Hip joint, ankylosing spondylitis cannot stand most "artificial" place, affected how to treat? – InfraredHeatingTherapy | hip pain

Clinically defined hip involvement

As patients with hip involvement often have hip pain and limited mobility. The pain is mainly located in the groin area, which is more severe than movement or load bearing, and the duration of the pain varies. Careful physical examination is helpful in detecting hip involvement, and the "4" test is a simple and relatively effective method, but these clinical features are not specific, and patients sometimes have difficulty distinguishing pain in the hip from pain in the adjacent area.

How to treat hip joint involvement of as patients scientifically?

Hip replacement is generally recommended for as patients with severe hip involvement.

Adequate treatment of non-steroidal anti-inflammatory drugs (nsaids) is the basis for the treatment of patients with hip joint involvement of as drugs, improve the condition of anti-rheumatism medicine in the treatment of hip joint involvement role has not been determined, methotrexate contribute to the improvement of the motor function of patients with hip joint involvement of the as, is better than willow nitrogen sulfonyl pyridine, with no serious adverse reactions.

If nsaids is still in a state of high disease activity after adequate treatment, the use of biological agents should be considered. For obvious hip pain and restricted movement of the as patients, at least in terms of relieve symptoms, improve function, can be a relatively positive use of biological agents, through the use of adequate, regular, quickly improve symptoms and disease activity control, subject to illness gradually reduce or maintain, and through cooperating with other treatment, patients continue to maintain low disease activity and good motor function, to slow down and reduce the progress of the hip joint involvement may have a positive role.

Non-drug therapy, including functional exercise, is also important in the treatment of as, especially for as patients with hip involvement. Functional exercise can not only improve the joint movement function, but also play a direct anti-inflammatory effect. Functional exercise plays an important role in maintaining the flexibility of ligaments around the joints, joint mobility and improving the ability of patients to take care of themselves. The movement of squatting and standing up is one of the most basic movements undertaken by the hip joint. It is also the most basic movement for as patients to realize self-care. Regular practice of this movement by as patients with hip joint involvement helps maintain and improve the motion function of the hip joint.

Hip joint, ankylosing spondylitis cannot stand most "artificial" place, affected how to treat? – InfraredHeatingTherapy | hip pain

Clinically defined hip involvement

As patients with hip involvement often have hip pain and limited mobility. The pain is mainly located in the groin area, which is more severe than movement or load bearing, and the duration of the pain varies. Careful physical examination is helpful in detecting hip involvement, and the "4" test is a simple and relatively effective method, but these clinical features are not specific, and patients sometimes have difficulty distinguishing pain in the hip from pain in the adjacent area.

How to treat hip joint involvement of as patients scientifically?

Hip replacement is generally recommended for as patients with severe hip involvement.

Adequate treatment of non-steroidal anti-inflammatory drugs (nsaids) is the basis for the treatment of patients with hip joint involvement of as drugs, improve the condition of anti-rheumatism medicine in the treatment of hip joint involvement role has not been determined, methotrexate contribute to the improvement of the motor function of patients with hip joint involvement of the as, is better than willow nitrogen sulfonyl pyridine, with no serious adverse reactions.

If nsaids is still in a state of high disease activity after adequate treatment, the use of biological agents should be considered. For obvious hip pain and restricted movement of the as patients, at least in terms of relieve symptoms, improve function, can be a relatively positive use of biological agents, through the use of adequate, regular, quickly improve symptoms and disease activity control, subject to illness gradually reduce or maintain, and through cooperating with other treatment, patients continue to maintain low disease activity and good motor function, to slow down and reduce the progress of the hip joint involvement may have a positive role.

Non-drug therapy, including functional exercise, is also important in the treatment of as, especially for as patients with hip involvement. Functional exercise can not only improve the joint movement function, but also play a direct anti-inflammatory effect. Functional exercise plays an important role in maintaining the flexibility of ligaments around the joints, joint mobility and improving the ability of patients to take care of themselves. The movement of squatting and standing up is one of the most basic movements undertaken by the hip joint. It is also the most basic movement for as patients to realize self-care. Regular practice of this movement by as patients with hip joint involvement helps maintain and improve the motion function of the hip joint.

Spinal surgery, let the boy "long" 19 cm – InfraredHeatingTherapy | lumbar spine/spinal stenosis/hip pain

Pan peng developed lumbago with left hip pain without obvious inducement 8 years ago and was diagnosed as ankylosing spondylitis. Pan peng seek medical treatment everywhere, many doctors told him that there is no way to cure, can only rely on drugs to alleviate the progress of the disease. After a period of drug treatment, pan peng's pain eased, but his condition continued to recur.

Because of the side effect of hormone kind medicine, pan peng is fat a lot, adolescent he is afraid to be laughed at by the classmate, did not take the medicine, from then on, the disease develops very quickly, carry also more and more camel. For five years, due to a hunchback, pan peng couldn't sleep on his back, couldn't raise his head, and was only 150cm tall. Go out at ordinary times, often have stranger eye to stare at him with strange kind of vision, the pan peng of 20 years old early is made by hump special self-abased. Graduated from the university, other students are busy looking for a job, pan peng is looking for a doctor, hope to find an expert can let him can hold his head high to be a man.

back surgery

Introduce via the friend, pan peng found south medical 3 hospital spinal surgery 2 area director li qingchu.

