Acute lumbar sprain

Guidance: Acute lumbar and back sprain, commonly known as "flashing waist", is more common in clinic, especially in manual workers. Occasionally, people who take part in sports or labor but do not prepare for physical activities beforehand are more likely to occur, which is more common in office-sitting people all the year round.

Lumbar vertebra is the most active and easily injured vertebra in human life. From the evolution of ancestors to walking upright, lumbar spondylosis is inevitable.

The five segments of the lumbar spine rotate and flex all the time.

The lumbar spine is the most vulnerable to strain and illness because it bears the weight of the chest and neck, the burden of lifting the buttocks and legs, and coordinates the movement of the human body in various directions.

In acute cases, simple lumbar spine dislocation or injury of lumbar muscles caused by careless lateral rotation and bending of the waist caused by the burden, the patient immediately lost the basic motor function and sought medical treatment.

Whoever suffers from lumbar injury knows by sight that he has rickets, Half-rigid sides, uneven steps and short breaks. Although they are inconsistent, he must know his lumbar disease from a long-term perspective.

The lumbar 4 vertebral dislocation was the most common, most of them were at the belt, tenderness and lumbar intervertebral disc herniation.

Bone reduction was performed by lateral oblique pull, sitting flexion, lumbar rotation, vertebral compression, or lying elbow tip to vertebral ankle pulling lever.

acupuncture

Acute patients should be pricked far away, Hegu, Houxi, Qi Point of low back pain, Chuanzhu, people, dumb door, hand three miles can be punctured with cough, after the needle get angry and can stretch.

Near needle, take lumbar Huatuo Jiaji acupoint, one needle for the affected vertebra and one needle for the upper and lower vertebra, depending on the person's fat and thin, straight needling 2.5 inches and 3 inches to get breath. For those injured in the day, it is better to use electro-acupuncture, while for those who have been in Japan, Ivan needling is good.

Angle method is used to remove blood stasis and promote qi, weed out the old to bring forth the new, and the patients will be open-minded when they get out of bed.

According to the traditional Chinese medicine of acute lumbar sprain, it is advisable to clear away heat and activate blood circulation, diuresis and dredging collaterals in acute stage. The middle stage is to promote qi and blood circulation. In the later stage, it is better to cultivate and nourish the kidney.

Single empirical formula

Borax is not bright

Morning glory is not adjusted to diarrhea

Samaran (a yellow flower) boiled soup clothes

Eucommia ulmoides Burned Pig Kidney for Medicinal Diet.

Folk people beat the pain with their hair rubbing peach leaves and liquor fire.

Venezuela point pricking blood and so on.

In addition, we should know before treatment.

Clinical symptoms of acute lumbar sprain

Severe pain on one or both sides of the waist, aggravation of pain after deep breathing and coughing, and often accompanied by lower limb pain, most of the areas involved are buttocks, thighs, and limited lumbar movement.

Patients often have painful facial expressions. Serious patients sweat on their heads and can not stand. They often hold their waist by hand to prevent more severe pain caused by activities. When they go to bed, they sit down slowly, lie on their side, and then turn to supine position.

When lying down, they often support their waists with their hands. They can't turn over and turn around. They sit up and stand up. First they lie on their sides, then they sit up slowly with their hands on the bed.。

When walking, they often straighten their waists, support their hands, have difficult gait, slow gait, red tongue, strings or strings.

Clinical examination showed that most of the spine had scoliosis, inclined to the patient, such as sprain on the left side, body flexion to the right side and rotation to the right back when the lumbar pain increased.

The lumbar meridian tendons are constrained, and the tenderness points on the deep sides of the spinous processes are obvious, with no obvious swelling and ecchymosis.

If the injury is serious, swelling and ecchymosis can be seen. Straight leg elevation test is positive and pelvic rotation test is positive.

Diagnostic criteria for acute lumbar sprain

1.Patients with acute lumbar sprain have a history of lumbar trauma, mostly in young adults.

2.In one case or both sides of the waist, there was severe pain and limited movement. They could not turn over, sit and walk. They often maintained a certain forced posture.

3.Tension and spasm of lumbar and gluteal muscles, or striated sclerosis can be touched. There are obvious tenderness points at the injured sites and physiological curvature changes of the spine.

4.X-ray examination showed no obvious abnormalities, or lumbar, posterior or flexion deformations.

Differential diagnosis of acute lumbar sprain

1.Lumbar disc herniation with low back pain and radiation pain of lower extremities, limited lumbar function, straight leg height test, lumbar tapping test, back stretch test and stiffness test are all positive. X-ray film can assist in diagnosis.

2.Lumbar compression fractures have a history of falling from a high place or indirect violence at the waist, accompanied by abdominal distension, constipation and other symptoms. X-ray shows wedge-shaped changes in the vertebral body.

3.One side of renal colic is low back colic, which radiates to the perineum. It can be accompanied by dysuria, hematuria, nausea, vomiting, sweating and other symptoms.

In addition, patients should strengthen physical exercise in peacetime. After acute lumbar sprain, they should rest in a hard bed for at least one week.

It can alleviate muscle spasm and labor pain. For acute lumbar ligament or joint sprain, it is necessary to stay in bed for 3 to 4 weeks. In severe cases, pelvic traction is feasible, and assistant treatment is also needed.