What Are the Different Types of Physical Therapy For Back Pain?

Most low back pain is caused by muscle contractures, trauma, or spinal deformities, but about 1 in 10 patients is caused by a systemic disease. Low back pain may appear anywhere on the back from the neck to the waist, it may be a small part, or it may spread to a large area. Low back pain is not only found in mental workers, but also widely in manual workers. It is the most common clinical symptom. Low back pain is difficult to treat, has a long course of treatment, and is prone to recurrence. It has become a dysentery that is difficult to treat in modern society and seriously affects people's quality of life.

Low back pain

Most low back pain is caused by muscle contractures, trauma, or spinal deformities, but about 1 in 10 patients is caused by a systemic disease. Low back pain may appear anywhere on the back from the neck to the waist, it may be a small part, or it may spread to a large area. Low back pain is not only found in mental workers, but also widely in manual workers. It is the most common clinical symptom. Low back pain is difficult to treat, has a long course of treatment, and is prone to recurrence. It has become a dysentery that is difficult to treat in modern society and seriously affects people's quality of life.

Characteristics of patients with back pain

Patients are characterized by: radiation pain, soreness, cramping pain, cough pain, traction pain, etc. in the waist, back, shoulders, and legs. Workability.

Low back pain medical experts point out

With the acceleration of the social rhythm, the increase of work pressure, the improvement of people's living standards and living and working environment, the incidence of back pain is increasing at an alarming rate, which may be related to people's extended work hours at desks, reduced activities and obesity. It is very necessary to improve people's understanding of low back pain, to understand the corresponding treatment plan and health knowledge, so as to achieve the purpose of prevention of occurrence, early diagnosis, early treatment and prevention of recurrence.

Low back pain

The back is a very broad area, specifically, it includes the neck, chest, waist, crotch and so on. The waist is the most important and weakest part of the entire back. Most diseases of the back occur here.

The main structure of the back is the spine, which is a columnar structure composed of multiple vertebrae and containing several joints. Inside it is the spinal cord, which is surrounded by ligaments, muscles, tendons and fascia. The structure of the back is very precise, ingenious, and complicated. It is for this reason that the back is also more vulnerable to damage.

The spine is composed of 7 cervical vertebrae, 12 thoracic vertebrae, 5 lumbar vertebrae, 5 sacral vertebrae, and 4 tail vertebrae. Viewed from the side, the spine has a soothing large S-shape with 4 physiological curvatures. Among them, whether we are standing or sitting, the lumbar spine has been under a lot of gravity. At the same time, we often have to perform movements like turning, bending, stretching, etc. in the life, which increases the burden on the waist. Therefore, the waist is easy. Damage occurs, causing pain.

S Low back pain accompanied by S-shaped bending during growth

Back pain is an old problem that humans often commit since walking upright with their lower limbs. Viewed from the side, the spine's neck is forward, the back is backward, and the waist is forward, showing an S-shaped curve. In other words, our human spine is not a column standing upright, but an S-shaped flexible column structure that can flex and stretch while supporting the upper body. So what kind of structure is the S-shaped spine?

24 24 vertebrae that accumulate on the back and pelvis

The head is located on the upper part of our body. The one that directly supports the weight of this huge skull is the cervical spine, which is connected by 7 vertebrae. Below the cervical spine is a thoracic spine consisting of 12 vertebrae, with ribs on both sides of the thoracic spine. Below the thoracic vertebra is a lumbar vertebra composed of 5 vertebrae, which stands above the pelvis. The pelvis consists of the left and right hip bones (the upper part of the hip bone is called the ischium), the central sacrum, and the coccyx. Above the sacrum is the lumbar spine. The spine plays an important role in supporting the upper body, from the waist to the neck, like a brick structure. The vertebrae and vertebrae are not fixed by cement-like hard adhesive, but by a cartilage plate such as an intervertebral disc sandwiched between the bones, which acts like a cushion.

Low back pain Aging of the disc is the cause of low back pain

The soft tissue of the nucleus pulposus is located in the center of the intervertebral disc, and is surrounded by a ring-shaped cartilage fibrous ring. The anterior longitudinal ligament is the anterior longitudinal ligament and the posterior longitudinal ligament is the posterior longitudinal.