Li qing asks pan peng to treat ankylosing spondylitis by standard above all, cannot stop medicine without authorization. Under the action of biological agents and other drugs, pan peng's condition was well controlled without side effects such as obesity. After improving the preoperative examination of various indicators, li qingpreliminary performed an operation on pan peng: osteotomy and correction of posterior spinal deformity + pedicle screw internal fixation + fusion of bone graft, and the kyphosis "hill" which was originally close to 90 degrees was finally "leveled". After five years, pan peng was very excited to finally lie flat. Four days after the operation, he began to walk on the ground, looking in the mirror, looking at his straight body, he couldn't help asking the nurse to measure his height.169 centimeters, a full 19 centimeters higher than before surgery. Twelve days after the operation, peng peng was discharged from hospital.

Li qingchu introduces, ankylosing spondylitis incidence rate is higher, with the young person of 20 or 30 years old is main come on crowd, early discovery early treatment is the only way that disease of disease of prevention and cure aggravates.Ankylosing spondylitis still cannot be cured at present, but can delay disease development through normative treatment, if do not follow doctor's advice to stop medicine without authorization, be like the case of pan peng very likely, appear serious humpback deformity, continue to develop even the likelihood is paralytic.

To the youth male of 16-25 years old, if do not have inducement to appear lumbosacral ministry, hip joint is continued or intermittency ache, perhaps appear lumbar stiff and bend over, squat down difficult wait for a circumstance, should vigilance ankylosing sex spondylitis, must arrive in time rheumatic immunity division diagnose. For the patients who show signs of hump, they need to go to the spinal surgery department. The spinal surgeon can intervene in the early stage and adopt brace treatment to correct kyphosis as much as possible.

At the beginning of Li Qing

Chief of spinal surgery division ii

Chief physicianDoctoral supervisor

Proficient in and early implementation of various minimally invasive spinal surgery, such as: Alif under endoscope assisted minimally invasive lumbar spine fusion surgery, posterior quandrant minimally invasive surgical treatment of lumbar spinal stenosis, lumbar spine, posterior disc mirror mirror/intervertebral foramen and lumbar spinal stenosis disease treatment of lumbar intervertebral disc protrusion, microscope, minimally invasive anterior fusion/non fusion technology for each type of cervical spondylosis, minimally invasive percutaneous puncture, radiofrequency ablation treatment for fiber ring source sex lumbago, lumbar intervertebral disc protrusion prosthesis, minimally invasive percutaneous pedicle screw technique in the treatment of thoracolumbar fractures and lumbar fusion surgery, can independently accomplish all kinds of difficult and complicated spine surgery. Now, we have independently completed more than 8,000 minimally invasive spinal surgery, and more than 5,000 difficult and complex spinal surgery including various high cervical spine, scoliosis and spine revision, with the number of diagnosis and treatment and technical difficulty at the leading level in China.

Source: southern metropolis daily

Reporter: wang daobin

Photo source: department interviewed

back surgery

Hip pain is not sciatica? Gluteal neuritis is also common – InfraredHeatingTherapy | sciatica/sciatic nerve/leg pain

Lumbago, leg is painful, buttock is painful also, what disease did this get? Get online a check, everybody says is sciatica, can go to a hospital an examination, the doctor says is to get "gluteal epithelial neuritis".

Gluteal epithelial neuritis is also known as gluteal epithelial nerve compression syndrome, it is very similar to sciatica in symptoms, coupled with lumbar disc herniation caused by sciatica is more common, non-professionals often presupposes suffering from sciatica.

How is gluteal epithelium neuritis to return a responsibility?

The sciatic nerve originates from the lumbar nerve and is distributed in the waist, buttock, thigh, calf and foot. Once the sciatic nerve is stimulated or compressed, it will show pain from the lower waist to the buttock, thigh and calf to the foot.

sciatica treatment

The gluteal epithelial nerve also originates from the lumbar nerve, which is the nerve that controls the whole posterior side of the buttocks to the skin sensation of the root of the thigh. It has several narrow points during its walking, and it is easy to be compressed in the narrow place and produce aseptic inflammation.

sciatica treatment

People in the movement, especially around the body rotation, large and rapid bending, easy to damage the gluteal epithelial nerve.

Especially after acute lumbar sprain, nerve of buttock epithelium is affected, can appear oedema, congestion, produce acuteness lumbar coxal ache and numbness feeling, radiate to lower limbs a string of painful even, the patient does not dare bend, by sitting to the station, or by standing to sit, can feel lumbar use not go up strength, need a person to help.

Still have the strain that turns round waist produces repeatedly, and cold and cool cause muscle tension, convulsion, also can stimulate gluteal epithelial nerve, cause nerve oedema adhesion, cause gluteal epithelial neuritis.

How to distinguish gluteal epithelial neuritis and sciatica?

Sciatica often causes pain from the hip straight up to the foot, above the knee; The pain caused by gluteal epithelial neuritis is generally no more than knee, that is, hip, thigh pain, this is their main difference, in clinical diagnosis is not difficult.

