One is the pain in the muscularis and ligaments of the waist. This kind of low back pain is often confined to the muscles of the original injury site and extends as far as the buttocks or thighs. Most of the reasons are muscle strain, strain caused by chronic fatigue, muscle stiffness and fibrosis. Muscle pain is manifested as pain caused by fatigue, swelling and pain caused by strain and contusion. Pain often occurs during or after rest, such as waking up in the morning or sleeping until midnight. Generally speaking, this kind of low back pain can still stand or walk like a normal person, but it will begin to appear when you are sedentary or overworked.
Another kind of low back pain is caused by the compression of the spine or spinal nerves. This kind of low back pain is mostly caused by the waist pulling the hips, thighs, calves and even toes, which occurs unilaterally and rarely on both sides at the same time. The feeling of pain is mostly pain in the waist, buttocks and thighs, and most of them are pain, weakness or numbness in legs and feet. Pain usually occurs after walking or standing 15 minutes, and the patient must find a place to sit down. There are spinal nerve branches extending on each side, and the size of intervertebral foramen space is fixed. When we stand, due to gravity and erector spinae contraction behind the spine, if the intervertebral foramen becomes smaller due to bone spurs or disc herniation, it will stimulate the spinal nerves.
Especially in the waist and sacrum, the nerve extending from the lumbosacral joint (between the five lumbar vertebrae and the sacrum) is the easiest to be compressed, accounting for about 70% of the spinal nerve compression. Symptoms other than lumbago and leg pain can cause abnormal sensation of numbness of superficial nerves in the affected calf and dorsum of foot, which makes people feel uncomfortable. When patients' toes are raised, it is difficult for their heels to touch the ground. If the nerve roots of the fourth and fifth vertebrae of the lumbar spine are pinched, the thumb, the second finger of the foot and the front of the tibia will feel abnormal numbness of the epidermis, making it difficult for patients to lift the toes of their heels, accounting for about 25%. Clinically, many patients have spinal nerve compression of the above two joints at the same time. If the nerve between the third and fourth lumbar vertebrae is compressed, there will be muscle atrophy of the thigh or numbness of the epidermal nerve in the front and inner thigh. The above diagnosis can be compared with the healthy side.
Check whether the nerve heel is stuck can be known by the following methods: make the patient lie flat, straighten his legs, and actively lift the affected lower limb to the highest limit. The average person's leg lift angle can reach a right angle of 90 degrees, at least 70 degrees or more. If it hurts when lifting the leg or can't be lifted to the standard height, the nerve root will be pulled when lifting the leg, so the unsuccessful lifting of the leg means that the nerve root is clamped, which is the so-called "straight leg lifting test". On the other hand, the patient is ordered to lie on his side, bend his knees and shrink his legs, and extend his calves on the healthy side. The doctor can touch the sciatic nerve between the affected buttock, buttock and ischium. If the nerve root is compressed, the compressed sciatic nerve will have obvious pain response than the healthy side. A simpler method is to let the patient stand with his feet on the chair. This position can also easily touch and press the sciatic nerve according to the above positioning method.
The pain of the first kind of lumbar muscle membrane is mostly caused by lumbar scoliosis caused by sudden exercise, excessive exercise, acute lumbar sprain, chronic lumbar muscle strain or poor posture. Long-term abnormal contraction of lumbar muscles will lead to stiffness and fibrosis of lumbar muscles, which is also the culprit of chronic low back pain. Chinese herbal medicine (note 1) can be used to steam waist and massage acupoints. Acupoints Dachangshu, Xiaochangshu, Shenshu, Zhi Zhi, Weizhong and Chengshan can be used to relieve muscle fatigue and stiffness by Cao Qing Ointment (Note 2), electrotherapy, moxibustion and acupuncture. Combined with oral administration of traditional Chinese medicine, treatment based on syndrome differentiation has certain curative effect. In clinical application, people with backache, weak qi and blood, and cold hands and feet can add and subtract Achyranthes bidentata, Eucommia ulmoides and Rhizoma Drynariae with Shiquan Dabu Decoction, and women with osteoporosis can take Guilu Erxian Glue or Placenta Hominis Powder, all of which have good benefits. For patients with kidney-qi deficiency or chronic lumbar muscle strain, Huanshaodan can be used as the main prescription, which can be added or subtracted according to the symptoms. Duhuo Jisheng Decoction and Sanbi Decoction can be used for those with severe pain, Shu Jing Huoxue Decoction and Li Shujing 'an Powder for those with strong constitution, and Danggui Niantong Decoction and Guizhi Shaoyao Mu Zhi Decoction for those with inflammation and fever similar to rheumatoid arthritis.