The fibrous ring contains strong collagen fibers, which is a very elastic tissue. The central nucleus pulposus is gelatin and contains a lot of water. Therefore, the intervertebral disc is elastic and can absorb and alleviate the impact on the spine.

The tires of the car can support the operation of the extremely heavy car body, and at the same time play a role of cushion, avoiding the impact caused by rough roads to be transmitted directly to the car body. This is because the tires are made of elastic rubber and are filled with air. The intervertebral disc is also the same. The elastic fibrous ring tissue and the nucleus pulposus serve as a cushion.

However, the water content of the nucleus pulposus gradually decreases from about 20 years of age. After 30 years of age, the water content of the fibrous annulus also gradually decreases. As a result, the cushion function is weakened, and the impact on the lumbar spine cannot be alleviated, which easily causes pain.

Low back pain and insufficient muscle strength are also causes of low back pain

The upper body is of course not only supported by the vertebrae and intervertebral discs. The ligaments and muscles connecting the bones also play a great role. Among them, muscle elongation or contraction, in addition to the joint flexion and extension, also plays an important role in fixing the spine. The spine formed by the connection of many bones and bones can stand upright due to the tension of the muscles around it.

For example, the psoas major muscles on both sides of the spine, the lumbar quadriceps muscles on the medial side of the spine, the rectus abdominis muscles on the ventral side, the external oblique muscles, and the internal oblique muscles are all related to the stability and movement of the spine.

However, after muscle aging, muscle strength also weakens. Insufficient exercise can also lead to muscle strength loss, and the muscle strength that supports the spine degenerates, which naturally becomes the cause of low back pain.

In order to fix the spine, the strength of the back muscles and the strength of the abdominal muscles must be well balanced. However, as the strength of the abdominal muscles deteriorates, this balance is disrupted, so low back pain occurs. This situation is very common.

However, although they are called vertebrae, not all parts are the same size. The cervical spine only needs to support the weight of the head, so the vertebrae are thin, while the lumbar vertebrae, which carry the entire upper body weight, are large and strong, and can fully carry the weight of the upper body. On the other hand, because the lumbar spine is under heavy pressure, it also means that this part is vulnerable to damage.

In fact, the most prone to low back pain is the 5th lumbar vertebra and the sacrum in the lower part of the lumbar spine.

Low back pain

When a human is upright, from the side, the spine is not a vertical straight line to support the body, but a slight S-shaped bend above the pelvis, and the pelvis is slightly inclined relative to the ground. In this state, the body is subject to forward moving forces. Effect, making the waist too heavy. On the other hand, the neck needs to support the head weighing 4 to 5 kg, and it must maintain a high degree of flexibility, complete the movements such as turning the head, raising the head, and lowering the head, resulting in an increased burden on the neck. Supporting the head and neck is the shoulder and back. For the shoulders, two arms occupying 1/8 of the weight are suspended. When the two arms are holding heavy objects, all the burden falls on the shoulders. It can be seen that when humans are walking upright, in order to survive, they have to lift heavy objects or carry things. They have various skills. Therefore, with the spine as the center, the neck and waist often bear an excessive burden, and the structure of the waist and back Precision, ingenuity, and complexity make them vulnerable to damage and disease.

Low back pain low back pain comes from everyday life

Posture is the most important factor in determining the health of your lower back. Wrong posture is the main cause of back and back lesions. It usually causes premature irreversible degenerative changes in the bones and joints of the spine, causes muscle imbalance and tension, and loosens or tightens ligaments. All these will Causes back pain. Therefore, in daily life, bad postures, such as: incorrect sitting, standing, walking, and sleeping postures, reading at desks for a long time, writing and watching TV, and surfing the Internet, sitting in office laboratories for a long time are incorrect. Carrying items, driving for a long time, the height of the work surface in home life is too low, trivial housework and sports injuries can all cause clinical symptoms of lower back pain or worsen lower back pain. In the early stages of spondylosis, there are no obvious signs of neurological damage.

Low back painThe following occupations are prone to low back pain

Students, office workers, athletes, soldiers, car drivers, doctors, nurses, teachers, accountants, design researchers, government officials, professional managers, company clerks, computer operators, etc. and strong manual workers, have been in mines and cold storage for a long time Such as those working in the environment, housewives, and those working in air-conditioned rooms in summer.

