Many people believe that patient must not move and just lie down after disk surgery. This is not recommendable to lie down for more than three days because it has considerable side effects.

Lying down for a long time can weaken the supporting back muscles. Although the patient may get over the disc-related disease, the lumbago can last. Also, it can cause thrombosis because of poor blood circulation and cause malnutrition with the need for disk rehabilitation.

In addition, there can be complication such as osteoporosis and urinary calculus caused by hyper-calcinuria as electrolytes, such as bone calcium, flows off into the blood. Therefore the patient should gradually increase the amount of the activity after operation and should start waist exercise in earnest about two weeks after operation.

- Sitting posture
Bad sitting posture is one of the causes of back fatigue. A chair with a fixed high back which can support the waist is good.
The patient seat deeply in the chair. Sitting at the edge of the chair is not recommended because weight is not distributed correctly when the waist is not in proper posture.

- Standing posture
A good standing position is for one foot to come before the other with the knees slightly bent. Alternatively, place one foot on something slightly raised while standing in place or when doing kitchen work. You can also use a foot mat to avoid twisting the waist.

- Sleeping posture
There are many times when we wake up with stiff shoulders and necks. If you suffer from these symptoms, you should check your sleeping posture and your pillow. Both a too low or too high pillow can burden the neck and shoulders.
Either a mattress or an air-cushion under-quilt is recommended, and sleeping on the side is better than on the back. Sleeping on the stomach increases the curvature of the spine, so it is harmful to the spinal posture as well as the lungs, which are pressed.

- Driving posture
Recently professional drivers suffer from spinal disease. That can be from the fatigue from extended sitting in one position, but most are the result of bad posture. And extended driving without break can exert a vicious influence on the spine. Therefore driving more than two hours is not recommended. The good driving habit for the spine is to take a 10 minute break per hour if possible.

There are many types of treatment for lumbago patients; medical, thermic and traction treatment.
Among the most recommended treatment is rehabilitation exercise treatment which increases the flexibility to the muscles around the waist and which enhances the solidity of the muscles. Muscle consolidating training increases the solidity, fortitude and size of muscles and the density of bone and of cohesion tissue. Regular exercise intensifies the ability of nerve control, and resistance training protects our body from excessive contracting and develops the sensory organs.

The best exercises increases for pliability is stretching, and William abdominal muscle strengthening exercise and McKennzy expansion exercise are also effective. However these exercises have not been evaluated objectively and do not have objective standards.

Many kinds of computerized tools have been developed to supplement those problems.
One of them is MedX. Exercise treatment with MedX can control the degree of muscle recovery. After two months muscle size increases, and after about 12 weeks training muscles are at their strongest. This type of treatment is very effective in cases where muscles have been weaken or atrophied.

Severe exercise make people who have back problems worse. Exercise training can reduce the pain. Patients over 35 years old or those with chronic lumbago should be prescribed with the proper warm us and cool down exercises before and after physical activity. The following are helpful spine exercises for normal life.

- Fast walking :
This exercise is helpful for everybody. It strengthens the cardio-pulmonary functions and promotes blood circulation and bowel activity.
This is also recommended for the balance of backbone and endurance. A 10 minute 1 kilometer walk on dirt or grass is recommended. Fast walking is more recommended than swimming.

- Cycling :
Pedaling puts the pelvis in the correct position and develops the muscles around the buttocks and legs.
But if the saddle is too high, it can have harmful effect on the waist; the saddle should be adjusted to the persons height.

- Swimming :
The resistance and buoyancy of water can lessen the pressure on the waist and is good in preventing joint injury. This is recommended for the middle aged.
The backstroke and free-style are best, but the butterfly and breast strokes should be avoided if waist muscles are not strong enough. 20-30 minutes 2 or 3 times a week per is effective.
But swimming in water below 21C causes muscles to contract and should be avoided.

There can be no more important activity than sex for human emotional life. Even Lumbago and hip rheumatism patients cannot avoid sex.

Is bed rest necessary for urgent and chronic lumbago?
When people suffer from sudden lumbago, three days of bed rest is necessary. After about 3 days sex is possible and can be helpful for the lumbago. Especially in repeated cases of chronic lumbago, an active sex life is more necessary than bed rest or the avoidance of sex.

