Why should acute lumbar sprain not be moved too early?

Acute lumbar muscle sprain should not be moved prematurely and prevent the occurrence of acute lumbar sprain mainly has the following points: should publicize and educate employees, strictly abide by operating procedures, be familiar with production technology, prevent brute force, eliminate and reduce the incidence of work-related injuries. Improve working conditions as much as possible and replace heavy manual labor with mechanical operation.

Attention should be concentrated when working, especially when carrying heavy objects collectively, they should work together and walk in unison under unified command. Master the correct working posture, such as carrying and lifting heavy objects, try to make the chest and waist straight, hip and knee flexion, get up should be mainly lower limb force, stand firm and then take a step, when lifting heavy objects, you should take a semi-squatting position, so that the object is as close to the body as possible. Strengthen labor protection, and use belt protectors when doing heavy physical labor such as carrying, lifting, lifting, and lifting, so as to help stabilize the lumbar spine, enhance abdominal pressure, and enhance muscle work efficiency.

If you work in a cold and humid environment, you should take a hot bath to get rid of cold and dampness and eliminate fatigue. Try to avoid bending over and forcing the pose to work for too long.

Acute lumbar sprain is an acute laceration caused by the sudden excessive stretching of soft tissues such as lumbar muscles, fascia, and ligaments due to external force, which often occurs when lifting heavy objects and strong contraction of lumbar muscles. Acute lumbar sprain can tear tissues such as the insertion points, periosteum, fascia, and ligaments of the lumbosacral muscles. **Lumbar sprains are mostly caused by walking, slipping, jumping, flashing and twisting the body, running, and are mostly caused by muscles and ligaments being restrained, so the injury is relatively mild.

Lumbar contusion and laceration is a relatively serious injury, such as excessive force or improper posture and improper coordination in the process of climbing, lifting, and carrying heavy objects, resulting in damage and tear of the muscles, fascia, ligaments, intervertebral facets and joint capsules in the lumbar region. Clinical manifestations: The patient has low back pain immediately after the injury, which is persistent and severe, and may be more severe due to local bleeding, swelling, and low back pain the next day; There are also cases where the waist is only slightly twisted, and there is no obvious pain at the time, but the next day after resting, the lower back pain is felt. There are three main types of acute psoas and thoracolumbar fascia sprains:

Pain on one or both sides of the lower back is often severe, and can be exacerbated by lumbar movement, coughing, sneezing, and even deep breathing. The psoas muscles are tense, and it is common for one muscle to be higher than the other. Acute lumbar ligament injury:

There is a history of obvious trauma, often occurring when bending over to work or when violence suddenly forces the waist to flex, and there may be a crisp sound or tearing sensation in the lower back during the injury, which is a fracture-like, knife-like or pinprick-like sharp pain, sometimes accompanied by obvious tenderness, and limited movement. Acute joint sprain: obvious tenderness in the lumbosacral joint, sacroiliac joint, and lumbar facet joint, lumbar muscles become stiff due to spasm, dare not move, especially unable to stretch back, and the low back pain is aggravated when the back is extended.

**Method of bed rest: After an acute lumbar sprain, bed rest is the most basic**. Bed rest is not only good for relieving spasms of the psoas muscles, reducing activity and reducing pain, but also helps to promote the repair and healing of damaged tissues.

Do not move around at will, do it in a timely manner**.

Summary] 32-year-old migrant worker Xiao Wan bent down to carry heavy objects, heard a sound in the waist, and then felt severe pain on one side of the waist, unable to straighten, bending and pitching, turning and sitting up The pain intensified, the whole waist could not move, it was stiff, and the pain was more serious when taking deep breaths, coughing, and sneezing, and the waist had to be fixed with both hands when barely moving. Xiao Wan's illness is an acute lumbar sprain. Acute lumbar sprain has different clinical manifestations due to different parts and tissue injuries of the lumbar region, including acute lumbar muscle and thoracolumbar fascia sprain, acute lumbar ligament sprain, and acute lumbar facet joint sprain.

Acute lumbar muscle and thoracolumbar fascia sprain is mostly caused by sudden lumbar sprain, and the injured tissues are mainly lumbar muscles and thoracolumbar fascia, which is a relatively common injury. In a certain state, the muscles of the lower back contract strongly, causing the muscles and fascia to be overstretched, twisted, or even torn, resulting in severe low back pain. The degree of tissue damage varies depending on the amount of force being applied.

There are many causes of injury, and the most common ones are the following: (1) Movement disorder. In order to maintain balance, the body reflexively causes strong contraction of the psoas muscles, resulting in damage to the psoas muscles and thoracolumbar fascia.

2) Poor posture. Lifting too heavy objects abruptly or in an incorrect posture when lifting, and the center of gravity of the lifted object is too far away from the central axis of the torso, which makes the lumbar muscles overloaded, or the lumbar muscles contract and move uncoordinated, which can often cause the lumbosacral muscles and fascia to be excessively stretched or torn. (3) Imbalance of center of gravity.

When you accidentally fall, the center of gravity of the body suddenly loses balance, and the psoas muscles contract suddenly; or when falling, the waist is flexed and the lower limbs are extended, resulting in lumbosacral muscle and fascial damage. (4) Insufficient preparation for waist activities. In daily life, such as splashing water, bending over, standing up, or even hanging a towel, sneezing, yawning, etc., the waist suddenly moves, but the muscles are not well prepared, resulting in damage to the lumbar muscles and fascia, which is the so-called "flash waist".

Acute lumbar facet joint sprain can lead to lumbar facet joint injury under the action of excessive flexion, hyperextension, traction or rotation of the lumbar region, which is called lumbar facet joint disorder, lumbar facet joint syndrome or acute lumbar facet joint synovial incarceration, facet joint misalignment, and this disease also includes lumbosacral joint and sacroiliac joint injury. The disease is often misdiagnosed as acute lumbar fascial sprain or acute lumbar fibrositis, etc., which is delayed** and turns into chronic low back pain. A disease that occurs during injury due to spraining or tearing of the ligaments, joint capsule, and synovium around the lumbar intervertebral joints, or synovial incarceration in the facet joints, often accompanied by joint misalignment and displacement.