Types and differences of low back pain

The waist is the most important and weakest part of the entire back, and most diseases occur here. At present, there are more than fifty kinds of back pain diseases that can be listed, but there are still many back pain diseases of unknown origin. Generally, it can be classified according to the following methods.

Back pain is classified according to the incidence of the disease

There are many causes of low back and leg pain, and the incidence varies according to different populations.

1. Different ages: children or adolescents are mainly congenital aberrations, which are postural diseases such as recessive spina bifida, which are lumbar scoliosis; inflammatory ones, which are lumbar tuberculosis. Young adults are mainly traumatic, including sprains and strains of lumbar muscles, lumbar disc herniation, and compression fractures of the lumbar spine. In addition, in terms of the immune system, it is ankylosing spondyllumbar osteoarthropathy, which is manifested by the formation of bone and lips at the edge of the vertebral body and the edge of the articular process, lumbar disc narrowing and osteoporosis, followed by lumbosacral tumor.

2. Different genders: Men generally have a large amount of waist movement during daily labor and activities. Once improper posture, excessive load, and lack of protection can cause damage to the soft tissues of the lumbosacral region and bones and joints. Therefore, Men's waist and leg pain are more common due to injury factors; women have some unique diseases due to anatomical and physiological characteristics, such as uterine prolapse. These diseases can cause back pain. In addition, it can cause low back pain during menstruation; during pregnancy, the lumbar spine load changes greatly and the bones and joints relax, which can cause low back pain under improper force.

3. Different occupations: Manual laborers, especially strong manual laborers, athletes, and soldiers, are often more common with damaging factors. Car drivers are prone to causing lumbar disc herniation, in addition to the long, straight posture of the waist when driving. For people who have been working in mines, cold storage and other environments for a long time, the invasion of humidity and cold is a common cause of low back pain. This cause is sometimes seen in those working in air-conditioned rooms in summer. Office workers have weak waist muscle strength due to long desks, few changes in posture, poor sitting posture, etc., and it is easy to produce low back pain under very slight external causes.

Back pain classified by (painful) site

To distinguish whether the source of low back pain is in the waist itself or in other parts of the waist, the classification of low back pain must first be divided into non-spine back pain and spinal back pain.

1. Non-spine back pain: Non-spine back pain or symptomatic low back pain, that is, back pain is only a symptom, just like headache, not all caused by intracranial disease. For example, low back pain caused by urogenital diseases or neurasthenia is symptomatic. This type of low back pain is also easy to determine at the time of diagnosis, and it is characterized by the normal function of the waist. This is significantly different from the lower back mobility disorder in spinal low back pain described below. During the examination, not only the flexibility of the waist was immediately seen, but also the tenderness points were not obvious or fixed, or there were widespread and equal tenderness, which are the characteristics of symptomatic low back pain. Therefore, according to this classification method, after a simple examination, we can know that the back pain originated from the spine or non-spine. However, there is a need to explain that congenital malformations of the spine, such as the non-union of the isthmus, are spinal low back pain, and should reasonably have lumbar motion disorders. Although the actual congenital malformation is an organic disease, it may be caused by long-term adaptation since childhood. However, its tenderness point is relatively fixed, which is different from the aforementioned symptomatic low back pain.

2. Spinal low back pain: Spinal low back pain is also called organic low back pain, that is, low back pain caused by diseases of the spine's bones, joints or other soft tissues. This kind of low back pain has different degrees of lower back movement disorders and fixed tenderness points. In clinical diagnosis, if preliminary clues have been found to belong to spinal low back pain. It is necessary to further find out the specific part of the lesion, for example, the lesions of the vertebral body, intervertebral disc, and small joints are divided into bone tissue. The soft tissue of the waist is divided into superior spinal ligament, interspinous ligament, yellow ligament, lumbar back fascia and so on.

Back pain by cause

Whether it is a lesion of bone tissue or a lesion of soft tissue, they are divided into five categories for consideration. That is, for all low back pain diseases, you can think about and identify them according to the five major categories of trauma, inflammation, tumor, deformity and metabolic diseases.