However, some patients with gluteal epithelial neuritis show atypical manifestations, not lumbogluteal leg pain, but pain away from the waist and buttocks, such as in the posterior side of the thigh, around the knee, the lateral side of the lower leg, which is very similar to sciatica, easy to misdiagnose;

There are also some inexperienced doctors, coupled with the film, found that patients themselves have lumbar disc herniation, it is easy to misdiagnose as lumbar disc herniation caused by sciatica.

How is gluteal epithelial neuritis treated?

Gluteal epithelial neuritis can be conservative treatment, such as taking non-steroidal anti-inflammatory drugs (not long), but also through massage, acupuncture to relax tension, spasm of the muscle, improve microcirculation, aseptic inflammation can be eliminated. However, most patients need tenderness point blocking and blocking therapy to achieve the therapeutic purpose. A small number of patients have poor efficacy after sealing treatment, so it is necessary to consider the application of gluteal epithelial nerve loosening under local anesthesia to relieve nerve compression. The literature reports that the effect is obvious, and long-term follow-up (3 years) without recurrence.

Note: sciatica may be externally applied to relieve pain, but gluteal neuritis may be aggravated by avoiding heat compress, massage and compression.

Some of the pictures in this article are from the network, if there is any infringement, please contact to delete.

Lumbar disc herniation 10 symptoms, fitness you should be careful! – InfraredHeatingTherapy | sciatica/lower back pain/back pain

And fitness enthusiasts as the high incidence of lumbar disc herniation, if the following 10 symptoms, must be careful…

1. Lumbago and leg pain: after most patients with lumbar disc herniation fall sick, lumbago and hip pain will occur repeatedly. After lumbar dysparegia rests in bed, it will gradually reduce or subside. A few days or a few weeks later, gradually feel a side of lower limbs radioactive pain, standing, walking, coughing, sneezing and forced defecation, backache aggravate.

Lower back pain: this pain occurs before and at the same time as leg pain. Pain is mainly in the lower waist or lumbosacral region, mainly manifested in the low back fatigue after aggravation or take the same position for a longer period of time, but rest or bed pain can be reduced.

herniated disc relief

3. Simple pain and numbness of lower limbs: although the condition of simple pain and discomfort of lower limbs in lumbar diseases is relatively rare, it can still be the first symptom in some chronic degenerative lumbar diseases. Some middle-aged and elderly patients can come to see a doctor because of simple numbness, acid distension or rigidity of lower limbs.

4. Muscle paralysis: when lumbar disc herniation compresses nerve root seriously, nerve paralysis can occur, muscle paralysis, performance is foot drop; Severe symptoms, the course of the elderly, more muscular atrophy, especially the small leg muscle atrophy is more obvious.

herniated disc relief

5. Limited spinal movement: after lumbar disc herniation, when the spine flees, the front part of the disc is squeezed, the posterior space is widened, and the nucleus pulposus moves backward, increasing the tension of the protrusion, while the nucleus pulposus moves up, pulling the nerve root and causing pain. When lumbar hind extend, protrusion also increases, and yellow ligament rubric protrudes forward, cause front and rear to squeeze nerve root and cause ache, ache limits the activity of spinal column so.

6. Lower extremity radialgia (sciatica) : the pain mainly along the buttocks, through the back of the thigh to the back of the calf or to the lateral malleolus and toes to gradually become dull pain.

7. Intermittent claudication: what intermittent claudication points to is the patient when walking increases along with the distance and feel lumbago painful attack or aggravation, be forced to stop, squat down to rest to alleviate to go again.

8. Defecation disorders: in lumbar spine diseases, some patients may find incontinence or secretions and urine retention, which is more common in spinal cord injury and intramedullary diseases, leading to spinal cord dysfunction and loss.

herniated disc relief

9. Numbness and paresthesia: local and involved compression of nerve root contact area can result in compression of nerve root fibers and blood vessels, leading to ischemia and hypoxia. Therefore, pain, numbness and other abnormal sensations may occur in the affected nerve root area.

10. Decreased back extension of big toe and ankle joint: it is caused by different degree of innervation of the long, short extensor and anterior tibia muscles of the affected limb.

herniated disc relief

"How does a herniated disc recover?"

When it comes to this issue, many people's first reaction is "it's really hard to recover from lumbar disc herniation!"

Yes, it is believed that many people have tried many methods to recover from lumbar disc herniation, but in the end, all of them are in vain.

Bedridden: unable to stay in bed for long periods of time with a job and family to support.

Traction: only relieves pressure on the disc.

Acupuncture and moxibustion: need to insist all the year round, time consuming and laborious.

Massage: treat the symptoms, not the root cause, can only play an anti-inflammatory role.

herniated disc relief

In fact, as long as the right method, to recover lumbar disc herniation is not difficult. Qinghua fitness has a professional rehabilitation coach, can help you to recover!

