What medicine does lumbar facet joint instability disease take good?
summary
Lumbar facet instability refers to the lumbar facet instability (also known as facet subluxation or facet dislocation) caused by traumatic degenerative changes and congenital development and other factors, and causes low back pain, limited activity and a series of other symptoms. What medicine should lumbar facet instability take? Next, I'd like to share my views with you.
What medicine does lumbar facet joint instability disease take good?
When the low back pain is obvious, oral anti-inflammatory, analgesic and antispasmodic drugs can be taken, such as ibuprofen, acetaminophen / isoproterenol / caffeine (Sanlitong), indomethacin (indomethacin), etc. The formula of compound Siwu Decoction is: Shengdi 12g, Baishao 9g, Danggui 9g, Chuanxiong 6G, Danshen 9g, chuanniuxi 6G, yanhusuo 9g, Wuyao 6G.
Small joint block, small facet joint capsule block has antispasmodic and analgesic effect. 5ml of 1% procaine or 2% lidocaine, 1ml of beclomethasone suspension or 25mg of prednisolone acetate suspension can be added. No.7 lumbar puncture needle or intracardiac injection needle can be used to infiltrate around the small joint at the tenderness point 1.5cm beside the spinous process. In general, we choose L4-5 and L5-S1 facet joints for multi site injection.
Oblique pulling: the patient is in lateral position, with the lower hip joint straight, the upper hip and knee flexion, and the upper shoulder backward. The operator stands in front of the patient and holds the upper shoulder of the patient with one hand and presses the upper iliac crest with the other hand. After the patient's whole body is relaxed, the operator's hands are tilted in the opposite direction at the same time, so that the patient's upper shoulder is turned backward, and the hip is rotated forward. At this time, the waist can be heard to make a "creak" sound. Oblique pull can make the facet joint open, which is conducive to the reduction of impacted synovium and dislocated joint.
matters needing attention
Correct use of the waist: the prevention of lumbar disease should squat first when lifting heavy objects, change the posture of the waist when using the waist for a long time, and do more waist activities to prevent gradual strain. When using the waist excessively due to the nature of work or slight strain has occurred, it should avoid further aggravation of the strain and eventually cause lumbar degeneration.
