Seeing this title, it is estimated that some friends will go crazy. Low back pain, low back pain, low back pain is really endless. Yes, as one of the most delicate parts of the body, low back pain may be late, but it will never be absent.
A few days ago, a friend of an orthopedic surgeon in Bian Xiao told the story of an outpatient. A middle-aged man who looked great came to see his low back pain, saying that his low back pain had been aggravated for a long time and he had done a lot of tests. However, every time he checked, he said that the lumbar spine was normal, the bones were good, and there was no lumbar disc herniation and lumbar muscle strain. Every time the doctor casually prescribed some plasters or painkillers, he didn't agree, but his low back pain became more and more serious. The original fitness plan is basically like this. Later, even running was very difficult, and he was eager to know what caused his low back pain. Thinking of the sad process of his repeated examination, the man became more and more wronged and almost cried.
Finally, after lumbar magnetic resonance examination, after carefully watching the film, it was confirmed that the man was injured in the supraspinous and interspinous ligaments. Due to the particularity of position, muscles, fascia, ligaments, nerves, bones and intervertebral discs are easily injured under long-term wrong posture and movement. Generally speaking, relatively weak tissues are injured earlier. Once one tissue is injured, the chances of other lumbar tissues being injured increase.
The supraspinous ligament starts from the occipital protuberance and ends at the spinous process of the fifth lumbar vertebra, while the interspinous ligament is located between the spinous processes of the upper and lower cones. The main function of these two ligaments is to prevent "excessive" bending, which will "strain" the spine. Therefore, if you sit at your desk for a long time, these two ligaments will slightly tear and bleed due to long-term tension, and this inflammation will stimulate the nearby nerves, which will cause low back pain. After a long time, ligaments will be further calcified.
Once the injury of supraspinous ligament and interspinous ligament is diagnosed, the most important thing is to avoid bending over, let the ligaments relax fully, and stop by waist circumference if necessary. Severe local symptoms can be relieved by injecting glucocorticoid. Physical therapy such as massage is not effective, but it can prevent sacral spasm secondary to the disease. In principle, except those with severe ligament injury, surgery is generally not accepted.
The most important thing to prevent the injury of supraspinous and interspinous ligaments is not to keep bending for a long time, especially when sitting. If you always collapse involuntarily in the sitting position, it is mostly caused by the weakness of the back muscles, and you can appropriately strengthen the strength of the lumbar muscles. Secondly, whether you are sitting or standing, you should always change your posture.