction therapy can gradually lengthen the intervertebral space, which is beneficial to the recovery of protrusion. For patients with a relatively long course of disease, pulling adhesion tissue, contracture ligament and joint capsule can widen the space of spinal canal correspondingly, and at the same time, it can also pull the narrow intervertebral foramen on both sides, thus reducing or eliminating the oppression and stimulation to nerve roots, which has a good effect on relieving numbness and pain of lower limbs. Traction therapy has a long history, and the methods of traction therapy have made great progress at present. 3. Physical therapy in the acute stage of lumbar disc herniation The commonly used physical therapies in the acute stage are: (1) short wave and ultrashort wave therapy: in the early stage of the disease, in order to improve the blood circulation of the affected part, eliminate inflammatory reactions such as exudation and edema, and alleviate the pain caused by the compression or stimulation of nerve roots, short wave and ultrashort wave electrotherapy are generally used. During the treatment, the two polar plates can be opposite at the lumbosacral part, or they can be juxtaposed at the lumbosacral part and the back of the affected leg. Temperature and heat, daily 1 time, 20-40 minutes each time. The multiple of 15-20 is 1. (2) Intermittent electrotherapy: the lumbosacral region and the walking area along the sciatic nerve can be treated point by point with small circular electrodes, and the waves are concentrated for 2-5 minutes; Sparse waves for 5 minutes; Five minutes of intermittent rising waves. 1-2 times a day, 15-20 times is 1 course of treatment. (3) Hyperstimulation current therapy: Two electrodes with the size of 8 *12cm2 can be used, one is placed horizontally in the sacrum, and the other is placed vertically at the waist. After turning on the power supply, adjust the power to 8- 12 mA as soon as possible, and increase it to 18-23 within 2-7 minutes after the strong electrifying feeling disappears. Each treatment time is *** 15 minutes. Every day or every other day 1 time. If effective, you can continue the treatment for 6- 12 times. 4. Massage therapy is an integral part of Chinese medicine, which has the advantages of simple method, comfort and effectiveness, and few complications, and has been regarded as one of the comprehensive therapies for lumbar disc herniation. Western-style manipulation for the treatment of lumbar disc herniation is a treatment method that uses the operator's hands to push, pull and rotate the patient's bones and joints. It is based on the functional anatomy of bones and joints, guided by the biomechanical principles of bone and joint activities, and adopts corresponding massage techniques to improve the functions of bones and joints and relieve clinical symptoms. For lumbar disc herniation, Western-style manipulations adopt different auxiliary actions or passive physiological actions, such as pushing and shaking lumbar spinous process or articular side, rotating and pulling lumbar spine. Several manipulations can be used at the same time during the operation, and four levels of force 1, 2, 3 and 4 can be applied according to the patient's condition. Among them, light manipulation can be used for patients with acute lumbar disc herniation, severe pain and great pressure; Patients with chronic or impaired joint motor function should use heavy manipulation. Generally, the duration is 45 seconds, 60 seconds or 90 seconds, and the frequency is 1-2 times per second. The intensity and time can be appropriately selected. Each course of treatment is 5- 10 times, with a rest between two courses 10-20 days. 5. Acupuncture therapy includes body acupuncture, ear acupuncture, electroacupuncture, pricking blood and cupping, hand acupuncture and scrapping therapy. Acupuncture therapy is effective in treating lumbar disc herniation without special equipment. Easy to master and so on. 6. Blocking therapy Blocking therapy is a quick and effective method to treat lumbar disc herniation. Because it is safe, reliable, simple and effective, it is a better non-surgical treatment for lumbar disc herniation. Including pain point sealing therapy, epidural cavity sealing therapy and interpenetrating nerve root sealing. There are two kinds of local blocking therapy for lumbar disc herniation: acupoint blocking and local area blocking. (1) Acupoint blocking: It has the comprehensive therapeutic effect of acupuncture and drugs, so it has more obvious analgesic effect than acupuncture or drug treatment alone. Commonly used closed acupoints are Sanjiaoshu, Shenshu, Dachangshu, Fructus Aurantii Immaturus, Zusanli, Huantiao, Weizhong and Chengshan. Common methods: 1, 2% procaine hydrochloride injection 4 ml, prednisolone acetate 1 ml, mixed evenly, injected into the above 3-4 points respectively, and closed every 5-7 days 1 time. 3-5 times is 1 course of treatment. 2. Inject vitamin B 12 injection (1-3ml) into the above 3-4 acupoints. Closed every day 1 time. 10 is 1 course of treatment. 3. Inject 2-4 ml of 5% glucose or 30% Danshen solution into the above 3-4 acupoints respectively, and block them every day or every other day 1 time. 10- 15 times is 1 course of treatment. In addition, vitamin B 1 and compound angelica liquid were used as sealing liquid to seal the points of lumbar disc herniation.