Launch of new store:

Qinghua fitness yizhou road store: 0539-2066000

Yi zhou road and tao ran road intersection at the northeast corner

Qinghua fitness linyi branch:

Sports center Washington store: 0539-2066696/2066698

The intersection of xiaohe road and chengdu road, beicheng new district, linyi city, is 100 meters north to the east

Sports center oasis store: 0539-2066686

West of Evergrande oasis at the intersection of Hong Kong road and huaxia road, linyi economic and technological development zone

Cultural center store: 0539-8119991

First floor, south gate, former cultural center, beicheng new district, linyi

Chenkun international store: 0539-5637778

4th floor, chenkun international building, intersection of nanjing road and mengshan north road, beicheng new district, linyi city

Tianji gold waterside store: 0539-8226699

4th floor, tianji gold waterbank, intersection of binhe west road and yinqiu mountain road, lanshan district, linyi city

Jinyuan business health center: 0539-2066708

Jinyuan building, intersection of xinhua road and pingan road, lanshan district, linyi city

Taiwan city store: 0539-5725918

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Mong kok store: 0539-7168680

5th floor, shopping plaza, mongkok, the intersection of taoran road and tongda road, lanshan district, linyi city

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132 yimeng road, lanshan district, linyi city (north to dongfanghong square)

Qinghua fitness weifang branch:

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Weifang high-tech zone weixian road and baotong street intersection NATO 400 meters west

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Linyi economic development zone huaxia road and Hong Kong road intersection west Evergrande oasis sales office third floor

Qinghua family: 0536-8127776

Weifang gaoxin district baotong street gold road intersection east Evergrande name all gate courtyard

QingHua margin:

Huaxi yabo cultural center: 15550931879

The intersection of xiaohe road and chengdu road, beicheng new district, linyi city, is 100 meters north to the east

Qinghua leisure and health base: 15550931879

Linyi city yimeng road near the ecological park

Huayuanju meditation hall: 15550931879

Lumbar disc herniation? These 7 moves are easy and effortless to relieve back pain! – InfraredHeatingTherapy | lower back pain/back pain/herniated disc

lumbar spine

"Achievement is not outstanding, the job is not outstanding, appearance level is not outstanding, lumbar intervertebral disc protruded however!" In real life,Many people suffer from lumbar disc herniation at a young age, making daily life miserable.

Nevertheless, lumbar disc herniation is different with lumbar disc herniation disease, what distinction is there? How can it be improved? Let's see!

01

When the annulus ruptures for various reasons, the nucleus pulposus flows out, forming a herniated lumbar disc. This is a pathological or imaging presentation, not a disease.

As you get older, everyone's lumbar disc is more or less degenerative, forming a herniated disc. It occurs mostly between the 4th and 5th lumbar vertebra, 5th lumbar vertebra and 1st sacrum, accounting for about 95%. This is a normal phenomenon, if there are no symptoms, generally do not need to worry, more attention can.

lumbar spine

02

lumbar spine

How does ability know oneself whether suffer from lumbar intervertebral disc herniation? 3 self-test:

Step 1: lower back pain and limited lumbar movement

The first symptom most patients experience is back pain, which occurs about 91% of the time and can sometimes be accompanied by hip pain. Lumbago can appear after traumatic, also can do not have inducible factor, basically the following waist or lumbar sacral ministry when light when heavy blunt pain is given priority to, acute period can have tear kind acute pain.

It can also be characterized by limited waist movement, such as difficulty bending over and difficulty straightening up after standing or sitting for a long time.

If there is unilateral numbness and radiating pain from the lower waist to the buttocks, back of the thigh, outside of the lower leg to the foot, and increased abdominal pressure (such as cough, sneezing, forced defecation, etc.), the symptoms may be worse, indicating lumbar disc herniation.

Lie on your back, straighten your legs and slowly raise them. If you have pain in your hips and the posterolateral side of your lower extremities, it may indicate lumbar disc herniation.

lumbar spine

If lumbar disc herniation is suspected, seek medical treatment promptly to prevent further aggravation of the condition, leading to cauda equina nerve symptoms (defecation disorders, incomplete paralysis of lower limbs, etc.) or central sensitization (the brain and spinal cord convert all stimuli into pain signals).

1

Degenerative disease

2

The waist injury

Trauma is one of the important causes of lumbar disc herniation. If trauma affects the fibrous ring, cartilage plate and other structures, it may promote the protrusion of the medullary nucleus of the disc that has been degenerated.

3

Chronic injury caused by poor posture

Direct bending to lift heavy objects, lumbar disc stress suddenly increased, it is easy to lead to the nucleus pulposus break through the weak area of the fiber ring protrusion, and then compression nerve, leading to lumbar disc herniation.

The right thing to do is:Squat first, then lift heavy objects, slowly get up.

lumbar spine

lumbar spine

Wearing high heels will make people's center of gravity forward, not only easy to cause the pelvis forward, but also increase the stress on the lumbar spine, increase the risk of lumbar disc injury, thereby inducing lumbar disc herniation.

Suggest to wear flat shoe as far as possible, the time that wears high-heeled shoes every time should not exceed 2 hours.

lumbar spine

lumbar spine

In addition, the bad posture such as leg of weight of one hand, stilt is easy also injury lumbar intervertebral disc, should avoid as far as possible in the life.

