Acute lumbar sprain, commonly known as “flashing waist”, is a common type of waist soft tissue injury, that is, lumbar muscles, ligaments, fascia, etc. tears, often when people exercise or work, due to improper posture, excessive body rotation Or it can be caused by excessive force, improper bending and lifting of heavy objects, and it can also occur when an external force collides. Acute lumbar sprains can occur repeatedly, and some elderly people even get out of bed, wear shoes, stretch the waist and yawn, they can also suffer from injury or tearing of the waist muscles and ligaments. Severe waist flashing can cause blood stasis, swelling, muscle cramps, waist pain, restricted waist movement, unable to straighten up, difficulty in pitching, leaning, and twisting, and increased pain when coughing, sneezing, and urinating. It seriously affects daily life and brings unspeakable pain to patients. In patients with mild symptoms, the pain is not obvious at the time, but the back pain will get worse after one or two days, and it is mostly localized in the lumbosacral area. Some patients may also have pain that persists from the waist to the lower extremities, mainly on the buttocks and the back of the thighs.
Once an acute lumbar sprain occurs, the patient can choose the following methods as appropriate for home self-treatment.
1. Bed rest method. Patients with mild lumbar sprains (which do not affect normal bending) can rest for 1 to 2 days, and gradually resume normal activities after the symptoms are relieved. If the lumbar sprain is severe or recurrent “flickering waist”, the patient should stay in bed for 1 to 2 weeks to relieve muscle spasms and relieve pain. It is best for the patient to sleep on a hard board bed, add a cushion or add a soft pillow to the waist to maintain the physiological curvature of the lumbar lordosis, so that the waist muscles are in a relaxed state of rest, which is conducive to the recovery of the injured part. It is not advisable to sit or stand for a long time, so as to prevent the waist from being in a weight-bearing state and the pain is not easy to relieve. When you have to get out of bed, you can wear a “belt protection”.
2. Cold compress method. After an acute lumbar sprain occurs, a local ice compress should be taken within 24 hours for 20 to 30 minutes each time. You can pack ice in a plastic bag, or wrap the ice in a towel and apply it to the painful area. At the same time, observe the skin color of the sprained area. If the skin turns blue or feels numb, you should temporarily stop the cold compress. This can directly reduce pain, and more importantly, constrict capillaries and reduce bleeding of muscle fascia tissue.
3. Hot compress method. For acute lumbar sprains, hot compresses on the waist are contraindicated within 24 hours to avoid aggravation of local bleeding. 24 hours after the injury, if there is no congestion or edema on the waist skin, you can apply a warm towel every morning and evening to promote the absorption of local hematoma. The water temperature should be 35-40 degrees Celsius. The towel should be soaked in hot water and wrung out and put on the wound. After the towel is cool, change the heat of the towel; each time is about 20 minutes. You can also use sauteed salt or sand wrapped in a cloth bag, and apply heat to the sprained area for half an hour each time, once in the morning and once in the evening. Pay attention to avoid scalding the skin. Do not apply heat when the skin has congestion and edema, so as not to aggravate the condition.
4. Massage method. In the acute phase (within 72 hours after lumbar sprain), do not press and rub blindly, let alone massage by yourself, so as to avoid improper operation aggravating the bleeding of muscles and fascia tissues. After the acute period, local massage can be used to promote the absorption of blood stasis and blood circulation. The waist flasher takes the prone position, the family members use the palms of both hands on the sides of the spine, rubbing from top to bottom while pressing, until the buttocks are massaged down to the muscles under the thighs and the back of the calves; after the massage, use the thumbs lightly on the most painful part Massage gently several times. It can help eliminate the pain caused by waist muscle spasm. Pay attention not to do violent massage therapy, so as not to aggravate the pain.
