1. In the first 3-4 days of aggravation necessary to ensure that the patient rest the back, to minimize movements.
2. When expressed pain syndrome shows the stationary treatment in the neurology Department with the administration of drugs intravenous drip or bolus (L-lysine aescinat, aminophylline, furosemide to relieve the swelling in the spine, hormonal drugs - dexamethasone).
3. Intramuscular injection:
analgesic and anti-inflammatory drugs (dicloberl, artaxan, voltaren);
b vitamins (milgamma, vitamins B1, B6, B12);
to relieve tension of the muscles (spazmatron, mydocalm);
improves neuromuscular conductivity (neuromedin, epigrams).
Also widely used introduction of drugs directly into the paravertebral muscles (the blockade).
4. Tablets:
painkillers and anti-inflammatory (nimesulide, ibuprofen, emodin, lexical);
relieves muscle tension (sirdalud, chiseled, mydocalm);
vascular (numbing) to improve nutrition of the affected muscles and nerves (trental, pentoxifylline).
5. Physiotherapy treatment for strong pain syndrome is not recommended, as the procedure can cause deterioration. After 3-4 days, after reducing the pain prescribed:
SNEEM with novocaine on the area of the pain;
magnetic therapy;
fonoforez with drugs (ointments, hydrocortisone, rumaker, voltaren, numbing used cardiovascular drugs - pentoxifylline, trental);
UHF-radiation;
diadynamic currents.
6. Massage is recommended during the recovery period where the pain is minimal.
7. Acupuncture.
8. Manual therapy if indicated.
9. Prevention of exacerbations:
chondroprotectors courses 2 times a year (pills teraflex, DON, stop osteoarthritis, intramuscular injection - alflutop, mucosal);
massage, courses, physiotherapy 2 times a year;
swimming, therapeutic exercise constantly;
wearing a corset for 3-4 hours a day (during exercise).
Popular treatment
1. The juice of horseradish: horseradish roots grate on a grater, squeeze the juice from them, mix it with water in a ratio of 1:1, RUB the loin and wrap it with a woolen cloth for 2-3 hours.
2. A poultice made of potatoes 4-5 potatoes cook in uniform, cooled, grate them along with peel and add 2-3 tbsp of cold water. Apply the mixture on the lower back, put a dry cloth, then cellophane and wrap. This poultice can be applied overnight.
3. Fir oil: RUB into the location of pain.
4. Therapeutic baths:
mustard: 200 g of mustard powder, pour a glass of cold water, mix well. The resulting slurry was poured into a bath of warm water (36-40 °). To take a mustard bath for 15 minutes, then rinse under the shower and wrap yourself with a blanket;
conifers: in a saucepan bring to boil 4 liters of water put 1 kg of young shoots of pine. Simmer 10 minutes, then wrap with a towel and let stand until cool. Strain the infusion, pour into a tub of water, take 15-20 minutes.
Exercises lumbar sciatica
1. Tilts: standing, feet shoulder width apart, hands on his belt. To perform bending with a straight back and to the side, pausing for 2-3 seconds. At the initial stage to do 10-15 dips, then the number gradually increase.
2. Exercise “cat”: starting position - knee-elbow, alternately arch your back up and down.
3. Leg swings: while lying on your stomach lift one straight leg, the other, then both.
4. Hovering on the bar: stretching of the spine under its own weight. To do the exercise smoothly, without sudden movements.
0 comments:
Post a Comment