1. Traumatic low back pain: Traumatic low back pain is divided into acute and chronic. Acute trauma refers to anatomical damage to bone or soft tissue caused by more serious trauma; chronic trauma refers to lumbar injury caused by migrating from acute trauma or repeated minor injuries. For example, lumbar fractures, interspinous ligament ruptures or chronic strains and spinal dislocations fall into this category.

2. Inflammatory low back pain: Inflammatory low back pain usually refers to acute infection of the vertebrae, and spinal osteomyelitis, but it is relatively rare. Fibrous tissue inflammation, chronic fasciitis, third lumbar vertebra process, vertebral osteochondritis, spinal osteomyelitis, rheumatic low back pain, rheumatoid low back pain, etc. belong to this category.

3, low back pain caused by tumor: soft tissue tumors of the waist are relatively rare. Vertebral tumors can be divided into primary and secondary tumors: primary tumors of the vertebrae include giant cells and hemangiomas; secondary metastases, which are common in the lumbar spine, are cancer metastases.

4, low back pain caused by deformities: deformities of the spine can cause back pain: isthmus nonunion, spondylolisthesis, horizontal sacral vertebrae, hemivertebrae, a certain degree of lumbar spine and sacral lumbar spine, scoliosis, small Asymmetric joints and so on. In addition, deformities of the lower limbs can also cause low back pain, such as congenital unequal leg lengths, horseshoe varus, varus knees, flat feet, sequelae of polio and so on.

5. Low back pain caused by metabolic diseases: spinal osteoporosis (senile osteoporosis), osteomalacia, and proliferative spondylopathy (belonging to degenerative diseases, which can be counted as metabolic diseases). One) etc.

In addition to the above five categories, there are other causes of back pain clinically, such as those with abdominal organ diseases: kidneys, ureteral stones, nephritis, renal tuberculosis, kidney droop, habitual constipation, etc .; pelvic organ diseases: abnormal uterine position , Chronic salpingitis, cervical cancer, dysmenorrhea, pregnancy, etc., as well as myelitis, cauda equina, sciatica, rickets and chondrosis, brucellosis, etc., all of these conditions can be associated with low back pain.

Back pain patients with back pain

The pace of modern life and work accelerates, stress increases, and activity decreases. The number of patients with back pain suddenly increases from the age of 20, and rises with age. According to statistics, about 80% of people in the world suffer from different degrees of low back pain.

Low back pain

Low back pain is a modern disease and it is said that more and more people often suffer from it. The greater the burden on the waist, the more likely it is to cause back pain. However, compared to the past, our life has become quite convenient, and the weight load on the waist is naturally much less.

For example, in agricultural operations, we had to work with bowed waists. The most stressful work on the waist is made easier by the advent of tractors and combine harvesters. It's the same in the factory. There is less labor to carry heavy goods, and the heavy physical labor is drastically reduced.

At home, the more hurtful tasks such as washing clothes and cleaning are also made easier by household appliances such as washing machines and dust collectors. At the same time, the amount of housework itself is much less than in the past.

Corresponding to this, the state of nutrient intake must be much better than in the past, especially the protein that constitutes the ligaments and muscles exceeds the required amount, and the intake of osteogenic calcium cannot be considered small, it is said that it is relatively sufficient.

In summary, physical activity is reduced, nutrition is enhanced, and the pathology of low back pain should be reduced. But in fact, the vast majority of doctors who diagnose and treat patients have a personal feeling: there seems to be more patients with back pain. Why is this?

Low back pain caused by the spread of cars

A big reason may be related to the popularity of cars. Cars were luxury goods 30 years ago. In recent years, automobiles have gained popularity at an alarming rate. Although it has not yet reached the general public, it is not surprising that owning a car itself.

Since then, walking in life has been rare. In the past, when there was no car, I went to a vegetable market, bought meat and went to a butcher shop. I had to go to many shops to buy things a day, but now I only need to go to the supermarket once or twice a week. This tendency is even more extreme in the suburbs and cities. Even if it is only 10 minutes away, you have to drive or ride a motorcycle. The car is completely a mobility tool. Not only are the private cars, trams, buses, taxis and other means of transportation quite developed, but also the elevators and elevators in the building, which makes us modern people hardly walk. As a result, our muscle strength becomes completely unpredictable. Walking doesn't seem to be much exercise, but the legs and waist muscles interact with each other repeatedly to relax and tense, so that you can exercise your muscles unknowingly. In addition to transportation, all kinds of machines are now developed, which frees modern people from manual labor. But even in this case, are there too few opportunities for people to exercise and entertain, such as travelling by car or going out for leisure?

