Which subject to look for and what to take?
Low back pain refers to the pain below the lowest edge of the back ribs, which often radiates to the buttocks and legs. Some people struggle in pain and have cramps in their thighs; Some people feel dull pain and fidgety. However, the spine, joints, muscles, ligaments, internal organs and any other problems. It may bring low back pain, depending on which subject has become the number one problem that patients have to face.
The low back pain research team of the University of Washington Medical and Health Services conducted an experiment to describe the same back pain, and asked different doctors to answer the treatment process. The conclusion is: "who you look for will determine what you will get." For example, the blood test of immune rheumatism prescribed by the doctor of immune rheumatism is twice as high as that of other departments; Neurosurgeons tend to have more imaging examinations, which shows how different specialties treat low back pain.
Different specialists examine and diagnose patients according to their own experience and professional knowledge, and then there may be suggestions that Dr. A says surgery, Dr. B says exercise and Dr. C says rehabilitation. In order to find a good way to repel back pain, patients have to look around and try everywhere.
There are more options for treating low back pain in Taiwan Province province. Patients linger in family medicine, orthopedics, neurology, neurosurgery and rehabilitation of western medicine; To the acupuncture and traumatology department of traditional Chinese medicine; Plus a fall, a masseur kindly recommended by the martial arts school or relatives and friends.
It is more important to see western medicine first to find out the cause than to relieve the pain. The answer is that it is more important to see western medicine first to find out the cause than to relieve the pain.
Lin Jianxiong, the attending physician of acupuncture department of Chang Gung Memorial Hospital, pointed out that Chinese medicine can trace back the causes of low back pain from physical quality, living habits, cold and humid environment and other factors, but Chinese medicine does not have imaging (such as X-ray and computed tomography) as the basis for diagnosis, so it is more appropriate to consult western medicine for differential diagnosis first.
Low back pain is related to many diseases. No matter what the patient is, the most important thing is that doctors can start with detailed consultation, physical examination (palpation, visual examination) and nervous system examination (muscle strength, reflex, etc.). ), and then decide whether it is necessary to arrange blood, imaging or neuroelectrical examination according to the results of physiological and neurological examination, so as to seize the problems such as tumor, infection and severe nerve compression and deal with them in time, so as not to miss the golden treatment opportunity.
How does western medicine treat low back pain?
■ Drugs include painkillers, non-steroidal anti-inflammatory drugs (non-antibiotics) and muscle relaxants to relieve pain symptoms. Studies have shown that taking it on time according to the prescribed time has better analgesic effect.
■ Life advice Except for a few patients with low back pain caused by spinal cord, nerve tumor or infection, 70% of low back pain is caused by muscle tension, strain or spasm, which will bring 3? After 6 weeks of pain, 85% of the pain will get better within 2 weeks, and most of them will recover within 6 weeks.
■ You can do this in the acute phase 1. Just stay in bed for two days. The best treatment is to return to daily activities, as long as you avoid lifting heavy objects, bending violently and shaking your body. 3. Traction, * *, physical therapy, etc. It doesn't help much in the acute phase. You can wait two weeks first, because half of the patients will get better by themselves. 4. Doing back exercises in acute stage has no effect, but it is helpful for chronic low back pain or preventing recurrence. 5. Ice before hot compress: Mayo Medical Center in the United States suggests that patients with low back pain accompanied by muscle strain or spasm can use ice to relieve pain at home, four times a day, each time 15 minutes. After 48 hours of low back pain, you can use electric blankets, hot water bottles and hot water baths to promote blood circulation and relax muscles. If you still feel comfortable with ice, you can continue to use it, or apply it alternately.
(Excerpted from: Health Chair Health Care Network)