Postural low back pain
Introduction
Introduction to posture low back pain There are many reasons for postural pain in the lower back and leg, such as various congenital or acquired deformities of the lower extremities. Common ones are congenital or acquired dislocation or rigidity of the hip, short limbs or developmental deformity, congenital or acquired deformity of the spine, spinal tuberculosis, fracture, various congenital or acquired scoliosis, and young hunchback. The lumbar spine is a compensatory part of the spine, so its ligaments and joints are prone to strain and cause low back pain. Early pain in the waist activity, relieved after rest, then increased back pain when starting to rest after the break, must continue to slow activity for a few minutes, can be reduced, but the activity is a little longer, the waist pain can not continue to work, no matter Any position can not persist for too long, often change position when necessary, the symptoms continue to increase, the feeling of lumbar muscle tension, limited function, and even the waist activity is difficult, due to mild trauma can increase the original low back pain. basic knowledge The proportion of illness: 0.005% Susceptible people: no specific population Mode of infection: non-infectious Complications: Traumatic arthritis
Cause
Causes of postural low back pain
Cause:
There are many reasons for postural low back pain, such as congenital or acquired deformity of the lower extremities. Common congenital or acquired dislocation or rigidity of the hip, short limb or developmental deformity, congenital or acquired deformity of the spine, spinal tuberculosis, fracture , a variety of congenital or acquired scoliosis, youth hunchback, etc., the balance of the center in order to obtain the balance of the trunk, so that the negative gravity line is not beyond the center of gravity, while compensating for the shortening of the lower limbs, the lumbar spine must often change the original curvature, increase the lumbar spine Physiological protrusion or scoliosis to compensate for the shortcomings in posture, so the patient gradually feels a sore waist, chronic strain of low back pain, and even lumbar traumatic arthritis.
Prevention
Postural low back pain prevention
Because this disease often occurs as a complication of other diseases, such as congenital spinal disease, trauma, spinal tuberculosis, etc., therefore actively treating primary diseases can help prevent this disease.
Complication
Postural complications of low back pain Complications, traumatic arthritis
Postural low back pain is mainly caused by a symptom, not the disease itself. Many diseases can cause postural low back pain. Therefore, the complications of this disease are mainly caused by the primary disease, such as the congenital spine. Sexual diseases and deformities, spinal tuberculosis, etc. Under these circumstances, the lumbar spine must often change the original curvature, increase the lumbar lordosis or lateral curvature to compensate for the shortcomings of the posture, so the patient gradually feels the waist pain, chronic strain Low back pain, even lumbar traumatic arthritis.
Symptom
Postural low back pain symptoms Common symptoms Lower back pain Muscle tension Pain when tired, waist pain or pain, weakness, thigh pain, thigh soreness
Early pain in the waist activity, relieved after rest, then increased back pain when starting to rest after the break, must continue to slow activity for a few minutes, can be reduced, but the activity is a little longer, the waist pain can not continue to work, no matter Any position can not persist for too long, often change position when necessary, the symptoms continue to increase, the feeling of lumbar muscle tension, limited function, and even the waist activity is difficult, due to mild trauma can increase the original low back pain.
Examine
Postural examination of low back pain
The examination of this disease is mainly for physical examination and X-ray examination:
1, physical examination: examination can be found that the lumbar spine lost the inherent physiological curvature, lumbar scoliosis, physiological protrusion increased.
2, X-ray examination: can find stenosis of the intervertebral space, lip-like hyperplasia at the edge of the vertebral body, thickened bone density, and even the upper and lower bone spurs, resulting in spinal rigidity.
Diagnosis
Diagnosis and differentiation of posture low back pain
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
The disease needs to be differentiated from lumbar disc herniation.
Lumbar disc herniation is mainly characterized by low back pain, lower extremity radiation pain, numbness and paresthesia, muscle spasm, intermittent claudication and spinal posture changes. This is similar to this disease, so it needs to be strictly identified in clinical practice. Guided treatment, imaging examinations help to differentiate the diagnosis.
