(43) Lumbar intervertebral disc herniation

Lumbar intervertebral disc herniation is easy to occur in the age group of 20~40 years old, and can also be seen in elderly patients, which is a common condition that causes chronic low back and leg pain. There are many causes of the disease, on the one hand, it is due to the degeneration of the intervertebral disc itself or the developmental defect of the intervertebral disc; on the other hand, due to injuries and strains; This is especially true for cumulative strain. The disease can also be caused by living in damp dwellings for long periods of time and working in cold, humid environments for long periods of time.

The main manifestations are low back pain, radiating pain in the lower limbs, impaired movement in the lower back, and numbness in the posterolateral calf, dorsum of the foot, heel or soles of the foot.

1. Methods and steps

See Figure 2-2-43.

Figure 2-2-43 Massage for lumbar disc herniation

(1) The patient is placed in the prone position, the surgeon is located on the affected side, and the patient's waist and the back of the lower limbs are alternately performed by palm root kneading and rubbing for 5~10 minutes, see this figure (1).

(2) The surgeon rubs the patient's lumbar spine and the psoas muscles on both sides of the spine with the palm root for 3~5 minutes, see Figure (2).

(3) The surgeon uses the thumb of his right hand to rub the patient's Kidney Yu, Large Intestine Yu, Huatuo Spine, Huan Jump, Fengshi, Yanglingquan, Jiexi, Weizhong, Chengshan, Kunlun and other acupoints, and each acupoint lasts for half a minute, so that the patient has a feeling of soreness, as shown in this figure (3).

(4) In the supine position, the surgeon treats the patient from top to bottom on the front of the thigh, the outside, the outside of the calf, and the back of the foot, and rubs the lateral thigh and the outside of the calf with the palm root, and does a passive straight leg elevation exercise for 5~10 minutes, as shown in this figure (4).

2. Precautions

(1) This disease is a common and frequent clinical disease, and special attention should be paid to strengthening waist health care and health.

(2) It is best to lie on a hard bed and avoid sleeping on a bed that is too soft, so as to avoid frequent recurrence.

(3) Try to avoid sitting for a long time, standing for a long time, and being in a state of tension and weight bearing for a long time.

(4) Avoid the whole body, especially the local cold, the diet is warm, and you can take a warm bath for 10~20 minutes every night to promote blood circulation in the lower limbs and waist.

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