Pain relief gymnastics

Pain relief gymnastics

In the treatment of many diseases of the spine, significant results can be achieved if you combine manual therapy and massage or self-massage with swimming, exercises in water, and physical therapy.

If a specific area of ​​the spine is affected, it is advisable to perform exercises for the entire spine, although more time should be spent on those exercises that are specifically designed for the affected area.

Therapeutic exercise for lumbosacral pain is aimed at normalizing the tone of the back muscles, increasing the mobility of the spine and creating a natural stabilizer in the form of a so-called “muscle corset.” Necessary conditions for its use are conscious and active participation in the treatment of the patient himself, as well as the sequence of the course: gradual transition from simple exercises to more complex ones. The method of conducting classes must correspond to the type of disease, condition and age of the patient.

Methodology for conducting classes during the acute period of the disease

Exercises are carried out only between painful attacks in combination with other types of treatment. The first few classes are conducted by a methodologist, combining them with educational recommendations, and then the patient engages in physical education independently.

Physical activity when performing exercises should be minimal and combined with a small range of motion. The initial position of the patient is chosen taking into account the individual characteristics of his disease and condition, but in any case it should be lightweight: lying on his stomach with a pillow, on his side or on his back.

Classes are carried out at a slow pace with a gradual increase in the amplitude of movements and are immediately stopped if pain occurs or intensifies. Exercises must be alternated with complete muscle relaxation.

During this period, it is recommended to perform exercises for the ankle, knee and arms.

During the first lessons, when performing leg movements, the feet should not lift off the bed, but slide along it with the heels.

Regularity of classes: 2-3 times every day.

Methodology for conducting classes in the subacute period of the disease

Classes are carried out only when the pain subsides and immediately stop when it appears. Exercises during this period are aimed mainly at eliminating pain, reducing the vertical load on the spine, increasing the range of motion in the legs and lower back, and strengthening the “muscle corset.”

The emphasis is on exercises that help strengthen the muscles of the torso. After classes, it is advisable to wear a lightweight unloading corset.

Methodology for conducting classes during the recovery period

Exercises during this period are aimed at further strengthening the “muscle corset,” as well as the muscles of the arms and legs. Physical activity increases, the range of movements increases. At the early stage of recovery, patients, if necessary, put on a corset after exercise, and then do without it.

Among the many existing physical therapy complexes, the most effective are the exercises developed in 1983 by V. M. Maksimova.

The main set of exercises for lumbosacral pain

1. IP - knee-wrist: standing on your knees and leaning on your hands. As you inhale, you need to raise your head and bend in the lumbar part of the spine, and as you exhale, return to the starting position.

2. I. p. - knee-wrist. As you inhale, stretch your leg back and raise your head, and as you exhale, return to the starting position. Do the same with the other leg.

3. I. p. - standing on your knees, sit on your heels, stretch your arms in front of you and rest them on the floor, lowering your head between your hands. As you inhale, bend your arms, touching the floor with your forearms, simultaneously raise your pelvis and head and bend, and as you exhale, return to the starting position.

4. I. p. - knee-wrist. As you inhale, bend your arms, touching the floor with your forearms, stretch your leg back and up and raise your head, and as you exhale, return to