Suspension traction method: the patient stands on the low stool under the horizontal bar or door frame, holds the horizontal bar with both hands, leaves the stool with both feet, relaxes and straightens the upper limbs, trunk and lower limbs, and swings back and forth and turns left and right by using body weight to suspend and traction the waist. Traction 3- 5 times a day. Finally, don't let go, just fall on the footstool.
Stretching traction method: the patient lies on his back and the upper limbs stretch and relax. If you suffer from unilateral low back pain, the hip and knee joint on the pain side are bent, and the lower limbs are stretched by inertial force, thus pulling the waist, and sometimes you can hear the waist make a noise; Patients with bilateral low back pain can be treated alternately for 5- 10 minutes each time, 3- 5 times a day.
Knee-hugging and waist-rolling method: Lie on your back, bend your knees and bend your hips, buckle your hands under your knees, keep your head as close as possible to your knees, so that the back of your spine protrudes, and use your own strength to do a swivel chair belly roll. At the beginning, because the lumbar muscle plate is hard, after rolling 1- 2 minutes, the spasm of lumbar muscle is relieved, the pain is relieved, and the rolling range can be increased by 3- 5 minutes. This method is suitable for the elderly and infirm.
Pressing Taichong point method: The patient takes a sitting position, presses one side of Taichong point (located in the depression in front of the dorsum of foot 1 and metatarsal joint 2) for about 3- 5 minutes, and then presses the other side. Click or click and then turn the waist back, forth, left and right.
The elderly are slightly careless in their daily lives, such as turning around to take things, lifting heavy objects or coughing and sneezing, etc., which are easy to cause acute lumbar sprain due to improper or excessive force.
The principle that patients must abide by when carrying out auxiliary self-treatment is that it is best to stay in bed for the first three days of acute lumbar sprain, because lying can relax the waist, while sitting and standing, the waist is in a state of weight bearing, and the pain is not easy to relieve; You must sleep on a hard bed. It is difficult to keep the spine in a normal position on the soft bed, and the low back pain will be aggravated. Acute lumbar sprain does not need intense massage or massage within 24 hours, but only gently massages the obvious parts of low back pain to relieve lumbar muscle spasm for 3 ~ 5 minutes each time; After 24 hours of sprain, apply a hot towel to the affected area, the temperature is limited to the patient's tolerance, lasting 20 ~ 30 minutes each time, once in the morning and once in the evening; After hot compress, you can stick a plaster on the outside, or tie a belt made of elastic band around your waist with a width of about 7 ~ 13 cm, so that your waist will be more comfortable.
Family nursing care of patients with acute lumbar sprain
Acute lumbar sprain is common in middle-aged people over 40 years old and is often caused by sprain and cold. It was also found that low back pain gradually worsened after sleep and there was a history of fatigue before onset.
(1) It is necessary to stay in bed in the acute stage, and it is best to sleep on a hard bed to keep the spine in a normal position.
(2) In acute stage, it is best to apply cold compress to the waist, and then apply camphor oil after cold compress to promote blood circulation and relieve pain.
(3) Acute phase can also be treated with traditional Chinese medicine to dispel wind and cold, promote blood circulation and relieve pain.
(4) Massage and massage can be done at the doctor's suggestion, but not by yourself. Because repeated massage and excessive stimulation will lead to waist congestion, edema and aggravated pain.
(5) After acute remission, pay attention to the protection of the waist, sit correctly, prevent the invasion of cold, and pay attention to the exercise of the lumbar muscles. You can do some waist twisting movements as appropriate, but not too fast and too hard, but step by step.
Treatment of acute lumbar sprain
If you sprain your waist, stop moving and have a rest immediately. In order to relax the muscles of the waist, you can put a thin soft pillow under the waist to relieve the pain. It is better to use hot compress therapy after lumbar sprain, that is, fry big salt, bran or sand, wrap it in cloth and apply it to the place with the most severe back pain twice a day. Acupuncture, cupping, massage, massage and physical therapy also have good effects.
Self-treatment of acute lumbar sprain
Acute lumbar sprain is caused by tearing of the muscles, ligaments and fascia of the waist, which can cause congestion, swelling and waist pain. In case of acute lumbar sprain, wet compress should be applied to the waist with a cold towel within 1-2 days to make the ruptured small blood vessels contract to stop bleeding, and then hot compress should be applied with a hot towel to promote hematoma absorption, and then the following treatment methods should be adopted:
1. suspension traction method
The patient stands on the low stool under the horizontal bar or doorframe, holds the horizontal bar with both hands, leaves the stool with both feet, relaxes and straightens the upper limbs, trunk and lower limbs, and suspends the waist by using the weight of the body, swinging back and forth and turning left and right. Traction 3-5 times a day. Finally, don't let go, just fall on the footstool.
2. Stretching traction method
The patient lies on his back and relaxes his upper limbs. If you suffer from unilateral low back pain, the hip and knee joint on the pain side bend, and the lower limbs are stretched by habitual force, thus pulling the waist, and sometimes you can hear the waist make a noise. Patients with bilateral low back pain can be treated alternately for 5- 10 minutes each time, 3-5 times a day.
Step 3 roll your waist on your knees
Lie on your back, bend your knees and hips, buckle your hands under your knees, keep your head as close to your knees as possible, make the back of your spine bulge, and roll on the swing chair with your own strength. At the beginning, because the lumbar muscle plate is hard, after rolling 1-2 minutes, the spasm of lumbar muscle is relieved, the pain is relieved, and the rolling range can be increased by 3-5 minutes. This method is suitable for the elderly and infirm.