Low back pain is a common symptom. In an increasingly stressful society, low back pain often accompanies us, but many people are indif
Low back pain is a common symptom. In an increasingly stressful society, low back pain often accompanies us, but many people are indifferent to low back pain, which leads to a long illness. Why does it hurt? The following is some information about low back pain that I have compiled for your reference.
Causes of low back pain:
1 lumbar disc disease
According to different degrees, lumbar disc herniation can be divided into lumbar disc herniation, lumbar disc herniation and lumbar disc herniation. Whether it is lumbar disc herniation, lumbar disc herniation or lumbar disc herniation, it will lead to low back pain. Severe lumbar disc herniation, lumbar disc herniation can also cause radiation pain in lower limbs. Such patients are beyond the scope of this article. See the next article. Lumbar disc herniation, lumbar disc herniation, lumbar disc herniation and other causes of low back pain include: increased pressure in lumbar disc, rupture of fibrous ring, inflammatory factor sinus nerve and so on. The characteristics of this kind of low back pain are: it is more common in young adults, aggravated when bending over to bear weight, and relieved when resting. It can be diagnosed by lumbar CT or magnetic vibration. For this kind of patients with low back pain, the general treatment methods include lying on a hard bed, taking painkillers orally, physical therapy, traction and so on. Some patients still can't relieve low back pain after the above treatment, so we can consider minimally invasive interventional therapy, such as plasma ablation of lumbar intervertebral disc, which can relieve the pressure in lumbar intervertebral disc and thus relieve the pain.
2 Lumbar muscle strain
Lumbar muscle strain is also a common cause of low back pain. Lumbar muscle strain is common in people who often bend over to work at their desks, and now it is also seen in young people who often stay up late to surf the Internet. Low back pain caused by lumbar muscle strain is manifested as fatigue, which is aggravated after one day and relieved after rest. Physical examination found tenderness in the lumbar muscles. Mild lumbar muscle strain can be treated with oral analgesic drugs and muscle relaxation drugs, and rest in a hard bed. Long-term lumbar muscle strain can be treated with pain point injection and radio frequency, and the effect is satisfactory.
3 Osteoporosis
Osteoporosis is a common cause of low back pain, which is common in the elderly. Osteoporosis is characterized by extensive pain in the back and waist, which is obvious at night. Physical examination showed extensive tenderness between spinous process and spinous process in the lower back, and X-ray film of lumbar spine can make a definite diagnosis. Its treatment methods include rest and calcium supplementation, but the effect is slow. Intramuscular injection of calcitonin can inhibit osteoclasts, promote bone calcium absorption and relieve pain quickly.
Posterior branch of lumbar spinal nerve syndrome
The posterior branch of lumbar spinal nerve bypasses the joint of facet joint and transverse process and dominates the muscles and joints of back, which is easy to get stuck there and cause low back pain. The characteristics of this kind of low back pain are: lumbar X-ray shows lumbar degeneration; Lumbago is aggravated when the waist moves, bends over and gets up; Tenderness near lumbar spinous process; This type of low back pain is common in the elderly. This type of low back pain is difficult to treat, and conventional physical therapy and drugs are not effective. For patients with intractable posterior branch of lumbar nerve syndrome, radiofrequency thermocoagulation of posterior branch of lumbar nerve can be considered. This method is non-invasive and safe, and it is the only way to completely cure this kind of low back pain.
Lumbar L3 transverse process syndrome
Transverse process of lumbar vertebra 3 is the longest and fattest transverse process of the waist, and many ligaments and tendons are attached to it, so it is easy to cause the injury of transverse process of lumbar vertebra 3 and lead to low back pain. This type of low back pain is manifested as follows: it is aggravated when the waist is active; Tenderness at the transverse process of lumbar 3; Lumbar X-ray showed hypertrophy of transverse process of lumbar 3. For the treatment of lumbar transverse process, injection of lumbar transverse process pain point has obvious curative effect, while for patients with chronic lumbar transverse process syndrome, radiofrequency treatment of lumbar transverse process is feasible and the curative effect is satisfactory.
6 lumbar facet joint disorder syndrome
Lumbar facet joint is an important "part" for fixing lumbar spine. Once the lumbar facet joint is damaged, it will lead to intractable low back pain. The characteristics of this kind of low back pain are: some patients have obvious history of lumbar sprain; The pain is obvious when moving the waist and getting up, and it radiates to the buttocks; The tenderness of lumbar facet joints is obvious. The best method for this kind of low back pain is lumbar facet joint injection, and chronic patients are best treated by radiofrequency thermocoagulation of facet joints.
7 discogenic low back pain
The discogenic low back pain mentioned here is different from the low back pain caused by lumbar disc herniation and prolapse. This type of low back pain patients, lumbar CT and magnetic resonance (MRI) examination is not prominent, but a certain intervertebral disc in lumbar MRI is obviously black, and the area has inflammatory signals, which is easy to be misdiagnosed. This type of low back pain is manifested as: patients can't sit or stand for a long time. /kloc-When sitting or standing for more than 0/5-30 minutes, low back pain will be uncomfortable, and it will be obviously relieved when lying down. The best treatment for this kind of patients is thermal coagulation of intervertebral disc annulus, which is non-invasive, safe and effective.
