Patient: Mr. Cheah, 59 years old.
Date: May 15, 2022,First Visit
Main Problem: The pain in the lower back has been repeated for 5 years, which has worsened in the past 1 week, accompanied by tight shoulders and neck.
Mr. Cheah often go abroad or on business in other states, sitting for a long time, and using a computer for a long time to work, often have severe back pain and shoulder and neck discomfort.

During this period, other treatments have been done, but after the treatment, it is easy to recur low back pain.
【Diagnosis】
When checking the waist for Mr. Cheah, I found that the muscles of the waist were too stiff and the physiological amplitude of the lumbar spine was too concave. In addition, the shoulder and neck muscles and back muscles also appear the same, too stiff.
This is due to the impact of sitting for a long time and using a computer, resulting in lumbar muscle strain and slowed local blood circulation.
【Treatment】
First, use tuina therapy to treat the muscles of the waist and back and adjust the physiological amplitude of the lumbar spine, after cooperate with acupuncture to help the blood circulation of the waist and back.
After the treatment, please ask Mr. Cheah to get up and move. “The lower back is less sore”
“However, try to reduce the sitting time after that. You need to get up for after 1-2 hours working time and walk more when you have time to increase the blood circulation of the muscles in the waist and muscle training.”
“I will let you apply some medicine on your waist to strengthen and repair of the waist muscles and give you some traditional Chinese medicine to relax your muscles and increase the blood circulation, and strengthen your muscles and bones.”
Revisit: 21-05-2022
When Mr. Cheah came back for follow up , he told me that the pain in his lower back had been reduce a lot.
It’s about 70% reduce, but sometimes there is still soreness.

Consolidate the curative effect through manipulation and acupuncture treatment, and then cooperate with traditional Chinese medicine and external application medicine.
Revisit: 29-05-2022
This time Mr. Cheah came back for a follow-up consultation and informed that the condition of the waist has been reduce by about 90%. This time, the fascia of the waist and legs are strengthened in the process of manipulation and acupuncture treatment.
Revisit:05-06-2022
This time Mr Cheah said that was basically no lower back pain, and the muscles of the waist and back and the physiological range of the lumbar spine returned to normal.
【Tips for Reduce Lumber Soreness】
If there is no feeling of heat on the lower back, you can find a warm water bag for warm about 10 minutes, which can reduce muscle relaxation and blood circulation.

When a certain posture is fixed for a long time, especially if you sit or stand for a long time, pay attention to the sitting posture in the office, you need to get up and move your waist regularly, stretch your muscles and bones, and relieve the fatigue of the lower back muscles.

You can walk slowly for 30 minutes every day to exercise your waist muscles.

If the lumber pain is still not reduce, please visit a doctor who can treat muscles and bones, or find an experienced doctor for examination and treatment.

【Afterword】
Lumber pain is currently the most common clinical disease, so it is time to reflect on our daily posture care and proper exercise to avoid bone lesions in the future.
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