In this case, the symptoms after moving, strenuous exercise or sudden heavy physical labor often represent problems with the muscles and fascia around the lumbar spine. It may be muscle spasm, or excessive use may lead to muscle tearing, aseptic inflammation and hematoma. It may also be that the fascia has aseptic inflammation and micro-tearing, which induces pain in patients, and they dare not turn around and stand up straight, and sometimes it is difficult to get out of bed. Under normal circumstances, as long as there are no obvious symptoms such as numbness and radiation pain in lower limbs, it is temporarily not considered that lumbar disc herniation stimulates nerves.
Faced with this situation, how should we deal with it?
● Rest and reduce the stimulation to the waist. You can take this posture as long as you don't feel obvious waist pain in supine or lateral position, and try to rest for 2~3 days. Because this kind of pain caused by muscle and fascia injuries is often accompanied by inflammation and edema, resting at this time can reduce the damage to muscles and give the organization a chance to recover itself.
● External and oral analgesics. Generally speaking, we suggest that non-steroidal anti-inflammatory and analgesic ointment should be applied externally to the painful part, because many symptoms that induce pain are basically due to aseptic inflammation, so it is not necessary to take antibiotics. If external application can achieve the effect, there is no need to take it orally, because oral administration of this medicine often has certain irritation to the stomach.
● Hot or cold compress. In principle, if it is the acute stage of lumbar sprain, especially within 48 hours, hot compress is not recommended, because hot compress may lead to the aggravation of aseptic inflammation, and patients often feel more and more pain, and many people use hot compress when the temperature is too high. In fact, if you want to apply hot compress, there is no problem at all, so the temperature must be controlled at about 45 degrees, and don't overheat. In addition, time is also a problem, and hot compress for about 20 minutes is enough. Hot compress can make us feel comfortable, promote local blood circulation, and have a certain effect on relieving patients' symptoms, but remember not to hot compress the affected area at high temperature for a long time, which may lead to aggravated symptoms.
Cold compress can control local aseptic inflammation, reduce local soft tissue exudation and edema, and help patients control pain. However, it is suggested that ice-water mixture should be used for cold compress, and the appropriate time for cold compress is about 20 minutes. There should be some clothes between the skin and the ice pack when cold compress, so as not to get frostbite.
Whether it is cold compress or hot compress, as long as the correct temperature can be used to avoid excessive hot compress and cold compress for a long time, as long as either can alleviate the symptoms of patients, either can be done, and there is no need to argue. After all, everyone's symptoms are different, everyone's injured parts are different, and everyone's physique is different.
Remember, cold compress and hot compress are just a measure to help us recover. If the location of the injury is particularly deep, not very shallow fascia or superficial muscles, it is difficult to reach the depth of the waist with more hot and cold compresses. Never sprain your waist. Hold the baking lamp for an hour or two in the future, hoping to relieve it quickly.
● Manual therapy can also help patients to relieve symptoms. But in the acute phase, if it is too heavy, it will stimulate the muscles that already have inflammation and edema. It is recommended to go to a regular hospital and find a regular manual treatment, and the doctor will make the correct treatment.
● You can try to stretch the waist, promote local blood circulation, relieve spasm, inflammation and edema of local muscle tissue, and help yourself relieve symptoms.
● Then, if the patient has no obvious symptom relief after 2-3 days of rest and corresponding drug treatment, then he may have to go to the hospital for corresponding examination to find out whether the problem lies in the lumbar intervertebral disc or other reasons!
When Mr. A was carrying heavy objects, he suddenly felt a backache and was afraid to turn around and straighten up.
Then we still have to trouble Mr. A to play again. This time, we assumed another scene for him, that is, when moving and carrying heavy objects, when squatting up, the waist suddenly stopped after hearing a noise at the waist. If you twist your body slightly or straighten your waist, you will feel severe pain. This situation may have been experienced by many people, especially some female friends. When they got up at home, they suddenly heard the sound of their waist and dared not move.