If the second kind of pain caused by nerve root compression is mostly caused by lumbar disc herniation (HIVD), lumbar hyperplasia (lumbar spur) or lumbar lordosis, it is all caused by the stimulation of the intervertebral foramen where the spinal nerve root is located. Stimulated nerve roots will produce inflammation and swelling, and even occupy the intervertebral foramen space to make the compression more serious. Spinal spondylolisthesis is a phenomenon that the articular process of the W-shaped bone behind the upper and lower vertebrae is unstable and the vertebral body slides forward. Not only the spinal nerves are affected, but also the spinal nerves in the spinal cavity are sheared by the vertebral holes of the upper and lower vertebrae, which can cause atrophy and paralysis of the lower limbs and various nerve compression symptoms. Clinically, the severity of spondylolisthesis is divided into four stages, which can often be clearly seen by lateral X-ray photography of lumbar spine.
Low back pain caused by nerve entrapment should be treated conservatively. You can take Xuefu Zhuyu Decoction, Shu Jing Huoxue Decoction, Radix Aconiti Kusnezoffii, Olibanum, Myrrha and other traditional Chinese medicines first, but the effect of oral Chinese medicines alone is not good. Lumbar traction and stretching should be used to increase intervertebral foramen space. Before traction and stretching, it is necessary to have enough hot compress and massage the waist to soften the muscles, so as not to strain the muscles and achieve the effect of opening the joint space. Wear a tight belt with braces at ordinary times, which can effectively reduce and disperse the pressure on the lumbar spine and avoid protruding and proliferating tissues from stimulating nerve roots. When the nerve root is not stimulated, the nerve root will naturally expand, the intervertebral foramen space will increase, and the degree of nerve compression will also be reduced. If spondylolisthesis is serious, the patient should be advised to operate. Before the operation, a hard back frame, commonly known as "iron clothes", can be temporarily used to increase the support for the spine, but lumbar traction is not allowed to increase the degree of slippage.
Use a belt or hard back frame, only when standing, walking or sitting, not when lying down. If conservative treatment is effective, patients should be told not to carry heavy objects in the future. If they feel pain in their back and legs, they should put on a waistband quickly, which can often relieve low back pain quickly. When there is still no obvious curative effect after three months of treatment and the quality of life is affected, surgical treatment should be considered, and patients with lumbar spondylolisthesis suggest that surgical treatment is a better consideration.
Note 1
Medicine washing prescription: 5 yuan of Artemisia argyi, safflower 1 yuan, 2 yuan of angelica tail, 2 yuan of Chuanxiong, 2 yuan of Erythrina bark, all boiled in water, and fumigated the affected area with towel or steam while it was hot.
Note 2
Cao Qing ointment prescription: Ruyi Huangjin Powder (Rhizoma Arisaematis, Radix Glycyrrhizae, Pericarpium Citri Tangerinae, Cortex Magnolia Officinalis, Rhizoma Atractylodis, Radix et Rhizoma Rhei, Radix Angelicae Dahuricae, Cortex Phellodendri, Rhizoma Curcumae, and smallpox).
Responder: Come and join-Great Magician Level 8-7 17:55.
Low back pain refers to pain on one or both sides or in the middle of the waist. It is not only a symptom of many diseases, but also an independent disease, which can be seen in diseases such as nephropathy, rheumatism, rheumatoid, lumbar muscle strain, spinal trauma, gynecology and so on in modern medicine.
