There are two treatments:
Non-surgical treatment: suitable for young people/first attack/short course of disease/mild symptoms and X-ray examination without spinal stenosis.
1. Absolute bed rest: At the first attack of lumbar disc herniation, you should stay in bed for 3 weeks immediately.
2. Continuous pelvic traction: reduce the pressure on the intervertebral disc.
3. Massage, Massage and Physical Therapy
4. Local injection therapy: epidural injection of glucocorticoid to reduce inflammatory edema and nerve root adhesion.
Surgical treatment: suitable for those who are ineffective in strict non-surgical treatment or whose cauda equina nerve is compressed.
Don't do heavy physical labor and strenuous exercise. Family exercise for lumbar disc herniation;
1. Repeated waist rubbing: put your hands on the psoas major muscle of the same side respectively, and rub it 10- 15 times from top to bottom, depending on the fever on both sides of the waist.
2. Crawling training: The limbs are crawling, doing the actions of bowing and sinking. Then they touch their left (right) feet sideways, raise their hands and turn around. Finally, they land on the ground and crawl for 30 minutes every day.
3. Swallow flying: Lie on the bed, lift both lower limbs alternately, lift both lower limbs at the same time, lift the upper body backward, lift both ends of the body off the bed at the same time, and so on. Do the above actions for more than ten times each, and exercise for 30 minutes every day.
4. Group sports: Lie on your back in bed and do hip flexion, knee flexion, sit-ups or sit-ups with your arms around your knees and your chest for more than ten times each. This exercise can be done alternately every other day and flying swallow.
5. Backward movement: Back in the corridor or open space for about 30 minutes at a time. This exercise is conducive to improving the state of back muscles, restoring the sliding of lumbar physiological arch and lumbar facet joints, and helping to alleviate facet joint adhesion.
6. Abdominal lifting therapy: do dozens of abdominal lifting exercises every day, on the one hand, strengthen the exercise of lumbar muscles, on the other hand, make the intervertebral space, fibrous ring and intervertebral ligament rotate and pull, generate peripheral pressure, make the protrusion easy to recover, and restore the anatomical function of spinal joints to achieve adaptation.
Need to be reminded that everyone has different individual differences, so choose one or two ways to exercise. In this process, pay attention to safety, and the elderly should be accompanied by their families.
Prevention: First, regular inspection. Pay attention to whether there is congenital or sudden spinal distortion, such as deformity or spondylolysis. Those who engage in strenuous lumbar exercise should pay attention to whether there is a spinal fracture. If there are these structural defects, it is necessary to strengthen waist protection (such as binding lumbar support) to prevent repeated injuries from causing disc herniation.
Second, avoid bending hard for a long time. Because the pressure on the lumbar intervertebral disc when bending hard is several times greater than when standing. People who sit and work for a long time have a high incidence of this disease, so exercise every 1 to 2 hours to relieve low back fatigue. Semi-hard bed is the best bedding, and it is appropriate to add a cushion to the flat bed. It's forbidden to sit on the bed and watch TV, read newspapers and knit sweaters. When sitting, the back should be straight, the hips should be moved back against the back as far as possible, and the hips and knees can naturally bend 90 degrees to 100 degrees, thus maintaining the inherent lumbar lordosis.
Third, strengthen the exercise of waist, back and abdominal muscles. Strong back muscles can prevent back soft tissue and spinal injury, while abdominal muscles can help reduce the load of lumbar spine.