In this case, the problem of lumbar sprain is often not muscle, but dislocation of lumbar facet joints, which we call facet locking. Everyone can understand him as the abnormal position of the facet joint, and the result is "not" together, so he certainly dares not to straighten his back or twist his back, otherwise there will be severe pain in twisting his back. This situation is more common when you change your posture quickly or when your muscles are over-stressed.
This facet joint is the facet joint of the lumbar spine. This joint is not particularly stable, but it has subtle movements. In order to better meet the sports needs of lumbar spine, facet joint problems may occur. Generally, when the facet joint is locked, patients often feel a crunchy or sudden pain in the waist, and then begin to have limited movement at a certain angle of the lumbar spine. For this kind of acute lumbar facet joint atresia, the best treatment is manual treatment. Professional manipulative therapists or osteopathic doctors can reset the facet joints, and patients can have immediate effects, that is, after treatment, patients' pain will be relieved immediately, the motion angles of lumbar vertebrae in all directions will be obviously improved, and some patients will return to normal immediately.
Some patients will have a slight recurrence of symptoms on the night of osteopathy or manual treatment, which is caused by edema and inflammation after facet joint reduction. Generally, the symptoms will gradually disappear after 2~3 days.
Why did A Jun sprain his back? How to avoid this situation?
In fact, in daily life, friends who are prone to lumbar sprain, except some patients who overuse lumbar vertebrae every day, are mostly people who don't exercise very much and sit for a long time. The muscles around the lumbar spine are not well exercised at ordinary times, so it is easy to have problems in unexpected situations, such as moving animals or changing body position. Therefore, strengthening the rehabilitation exercise of the waist in daily life and making the muscles around the lumbar spine stronger will help us avoid it.
Here are some simple exercises to enhance the rehabilitation of the muscles around the lumbar spine, such as classic plate support and other sports methods. You can follow the instructions in these pictures and slowly try to find the exercise method that suits you.
Remember, don't force yourself at the beginning of rehabilitation, and gradually find the right amount for yourself. And if you feel comfortable after completing an action, you can stick to it. If you have symptoms of low back pain after completing an action, don't do it.
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To put it simply, I dare not straighten my back after spraining my waist, but if it is really necessary to judge whether the symptoms of the patient are caused by muscles or small joints, or there are other possibilities, it is best to seek the help of a doctor.
If it is because of overwork, but the pain of lumbar sprain caused by exercise, if it is not particularly heavy, it can be tolerated, and there are no typical symptoms such as lower limb radiation. You can rest at home for about 2~3 days, take appropriate medicine, or take some simple measures to help you relieve your symptoms. If you can't relieve the symptoms well, it is recommended to go to the hospital for the help of a doctor.
However, in the case of acute facet joint locking, if manual treatment is carried out later, the facet joint will be stuck for a long time, which will lead to edema of surrounding soft tissues, and it will become more and more difficult to treat or set bones by manual treatment. It is recommended to go to a regular hospital for treatment as soon as possible.
Because of the different mechanism and stress, the injured parts of twisting or flashing waist are also different. Torsion of the waist will hurt psoas major, dislocation of transverse joint, intervertebral ligament, oblique muscle outside abdomen and so on. This is why patients go to see a doctor. Doctors will ask patients how they were injured. If they know the injury mechanism, they will probably judge which parts are injured. Explain it in detail below.
The mechanism of lumbar sprain is dialectical. It is often heard that patients have sprained their waist inadvertently in their work and life. Of course, there are other external forces. Often this kind of sprain is more serious, but there are many explanations. Mainly talk about the cause and pathology of the patient's own twisting to the waist.
① Sprain of psoas major Most patients will sprain their backs and hurt psoas major in their lives. For example, if they move things and stand up too fast, it is easy to hurt the psoas major, that is, the psoas major spasm, and the patient can't move in an instant, causing severe pain.
② Patients with injuries to the external oblique muscle of abdomen are careless and quick in moving things, taking things and twisting the waist, which is easy to damage the external oblique muscle of abdomen. The characteristic of this disease is that people dare not gasp in an instant, and the pain in chest and hypochondrium is severe, which is the spasm of abdominal external oblique muscle.
③ Ligament injury between vertebral bodies can generally damage barren ligaments, which are all caused by lifting heavy objects. Mental preparation and physical strength are not coordinated. If the weight of heavy objects is not measured, ligament damage between barren areas beyond their own strength will be caused.
