third lumbar transverse process syndrome
Introduction
Introduction to the third lumbar vertebrae transverse process syndrome The third lumbar vertebrae transverse process syndrome is a common disease in patients with low back pain or low back pain, which occurs in young and middle-aged manual workers. Because the third lumbar vertebrae are particularly long, and the horizontal position is extended, there is a vascular nerve bundle passing nearby, and there are more myofascial attachments. In the positive position, the third lumbar vertebra is at the apex of the lumbar lordosis, which is an important part of the mechanical transmission. Therefore, it is susceptible to external force and is easily damaged by the injury. The membrane thickens and contracts, causing the vascular nerve bundle to be rubbed, stimulated and compressed to produce symptoms. basic knowledge The proportion of illness: 0.003% Susceptible people: no specific people Mode of infection: non-infectious Complications: acute lumbar sprain
Cause
The cause of the third lumbar vertebrae transverse process syndrome
Anatomical factors (30%):
The third lumbar vertebrae is larger than the posterior extension of the other lumbar vertebrae and extends the longest to the lateral side. It is located in the middle of the lumbar vertebrae. The lumbar vertebrae on both sides form a longitudinal diamond with the third lumbar vertebrae as the apex. The lateral lumbar vertebrae have lower ribs on the outside, and the fourth and fifth lumbar vertebrae are deep in the medial aspect of the humerus. Only the third lumbar vertebrae lacks ribs and tibia to protect them.
Disease factors (20%):
Patients with low back pain in the original rheumatism may also cause low back pain due to rheumatism weakening the body's resistance. It may also be affected by external force, which may be easily damaged and cause muscle tear and bleeding.
Prevention
Third lumbar vertebrae transverse process syndrome prevention
Precautions
(1) For acute injury to the waist, timely treatment is needed.
(2) Pay attention to correcting bad posture.
(3) The waist can be belted to support the waist, and it is better to sleep on a hard bed.
(4) Keep warm and avoid fatigue.
Complication
Complication of the third lumbar vertebrae transverse process syndrome Complications, acute lumbar sprain, muscle spasm
This disease causes acute soft tissue injury around the third lumbar vertebrae in the acute lumbar sprain. If the treatment is not proper or the treatment is not timely, it can lead to soft tissue scar adhesion around the transverse process, thickening of the fascia, muscle spasm, corresponding Symptoms.
Symptom
Symptoms of the third lumbar vertebrae transverse process syndrome Common symptoms Muscle tear yellow ligament hypertrophy of the third lumbar vertebrae... Lumbar bulging
The clinical manifestations of this disease are mainly:
1. It is more common in young and middle-aged people who are engaged in manual labor. There are many males, often complaining about the history of waist injuries ranging from light to heavy.
2, the main symptoms of the intrinsic pain are lumbar pain (the pain is more persistent when bending over). The pain varies from person to person. Some of the pain is very intense, and some are persistent dull pain. The nature of the pain is generally related. It is also acid-stricken. The pain is often sedentary. It is aggravated after standing for a long time or getting up in the morning. The symptoms are heavy and the pain is radiated down the thigh. It can reach the knee surface. In a few cases, the pain can extend to the outside of the calf. However, it does not increase the pain symptoms due to increased abdominal pressure (such as coughing, sneezing, etc.).
Examine
Examination of the third lumbar vertebrae transverse process syndrome
The disease can generally be diagnosed in combination with the medical history. It can be seen that the third lumbar vertebrae has obvious tenderness at the tip of the transverse process, and can be touched with a cord-like induration. No special auxiliary examination is needed. X-ray examination may find that the third lumbar vertebrae of the affected side is hypertrophic, but Only the hypertrophy can not be diagnosed with the third lumbar transverse process syndrome, but it can be used for differential diagnosis.
Diagnosis
Diagnosis and diagnosis of the third lumbar vertebrae transverse process syndrome
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
(1) lumbar disc herniation: in addition to low back pain accompanied by sciatica, the paroxysmal aggravation, limited straight leg elevation test, paraspinal tenderness with radiation pain of the affected limb.
(2) Lumbar spondylosis: middle-aged or more low back pain is progressively aggravated, with nocturnal pain. After symptomatic treatment, it can not alleviate the pain. It should be highly vigilant. If it is a spinal cord or a horsetail tumor, it may be accompanied by large and incontinent incontinence. In the saddle area (that is, the perineum), numbness and tingling, and lower limb paralysis.
(3) Lumbar vertebra tuberculosis: low back pain with hypothermia, anemia, weight loss embolism, and increased erythrocyte sedimentation rate, positive blood line examination of the litter test can be seen bone destruction, psoas abscess.
(4) peri-renal inflammation: low back pain with fever, increased white blood cell count, urine routine examination of white blood cells, kidney area sputum pain.
(5) Gynecological diseases: women with low back pain and periodic changes.