8 acute lumbar sprain
Patients with acute lumbar sprain have severe low back pain and all have a history of acute lumbar sprain. Physical examination showed that the patient's waist muscles were tense and the sprain was tender. The best treatment for acute lumbar sprain is waist pain point injection, which can immediately eliminate the pain and prevent it from turning into chronic pain.
For the elderly who suddenly have severe low back pain, we should be alert to the possibility of lumbar fracture. This kind of low back pain is aggravated when the waist is active, so you can only stay in bed. X-ray examination of lumbar spine can make a definite diagnosis. For lumbar fractures within three months, injecting bone cement into the fractured lumbar spine is the best method.
10 ureteral calculi
Typical kidney calculi is severe colic in the back, and the patient is in great pain. In addition, there are many kidney calculi patients who only show dull pain and swelling pain in the waist. B-ultrasound of kidney and ureter can make a definite diagnosis. Such patients can go to urology for treatment.
1 1 ankylosing spondylitis
If young patients have long-term low back pain and have no obvious history of waist injury, they should be alert to ankylosing spondylitis. The low back pain of ankylosing spondylitis is characterized by: young patients; Low back pain at night is obviously aggravated and cannot be relieved after rest; X-ray found sacroiliac joint destruction. Patients with ankylosing spondylitis should be staged first, and then a standardized treatment plan should be formulated to avoid disability in the future.
12 female pelvic inflammatory disease
Female pelvic inflammatory disease is one of the common causes of low back pain. The characteristics of this kind of low back pain are: there is no obvious tenderness point in the waist, and most patients have a history of gynecology; Gynecological B-ultrasound can be diagnosed. The treatment of such patients needs the treatment of gynecologists.
13 lumbar tuberculosis
Patients with lumbar tuberculosis have severe low back pain, obvious percussion pain, low fever, fatigue and obvious emaciation. Lumbar magnetic resonance imaging can make a definite diagnosis. Such patients need anti-tuberculosis treatment first.
14 deep lumbar ligament strain
For young adults who love strenuous exercise, it is easy to be accompanied by strain of deep muscle ligament in the waist. For this type of low back pain, due to the deep injury position, routine physical examination can not find the tender point, and physical therapy is not easy to reach the deep part of the lumbar muscle. So this type of low back pain is easy to be misdiagnosed and difficult to treat. This type of low back pain is manifested as: a history of waist injury; Casual actions such as bending over, moving the waist and lifting the legs often induce low back pain, just like a tendon in the waist is violently involved. The best treatment for this type of low back pain is radiofrequency thermocoagulation. A thin radio frequency needle is inserted into the damaged muscle ligament, and the damaged muscle ligament is heated and solidified by radio frequency. This method is the most satisfactory treatment for this disease at present.
15 lumbar tumor
Lumbar tumor is also the cause of low back pain, although it is not common, it should also be paid attention to. Therefore, patients who have a history of tumors in other parts in the past and have sudden low back pain with sudden emaciation and fatigue in the near future should be alert to lumbar tumors. X-ray and CT examination of lumbar spine can often make a definite diagnosis. Antitumor therapy can be selected for treatment.
16 abdominal tumor
Abdominal tumors can also radiate to the waist and cause pain. This situation is not common, but we should pay attention to it. Abdominal tumor should be ruled out for those who have suddenly lost weight, fatigue, low back pain and abdominal pain recently. Abdominal CT can make a definite diagnosis. Treatment should be directed at abdominal tumors.
What about backache?
First, take medicine for treatment. Many people will take traditional Chinese medicine, which helps to tonify qi and blood. Many people will choose Chinese medicine for treatment, but oral Chinese medicine will do some harm to the liver and gallbladder. Huang Can can be treated with topical Chinese medicine, which is helpful to relieve pain, and has no side effects, and will not be absorbed through the gastrointestinal tract, which is more convenient and has a good effect on treating low back pain.
Second, taking medicine can be treated with western medicine, which can effectively improve waist strength. Relieve muscle pain. Effective anti-inflammatory and analgesic.
Third, take cold and hot compress treatment. In patients with acute low back pain, the onset of inflammation is more acute, the pain is heavier, and the muscles are sore and weak. This is a chronic inflammation, and hot compress can be used to promote blood circulation, but it is not suitable for patients with sciatica. Cold compress can also be used for treatment.
Fourth, you can also use fitness balls for treatment, which is very helpful for waist relief. Many patients have low back pain because they usually have less exercise time, which will cause muscle stiffness. You can choose fitness balls for effective stretching and training. This can train balance? People who lack exercise can consider fitness balls to help relieve low back pain and achieve static balance, but pay attention to avoid falling. ?