④ Dislocation of transverse facet joint is also caused by lifting heavy objects, but the injury mechanism is that the heavy objects are too heavy, which can only be caused by twisting the waist when the patient lifts heavy objects.
So twisting to the waist, according to the different injury mechanism, the lesion site of the injury is also different. Of course, other parts are injured, but there is not much explanation. Just share these incomprehensible comments.
As far as muscles are concerned, generally lumbar sprain mainly involves iliopsoas, quadratus lumborum, erector spinae, internal oblique muscle, external oblique muscle, lower posterior serratus muscle and posterior lobe of thoracolumbar fascia. , including the deep and shallow muscle bundles, may be involved, depending on the specific situation of lumbar sprain. In short, these injuries can make patients stand up straight to some extent.
But in fact, lumbar sprain is not only a muscle problem, but also lumbar ligament strain, lumbar facet joint disorder, lumbosacral joint sprain and so on. These conditions may also cause the patient to stand up straight.
In case of lumbar muscle sprain, it is suggested to brake and rest in bed, which can relieve the pain, reduce the bleeding of injured tissue and prevent the injury range from expanding. When resting in bed, you can add a cushion of about 10 cm on the bed to keep free posture to avoid or relieve pain. Stay in bed for 3~7 days to ensure the full repair of damaged tissues and avoid chronic low back pain.
If the pain is severe, you can take painkillers orally or spray Yunnan Baiyao aerosol on the injured part, which has the functions of relieving pain, promoting blood circulation to remove blood stasis and promoting the recovery of injured muscles. It can also be treated by massage.
Generally, after the pain and swelling are obviously relieved after 5 to 7 days, you can exercise properly to strengthen the blood circulation of the injured part and promote recovery.
Generally, muscle strain can be recovered after 3 weeks. If sprain leads to disorder of lumbar facet joints, it will take 3 weeks or even longer. Some patients have severe and unbearable pain and need to go to the hospital for treatment. Disorder of facet joints can be corrected by massage and manual reduction.
Some patients may have facet joint injury or acute lumbar disc herniation, especially the elderly, who need to stay in bed and avoid strenuous activities. It usually takes 4 weeks to recover.
If the rest can't be relieved, it is recommended to go to the hospital for film examination to rule out lumbar fracture or spondylolisthesis, so as not to delay the illness. If the numbness of the lower limbs cannot be relieved and the pain is aggravated, it is recommended to go to the hospital for magnetic resonance (MRI) examination to find out whether the nerves are damaged and whether surgery is needed.
Lumbar intervertebral disc problem
Conditional analysis: There are many reasons for this. People with a history of trauma need to consider the strain of lumbar muscle ligament, and those with long-term chronic fatigue need to consider the acute attack of chronic aseptic inflammation of lumbar muscle ligament, spinal instability, the third transverse process syndrome of lumbar spine and lumbar disc herniation. It is best to see a doctor in time or lie flat on a hard bed with a thin cotton pad around your waist. Non-steroidal anti-inflammatory painkillers can be taken orally for symptomatic treatment.
It should be a muscle strain near the lumbar spine, or a small joint injury. Go to the hospital for a check-up.
Hello, I can't straighten up after twisting my waist, mostly because of the dislocation of lumbar facet joints, and the inflammatory stimulation of the internal branch nerve and surrounding muscles after the mammary accessory ligament compresses the lumbar nerve.
We call this shuttlecock, and we specialize in shuttlecock medicine here. If it's really a shuttlecock, it's a magic medicine. If not, you can't eat it blindly, which is particularly irritating and harmful to the kidneys.
The treatment is simple and always refreshing. Methods 1, find the oblique side, the shoulder bone is close to Ashi point of spine, and massage is good. Method 2: From the pain point to the palm of your hand, find Ashi point at the thoracic vertebra, click it, and then click two points under the shoulder clip bone, without taking medicine or injection! [Rose] [Rose] [Rose] [Rose] [Rose] [Rose] [Rose] [Rose] [Rose]
Lumbar muscles