Many people with low back pain often ask the doctor, I’m . My waist and the intervertebral disc are protruding. Should I lie still? The doctor refutes the rumors, is it better to lie still or strengthen exercise? What should be paid attention to? These confusions really do not know what to do for patients? There are even people who go to the hospital to consult with such problems. In order to save the patient's time and energy and not occupy medical resources, the doctor talked about related issues with everyone.
Lumbar disc herniation, should I exercise or lie still? The following factors need to be considered:
- need Make sure that your low back pain is caused by lumbar disc herniation?
For patients who often have low back pain, bring a film to tell the doctor that I have a lumbar disc herniation. What should I pay attention to? What the doctor tells you is that it’s not the film that suggests lumbar disc herniation or low back pain, it must be caused by lumbar disc herniation; to a large extent, it is not the problem of lumbar disc herniation, because everyone, as long as they are over 20 years old, Intervertebral discs will degenerate, and after filming, there will be problems such as intervertebral disc degeneration, bulging, and protrusion.
1. How to simply judge whether it is lumbar disc herniation ?
First is that has symptoms , such as back pain, hip pain, or radiating pain in the lower limbs ; second is a simple physical examination, such as lying on your back as I said, and doing the straightening of the lower limbs Put down straight leg raise , and see if there are pain and other symptoms in the 30-60 degree range. If there are symptoms, beware that it may be caused by lumbar disc herniation.The above two steps can be judged by each of us
2. Is the doctor's judgment caused by lumbar disc herniation?
If you want to further determine whether it is a problem caused by the lumbar intervertebral disc, on the basis of self-judgment, you have to take an MRI or CT and perform more comprehensive examinations to confirm the diagnosis.
- After judging that it is lumbar disc herniation, you need to know which stage of your pain is?
1. Acute lumbar disc herniation
Some people suddenly experience pain in the waist and radiation pain in the lower limbs when they bend over to do something. After diagnosis, it is caused by the herniated disc; they will show that they cannot stand, Sit and bend over; when standing or walking, you lean to one side; when you go to bed, you can’t complete this action normally, and you usually go to bed slowly on your stomach; a cough will induce aggravating symptoms.
The above symptoms are often manifested during an acute attack and will last for about a week.
2. Chronic lumbar disc herniation
will induce or aggravate symptoms when bending over, usually manifested in waist soreness, buttocks pain, numbness in a certain area of the lower limbs; the entire back The thoracolumbar fascia area is tight and rigid; the pelvis is abnormal, with lumbar anti-pelvic rhythms, such as anterior and posterior tilt; scoliosis or insufficient lumbar stability, insufficient flexibility of the hip joints and thoracic , etc.
The above symptoms are manifested in the chronic phase and will last for a long time and it is difficult to recover on their own.
Pain caused by lumbar disc herniation, is it exercise? Still lying still?
- Lumbar disc herniation in the acute phase causes
Lumbar process in the acute phase,It causes nerve compression and nerve root edema, so recommends lying still in this period to reduce the stress load after the activity and aggravate nerve root edema.
In addition to lying still, in order to reduce pain symptoms and promote the absorption of edema, recommends dehydration treatment , such as proper infusion, infusion of mannitol or if conditions permit, lumbar disc herniation can be In the stage, sit back and forth with ultrashort wave therapy.
- Lumbar disc herniation in the chronic phase is caused by
After the edema phase, when the acute phase pain is gradually reduced, recommends manipulation and self-reinforcing exercise therapy . Often in the chronic phase, lumbar intervertebral disc herniation, has many reasons for the herniation, such as lumbar spine instability and spondylolisthesis; disorder of lumbar pelvic rhythm, loss of hip joint or thoracic spine flexibility, resulting in excessive lumbar compensation activities Wait a lot.
Therefore, in the treatment of chronic lumbar disc herniation, must first pass the doctor's judgment on the problem and give some adjustments; then exercise . The purpose of exercise is to strengthen the stability of the lumbar spine and reduce the stress in the direction of the herniated disc.
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Take the common protruding posterior lateral and lateral posterior directions as an example, give the exercise method:
1. Prone back extension training
This training,It is not advisable to proceed quickly and slowly; exhale when you get up and inhale when you put it down; do not stretch your back too much when you get up, otherwise it will aggravate the tension of the joint capsule of the waist small joints and aggravate low back pain.
2. Hip joint flexibility training
3. Thoracic spine flexibility training
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img p5 5. plank -inner core training
6. spiral stability training
7. deep inner core system training
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After lumbar intervertebral disc herniation, as a whole, it is recommended to strengthen exercise; because the herniation of the lumbar intervertebral disc is caused by problems with the stable structure of the lumbar spine before it protrudes. However, in the acute phase, strengthening exercise will cause physical intolerance and aggravate nerve stimulation. Therefore, you can lie still at this stage and wait for the symptoms to relieve before the body can tolerate exercise.
I am Dr. Kong who insists on analyzing disease knowledge with my own treatment experience and ideas. I spend a lot of thought and energy every day to write science popularization. The code word is not easy. If you agree with me, please give me a thumbs up or a point. A concern; sharing is a virtue, giving roses to others, leaving a fragrance in your hands! If you or your family or friends are also troubled by waist pain, please forward this article to them who need it, so that more people can benefit from it! Thank you!
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