Proper exercise can not only relieve the symptoms of back pain, but also help improve lumbar disc herniation. Do the following exercises:

Lie on your stomach with your hands facing back, knees straight, head and legs up as far as possible. Hold for 5 seconds, then relax and repeat 15 times for a set. Three sets twice a day.

lumbar spine

Lie on your back with your legs together and your hands around your thighs. Slowly lift your upper body, bringing your knees as close to your chest as possible. Repeat 10 times. Let your waist feel relaxed.

[McKenzie] therapy has good effects on short-term pain relief and motor function recovery. It has been proved to be a very effective method to prevent and cure neck and back pain in many countries.

Especially in patients with lumbar disc herniation has obvious therapeutic effect and better compliance; Core training improves lumbar stability, balance, and coordination, reducing pain at a deeper level.

Note:

This is the first aid measure or basic training of McKenzie therapy. You should do practice one before any other training.

lumbar spine

Main points:

Step 1: lie flat on your stomach, arms at your sides, straight and relaxed, head turned to one side.

Step 2: hold this position, take a few deep breaths, and relax your muscles completely for 2-3 minutes.

Practice frequency:

Do 6-8 sets every day, with regular intervals of about 2 hours.

Only after doing exercise one can you do exercise two, and at the same time as the preparatory action of exercise three.

lumbar spine

Step 1: hold and practice a pose.

Step 2: place your elbows perpendicular to your shoulders and rest your upper body on your forearms.

Step 3: take a few deep breaths, then relax the muscles in your lower back as much as possible, and hold for 2 to 3 minutes.

Do it every 2 hours, just like exercise 1

Exercises one and two should be done before the first exercise three.

lumbar spine

Step 1: keep prone and face forward.

Step 2: place your hands under your shoulders and get ready to do push-ups.

Step 3: straighten your arms and try to lift your upper body if the pain is tolerable.

Step 4: at the end of the exercise, stretch your back as far as possible and keep your arms as straight as possible.

Exercise 3 should be done 10 times in each group. Likewise, practice 6-8 times a day.

In the case of acute back pain, if conditions do not allow you to lie down, exercise 4 instead of exercise 3. After a full recovery, exercise four is also a good preventive tool.

lumbar spine

Step one: two feet stand erect apart, both hands are put in hind lumbar, 4 finger rely on vertebra on both sides.

Step 2: bend your torso as far back as possible, using your hands as fulcrum.

Practice frequency: anytime!

This exercise can be used to treat the stiffness caused by lower back injuries.

lumbar spine

Step 1: lie flat on the floor or bed with your legs bent and your feet flat.

Step 2: bring your legs close to your chest.

Step 3: put your hands around your legs and gently and slowly bring your knees as close to your chest as the pain is tolerable.

Repeat only 5-6 times per session, 3-4 times per day, and do exercise 3 immediately after exercise 5.

Whether exercise 5 is effective or not, practice 6 after five consecutive weeks.

lumbar spine

Step 1: sit on the edge of the chair with your legs as far apart as possible and your hands on your knees.

Step 2: bend down, grab your ankles with both hands, or touch the ground at your feet.

Step three: hold your ankles with both hands and continue bending downward.

Step 4: continue bending.

Each group should be done 5-6 times, 3-4 times a day, and exercise 3 should be done immediately after exercise 6.

Please start practicing 7 after practicing 6 for 2 weeks.

lumbar spine

Step 1: stand straight with your feet apart and your arms relaxed at your sides.

Step 2: bend forward and extend your hands as far down as your body can bear.

Each group should be done 5-6 times, 1-2 times a day, and exercise 3 should be done immediately after exercise 7.

When swimming, the human spine changes from an upright position to a horizontal position, greatly reducing the burden and pressure on the lumbar intervertebral discs, which can help alleviate back pain.

lumbar spine

The thing to notice is,

Patients with lumbar disc herniation

The above exercises should not be carried out in the acute period of low back pain.

Appropriate bed rest;

The non-acute phase should also act according to one's ability,

Progressive ~

In such a practical way,

Transfer it to someone in need!

Integrated from health circle, life times and network


These poses are dangerous! Always have back pain, which may be caused by the wrong sitting position – InfraredHeatingTherapy | back pain relief/sciatica/back pain

back pain lower back pain

back pain lower back pain

back pain lower back pain

Hump back, spread back, sphinx face…

Bad posture,

Which style do you belong to?

For people who spend a lot of time in the office, in the cab,

The wrong sitting posture especially hurts the waist!

back pain lower back pain

What is the correct sitting posture?

Chen wenci, a rehabilitation physician at wenzhou hospital of integrated traditional Chinese and western medicine, said the correct posture should be:

back pain lower back pain

Keep the posture of straight upper body, position the head with the plane of eyes and ears, look straight ahead, about one arm's distance from the computer display screen, about 40-75cm, both shoulders are flat and relaxed, and both arms are naturally bent on the armrest or table.

The elbow Angle is 90°-110°, and the seat is adjusted to the plane of the fibula head height to ensure the basic physiological curvature of the lumbar spine, so that the hip joint Angle is between 90°-120°, the knee joint Angle is about 90°, and the foot can be stepped when necessary.

