What should I do if my L45, L5, S1 intervertebral disc is bulging?

From a clinical perspective, L45, L5, S1 intervertebral disc bulging is caused by degenerative changes in the lumbar disc and external forces. To effectively relieve the symptoms, the first thing to do is to relieve the spasms in the waist and buttocks muscles, such as pressing, kneading, and pushing. In addition, methods such as traction, shaking, and pressing, back extension, and oblique pulling are also good. Finally, you should pay attention to the combination of work and rest, avoid overwork, not sit for a long time, etc. The diet should focus on foods rich in protein and vitamins.

1. Causes of L45L5S1 Disc Bulging

1. Degenerative changes of lumbar intervertebral disc: Under normal circumstances, the intervertebral disc is often compressed by the body weight, and the waist is often flexed and extended, which can easily cause greater compression and wear of the intervertebral disc, especially the intervertebral disc in the lower back, resulting in a series of degenerative changes.

2. External force: Some people in their daily life and work often have long-term improper waist force, excessive force, incorrect posture or position, etc. For example, loading and unloading workers have to bend over for a long time to lift heavy objects, and drivers have to sit and drive for a long time. These are minor injuries caused by long-term and repeated external forces. The cumulative effect on the intervertebral disc aggravates the degree of degeneration.

II. Massage therapy for L45, L5, S1 disc bulge

1. Relieve muscle spasms in the waist and buttocks: Use methods such as pressing, kneading, tapping, pushing, plucking, and holding to relax the muscles of the affected waist, buttocks, and lower limbs, with the focus on applying acupoints such as the kidney point, large intestine point, Huantiao point, and Weizhong point. The whole process takes about 15 to 20 minutes.

2. Traction, shaking and pressing method: The patient lies prone, an assistant fixes the patient's upper back with a treatment towel, the doctor holds the patient's ankle joints with both hands, and continues to pull for about half a minute, shaking the patient's waist up and down for more than ten times in the horizontal position, and then shaking the patient's waist up and down 5 to 6 times; then returning to the original position, the doctor stands on one side, overlaps his hands and lightly presses on the protruding part of the intervertebral disc, and another one or two people hold the patient's ankles, continue to pull for half a minute, and then suddenly increase the traction. At this time, the doctor quickly presses down several times with both hands.

3. Back extension method: The doctor and the patient stand back to back. The doctor holds the patient's arms tightly with his arms, bends the waist, bends the knees and straightens the hips, so that the patient can use his own weight as traction to increase the width of the intervertebral space.

4. Oblique pulling method: The patient lies on the healthy side, and the doctor holds the front of the patient's shoulder with one hand and presses the elbow of the other hand against the back of the hip, so that the patient's upper body rotates as far as possible. At this time, the elbow against the hip joint is used to pull in the opposite direction.