必须躺着休息和睡硬床吗？

Kiwibird1111

今天去看医生，想开点消炎药，问是否可用甘露醇，医生是英国人，说现在不能用这个了，但我看国内很常用。我问她在急性期痛的时候是否必须躺一俩月，她说英国以前治疗腰椎间盘突出也是要求病人躺一段时间，后来发现并不好，且容易发展成慢性病痛，所以现在对病人要求是如果能够忍受或者在消炎止痛药的帮助下鼓励病人做适当的运动。且不建议病人睡太硬的床，特别是瘦子，一是不舒适，二是腰会很累，且研究发现，软硬床对腰椎间盘突出病人的效果区别基本没有，所以不要刻意睡硬床，而要以自我舒适为主。我去网上查了一下，果然差不离，美国医生也是这个意见：

Continue with normal activities as far as possible. This may not be possible at first if the pain is very bad. However, move around as soon as possible and get back into normal activities as soon as you are able. As a rule, don't do anything that causes a lot of pain. However, you will have to accept some discomfort when you are trying to keep active. Setting a new goal each day may be a good idea - for example, walking around the house on one day, a walk to the shops the next, etc.

In the past, advice had been to rest until the pain eases. It is now known that this was wrong. You are likely to recover more quickly and are less likely to develop persistent (chronic) back pain if you keep active when you have back pain rather than rest a lot. Also, sleep in the most naturally comfortable position on whatever is the most comfortable surface. (Advice given in the past used to be to sleep on a firm mattress. However, there is no evidence to say that a firm mattress is better than any other type of mattress for people with back pain.)

Kiwibird1111

国外研究发现保持运动会恢复得更快更好。

Kiwibird1111

Lumbar

国内也有不少医生主张不必恪守硬板床的“古训”。

xx1987

Kiwibird1111

忘记把第一句拷贝下来：

当然，如果很痛，肯定要躺下，还有吃消炎止痛片。

What are the treatments for a prolapsed disc?
Exercise and keep going

Continue with normal activities as far as possible. This may not be possible at first if the pain is very bad. However, move around as soon as possible and get back into normal activities as soon as you are able. As a rule, don't do anything that causes a lot of pain. However, you will have to accept some discomfort when you are trying to keep active. Setting a new goal each day may be a good idea - for example, walking around the house on one day, a walk to the shops the next, etc.

In the past, advice had been to rest until the pain eases. It is now known that this was wrong. You are likely to recover more quickly and are less likely to develop persistent (chronic) back pain if you keep active when you have back pain rather than rest a lot. Also, sleep in the most naturally comfortable position on whatever is the most comfortable surface. (Advice given in the past used to be to sleep on a firm mattress. However, there is no evidence to say that a firm mattress is better than any other type of mattress for people with back pain.)