What to pay attention to and how to treat acute lumbar sprain

Acute lumbar sprain is an injury caused by excessive stretching and twisting of the lumbar muscles and sonic joints caused by twisting, bending and hyperextension, as well as lifting heavy objects. Immediately after the injury, severe pain in the lower back, tension and spasm of the lumbar muscles, significant restriction of movement in all directions of the lumbar spine, and sometimes significant local tenderness. So what to do after a sprain?

For acute lumbar sprain, it is necessary to pay attention to bed rest, severe cases, can be physiotherapy, massage, hot compress, etc., when the acute pain is reduced, gradually exercise the waist muscles, can promote tissue repair and healing. Prevents adhesions and muscle atrophy.

The specific lumbar function exercise methods are as follows:

Back extensor exercises in the supine position:

a. Five-point support method: take the supine position, bend the elbows and knees on both sides, support the head, feet and elbows, and arch the waist vigorously (you can also use the palms of both hands to support the waist arch), and practice repeatedly.

b. Three-point support method: After the five-point support exercise, those with better waist muscles can put their arms in front of their chests, use the head and feet as three points for support, and do the arch waist exercise vigorously, repeating many times.

c. Four-point support method: that is, on the basis of the former, the four-point support of both hands and feet is used as an arch bridge exercise, which is repeated many times.

Prone Exercises:

a. Lie prone with your head up, chest and arms, and straighten your upper limbs on both sides of your torso, raise your head and chest, and practice repeatedly.

b. Straighten and lift your legs: The basic posture is the same as before, change the head and chest to straighten and lift the legs, and repeat the exercises.

c. Raise your head and chest and legs (also known as Feiyan pose): Combine the first two, implant the bed with the abdomen, and lift the head, hands and chest and two lower limbs together, repeating many times.

Waist rotation movement: stand with your feet shoulder-width apart, cross your hands at the waist, and rotate your waist alternately clockwise and counterclockwise, rotating from slow to fast, from small to large, repeatedly.

Acute lumbar muscle sprain refers to the acute injury of soft tissues such as muscles, fascia, ligaments, joint capsule, and synovium on both sides of the lumbosacral, sacroiliac and lower back, thereby causing lumbar pain and activity dysfunction.

If the bones are fine, but the muscles are sprained, you can apply plasters, take some pain relief, blood circulation and blood stasis, try to move as little as possible, and you can put on a hot compress after the next day.

Acute lumbar muscle sprain refers to the acute injury of soft tissues such as muscles, fascia, ligaments, joint capsule, and synovium on both sides of the lumbosacral, sacroiliac and lower back, thereby causing lumbar pain and activity dysfunction.

Lumbar sprain is an acute laceration caused by sudden excessive stretching of soft tissues such as lumbar muscles, fascia, and ligaments due to external force. Acute lumbar sprain can tear tissues such as the insertion points, periosteum, fascia, and ligaments of the lumbosacral muscles. Guidance:

After a sprain, X-ray is generally required to check whether there is joint dislocation, and if there is dislocation, it should be reduced manually, of course, you can take some bone-setting pills, and safflower oil or bone water to cooperate**, if there is no dislocation and fracture, it is enough to use the traditional Chinese medicine for blood circulation and blood stasis only through massage and internal and external use.

First, it is necessary to prepare for activities before exercising, especially the preparation activities of the waist should be done seriously, such as bending back and forth, turning left and right, jumping up and squatting, elongation and shortening, etc.

Second, it is necessary to pay attention to the correct posture and proper force. The waist force should be gradually strengthened, and the movements should be coordinated and balanced, and not too violent.

Third, the exercise of strengthening the waist muscles, especially the waist activity-based health and dismantling project, can increase the mobility of the vertebrae, enhance the elasticity and stretch of the ligaments, and make the muscles more developed and powerful, even in the case of greater strength, it is not easy to tear and sprain.

Acute lumbar sprains are common in people who work hard or play sports. Lumbar sprain is mostly caused by sudden flashback, or excessive load and excessive force in carrying heavy objects; Some patients carry heavy objects, which is caused by the lack of coordination between the large number of people and the spraining of the waist; Direct falls, the waist is impacted, and the psoas muscles are directly hit, stretching and causing the waist to be injured.

When the lower back is injured, the patient feels that the lower back is sudden"Cracks"or"Flash"I felt that my waist was weak, so Brother Lusui, the patient sat down, unable to get up, and needed support. In addition, turning around, bending over to pick up objects, the pain is doubled.

