Must I do physical therapy for lumbar muscle strain?

Not necessarily, the key is to rest, otherwise you may leave chronic pain in the future. You can apply cold compress within 24 hours, then apply hot compress and do some physical therapy properly.

It can be used for acupuncture and massage, functional exercise and external use. The prescription is: 20 g of angelica, 30 g of salvia miltiorrhiza, 30 g of peach kernel, 30 g of lycopodium clavatum, 30 g of Herba Siegesbeckiae, 30 g of speranskia tuberculata, 30 g of papaya, 30 g of earthworm, 20 g of Bupleurum, 0/5g of Saposhnikovia divaricata/kloc-,0/5g of Schizonepeta tenuifolia and 0/5g of safflower. The above medicines are coarse powder, divided into two packages, 60g indigo salt and 60g white wine. After mixing evenly, put them into two white cloth bags and sew them for later use. Soak the bag in the pot for 1 hour, then boil it for 30 minutes, take it out, wash the waist first and then take it out, 30 minutes each time, twice a day. The next day, it is still boiled with the original soup, which can be used for 2 days.

Attachment: sports diseases-lumbar sprain and strain

A few fibers are pulled off and the small joints are slightly staggered, which is called acute lumbar sprain. The waist is the center of human activities, and the muscles on both sides of the spine are the dynamic structure of waist activities and the main factor to maintain the stability of the spine. Therefore, in sports and daily work and life, there are more opportunities for waist trauma, especially in young adults. ?

1? Why? why?

(1) When the load is too large, the heavy object is forcibly lifted, which exceeds the load capacity of the spinal muscles, and the muscles suddenly contract violently, which makes the muscles and the facet joints and ligaments involved. When exercising, the body's center of gravity is unstable. In order to maintain the balance of the body, muscles will also contract violently, causing joint ligament and muscle damage. ?

(2) The spine is excessively flexed and suddenly rotated, and the spine is sprained due to the extraordinary range of motion. ?

(3) Technical movements are wrong, such as bending over straight knees to lift heavy objects, which can't effectively exert the strength of large muscles around hips and knees to overcome resistance, resulting in the overload of back fascia, muscles and ligaments and injuries. ?

When the long jump falls to the ground, the abdomen is too strong, and the spine suddenly leans forward excessively, which will also cause injuries to fascia, muscles and ligaments. ?

2? Signs?

Most of the wounded have a clear history of trauma, and their voluntary activities are limited. After 24-48 hours, the pain reaches its peak. After the injury, the pain is obvious, the spine can't be straightened, and the muscle spasm causes the physiological curve of the spine to change, which is a serious sprain. The pain of lumbar sprain may involve the lower limbs, but it is limited to the buttocks, thighs and the back of calves. ?

3? Deal with it?

(1) After a rest injury, you should lie on your back for a short time on a padded wooden bed with a thin pillow around your waist to relax your waist muscles. It can also alternate with prone position to avoid the injured tissue from being involved again and facilitate repair. Rest for 2 ~ 3 days for mild sprain, and rest for severe sprain 1 week. ?

(2) Acupoint massage can be performed after massage injury. Acupoints of Renzhong, sprain, Shenshu, Dachangshu and Weizhong can be selected, and the intensity of manipulation is appropriate to make patients feel sore and numb. ?

(3) Other therapies, such as external application of Huoluo Zhitong ointment, internal application of Huoluo Zhitong ointment, cupping therapy, acupuncture therapy, local injection of prednisolone, physical therapy, etc. , has a good curative effect. ?

4? Prevention?

(1) In the process of sports activities and labor, attention should be focused and thoughts should be prepared for the load and actions undertaken. ?

(2) Make full preparations to improve the coordination and reactivity of lumbosacral muscles. ?

(3) When lifting barbells or bending down to carry heavy objects, bend your hips and knees. Don't bend down with straight legs to lift heavy objects. When lifting heavy objects, put them near your body to reduce the burden on your waist. ?

(4) Strengthen the strength and stretching training of waist and abdominal muscles. ?

(5) Correctly master the technical movements and the amount of exercise; When jumping in the air, the lumbar muscles should maintain a certain tension to avoid accidental "waist flashing" under the action of external force. When doing strength exercises, use your belt properly. ?

(2) Lumbar strain?

Chronic injury caused by repeated stretching and spasms of waist muscles, ligaments and fascia is called lumbar strain. ?

1? Why? why?

(1) Lumbar strain is the result of repeated mechanical forces acting on muscles, fascia, ligaments and joint capsules. ?

Long-term bending load or poor posture, such as archery often scoliosis, long-term sitting and working, poor posture, etc. It is easy to fix the waist muscles in a posture for a long time, which makes the muscles stretch or contract passively, resulting in poor local blood supply and nutritional metabolism disorder. ?