Sitting back pain, why?

Chen wenci expresses, a lot of people appear lumbago after sitting for a long time, common reason has lumbar muscle strain, shape muscle syndrome, lumbar intervertebral disc protrusion disease to wait.

Strain of lumbar muscles

01

Chronic injurious inflammation of the lumbar muscles and their attachment points, fascia or periosteum, is one of the common causes of low back pain. The quadratus psoas is the most vulnerable muscle.

back pain lower back pain

The main symptoms

Is the lumbar or lumbosacral swelling pain, pain, recurrent attacks, pain can change with climate change or fatigue level. Generally no lower limbs numbness and other discomfort.

Piriformis syndrome

02

When piriformis muscle is injured, hyperemia, edema, spasm, adhesion and contracture occur, the gap of the muscle or the hole above and below the muscle becomes narrow, squeezing the nerve and blood vessel through it, so a series of clinical symptoms and physical symptoms are called piriformis muscle injury syndrome. Piriformis syndrome is a common cause of acute and chronic sciatica.

back pain lower back pain

Coxal ache, numbness, the back of lower limbs to the same side or posterolateral, some companion has crus lateral side numbness, perineal ministry unwell to wait.

In severe cases, the buttocks show "knife cutting" or "burning" pain, with difficulty in bending the legs, lying on both knees, and difficulty in sleeping at night. When defecate urinate, cough, sneeze increases because of abdomen pressure and make suffer from the ventral side limb to flee painful feeling aggravation.

Lumbar disc herniation

03

Because of lumbar parts (nucleus pulposus, fiber ring and the cartilage plate), especially the nucleus pulposus, with varying degrees of degenerative change, under the action of external force factors, intervertebral disc bulgin, from the rupture of the nucleus pulposus (or emergence) in the rear or spinal canal, lead to adjacent spinal nerve root stimulation or oppression, to produce the waist pain, on one side of the lower limbs or double lower limbs numbness, pain, and a series of clinical symptoms.

Back pain: low back pain is common, sometimes accompanied by hip pain.

(2) radiation pain in the lower extremities: sciatica was manifested when lumbago 4 ~ 5, lumbago 5 ~ sacral 1 space protruded. Sciatica typically radiates pain from the lower back to the buttocks, behind the thighs, outside the lower leg, and all the way to the feet.

(3) cauda equina nerve symptoms: the main manifestations of large, urine disorders, perineal and anal perisensory abnormalities.

(4) serious can accompany muscle strength of lower limbs, tendon reflex weakened.

Appear lumbago, how should be treated?

The treatment of acute period of backache

1. Identify the cause, avoid overwork and correct poor posture.

2. Massage, acupuncture and other methods to relax muscles and promote blood circulation

3. Drug treatment, anti-inflammatory and analgesic, relieving muscle tension, nutritional nerves, etc.

4. Block therapy

5. Physical therapy: electromagnetic, ultrasonic, infrared, laser, etc

Work out for yourself during the back pain relief period

While in remission, Chen suggests strengthening your back muscles with proper training, such as planks and swimming.

Plank:

Bend the elbow, forearm and forefoot on the ground, ears, shoulders, hips, knees and ankles in a straight line. Elbow toward the direction of the foot, toe force forward hook up, and friction against the ground, forearm press the ground.

Rehabilitation exercises can also be performed through standing hamstring stretches, cat and camel exercises, limb lifts, pelvic thrusts, sit-ups, gluteal stretches, stretches, and lateral suppresses. (refer to the figure below for details)

back pain lower back pain

This guest

back pain lower back pain

City department of traditional Chinese and western medicine rehabilitation resident

Chen Wenci

Graduated from wenzhou medical university, he has published 9 papers at home and abroad in the past 3 years. He is the first person in charge of a project of wenzhou science and technology bureau.

Good at: neck, shoulder, waist and leg pain, spinal cord injury, postoperative fracture, spinal stroke sequelae and other clinical rehabilitation treatment.

Contributor: Chen wenci, rehabilitation department

Editor: ye jiaohui

Review: zhang liqi

The cause, prevention and recovery of cycling back pain – InfraredHeatingTherapy | lower back pain/back pain/backache

▲ there are several causes of back pain in mountain biking, but by far the most common comes from increasing backpack loads

When we go for a long day's ride in the mountains, it's important to carry as much safety equipment as possible, such as repair tools, raincoats, food, drinks, first aid supplies, and sometimes even a tent. These things add up, our backpack weight may unconsciously reach 20 catties weight!

▲ backpack position is an important factor in avoiding/alleviating back pain

Most of the weight on the back is transferred from the middle back (the corresponding part of the rib cage) through the lower back to the strong and stable pelvis and buttocks. The lower back is the suspension between the backpack and the buttocks. In other words, the lower back is struggling in the middle and the surrounding soft tissues (muscles, tendons, ligaments, etc.) can become overloaded, causing pain.

Back pain is very common after a long bike ride, and if you find it persists after a few days, or if it's chronic, then it's time to do something about it!