In patients with lumbar sprains, the psoas muscles are swollen with the naked eye, and the muscles are tender at the same time, and even the psoas muscles are cord-like and stiff. Check for psoas muscle injury, let the patient sit, the doctor presses the upper thigh with his hand, and asks the patient to exert force to lift the leg, and the person with psoas muscle injury has pain in lifting the leg.

Technique ** waist sprain, first of all, you should relax the muscles and activate the meridians, and click on the relevant acupuncture points, such as Kidney Yu, Yangguan, and Weizhong. The techniques are mainly connected, pushed, rolled and kneaded. When the muscles are relaxed, the patient is placed on his side, first shaking the waist and then pressing on the side.

After the patient passes by**, the waist feels relaxed. Depending on the severity of the patient's injury, with the combination of internal Chinese medicine or external application, the lumbar sprain can generally be healed in one course of treatment.

For acute waist sprains, Chinese medicine can use peach kernel Chengqi decoction: decoction with peach kernels, cinnamon branches, shengtianhuang, miscanthus salt, white peony, paoshanjia, and licorice. Note that this formula cannot be used in pregnant women, so as not to have the disadvantages of abortion.

If you are traveling in the countryside and have a sprained lower back and cannot find a doctor in an emergency, in this case, the patient should be allowed to lie down and rest. If you travel with a small refrigerator, you can take out the ice cubes, wrap them in a cloth and apply them to the affected area of the waist to reduce subcutaneous bleeding caused by sprains, and the ice can also have a pain-relieving effect.

The main difficulty**, easy to repeat, long-term cure, need to contact me

If the patient has acute low back sprain and low back pain, do not panic yet. Patients with acute lumbar sprain have severe low back pain, and have a history of acute lumbar sprain, and the physical examination found that the patient's lumbar muscles are tense and the sprain is tender. The best way to get an acute low back sprain** is a pain point injection in the lower back, which immediately eliminates the pain and prevents it from turning into chronic pain.

If there is an acute lumbar sprain, it will cause lower back pain, and it usually takes about two weeks to heal. It is recommended that you can take massage, acupuncture, hot compresses and other physical **, and if the pain is severe, you can take Fenpide capsules appropriately. Pay attention to rest and strengthen nutrition.

Avoid bending over and avoiding sitting for long periods of time.

Acute lumbar muscle sprain refers to the acute injury of soft tissues such as muscles, fascia, ligaments, joint capsule, and synovium on both sides of the lumbosacral, sacroiliac and lower back, thereby causing lumbar pain and activity dysfunction.

Liu Di, East Hospital, Beijing University of Chinese Medicine.

There are some injuries that occur from time to time in life, such as ankle sprains. At this time, many people will think of traditional Chinese medicine to promote blood circulation and remove blood stasis, apply hot compresses, or rub the wound with their hands. However, this not only does not speed up**, but may cause more serious conditions such as swelling and ecchymosis of the wound.

In general, sports injuries are divided into acute, remission, and ** phases, and treatment should also be carried out in stages.

Acute growth period: Immediately apply a cold compress for 20 minutes.

The acute phase usually refers to the acute inflammatory reaction within 24 or 48 hours after the injury, when the injured tissue may bleed, and local symptoms such as red fever, swelling, pain, and dysfunction appear. The patient should stop moving, and choose treatment methods such as cold compress, compression bandaging, and elevation of the injured limb according to the situation. Generally, cold compress followed by pressure bandaging can also be done at the same time.

Cold compresses are generally 20 minutes each time, once every 4 hours; Discontinue use after 24 or 48 hours. When bandaging, you can place cotton or sponge of appropriate thickness on the wound, use a bandage to apply a little pressure, and pay attention to the condition of the bandaging site frequently. If the bandage is too loose or too tight, it should be redressed.

In general, it can be removed after 24 hours of pressurized bandaging.

If pain occurs after injury, external wound drugs such as Yunnan Baiyao (patent medicine) can be used to quickly reduce swelling and relieve pain and reduce acute inflammation. Those with severe pain can take painkillers such as Fenbide, and those with severe congestion can take bone-setting pills, Qilisan, etc. During this period, you should not apply warm compresses or massage the injured area, otherwise it will aggravate the bleeding and tissue fluid exudation, making the injured area more swollen.

Although the wound cannot be rubbed, it can be clicked on the surrounding parts along the meridian and acupoints, which is conducive to reducing swelling and relieving pain. For example, if your wrist is injured and swollen and painful, tap Quchi, Neiguan, and Hegu; If you have an ankle injury, tap the sea of blood and the three yin sex. It doesn't matter if the injured person or family members don't know the acupuncture points, as long as the position is roughly correct.