Spinal process tenderness
Introduction
Introduction Spinous process tenderness is the tender point of the lower back. The examination of the tenderness point of the lower back plays 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. Often combined with percussion (percussion hammer or fist sniper) to determine the deeper tissue lesions, such as vertebral tuberculosis, tumors and other spinous processes at the lamina link, with leverage, muscle ligaments attached to it, increasing the robustness of the spine and stability. 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.
Cause
Cause
The following diseases may cause spinous process tenderness, which is roughly divided into the following categories:
(1) Spinal joint damage, such as diseases such as spinous processes.
(2) ligament soft tissue injury, including supraspinous ligament injury, interspinous ligament injury.
(3) diseases in the spinal canal, such as vertebral tuberculosis.
(4) Diseases such as tumors.
Examine
an examination
Related inspection
CT 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
Differential diagnosis
Differential diagnosis of spinous process tenderness:
1. Ridge rib angle tenderness: at the intersection of the twelfth rib and the lateral edge of the sacral spine. Found in kidney disease, the first lumbar vertebrae fracture.
2, lumbar muscle tenderness points: both sides of the sacral spine have localized tenderness, often accompanied by increased muscle tone. Found in lumbar muscle strain.
3, the third lumbar vertebrae transverse process tenderness: the external end of the third lumbar vertebrae tenderness, with a sense of beam, seen in the third lumbar vertebrae transverse process syndrome.
4, waist 5 1 spine asked tenderness: seen in the lumbosacral joint strain.
5, sacral joint tenderness: seen in sputum arthritis. If women are more likely to have dense osteitis after childbirth.
6, piriformis tenderness: equivalent to the hip ring jump point, a horizontal strip of tenderness with radiation pain of the affected limb. Found in piriformis syndrome.
7, in addition to tenderness points in 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.