(2) Repeated minor injuries to the waist or acute sprains do not heal well. Slight sprain of the waist can cause a small amount of tearing of muscle and ligament fibers, resulting in a small amount of bleeding and edema. Due to poor tissue structure, scar adhesion, poor endurance and insufficient strength, it is easy to be repeatedly injured, resulting in chronic strain low back pain. ?

(3) Weak waist muscles. Due to lack of exercise or muscle training, or due to injury, the lumbar muscles can be reduced, the muscle strength is weakened, and it is easy to strain because it cannot bear a large load. ?

(4) Spinal deformity. There are many activities in the lumbosacral region and they are under great pressure. If the spine has congenital malformation (such as spina bifida, lumbosacral sacralization, lumbosacral lumbosacral sacralization, asymmetry of posterior articular process, etc. ), it is more likely to cause chronic low back pain. ?

2? Signs?

Pain or swelling in the waist. The pain range is large, and sometimes the pain can involve the posterior and lateral sides of the buttocks and thighs, but there is no numbness. Muscle stiffness is light, exercise or labor is more during the day, sitting or standing for a long time, often inducing or gradually aggravating low back pain when changing from bent position to upright position, and the pain can be relieved after short-term rest or supine position. If you have enough rest at night, your back pain will be relieved during the day. Because the waist strength and hard-working ability are reduced, the work can't last long, and it will be uncomfortable to do those actions that make the waist lean forward, such as washing your face. There are tender points in the strain area, and there are acid, swelling and pain reactions. ?

3? Deal with it?

Massage and physical therapy are important methods to treat low back pain. ?

(1) Massage therapy is effective in treating lumbar muscle spasm and tissue adhesion caused by lumbar strain, and can relieve or eliminate low back pain. Commonly used massage techniques include: pushing, rubbing, rubbing, rolling, knocking, elastic tendons, pressing and so on. , you can do it once in this order, or you can combine some of them organically. It can be combined with acupoint massage, each lasting about 10 ~ 20 minutes, once a day or every other day 1 time. ?

(2) Physical therapy to strengthen waist and abdominal muscle exercise is conducive to enhancing muscle elasticity and endurance, improving the stability, flexibility and durability of the spine, improving the oxygen supply state of muscles and releasing adhesion. On the contrary, it is not advisable to stay in bed too much. The principle of physical therapy should be to carry out muscle static contraction without causing pain and muscle spasm, which needs to be continued.

Examples are as follows: supine leg lifting: supine, hold your breath, straighten your knees, lift your legs as gently as possible (alternately left and right, or lift your legs together), slightly lift your head and neck at the same time, pat for four times, then slowly lower your legs and relax your muscles. Do it at least 30 times each time, twice a day. Athletes and well-trained people can do weight-bearing supine leg lifts, and the weight is tied to the ankle joint, each time the weight is appropriate, and the number of times increases; Prone "flying swallow": prone, head, neck, back, upper limbs and lower limbs extend backwards as far as possible at the same time, leaving only the abdomen in an arc shape. Take four beats at a time, and then relax the muscles, at least 30 times each time, twice a day, and the athletes should increase the number of times each time. ?

(3) Acupuncture, physical therapy, prednisolone, pain point injection and oral drugs for activating collaterals and relieving pain all have certain curative effects on this disease. ?

4? Training after injury

People with persistent low back pain temporarily stop waist load and body flexion, and arrange the amount and intensity of exercise according to the severity of low back pain and the reaction after training. Each training time should not be too long, the training content is diversified, and you can't exercise alone. ?

5? Prevention?

(1) Cross-training of changing postures is often carried out, so that different muscle groups have the opportunity to take turns to rest, so as to reduce fatigue and prevent strain. ?

(2) Strengthen waist abdominal muscle training on the basis of comprehensive training. The strength of lumbosacral muscles is improved, which is helpful to improve the internal pressure of chest and abdomen, protect the spine and prevent lumbar muscle strain. ?

(3) Pay attention to gradual progress and training rhythm to prevent muscle fatigue accumulation. ?

(4) Actively treat lumbar sprain. Active treatment and necessary short-term rest should be carried out after lumbar sprain, and it must be completely healed at one time to avoid repeated sprains of unhealed tissues. ?

(5) When participating in sports and post-injury training with more waist exertion, heavier burden and larger range of activities, you should wear waist protection or wide belt to strengthen protective measures. ?

(6) Always maintain a good posture and avoid being fixed in one posture for a long time. The correct sitting posture should be: the upper waist is attached to the back plate of the chair, the hips are moved backwards as far as possible and the inherent lumbar lordosis and lumbosacral angle are maintained, the chair is pulled to the table as far as possible to prevent bending, the feet can freely stretch and flex on the ground, and the knee joint flexes about 100. Correct sitting posture is very important for chess players and school-age children. ?

(7) Actively massage yourself or each other. Massage before the game can reduce injuries, and massage after the game can eliminate fatigue and promote recovery.

I wish you a speedy recovery.