Unexpected posture of low back pain is also the cause of low back pain

What posture and movement will increase the burden on the waist? Generally speaking, little is known. How much pressure was applied to the intervertebral disc between the 3rd and 4th lumbar vertebrae? Some people have investigated this, and the results show that the sitting position is more likely to increase the burden on the waist than standing, because the waist needs to bend when sitting down.

If you have muscle strength, a little exercise will not hurt your waist, but for people with weak muscle strength, even if you are sitting in a chair, the burden on your waist is considerable. In this way, it is not difficult to understand that there are many examples of back pain caused by inattentive posture.

The mention of low back pain is easily reminiscent of geriatric disease. In fact, low back pain is also common in young and middle-aged adults. Among people in their early 20s and 30s, many suffer from low back pain. From the age of 20, the discs begin to age, making people feel helpless. If the muscles are strong, people in their 20s and 30s can certainly make up for the effects of aging discs.

It is said that among weightlifters and Sumo wrestlers who carry huge pressure on the waist, whether or not the lumbar spine is very painful, many people do not reflect back pain. These are the best examples, which show that muscle strength can fully offset the lumbar spine aging. inconvenient.

How can I know what type of back pain?

When you have acute or chronic low back pain, go to the hospital as soon as possible, and the type should be determined by a professional doctor.

What should I do if I suffer from low back pain?

When back pain first appears, you must go to the hospital as soon as possible to confirm the diagnosis. After the diagnosis is clear, you can take certain drugs or use a professional waist and back pain treatment device under the guidance of a doctor for self-home treatment. You must be hospitalized for treatment if necessary.

Harm of low back pain

Many low back pains are difficult to cure in a short time, and even if temporarily cured, the recurrence rate is quite high. Therefore, lower back pain is more tortured than other diseases, consumes a lot of time and huge health care resources, and the cause of the disease is often unclear. As a result, many people continue to suffer from persistent or intermittent low back pain, which affects work and life, reduces the quality of life, and even severely loses the ability to work.

Back pain caused by low back pain

Spine, intervertebral discs, or bones, muscles, tendons, ligaments, etc. are all causes of low back pain. But other than that, there are also low back pains caused by one or more diseases as one of the symptoms. Although the low back pain caused by pregnancy and childbirth is not a disease, it still belongs to one cause.

In addition, the following diseases can be cited.

Low back pain digestive system disease

Back pain caused by poor stomach, intestine, and pancreas. Sometimes constipation is also a cause.

Low back pain urinary tract disease

Diseases such as kidney, bladder, and urethra can easily cause low back pain. It seems that stones especially cause low back pain. When urinary tract infections often occur, fever, urination, hematuria, protein and other symptoms.

Low back pain gynecological disease

Gynecological diseases such as tumors of the ovary and uterus, endometriosis, and appendicitis seem to cause low back pain. In addition, fever and abnormal bleeding are common. In addition, some people have low back pain before or during menstruation. This type of person usually has irregular menstruation, and when the lower body becomes cold, the waist will be very painful.

Low back pain cold, flu

When suffering from infections such as colds and flu, muscle or joint pain is often accompanied, and most often cause back pain. In addition to cold symptoms such as general weakness, fever, cough, and runny nose, the former is also a criterion for judgment.

Back pain cancer

The spine is a place where cancer cells easily metastasize. Once metastasis occurs, it can also cause low back pain.

Back pain common misunderstanding

Lack of awareness and attention to low back pain

Patients with mild or severe low back pain may have used many treatments, but because it is a chronic and multiple disease, the treatment is often ineffective and inconvenient, which makes the patient suffer from pain and give up treatment.

The importance of timely treatment

Recognizing the serious harm of low back pain to people, we should take early measures for treatment, and we should also use appropriate methods to strengthen health care to avoid serious consequences.

Prevention is as important as treatment

Regardless of whether you have low back pain now, you must strengthen the prevention of low back pain in your daily work life, which can avoid aggravating chronic low back pain and reduce the risk of acute low back pain.

