Spinal process tenderness
Introduction
Introduction to spinous process tenderness The spinous process is located at the junction of the lamina and is leveraged, with muscle ligaments attached to it, increasing the robustness and stability of the spine. The tenderness of the spinous process, that is, the tenderness point of the lower back, plays a very important role in the diagnosis and positioning of the tenderness point of the lower back. Often combined with percussion (percussion hammer or fist sniper) to determine the deeper tissue lesions, such as vertebral tuberculosis, tumors and so on. basic knowledge Probability ratio: Susceptible people: no special people Mode of infection: non-infectious Complications: spinous process fractures
Cause
Cause of spinous process tenderness
Spinal ligament injury (25%):
From the occipital trochanter to the waist, there are spine ligaments connected behind the spinous processes, and the fibers are long. Generally speaking, it is a thick ligament, which plays an important role in the stability of the occipital neck; in the thoracic segment, the supraspinous ligament is weak; while the supraspinous ligament at the waist is also strong, but often lacking at the waist 5~1 If it is weak, it may cause damage to the interspinous ligament in the deep part.
Spinous process fractures (20%):
Spinous process fracture is caused by cervical vertebrae. Simple spinous process fractures are rare, often with vertebral body or other accessory fractures. It is more common with c6 to T1 spinous processes. Common shovel geotechnical workers and miners, also known as "shovel" fractures. Under violent flexion, cervical spine processes and muscle-resistant traction cause axonal avulsion fractures.
Other disease factors (35%):
The following diseases may cause spinous process tenderness, which can be divided into the following categories: (1) spine joint damage; (2) ligament soft tissue injury, including interspinous ligament injury; (3) intraspinal disease, such as vertebral body Tuberculosis and other diseases; (4) diseases such as tumors.
Prevention
Spinous process tenderness prevention
1. Pay attention to protection: strengthen labor protection and develop the habit of washing hands with warm water after work.
2, pay attention to rest: rest is the primary method to solve any joint pain, so the joint should be well rested.
Complication
Spinous process pain complications Complications
Usually manifested as low back pain or back pain, occasionally radiating pain to the hips, and sometimes to the neck. It is often characterized by soreness, marked tenderness of the spinous process, and tenderness is limited to one spinous process or two adjacent spinous processes. The tenderness is superficial and is limited to the tip of the spinous process. Pain is aggravated when the waist is flexed, and the waist is lighter. There is no tenderness and muscle tension in the paravertebral muscles, and it may be accompanied by limb pain.
Symptom
Spinous process tenderness symptoms common symptoms spinous process tenderness ligament strain muscle strain
The spinous process is located at the junction of the lamina and is leveraged, with muscle ligaments attached to it, increasing the robustness and stability of the spine. The tenderness of the spinous process, that is, the tenderness point of the lower back, plays a very important role in the diagnosis and positioning of the tenderness point of the lower back. Often combined with percussion (percussion hammer or fist sniper) to determine the deeper tissue lesions, such as vertebral tuberculosis, tumors and so on. You can carefully, carefully, and repeatedly search for the anatomical position. Spinous process tenderness can generally be divided into three situations:
(1) tenderness on the spinous process: may be caused by supraspinous ligament injury, spinous process bursitis, and spinous process fracture.
(2) tenderness next to the spinous process: that is, the tenderness of 1.0 to 1.scm is opened on both sides of the spinous process, accompanied by limb radiation pain. May be due to intraspinal disease, caused by disc herniation, tumors, etc.
(3) tenderness between the spinous processes: may be caused by damage to the interspinous ligament.
Examine
Spinous process tenderness examination
The examination of the tenderness point of the lower back has a very important role in the diagnosis and localization of the disease. It can be carefully, carefully and repeatedly searched for in combination with the anatomical position. If it is vertebral tuberculosis, tumor and other diseases, it can often be combined with percussion (percussion hammer or fist sniper) to determine the lesions of deeper tissues. It can also be used to confirm the cause of cervical CT scan, X-ray and MRI before screening.
Diagnosis
Diagnosis and differentiation of spinous process tenderness
The spinous process is located at the junction of the lamina and is leveraged, with muscle ligaments attached to it, increasing the robustness and stability of the spine. The tenderness of the spinous process, that is, the tenderness point of the lower back, plays a very important role in the diagnosis and positioning of the tenderness point of the lower back. Often combined with percussion (percussion hammer or fist sniper) to determine the deeper tissue lesions, such as vertebral tuberculosis, tumors and so on. You can carefully, carefully, and repeatedly search for the anatomical position.