5. Shiatsu method for back pain points. The “back pain point” acupuncture points are located between the second and third metacarpal bones and between the third and fourth metacarpal bones on the back of the hand. When the transverse crease of the wrist and the midpoint of the metacarpophalangeal joints, there are two acupuncture points on one hand. When selecting acupuncture points, use your thumb to move and press along the gap between the metacarpal bones, and the patient may have an obvious sense of soreness and swelling. While pressing the fingers, let the patient rotate the waist 5 turns in the left and right directions, and bend over to touch the ground with the hands, then stand up and leaning back. The acupoints of the left and right hands can be pressed alternately for about 3 to 5 minutes, and the pain will be reduced or disappeared.
6. Click the flash waist method. Shanyao Point (On the calf, there is a tenderness point near the intersection of the upper 1/3 and the middle 1/3 of the connection between Chengshan and Kunlun points, which is called the Shanyao point). The patient takes a sitting position, finds out the flashing waist points on both sides, presses the acupoints on both sides with both thumbs, presses and places them for 3 to 5 times, and then kneads them for 1 to 3 minutes to endure and slightly sweat. Then gently and gently massage the waist for a few minutes to end the treatment. After one maneuver is completed, the patients usually get better; once a day or every other day, after 1 to 5 treatments, the symptoms of low back pain will disappear.
7. The method of tying a wide belt. Wear a wide belt around your waist to feel comfortable. With the help of a wide belt, you can significantly reduce back pain.
8. Back transport method. Ask the flasher and his family to stand on their backs, bend their elbows to trap each other, and then the family bends their heads, lifts the patient up and gently shakes the patient from side to side, while letting the patient’s feet kick up; put it down for about 3-5 minutes and take a few breaks Do it in minutes. Generally, the back pain will gradually get better after a few times of backing. Insist on doing back several times a day until healed.
9. Suspension traction method. The patient stands on a low stool under the frame of the horizontal bar, holds the horizontal bar with both hands high, lifts the feet off the stool, relaxes and straightens the upper limbs, torso and lower limbs, uses the weight of the body to suspend and pull the waist, and performs back and forth under the traction. Swing and turn left and right. Tow 3 to 5 times a day, step on the bench when the end is over, do not let go directly to the ground.
10. Stretching waist traction method. The patient lies on the bed with both upper limbs stretched and relaxed. For those with low back pain on the extension side, the painful hip and knee joints are flexed, and then the lower limbs are stretched vigorously with inertial force to stretch the waist. Sometimes a noise can be heard from the waist ; If you have bilateral low back pain, you can alternate. Take 5 to 10 minutes each time, 3 to 5 times a day.
11. Tuck the knees and roll the waist method. Lie on your back, bend your knees and hips, clasp your hands under the knee joints, move your head closer to your knees as much as possible, so that the inner back of the spine is kyphotic, and use your own strength to roll in a swinging chair. At the beginning, the psoas muscle board is hard. After rolling for 1 to 2 minutes, the spasm of the psoas muscle is relieved and the pain is relieved. You can increase the rolling for 3 to 5 minutes. This law is especially suitable for the elderly and infirm.
12. Drug therapy. For severe pain, flurbiprofen cataplasm, loxoprofen sodium patch, etc. can be used externally, or anti-inflammatory and analgesic drugs such as ibuprofen sustained-release tablets and celecoxib can be taken internally. It is worth noting that external plasters and emulsion drugs cannot be used when the skin is damaged; the above oral drugs have adverse reactions such as gastrointestinal discomfort and can only be taken for a short period of time.
13. Rehabilitation exercise method. In the acute phase, rest is the main focus. After the pain symptoms are relieved, the patient should strengthen the muscles of the lower back and back, such as “Xiaoyanfei” (lie on the stomach, use the chest and abdomen as the fulcrum, raise the head, shoulders, and lower limbs) and “arch bridge” (Lying on your back, with your head, shoulders, and feet as the fulcrum, with your chest and waist raised) to strengthen the stability of the muscles around the spine. At the same time, you should pay attention to the correct posture in daily life and work to avoid recurrent lumbar sprains.
