Accidental fall climbing is a disease to watch out for



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The large-scale fall climbing is back. It's a good season for outdoor activities in the fall, especially at weekends, as many people visit the local foliage for hiking. The peak season for Mount Seorak this year is mid-October and many hikers are expected for the weekend. Accidents also increase as more and more people like to climb.

According to the National Emergency Management Statistics Service of the National Emergency Management Agency, 9,134 cases in 2016 and 9682 in 2017 are increasingly needed.

A total of 358 patients visited the clinic due to spondyloarthropathies from climbing due to mountaineering, according to a survey and badysis of male patients aged 30 to 60 who visited the hospital during three months from September to November of last year. A total of 142 patients with a sprained ankle were examined. The number of women was higher in men than in men, the most common age group being the spinal cord joint syndrome (30 to 50 years) and the sprain ankle (20 to 50 years).

■ It's an unreasonable escalation, and it's sick if it's wrong.
As more and more people visit the mountain to take advantage of autumn leaves, the number of patients looking for a hospital with back, knee or shoulder pain is increasing. Subarachnoid spinal syndrome, knee joint and rotator cuff tear are particularly common diseases that are frequently caused by unreasonable movements.

The climbing strengthens the back muscles, prevents back pain, properly repairs the vertebrae and badists in the treatment of chronic spinal nerve disease. It is also helpful in preventing depression and relieving stress because it can improve muscular endurance, reduce body fat and provide mental satisfaction.

However, forcibly climbing leads to various diseases and fracture risks. Women aged 40 to 50 years of age who have a poor sense of balance or who are too skinny and have a low percentage of body fat should abstain. Especially on the downhill road, the weight of the person is advanced about 3 to 5 times, affecting the muscles, joints, back, etc. Therefore, when climbing, it is best to walk slowly at about half the speed. Be careful when walking on a sidewalk or falling when you retreat.

In addition, when climbing, the weight of your backpack should not exceed 10% of your weight. Hiking boots should be avoided too tightly or too wide and the cane should be used for climbing, as it will reduce weight on the back and joints by spreading weight on uphill and downhill routes .

Posterior arthropathy syndrome of the spine caused by a sudden movement
If the disc of the waist is a symptom of back pain and numbness of the spine that is squeezed by pressure and exerts pressure on the nerve, posterior spinal syndrome is a symptom of pain of the posterior spine that supports the spine.

Posterior spondyloarthropathies are a common cause of sudden trauma, lumbar spine and incorrect postures, often badociated with weakness of the back muscles. The symptoms are painful in the back and pelvis, especially in the morning, the back is stiff and the symptoms are severe. In addition, when you turn from one bed to the other and you lower your back, you feel pain.

In particular, posterior spondyloarthropathy syndrome is different from the disc-size principle, so it's impossible to see the special effect even if the disc treatment is administered. Therefore, after the disc treatment, if the back pain persists despite the improvement of the symptom, we should suspect a posterior spinal syndrome.

Under the neck of the lumbar spine, patients are more likely to be involved in the back syndrome of the spine, "said Choi Bong-chun, head of the Senin Pain Clinic. It is important that the specialist receives the appropriate diagnosis and treatment because the cause of the syndrome is different from that of the back disc. "

"In order to prevent posterior spine syndrome, we need to maintain adequate body weight and correct posture to slow down the degeneration of the posterior articular surface, and exercises to strengthen the ligaments and muscles around the joints are needed."

Posterior spondylarthropathies, neuroprotection is effective
To normalize the function of the injured posterior spine, joint treatment is performed to increase blood circulation and nutrition of the posterior joint, and physiotherapy is used to relax the muscles of the elongated or rigid region. If this treatment is not easy and if the pain persists, you may want to consider neural blockage.

Neural blockage is a device that can be seen through the vertebrae of the bone around the joints around the nerves of the pain-sensitive drugs can inject drugs to block the pain selectively. Neurobilotomy is a procedure that involves injecting a drug with a needle, which causes little burden to the body and causes fewer complications.

■ Squealing … Attention to arthropathies of the knee
Knee arthropathy is the most common knee disease in the fall. According to data published by the Health Insurance Evaluation and Evaluation Service, the number of patients with knee arthropathy visiting the hospital reached 2.67 million, a 3.2% increase compared to 2.35 million in 2009. It is known that this disease mainly affects the elderly, but in recent years, the incidence of youth has increased due to obesity and lack of physical activity.

In order to prevent knee arthritis in daily life, excessive weight is put on the knee when it becomes obese. Try to maintain normal weight and exercise such as cycling, swimming and slow walking. This is beneficial and it is good to stretch enough before exercising, such as climbing and running.

■ Please remember before climbing! Rule of the waist, knee and foot joint
1. Size – the weight of the backpack is less than 10% of the body weight!
This is the weight of the backpack that affects the back when climbing. Therefore, if you attach a thick backpack to one side, the pressure applied to the disc may be drawn to one side, which can cause back pain. The weight of the backpack was chosen to be less than 10% of the weight, and the pressure applied on the waist had to be minimized by stretching it at any time during the climb.

2. Legs in the knee in a more curved posture!
Above all, the burden on Hbadan's knee is more than three times that of the plain. That's because I tend to bend my knees further in a relaxed posture. In this way, it is wise to bend the knees of the back legs deeper than usual to reduce the load on the front legs. You can also reduce the burden on your knees by simply standing on your back.

3. Feet – Make sure the lace!
I had to tighten the hiking laces, especially the ankles. If the ankle is loose, the ankle can not be well supported and the ankle can be injured. It also helps reduce foot fatigue by spreading a shock-absorbing sole at the bottom of the shoe.

[email protected] reporter Jeong Myung Jin

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