Commonly used methods for treating back pain

For the treatment of low back pain, it can be divided into surgical and non-surgical treatment. Experts believe that most back problems are caused by poor posture and incorrect use of muscle or soft tissue injuries. Therefore, conservative medical treatments such as physiotherapy are generally used. Surgery is the last method for treating low back pain. It should be considered only when the condition is serious enough to affect the patient's life, other treatments are ineffective, and cause severe disability.

medical treatement:

Although there are many western medicines for the treatment of lower back diseases, in terms of their pathogenesis, most western medicines are drugs that alleviate symptoms and eliminate pain, not a cure for the root cause.

Closed therapy:

Blocking therapy is a method that uses anesthetic drugs such as lidocaine and steroids to inject the pain to the area to eliminate inflammation and relieve pain. However, closed therapy may be due to local acute foreign body reactions, aseptic manipulation is not strict, and the use of hormones to reduce local defense functions will lead to infection. If the infection is not cured, it may cause local tissue necrosis, abscesses and sinuses. Road.

Nerve block therapy:

Directly injecting drugs into or around nerve tissues such as peripheral nerve trunks, plexuses, spinal nerve roots, and sympathetic ganglia to block nerve conduction. This type of treatment is called nerve block therapy. The effect of this method is mainly analgesic, but there are also similar adverse reactions to closed therapy.

Traction therapy:

Traction therapy is a traditional treatment method that has been used in hospitals for a long time, and it is often combined with the rest of patients. In the acute phase of severe low back problems, patients not only need to rest in bed, but also undergo traction treatment at the same time according to the condition. Traction therapy is suitable for patients with acute and chronic low back pain, disc herniation, lumbar facet joint disorders, cervical spondylosis and some spinal instability. For spinal purulent diseases, spinal tuberculosis, and spinal tumors are not suitable for this treatment.

Physical therapy:

Physical therapy is a method of applying physical factors to the human body to prevent and treat diseases, referred to as physical therapy. It includes the use of various physical factors, natural and artificial. Artificial ones include electricity, magnetism, light, sound, heat, cold, etc. Natural ones include use of sunlight, air, soil, mineral water, climate, etc. The application of physical factors to treat diseases has a long history. Practice has proved that many diseases, whether in the acute, chronic, or subacute phase, can be treated with physical therapy according to different diseases and specific conditions. Not only is it widely used in clinical practice, as a conventional treatment method in hospitals, but many of them are adjuvant therapies that we can use at home, so physical therapy has a dual effect on lower back disorders. It can be used in different situations and can Play a therapeutic effect.

The role of physiotherapy:

a. Anti-inflammatory effect: Whether it is acute or chronic inflammation of muscles, joints, ligaments, skin, nerves or internal organs, physical therapy can promote the absorption and absorption of inflammation. In general, infrared, ultrashort wave, microwave therapy, etc. can be selected.

b. Analgesic effect: Physical therapy can promote blood circulation and accelerate the excretion of pain-causing substances to achieve the purpose of relieving and eliminating pain. In physical therapy, all thermal therapies have the effect of relieving pain. Others such as electrotherapy, laser therapy, and magnetic therapy can also be used. c. Reduce scar formation and loosen adhesions: The early use of physical therapy for low back pain is very obvious. Generally, the effects of electrotherapy and ultrasound therapy are significant. If combined with hydrotherapy and massage, the effect will be more ideal.

d. Stimulation of nerves and muscles: For patients with partial nerve damage or muscle atrophy, electrotherapy can stimulate excited nerves and muscles, promote their repair and regeneration, and for patients with local sensory disorders, it can also help sensory recovery.

Other treatments for low back pain

Included in surgical treatment

1. Routine open surgery (including: hemi-laminectomy, total laminectomy, trans-abdominal disc surgery) 2. Discectomy

3. Artificial lumbar disc replacement

Minimally invasive intervention

1. Collagenase chemical dissolution therapy 2. Ozone injection therapy 3. Percutaneous laser disc decompression 4. Radiofrequency thermocoagulation target puncture technology

Surgical treatment

1. Routine open surgery:

Conventional open surgery includes: total laminectomy, hemi-laminectomy, trans-abdominal disc surgery, and vertebral fusion. The purpose of surgery is to directly remove the diseased lumbar intervertebral disc nucleus pulposus and relieve nerve root compression to achieve the purpose of treatment. Due to the limitation of the special physiological position of the lumbar spine, the surgery destroys the normal physiological structure of the lumbar vertebra, resulting in large surgical damage, easy to cause postoperative instability of the lumbar spine, postoperative scar tissue adhesion, and accidental injury to the nerve root during the operation. So most patients are afraid of surgery. How to avoid the above adverse reactions caused by surgery? This has been a major problem for the medical community.