2. Your core muscles are too weak

This is a common cause of lower back pain. When riding a bike, your back ACTS like a suspension bridge, while your shoulders and hips act as pylons. The middle back is supported by a rib cage, while the lower back ACTS as a vulnerable "attack point." Now add a heavy backpack to the "suspension bridge" and it's easy to see why we see so many backaches in the mountains! A strong core helps protect the lower back, making it easier to keep it in a stable position.

ways to help lower back pain

▲ a strong core is one of the best tools for fighting back pain

There is a great deal of mobility in the gluteus muscles.

Some riders have tight hip muscles, mainly hip flexors, gluteus and piriformis. If these muscles are constantly stretched, they increase pelvic movement, which in turn causes the lower back to work harder and cause pain. Poor gluteal flexibility can lead to other problems, such as iliotibial band syndrome and knee pain.

4. Incorrect cycling posture

The wrong frame size (especially if the frame is too large) and the wrong cushion height are two common causes of back pain and hip pain. Other, less obvious causes, such as the length of the upright and crank, and the tilt of the cushion, can add up over time.

ways to help lower back pain

▲ proper bike fit is very important. If you don't know much about it, seek professional guidance

Ii. And:

1. Rearrange your backpack

Find ways to reduce the total weight of your backpack. For example, one liter of water weighs one kilogram, so if you have two kettles, you can put two 750ml (for example) kettles, so you can drink directly from the kettles, or later fill the water bags, so that your backpack can carry 1.5kg less weight. You can also use a kettle holder to significantly reduce back load

Backpacks with Fanny packs help reduce back load. In addition, you can also consider getting a car tailpack to decorate the car tools, which can also reduce back load.

Some bike makers are already offering creative ways to load the bike with more stuff, rather than having the rider carry it, to the benefit of all.

There are many products that allow you to carry essential items without a backpack

Road-style cycling clothes with backpacks that might not look cool on a mountain bike, but these backpacks are lower down than backpacks, so they help spread the load. There are now special "storage cycling vests" that can carry essential items without a backpack.

Adjust your climbing habits

Most of us have been told by our elders to ride our mountain bikes up hills while sitting. If your backpack is heavy, this will increase the burden on your lower back. In fact, standing up and riding from time to time can help reduce the burden on the lower back, because the spine is straighter and more natural when standing up. In addition, maintaining a smaller tooth ratio and increasing the stepping frequency can also help to reduce the load on the lower back.

ways to help lower back pain

▲ stand up from time to time while climbing and rest your back

3. Strengthen your core

When riding, a strong core helps keep your back in a more natural position, thereby protecting it. It also helps to strengthen the "suspension bridge" between the thoracic vertebra and the pelvis, where back pain often originates. Plank, shoulder bridge, and side bridge star – these three exercises can strengthen your core. However, proper posture can make a big difference to developing good core muscles, so it's worth getting a professional trainer to teach you how to do it scientifically.

4. Increase gluteal flexibility

Increasing gluteus flexibility will both improve your performance and reduce your risk of injury. Stretching back and forth deep supported squats, lunges, glute stretching, hip flexor stretch and piriformis stretch are helpful for strengthening gluteus flexibility.

ways to help lower back pain

▲ staying flexible is key, and it's best to find a professional trainer to help you keep fit

5. Check bike Settings

It's something you can think of with your toes. Making sure the bike is right for you is crucial, whether it's to ensure optimal performance or to avoid injury. Make sure you only need to tweak your bike at any time and get used to it before making further changes (like upgrades).

6. Physical therapy, tension and massage

If it doesn't work out as expected and you can't overcome or get rid of back pain or other pain problems, it may be time to find an experienced physical therapist to identify and identify the cause of the problem. They can treat you with their own hands, such as muscle and fascia relaxation, deep massage, etc., so that you can recover freely. They can also teach you how to deal with back pain alone or help you develop a detailed training plan. Regular exercise massages can help prevent back pain and speed recovery.

Sometimes you have to turn to a professional; If your back continues to ache, it's time to seek help

My final advice is not to treat back pain as a normal part of mountain biking. In fact, all the people we see in our clinic who had back pain are now recovering. As there are some car users with a long time, and may be more complex, but at least none is not able to return to normal. All you need is the right advice and treatment, and the right use of your backpack!

Lumbar disc herniation? These 7 moves are easy and effortless to relieve back pain! – InfraredHeatingTherapy | lower back pain/back pain/neck and back pain

"Achievement is not outstanding, the job is not outstanding, appearance level is not outstanding, lumbar intervertebral disc protruded however!" In real life, many people suffer from lumbar disc herniation at a young age, making their daily life miserable.

Self-test for lumbar disc herniation

How does ability know oneself whether suffer from lumbar intervertebral disc herniation? 3 self-test:

1

how to relieve back pain fast

Step 1: lower back pain and limited lumbar movement

The first symptom most patients experience is back pain, which occurs about 91% of the time and can sometimes be accompanied by hip pain. Lumbago can appear after traumatic, also can do not have inducible factor, basically the following waist or lumbar sacral ministry when light when heavy blunt pain is given priority to, acute period can have tear kind acute pain.

It can also be characterized by limited waist movement, such as difficulty bending over and difficulty straightening up after standing or sitting for a long time.