The causes of low back pain are mostly exogenous pathogenic factors, kidney deficiency and essence deficiency, old age and illness, drooping and stagnation of qi and blood. The clinical manifestations are as follows: cold-dampness type has the characteristics of cold pain in the waist, severe acid swelling, unfavorable lateral rotation and aggravated rainy days. Damp-heat type has symptoms such as bitter mouth, vexation with heat, short and red urine, burning sensation, etc., and it is more painful when the climate is damp and hot. Congestive pain has a fixed part, such as a thorn in the cone, which is not suitable for pitching, accompanied by hematuria, and the day is light and the night is heavy. Kidney deficiency type pain, like rubbing, the pain is very intense after work, but it is relieved when lying down, with pale face, upset mouth, cold and hot, and tepid hands and feet.
Folk remedies for all kinds of low back pain are:
1: prescription: angelica 12g, sappan wood, peach kernel and earthworm 9g each, cinnamon, ephedra, phellodendron bark and licorice 6g each.
Usage: decoction, daily 1 dose, twice before meals, 1 course of treatment 15 days.
Efficacy: After two courses of medication, the cure rate reached 92%.
2. Prescription: Radix Polygoni Multiflori Preparata180g, Semen Coicis 20g, and 750ml liquor.
Usage: Soak the medicine in wine for 15 days, remove the residue and take the liquid, 30ml each time, twice a day.
Efficacy: 1-2 dosage, with an effective rate of 82.5%.
Responder: Flames Dancing-National Security 14 Master 8-7 20:5 1
There are many reasons for low back pain, such as low back pain that cannot be overcome, low back pain and headache, low back pain and straight foot pain, low back pain (lumbar disc herniation), low back pain, liver and kidney deficiency and chest tightness (hepatitis).
Lumbar disc herniation is caused by low back pain, which can't be cured for a long time. After a long time, the condition gets worse, leading to lumbar disc herniation. The reason is this: the kidney water is exhausted, and the brain can't go to the brain, and the brain can't go to the kidney because of qi deficiency, just like the traffic jam on the river car road can't be unblocked, but it hurts.
If it is used for wet invasion due to kidney deficiency and spleen deficiency, the raw Atractylodes macrocephala 130g, Coicis Semen10g, Euryales Semen 80g, and water 3000g are added into a small bag and decocted once, and the symptoms are relieved in one day and cured in three days. Never relapse. If it is lumbar disc herniation, it will be fine in one day, and it will recur after three or five days. Note: Atractylodes macrocephala must be born, otherwise the condition of spleen dampness will be aggravated, remember.
Low back pain refers to pain on one or both sides of the waist. Women have physiological characteristics such as menstruation, pregnancy, childbirth and lactation, as well as pathological characteristics such as menstrual disease, excessive leucorrhea, pregnancy disease, gynecological miscellaneous diseases and birth control, so low back pain is a common disease. More than 80% of puerperal women can have low back pain, especially during menstruation, pregnancy and postpartum, which is often considered as physiological pain and does not need special treatment. In fact, the degree of women's low back pain varies from person to person, with great clinical differences and different pain duration. So it is necessary to carry out some treatment, and more importantly, my self-rehabilitation and health care. Low back pain does not seem to be a serious illness, but it will also seriously affect work and life, bring pain to patients, and it is difficult to completely cure because of repeated attacks. The common causes of female low back pain are: abnormal uterine position, pelvic inflammatory disease, pelvic tumor, pelvic anemia, ring relaxation and other stimuli, and nerve compression also causes low back pain; Relaxation of sacrospinous ligament and strain of lumbar muscles can increase lumbar support and cause low back pain due to fatigue; Too many children, frequent abortions, too much sexual life or exogenous dampness can also produce low back pain.