2. Collagenase dissolution

The main component of the human intervertebral disc is collagen tissue. Using the specific solubility of collagenase to collagen molecules, by injecting collagenase into the protruding part of the intervertebral disc, the collagen component in the protrusion is destroyed and dissolved, and the protrusion can be completely achieved. It becomes smaller and disappears, so as to relieve nerve compression and improve clinical symptoms.

3. Ozone nucleolysis (PIMOI): This therapy uses fine needle puncture into the intervertebral disc, and injects a small amount of ozone gas to dehydrate and shrink the nucleus pulposus tissue to achieve the purpose of decompressing the disc. The main principle is to use the instantaneous and powerful oxidation function of ozone to achieve dehydration, anti-inflammatory and analgesic effects.

4. Percutaneous laser lumbar disc decompression (PLDD): the use of laser energy to cavity the nucleus pulposus of the lesion, reduce the pressure in the disc, relieve and eliminate the compression of the sciatic nerve or spinal nerve to achieve the purpose of treatment.

5. Percutaneous endoscopic discectomy (PED): discectomy is divided into lateral discectomy and posterior discectomy. Lateral discectomy is based on incision and suction, and an additional discectomy system is added. Make the aspiration under the monitoring of discoscopy more safe and effective. The posterior endoscope is a combination of the advantages of the lateral laminoscope and the small interlaminar window-opening technique. Only a small opening is opened at the corresponding point of the intervertebral disc lesion, and the intervertebral disc endoscope system is inserted into the disc. Nuclear process to achieve the purpose of treatment.

6. Percutaneous lumbar discectomy (PLD): Under image monitoring, the working cannula is directly inserted into the disc, and a portion of the nucleus pulposus is removed using a clamp cutting and negative pressure system, thereby reducing the pressure in the disc and making the fiber ring pressure Relieve and relieve compression on nerve roots.

Radiofrequency thermocoagulation target for disc herniation

Radiofrequency thermocoagulation target therapy is to directly degenerate, coagulate, shrink, reduce the volume of the prominent pathogenic nucleus, relieve pressure, rarely damage normal nucleus pulposus, and directly block glycoproteins and in nucleus pulposus. The release of protein and the warming effect play a good role in treating damaged fibrous rings, nerve root edema and inflammatory reactions in the spinal canal. The symptoms disappear and reduce immediately after treatment, and the efficiency is high. Local anesthetics and hormones are not needed during treatment. And antibiotics to make the treatment green and safe. The radio frequency puncture needle is only 0.2 mm thick, and the patient has minimal pain during puncture. The operation is safe. The nerve monitoring function and time and temperature controllability will not cause heat loss of the nerve root. The impedance display can determine the nature of the tissue being treated. Temperatures of 85-90 ° C rarely cause bleeding, and very few wounds and high temperatures make the chance of infection very low. Radiofrequency target for the treatment of intervertebral disc herniation is a new, minimally invasive treatment method which is efficient, safe, easy to operate and low in cost. It is a qualitative leap in minimally invasive treatment of disc herniation.

Six safety principles of radiofrequency thermocoagulation target therapy

First, efficient and safe:

The therapeutic electrode of the special-purpose radiofrequency instrument for the nervous system is only 0.7mm, just like an acupuncture needle. The entire treatment does not require anesthesia, analgesics, antibiotics, and hormones. There is only one physical change process without any side effects on the human body. The tissue is directly removed without damaging normal tissue, making the treatment more green and humane.

Second, precise positioning:

The radiofrequency thermocoagulation target treatment is accurately positioned by the C-arm X-ray machine, and constantly detected under digital subtraction. The precise guidance of the navigation system directly acts on the nucleus pulposus. The data is accurate to less than 1mm, and the angle error is less than 1 degree. Treatment is more precise and effective.