2

Second leg numbness, radiating pain

If there is unilateral numbness and radiating pain from the lower waist to the buttocks, back of the thigh, outside of the lower leg to the foot, and increased abdominal pressure (such as cough, sneezing, forced defecation, etc.), the symptoms may be worse, indicating lumbar disc herniation.

3

how to relieve back pain fast

Step 3 raise straight legs

Lie on your back, straighten your legs and slowly raise them. If you have pain in your hips and the posterolateral side of your lower extremities, it may indicate lumbar disc herniation.

If lumbar disc herniation is suspected, seek medical treatment promptly to prevent further aggravation of the condition, leading to cauda equina nerve symptoms (defecation disorders, incomplete paralysis of lower limbs, etc.) or central sensitization (the brain and spinal cord convert all stimuli into pain signals).

how to relieve back pain fast

Do 4 exercises regularly

Assist to improve lumbar disc herniation

Proper exercise can not only relieve the symptoms of back pain, but also help improve lumbar disc herniation. Do the following exercises:

1. Flying swallow movement

Lie on your stomach with your hands facing back, knees straight, head and legs up as far as possible. Hold for 5 seconds, then relax and repeat 15 times for a set. Three sets twice a day.

how to relieve back pain fast

2, McKenzie training

[McKenzie] therapy has good effects on short-term pain relief and motor function recovery. It has been proved to be a very effective method to prevent and cure neck and back pain in many countries.

Especially in patients with lumbar disc herniation has obvious therapeutic effect and better compliance; Core training improves lumbar stability, balance, and coordination, reducing pain at a deeper level.

Exercise 1: lie on your stomach

Note:

This is the first aid measure or basic training of McKenzie therapy. You should do practice one before any other training.

Main points:

Step 1: lie flat on your stomach, arms at your sides, straight and relaxed, head turned to one side.

Step 2: hold this position, take a few deep breaths, and relax your muscles completely for 2-3 minutes.

how to relieve back pain fast

Practice frequency:

Do 6-8 sets every day, with regular intervals of about 2 hours.

Exercise 2: prone stretch

Only after doing exercise one can you do exercise two, and at the same time as the preparatory action of exercise three.

how to relieve back pain fast

Step 1: hold and practice a pose.

Step 2: place your elbows perpendicular to your shoulders and rest your upper body on your forearms.

Step 3: take a few deep breaths, then relax the muscles in your lower back as much as possible, and hold for 2 to 3 minutes.

Do it every 2 hours, just like exercise 1

Exercise 3: horizontal stretch

Exercises one and two should be done before the first exercise three.

how to relieve back pain fast

Step 1: keep prone and face forward.

Step 2: place your hands under your shoulders and get ready to do push-ups.

Step 3: straighten your arms and try to lift your upper body if the pain is tolerable.

Step 4: at the end of the exercise, stretch your back as far as possible and keep your arms as straight as possible.

Exercise 3 should be done 10 times in each group. Likewise, practice 6-8 times a day.

Exercise 4: standing stretch

In the case of acute back pain, if conditions do not allow you to lie down, exercise 4 instead of exercise 3. After a full recovery, exercise four is also a good preventive tool.

how to relieve back pain fast

Step one: two feet stand erect apart, both hands are put in hind lumbar, 4 finger rely on vertebra on both sides.

Step 2: bend your torso as far back as possible, using your hands as fulcrum.

Practice frequency: anytime!

Exercise 5: lie flat and bend

This exercise can be used to treat the stiffness caused by lower back injuries.

how to relieve back pain fast

Step 1: lie flat on the floor or bed with your legs bent and your feet flat.

Step 2: bring your legs close to your chest.

Step 3: put your hands around your legs and gently and slowly bring your knees as close to your chest as the pain is tolerable.

Repeat only 5-6 times per session, 3-4 times per day, and do exercise 3 immediately after exercise 5.

Exercise 6: sit in a bend

Whether exercise 5 is effective or not, practice 6 after five consecutive weeks.

how to relieve back pain fast

Step 1: sit on the edge of the chair with your legs as far apart as possible and your hands on your knees.

Step 2: bend down, grab your ankles with both hands, or touch the ground at your feet.

Step three: hold your ankles with both hands and continue bending downward.

Step 4: continue bending.

Each group should be done 5-6 times, 3-4 times a day, and exercise 3 should be done immediately after exercise 6.

Exercise 7: stand up and bend

Please start practicing 7 after practicing 6 for 2 weeks.

how to relieve back pain fast

Step 1: stand straight with your feet apart and your arms relaxed at your sides.

Step 2: bend forward and extend your hands as far down as your body can bear.

Each group should be done 5-6 times, 1-2 times a day, and exercise 3 should be done immediately after exercise 7.

3, swimming

When swimming, the human spine changes from an upright position to a horizontal position, greatly reducing the burden and pressure on the lumbar intervertebral discs, which can help alleviate back pain.

The thing to notice is,

Patients with lumbar disc herniation

The above exercises should not be carried out in the acute period of low back pain.

Appropriate bed rest;

The non-acute phase should also act according to one's ability,

Progressive ~

In such a practical way,

Transfer it to someone in need!

Sources: health circle, life times and the Internet

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