What role does sex serve emotionally and psychologically?
Physical intimacy and comfort can help patients emotionally and psychologically. Although sex may be impossible because of severe pain, mutual touching and petting with hands and lips are recommended.

What effect does touching have on pain?
Actually mutual touching with an open mind can have a positive effect for the pain and the nervous system.

Is back stretching exercise the best way to prevent lumbago?
The best way to prevent lumbago and recover from lumbago is active exercise and not bed rest. The most common stretching exercises to strengthen the waist muscles are pelvis lifts and extension exercises.
These two exercises are possible during sex. Waist extension exercises and pelvis lifts can all be exercised during sex, and can strengthen the back.

When sex activity is possible for people who have had back bone surgery?
Anytime after the surgery scar has healed. On the basis of walking, if the patient can walk 1.5km. or 2km. without pain, sexual activity is definitely possible.

The effects of pregnancy on the back is a popular area of research. According to the research reports, 55% of Korean women suffer from lumbago during pregnancy, and lumbago starts from the third trimester of the pregnancy.

The cause of the lumbago in the last period of pregnancy is that the waist is burdened by the weight of fetus. As the womb expands, the other abdominal organs are forced forward and thus deforming of the lower back.
Women suffering from lumbago during pregnancy should rest and wear a back support corset if needed. Women following these guidelines should not have much lower back problems after delivery.

There is danger to the waist after delivery. Therefore post-partum care is important. Women with lumbago after delivery should use the correct posture during physical activity and backbone strengthening exercise if necessary for back training.
Carrying the baby in the arms is highly prohibited. Women should carry the baby on the back or use a rucksack or baby carrier. When lifting the baby, she should not bend her waist but bend her knees bring the child to her and straighten her knees. This method should not cause stress to the lower back.

Wearing unfit shoes deteriorates lumbago, and the worst are high-heels and slippers. High-heels cause excessive stress of the waist joint, and shoes without heels, such as slippers, tighten the foot causing lumbago. Good shoes are stable, elastic and absorb ground impact.

The base of the shoe should be stable, flexible, tender, and should have a solid grip on the ground. The side of the shoe should curve along the shape of the foot and support the arch. Slippers and sandals are not beneficial as they do not protect the sides and heel of the foot.

The heel of the shoe should be single, wide and below 5cm. in height. Sports shoes are good. A shoe should have with room in the toes, fit tightly in the heel, support the sides, and cushion the foot. Placing a scrap of cloth to function as a cushion inside the shoe, is good for lumbago and arthralgia.

It is a medically proven fact that excessive alcohol consumption causes the body to lose calcium. If calcium leaks out from the spine, it leads to osteoporosis and weakens the spine. Moreover, the ligaments and muscles supporting the lower back joints and disk can be damaged. Alcohol consumption is very bad for the disk patient.

Smoking can also have a negative effect in the deterioration of the spinal disk. Smoking can also give rise to coughing caused by chronic bronchitis. Coughing increases pressure inside the abdomen and the disk, so can be a second-hand factor in damaging the disk.

Heavy smoking reduces the mineral content of the spine and lowers the density of bones so it is likely to effect the disk. Nicotine makes vascular contraction and reduces the circulation of the blood to the backbone. Therefore, it hinders the supply of nutrients and can lead to degeneration of the disk.

Stimulant beverages such as coffee and coke, causes the leak of calcium from the backbone. Obesity should be avoided. Obesity causes overextension of the lower back and disturbs the backbone. Therefore, balanced meals with low in fat and with abundant vitamin and mineral are recommended.

- Cervical Disc Herniation
Problems with the cervical disc herniation are more dangerous than with the spinal discs because problems with cervical disc can cause paralysis of the arms, legs and the body.

The process of paralysis from a cervical disc herniation can be so slow and different for each patient that doctors may not diagnose it as a cervical disc herniation.

Although the cervical disc herniation can be cured by surgery, it can be seen as an incurable myelitis or a change of the spinal cord itself, and can be misdiagnosed as a spinal tumor, so there may be cases where surgery is not performed. Therefore a precise diagnosis is absolutely necessary. A patient with paralysis may be cured with surgery.

- Cervical posterior ligament osteosclerosis
Since publication in Japan in 1960 of research on posterior ligament osteosclerosis causing paralysis and neuralgia because of pressure exerted on the spinal nerves, many cases have been reported in Korea. Such cases occur in Japan because they bow very often, and it occurs in other Asian countries including Korea, as well.

