There are many reasons for low back pain, such as disc herniation, muscle ligament sprain and spinal canal stenosis caused by hyperosteogeny. Incorrect posture in daily life and sports, injury or dysfunction of soft tissues such as muscles and ligaments that dominate various sports of the spine will all cause diseases of this sports system.
▲ How to judge whether you are lumbar muscle strain? Generally speaking, lumbar muscle strain mostly occurs in young adults, and the most common reasons are overwork, sprain or trauma. By moving quadratus lumborum, the torso can rotate in a small range. If you twist your waist violently, you may sprain your waist muscles and ligaments, causing waist pain, such as turning around violently when playing tennis or golf, and lightning-like pain in your waist; Sitting for a long time, sitting incorrectly and exercising improperly will all lead to quadratus lumborum's chronic strain and low back pain.
When the strength of psoas muscle is weak, its function will decline. Just as the elasticity of a spring drops, cracks may appear when it is pulled hard.
(Image source network, invaded and deleted! )
Is there low back pain or lumbar muscle strain? Your age, sex and acute low back pain can help you judge:
① The most common causes of acute onset under 45 years old are overwork, sprain or trauma, such as lightning-like pain in the waist when playing tennis or golf;
② In young people, the gradually occurring and difficult-to-relieve low back pain indicates potential skeletal abnormalities, such as spondyloarthropathy or vertebral body advancement;
③ The onset of adolescent males is slow, which highly suggests that there is spondyloarthropathy;
④ Tumors, osteoporotic compression fractures, spinal stenosis and aortic aneurysms are more common in the elderly over 65 years old.
▲ How to check lumbar muscle strain? If you want to know whether your lumbar muscles are strained, you must first locate the specific tender parts. If the ribs are pressed along the psoas muscle from both sides of the ilium, that is, there are obvious fixed tenderness points near the starting and ending points of the lower back muscles, tapping or touching the tenderness points can relieve the pain and prompt the psoas muscle strain.
However, the local tenderness of a specific part can not be relieved after tapping, which often suggests that it is a disease of the back itself rather than a pelvic or retroperitoneal disease. For example, patients with lumbar disc herniation have limited tenderness near the spinous process of the affected side of the disc herniation, and have radiation pain to the calf or foot; ?
The treatment of low back pain is aimed at chronic and acute low back pain. Although the treatment methods are different and the remission time is different, conservative treatment is generally recommended.
The clinical guidelines for noninvasive treatment of low back pain issued by the American College of Physicians (ACP) point out that:
For patients with chronic low back pain, clinicians and patients should first choose non-drug treatment, including exercise, multidisciplinary rehabilitation, acupuncture, mindfulness decompression (medium quality evidence), Tai Chi, yoga, exercise control, gradual relaxation, EMG biofeedback, low-intensity laser therapy, cognitive behavioral therapy or spinal massage (low quality evidence). In view of the fact that most patients with acute or subacute low back pain have improved over time, whether they are treated or not, clinicians and patients should also choose shallow hyperthermia (moderate quality evidence), massage, acupuncture or spinal massage and other non-drug treatments first.