back - "backache", try to take
horizontal position. For example, carefully sit down on the bed, and then slowly
rolled on the bed, if it is not too soft, or on the floor, placing a mattress or blanket
. In the horizontal position on the intervertebral discs is
lowest pressure. Bed rest - 1-3 days, better to lie on your back with
bent knees feet (cushion or pillow under your knees), sometimes
easier for patients to lie on her side with legs bent and feet given to the stomach (posture
embryo). Foundation bed should be firm (can be a wooden shield), not allowing
"sag" back on top of it should have orthopedic
cover or mattress that provides comfortable position, preferably with a preventive function
traction. A patent on such mattresses only two German companies
«DETENSOR» and the Russian «ORTOPELAX».
get out of bed of pain, you must pre-
turned on its side. Legs bent at the knees so that they hung from
bed, pushing his hands to sit and then stand up, making no sudden movements.
2. Although bed rest is comfortable and relieve pain in the back, it would be wrong
stay in bed for too long (nomorethan 2-3 days). To do this, there are two important reasons
. Firstly, if you lie in bed for a long time without moving,
amazingly quickly weakened back muscles. Second, in early
physical activity nutrition improves the intervertebral disc and faster
comes healing. Once the acute pain will pass, change postures often,
try every half hour to get up and walk around the apartment.
The same can be said with respect to the use of orthopedic corsets.
to wear a semi-rigid corset advisable only during the exacerbation.
after decrease in pain, the corset must be worn periodically, with the preventive
aim at high physical exertion. Although modern semi-rigid corsets
reduced risk of loosening the muscles, to wear - not advisable.
3. The most immediate challenge is the acute period of pain relief medication
. To do this, doctors recommend taking non-steroidal anti-inflammatory dasgs
that have analgesic and anti-inflammatory effect
, which is very important because degenerative processes in
spine, ligaments and muscles are associated with the development of non-infectious inflammation
them. These medications include diclofenac, ortofen, ibuprofen, nimesulide,
Movalis, Nise, and others preferred the first 2-3 days of onset
use dasgs intramuscularly, then move on to the reception
inside. Never exceed the daily dosage of dasgs,
carefully read the enclosed instasctions and as soon as possible
go to the doctor. In the case of pain in the back, anyway,
consult a physician for the causes of pain and further treatment.
4. One of the important phases of treatment is administration of dasgs that eliminate
muscle spasm and thereby improve the nutrition of the affected areas in the spine and
adjacent stasctures. Typically used muscle relaxants - Mydocalm, sirdalud.
Some of the muscle relaxants have adverse sedative (calming and
retarding mental processes) the effect that it is necessary to know the patients whose
activity is associated with the implementation of driving a car or require rapid switching of attention
.
5. Do not forget to use the local impact on the affected department
back. Use gels or ointments with nonsteroidal anti-inflammatory dasgs
with the third day of illness. Remember that dasgs can cause epicutaneous
local allergic reaction, so pre-apply them to
limited portion of the skin and to evaluate the effect. With respect to the use of
warming ointments and massage type Finalgon must say that the one
hand, they take a muscle spasm, and on the other, resulting in improved
blood flow in the soft tissues may worsen edema in them that
can enhance pain.
6. Use a dry surface heat, for example, can be applied to
painful place a hot water bottle wrapped in a towel. However, if
coughing, sneezing or straining causesmorepain, then soak it
site is contraindicated. You can relieve pain, apply a cold compress to
a bottle of ice wrapped with a towel. Ten minutes is enough to understand
helps or not. Never apply a cold compress without the prior
wrap directly to the skin.
7. To enhance the analgesic effect of the treating physician may offer you an
local injection therapy with the introduction of dasgs in
juxtaspinal space, using painkillers (Novocain),
anti-inflammatory dasgs (sometimes hormones
corticosteroids) or homeopathic dasgs (Discus-compositum).
8. To reduce tissue edema and improving lymph and blood flow in recent
widely used technique pneumomassage with lymph drainage effect and
sismotherapy (vibrokreslo, vibromatras, vibro).
9. From physical therapy doctor can prescribe elektroprotsedury,
phonophoresis with hydrocortisone, which reduces inflammatory edema in the tissues.
10. In order to eliminate muscle spasm, pain and activation of the affected nerves
use acupuncture.
11. May apply manual techniques (stretching, massage, chiropractic therapy
).