Chronic simple traumatic low back pain
Introduction
Introduction to chronic simple traumatic low back pain Chronic simple traumatic low back pain, in addition to acute traumatic low back pain or spinal fractures, mostly due to abnormal body position continuous bending or excessive fatigue, lumbosacral or ankle ligament or bone produces a chronic Cumulative strain, causing chronic rupture, wear or edema of the ligament, severe fracture of the joints, causing chronic low back pain, these patients have no obvious history of trauma, only due to long-term discomfort or overwork, the back muscles And the ligament is caused by being pulled. Traumatic low back pain refers to the pain of the waist caused by different reasons, that is, the waist is affected by external forces such as falling servants, falling squats, flashing, weight bearing, etc., so pay attention to the safety of production and life, avoid trauma and other major prevention of this disease. The key, in addition, should pay attention to not be able to persist for too long in any position, and often change position when necessary. basic knowledge The proportion of illness: 10% Susceptible people: no special people Mode of infection: non-infectious Complications: muscle spasm
Cause
Causes of chronic simple traumatic low back pain
The back muscles have been shrinking for too long (40%):
The back muscles continue to contract for a long time, and the local production and accumulation of lactic acid increase, inhibiting the normal metabolism of the muscles, leading to fatigue or soreness in the lumbar pain, such as the psoas muscle continues to contract, in which the lactic acid concentration is increased to 0.3%, the muscle contraction is completely stopped ( If the muscle lactic acid concentration is 0.015% when resting adequately, the tension of maintaining the position is burdened by the ligament. If you continue to bend, the spine, the interspinous, the ligamentum flavum, the posterior longitudinal ligament, the inter-articular joint and the joint capsule, etc. Long-term stress, resulting in strain, causing low back pain, especially after 30 to 40 years old, the above ligaments with different degrees of degenerative disease, more likely to cause low back pain.
Waist bending (20%):
Lumbar flexion can increase the pressure in the anterior portion of the lumbar intervertebral disc, and press the nucleus pulposus to the rear, so that the tension of the annulus fibrosus and the posterior longitudinal ligament is increased, and even the annulus of the annulus fibrosus rupture causes waist and leg pain.
Tension continues to increase (20%):
The joint capsule is tight, the joints are worn, and the leading edge of the adjacent vertebral body is compressed, which promotes low back pain.
Prevention
Chronic simple traumatic low back pain prevention
Traumatic low back pain refers to the pain of the waist caused by different reasons, that is, the waist is affected by external forces such as falling servants, falling squats, flashing, weight bearing, etc., so pay attention to the safety of production and life, avoid trauma and other major prevention of this disease. The key, in addition, should pay attention to not be able to persist for too long in any position, and often change position when necessary.
Complication
Chronic simple traumatic complications of low back pain Complications
Patients with this disease may cause paralysis of the back muscles when they are sick for a long time, or they may be stimulated or oppressed by the nerve trunk, and a series of complications such as radiation neuralgia of the lower limbs may occur. If the treatment is improper or not timely, the course of the disease may be lingering, directly Affect the quality of work and life, so once the diagnosis of this disease should be actively carried out nursed back to health care.
Symptom
Chronic simple traumatic low back pain symptoms Common symptoms Back pain, lower back pain, waist soreness, weakness, lumbar muscle spasm, thigh pain, anterior medial side of the leg, abnormal shank pain
Most patients with this disease have no obvious history of trauma, only spontaneous chronic low back pain, the pain is not severe, not sustained, the daily action is still free, still can continue to work, but can not last, often feel the backache can not sit for a long time or stand for a long time Often need to change position, need to support the hips, back pain is slightly relieved, long back muscles occur, the site of low back pain is not clear, and some patients can not tell where the most pain, can only point out the large discomfort of the back.
Examine
Chronic simple traumatic low back pain check
The examination of this disease is mainly for physical examination: it can be manifested as localized pain is not obvious. When pressed or beaten, it may be found that somewhere the pain is more serious, there are extensor tendon and function, scoliosis and radiation neuralgia. Lighter, the following limbs of radioactive neuralgia continue to exist, mostly due to stimulation or compression of the nerve trunk.
Diagnosis
Diagnosis and diagnosis of chronic simple traumatic low back pain
The disease mainly manifests as chronic low back pain, and its pain is not severe. Some clinical diseases have similar symptoms, so these diseases should be differentially diagnosed. The diseases that need to be identified mainly include the following:
1. The annulus fibrosus ruptures;
2, congenital malformation of low back pain;
3, posture low back pain;
4. Dense osteitis;
5, articular fractures and so on.