- Tuberculosis, tumor and abscess of the spine
Spinal tuberculosis and spinal tumors causing paralysis of the lower half of the body are not rare in Korea. And in some cases are misdiagnosed as spinal herniation and so do not receive the proper treatment. This can often cause nervous trouble. Spinal tuberculosis is a problem in Korea as there is a tendency to overuse adrenocortical hormones (steroid).

Early spinal tuberculosis does not influence the nerves, only the lower back. If it is not treated in time or there is abuse of adrenocortical hormones, the lower half of the body can be paralyzed.

Once paralysis occurs, surgery should be performed as soon as possible.

Spinal tumors need to be operated on early, but is often misdiagnosed as disc herniation and can cause paralysis. If there is continued lumbago with no discernable improvement after two weeks treatment, reexamination is necessary. Pus should be removed from spinal abscesses caused by bacillary infection, before there is serious nerve paralysis.

Cold therap used effectively, kills pain, and almost instantly prevents infection, helps control bleeding, reduces swelling, speeds recovery time, and is completely safe. The most effective pain relief during the 48 hours following injury is a chilled Medi-pak, applied to the painful area.

OrthoMold offers your patients extremely stable, instantly available, perfectly contoured Spinal orthoses with an unprecedented degree of patient comfort and compliance.

Miami J Collar: Originally introduced in 1991, Miami J set the standard against which all Cervical collar are measured.Now, that standard is raised again with the introduction of the new Miami J collar. New sizes, and now there are an entirely new line of collars designed to meet the specific anatomical needs of children at each stage of their lives-up to 12 years old. Only the Miami collar family offers a complete and comprehensive approach to cervical spine immobilization, inhibition of skin breakdown, and comfort.

Static Air Technology provides a Shock Absorber for your back. Astro- back is the first back support system to use static air technology to provide just the right amount of support to your lower back. The patented air bladder countours, cushions and supports with maximum protection and minimum restriction.

This collar is specifically recommended for diagnosed or suspected cervical spine injury. Also the patients who are bedridden in the supine position and or who are confined to a rotation bed. The Miami acute care collar is the first cervical collar engineered exclusively for the special needs of the non-ambulatory, multi-system trauma ICU patient.

Cervitrak (necktrac): Necktrac with digital electronic load sensor enables any enable any professional to confidently treat patient safely, effectively, and completely. No other traction device combines safety, precision, and portability?Like LOSSING Necktrac does.

PDC(Phisio-therapeutic Dynamic Cervical Collar)

PDC (Phisio-therapeutic Dynamic Cervical Collar) is the modular cervical collar system and can be easily adjusted from immobilization on only the right or left side. Also reliably prevents painful movements. It also immobilization on one side allowing movement on the pain- free side

The Spinal support corset for post-operative and conservative treatment. The proven principle of the spinal support corset was further developed by J. Harms. He used many modern materials such as Neoprene and special elastic fabrics.

ORTHOPEDIC SEAT CUSHION- Tush-Cush is scientifically designed to relieve and prevent back pain, numb Buttocks and other discomforts associated with sitting by. Suspending the tailbone in the air, which reduces the pressure on and within the lower spinal disks.

Otho-mold the developers of the premier spinal bracing system, introduces a revolutionary Concept in Back-Rests. The ortho-mold patented technique enables you to custom mold a perfectly contoured, highly supportive Back-Rests directly on the individual in minutes.

Osteoarthrosis of the ankle, knee or hip joint and degenerative spinal changes. Relief of ankle, knee and joint endoprostheses. Irritation of the Achilles tendon, myotendopathies. Strains syndrome due to work or sports. Difference in leg lengths, scoliotic pelvis. {Heel Cushions}

Developed by an orthopedic surgeon advances the principles established with the Vertetrac to treat the sufferers of cervical spine disorders and injuries. The CerviCo 2000 allows for the application of both symmetric and asymmetric traction to the cervical spine, allowing the treatment to be customized for each patients needs. The CerviCo 2000 is so easy to use that patients requiring long-term care may easily be taught how to administer self-treatments at home. The already short treatment sessions (15-20 minutes per day) thus becomes even more convenient and patients feel that they have more control over their lives.