Third, identify the nerve:

Nervous system-specific radio frequency instrument has a unique neural system for accurate identification and stimulation. It can measure nerves within 1cm of the treatment range and accurately distinguish motor and sensory nerves. That is to say, during treatment, you want to damage the patient's nerves. Nerve is impossible.

Fourth, distinguish the organization:

The unique impedance display function of this device can accurately distinguish the nucleus pulposus fibrous ring, calcification points, bone and blood vessels, and accurately display the tone and numbers, making the treatment more accurate and safe.

Five, temperature controllable:

The radio frequency instrument can adjust the temperature arbitrarily, and the error is below 2 ° C to ensure the safety during treatment. There is no infection and no thermal damage after treatment.

Six, accurate calculation:

Before the treatment, the volume of the lesion to be removed is accurately calculated and a plan is made, that is, as much as the nucleus pulposus of the lesion is removed, so that the treatment is more efficient.

Low back pain exercise method

Rehabilitation training for patients with low back pain is first to strengthen the muscle training of the waist, back and abdomen. After the waist, back, and abdominal muscles are strong, maintain good tension when standing, sitting or sleeping, and maintain a good neutral position of the spine. During exercise, protect and control the spine from exceeding the normal flexion and extension range, increase the stability and flexibility of the spine, and reduce the chance of soft tissue injury at the waist.

Adhering to daily waist, back, and abdominal muscle strength exercises is an effective way to prevent waist and back pain and disc herniation.

1. Hip movement: Lie on your back with your legs straight. Now your left foot is stretched toward the foot, and your right leg is shrunk toward the head. At this time, the pelvis is low to the right and high to the right and left and right, alternately 30-50 times.

2. Pedaling: supine position, bend hips and knees as far as possible, hook the back of the foot tightly, then kick the heel diagonally upwards, and at the same time tighten the thigh and calf muscles, then restore, first healthy side, then affected side, 10-20 times.

3 Ship-style movement: prone position, legs straight, arms flat on the side of the body, palms up, inhale at the same time lift your head, upper body torso, legs, arms, try your best to hold your breath, not to force it, Inhale slowly to reduce, repeat 6 times.

4 Boat exercise: supine position, legs straight, arms flat on the side of the body, palms down, inhale while lifting head, upper body torso, legs, arms, head and toe as high as possible, hold your breath to Not forced to limit, exhale slowly restored, repeated 6 times.

5. Bridge exercise: supine hip flexion, knee flexion, feet flat on the bed, inhale abdomen, lift the anus, stretch the knee joint, hold your breath for 5 seconds, exhale, and repeat 6 times.

6. Stretching the waist: Stand with your feet as wide as your shoulders, stretch your waist backwards, and increase it gradually, 6 times.

Low Back Pain

1. Maintain good weight: Weight gain is usually unknowing, so we ourselves are not aware of the effects of being overweight on our bodies. Imagine what would it feel like if you were carrying ten pounds of baggage every day?

2. Exercise the abdominal and lower back muscles: If the muscles of the entire torso are strong, they can protect the lower back from damage. Strengthen exercise, such as playing badminton, tennis, or even cleaning the room, can consciously exercise muscles.

3. Keep correct movements when lifting heavy objects: Pay attention to keep your legs apart when lifting heavy objects to keep the center of gravity stable. Pay attention to abdomen when squatting, so that the lumbar spine is always well aligned.

4. Strengthen leg strength exercises: In addition to the torso exercises, leg muscles also play an important role in maintaining good posture and body mechanics. Strong leg strength can effectively share the burden on the lower back.

5. Maintain flexibility: If your body is not flexible enough, you can practice yoga, Tai Chi and other activities to strengthen your body's flexibility and ease your waist muscle tension.

6. Pay attention to maintaining correct posture: Incorrect posture can increase disc pressure, muscle tension, and joint damage. Therefore, maintaining a good posture is very important to prevent back pain.

7, choose the appropriate bed: for patients with back pain, should choose a mattress of moderate hardness, should be able to support the waist, not too soft and let the waist sink.

8. Use a small pillow to cushion the waist: When taking a sitting position, use a small pillow to cushion the waist. You can remove the small pillow for 5 minutes every half an hour, so that the waist can often change position. If you sit too long, stand up or walk around for a while and stretch your waist to rest your waist muscles.