1, daily life: avoid cold and dampness, and keep warm. Women with low back pain should pay attention to keep warm, especially in the cold and humid season of winter and spring, especially at the waist. Try to avoid getting caught in the rain and cold, and lie in the wind at night. Avoid lying in wet places for a long time. In the cold and humid season, you can use an electric mattress to keep warm. Regular exercise of the waist can stretch the waist muscles and promote the blood circulation of local muscles. Therefore, for patients who are sedentary and have been working for a long time, they should properly exercise their waist for a certain period of time, so that the lumbar muscles can relieve tension and relieve pain. If you can walk indoors, do some waist exercises, etc. Pay attention to sexual hygiene. Sexual life should be avoided during the period when low back pain is obviously aggravated. In the remission period, the frequency of sexual life should also be adjusted appropriately. Pay attention to menstrual hygiene, keep vulva clean, avoid urogenital infection and reduce factors that aggravate low back pain. Do a good job in family planning, avoid crowds, and choose appropriate contraceptive methods. For low back pain and abnormal menstruation caused by intrauterine device, other birth control measures can be used to alleviate the development of the disease. Patients with low back pain should not gird their loins, and it is forbidden to gird their loins, because it will cause local blood circulation disorder and aggravate the condition. It is inappropriate for some women to gird their waists in order to keep slim after childbirth. The correct way is to do health care exercise after delivery to truly achieve the purpose of beauty.
2, diet adjustment: the diet of patients with low back pain is generally not much different from that of ordinary people. But be careful not to eat too much cold food, and don't drink too much frozen drinks even in summer. For cold and slippery fruits, such as watermelon, it is not advisable to eat too much at a time. For chronic low back pain, you can often take some Chinese patent medicines for tonifying kidney and strengthening waist, such as Liuwei Dihuang Pill, Shenqi Pill and Shiquan Dabu Pill. , can be selected according to physical condition and illness.
3, rehabilitation therapy: massage,
(1) Press the palms on the lumbosacral region: in prone position, press the palms on the painful part of the lumbar spine to avoid causing pain. Breathe in 1 time, and do 10~ 15 times.
(2) Back rubbing: After work, you can rub your back muscles with your hands in the morning or before going to bed at night, rubbing them up and down for 50~ 100 times, and twisting your waist at the same time, which has the functions of relaxing muscles and activating blood circulation, promoting local blood circulation and improving low back pain.
(3) Kneading tendons and knots: Carefully touch the waist and sacrum with your thumb. If there is tenderness induration, press it with the thumb, and knead each induration 1 min.
(4) Push the lower limb: with the help of others, fix the crotch on the stomach, starting from the sacrum with the palm root, passing through the hip along the outer thigh and the outer calf, and reaching the other limb.
4. Aerobics:
(1) leg exercises: lie on your back, hold one knee with both hands, bend your hips as much as possible, so that the front side of your thigh sticks to your abdomen for 5~ 10 times, and then do the other lower limb; Then hold your knees with both hands at the same time and do it 5~ 10 times at the same time. Every night 1 time or in the morning 1 time.
(2) sit-ups: supine, abdomen. Be careful not to use upper limbs to help, keep lower limbs straight, and the number of times is uncertain. This kind of exercise can also reduce abdominal fat.
(3) Waist rolling: Lie on your back, keep your legs flexed, curl up and roll back and forth 10~20 times. When lying on the back, put the hot water bag on the painful part of the waist and slightly below the sacrum, and the damp heat lasts for about 10 minute, and then lasts for about 10 minute on both sides of the waist respectively. Finally, lie on your back and do the same with your abdomen. Especially suitable for menstrual low back pain. Pay attention to the temperature to avoid scalding.
5. Diet:
(1) 1 pork or lamb loin,100g black beans, 3g fennel and 9g ginger. * * * cooked, eat kidney and beans, drink soup, can often eat. Used for cold-dampness lumbago.
(2) Turtle meat 250g, walnut kernel 100g. * * * Cooked clothes. Used for chronic physical weakness and low back pain.
(3) 20 grams of Taxilli and 250 grams of pig bones. Make soup together. Low back pain is generally edible.
(4) 30 grams of motherwort and 2 eggs, add appropriate amount of water to the same pot, shell the eggs after they are cooked, then pot for 20 minutes, then eat eggs and drink soup. 1 once a day or every other day, used for patients with aggravated low back pain or dysmenorrhea before and after menstruation.