lower back pain
Introduction
Introduction Lower back pain: Spondylitis, also known as bamboo wind, is currently not satisfied with the medical community. Chronic injury to soft tissues such as the waist muscles, fascia and ligaments of young people is the most common disease in low back pain. The initial performance is lower back pain. Also manifested in chronic strain of the waist, posture of waist and leg pain, chronic low back pain, hypertrophic spondylitis, athletes chest back and low back pain. It can be caused by wind, cold and dampness, dampness, phlegm, blood stasis, and kidney deficiency.
Cause
Cause
Most of the disease is caused by the following factors:
1 wind cold damp invasion: due to rain and wading, labor and sweat as wind, long lived in cold and other climate changes, cold and hot staggered, wind and cold and evil into the human body, stay in the meridians, joints, blood and blood stasis caused by the disease.
2 hot and humid immersion: the age of hot and humid, or the long summer, the hot and cold steam or cold and dampness accumulation for a long time, stagnation and heat, damp heat evil soaked meridian, causing the disease.
3 congestion and obstruction: bruises and bruises, damage to the back, stop within the blood, block the meridians, poor blood.
4 kidney essence deficiency: lack of congenital endowment, coupled with too much fatigue, long illness and physical weakness, old body decline, sexual intercourse, resulting in loss of kidney essence, bones and dystrophy and the disease.
Examine
an examination
Related inspection
Abdominal MRI examination of the lower back
The initial performance is lower back pain. Because the spondylitis first erodes the ankle joint, gradually spreads upward, and makes the ligaments of the spine calcified. The x-ray shows that the intervertebral space disappears, the spine is bamboo-like, early is not easy to find, and the late back pain is aggravated. Can not sit for a long time, and finally form a serious hunchback, neck stiffness, can not stand upright. Chronic strain at the waist, waist and leg pain, chronic low back pain, hypertrophic spondylitis, etc.
The above conditions require a waist ct, plain film, and b-ultrasound, rheumatoid rheumatoid examination.
Diagnosis
Differential diagnosis
The disease is mainly identified with the following conditions:
1. Lumbar muscle strain: Lumbar muscle strain is very common in clinical, should pay attention to identification. The characteristics of this disease are as follows:
(1) Age of onset: Mostly 35 to 40 years old.
(2) Past history: There is a history of lumbar trauma or long-term overwork, or working in a humid environment for too long.
(3) Clinical features: mainly lumbosacral or lumbar and persistent blunt pain, increased after overwork, and reduced after rest.
(4) tenderness points: more fixed.
(5) X-ray film: no more obvious.
2. Low back muscle fiber tissue inflammation: This disease is similar to lumbar muscle strain, and can also be seen at any age, but more middle-aged people. However, in addition to chronic lumbar strain, the past history has a history of dampness and cold disease. Oral aspirin is effective, so it is not difficult to distinguish.
3. Lumbar intervertebral disc herniation (dislocation): This disease is more common, and should also pay special attention to identification, the main points are:
(1) Age of onset: It is also common in young adults aged 30 to 40 years old, and elderly patients are very rare.
(2) Root symptoms: all are obvious, and there are localized symptoms, which are episodes and disappear after bed.
(3) Lumbar symptoms: It is also obvious, so that the lumbar flexion is obviously restricted.
(4) MRI examination: there are signs of typical spinal nerve root compression.
The initial performance is lower back pain. Because the spondylitis first erodes the ankle joint, gradually spreads upward, and makes the ligaments of the spine calcified. The x-ray shows that the intervertebral space disappears, the spine is bamboo-like, early is not easy to find, and the late back pain is aggravated. Can not sit for a long time, and finally form a serious hunchback, neck stiffness, can not stand upright.
