lumbosacral pain
Introduction
Introduction Pain in the lumbosacral region refers to the 4th and 5th lumbar vertebrae and the first atlas. Lumbosacral pain is more common in lumbar disc herniation. This condition is often accompanied by radiation pain in one lower limb. If there is inflammation in gynecology, such as pelvic inflammatory disease, it can sometimes cause pain in the lumbosacral region. During pregnancy, it is often in the middle and late pregnancy. Discomfort in the lumbosacral region. In addition, deep abscesses in the anorectal family can also be caused.
Cause
Cause
Causes of lumbosacral pain:
The muscle strength of the lumbosacral region provides you with the ability to stand, walk and lift heavy objects. There are many ligaments between the lumbar vertebrae to maintain their stability, including the anterior and posterior longitudinal ligaments, the ligamentum flavum, the interspinous ligament, the ridge ligament, etc. If you lack sufficient training or do not have strong muscle strength, too strained In the event of sudden movement or injury to the ligament, lumbosacral pain and weakness can occur. The causes of damage to the lumbosacral region are usually the following:
1. Lack of training.
2. Improper use of muscles.
3. Obesity.
4. Smoking.
Normal aging of the body, aging of the lumbosacral region is particularly prominent, osteoporosis and bone density reduce muscle strength and flexibility, ligament relaxation, although you can not completely control the progress of aging, we can pass some regular Training exercises, the right way to carry objects, scientific nutritional supplements, healthy lifestyles. Reducing smoking to slow down aging, with the increase of age, is inevitable in "aging and aging", this aging process will lead to some slight pain and partial loss of function.
The tension of women's lumbar muscles, fascia and lumbar ligaments is not as strong as that of men. It is poorly adaptable to heavy load and easy to strain. After pregnancy, the factor palace gradually increases, causing the lumbar spine to bend forward and the center of gravity of the body to move backward. The structure of the small joints of the lumbar vertebrae has been changed, and the normal physiological balance of the center of gravity has been lost, so that some muscles, fascias and ligaments of the waist are in a state of high tension for a long time, forming a chronic strain. In the late pregnancy, the intra-abdominal organs move up, and the postpartum drop suddenly, pulling the peritoneum is also an important cause of low back pain in women.
In addition to the above physiological factors, there are still some hair diseases that are also an important factor in causing lumbosacral pain. Genital inflammation lumbosacral pain is often aggravated after overwork, sexual intercourse and before and after menstruation. Patients often feel backlog, back pain, lower abdominal discomfort or pain, low fever, fatigue, loss of appetite and other systemic symptoms.
The position of the uterus is abnormal. The position of the uterus is slightly forward and the position of the ligament is free. When the uterus bends back or leans back, the uterus and surrounding inflammation cause adhesions, causing traction lumbosacral pain, which occurs mostly after frequent abortion, prolific or other uterine surgery. The uterus sag, prolapse, or high adhesion to the abdominal cavity, etc., can pull the ligament, leading to the occurrence of low back pain.
Abnormal birth control rings Some lumbosal lumbosacral pain is often caused by an abnormality of the birth control ring. The abnormality of the birth control ring includes the type of the birth control ring and the uterine cavity, the elasticity of the birth control ring is too large, or the position of the birth control ring is abnormal. For the above reasons, the birth control ring is incarcerated in the uterine cavity, stimulating the uterine wall, and causing pain in the lumbosacral region reflexively. In this regard, the birth control ring can be taken out, the model of the ring is replaced, and the ring is re-banded.
Pelvic tumors such as uterine fibroids, cervical cancer, ovarian tumors and other diseases. Because the early tumor is deep in the pelvic cavity, it is not easy to be found. When the tumor compresses the nerve or cancer cells into the pelvic connective tissue, it can cause low back pain. Urinary system disorders due to anatomical and physiological characteristics, women are susceptible to urinary tract infections, such as acute and chronic pyelonephritis, manifested as lumbar pain or dull pain, and radiated to the perineum along the ureter. In addition, urinary stones, tuberculosis, tumors, etc., can also cause tumors.
Examine
an examination
Related inspection
Knee test angiography examination of bone and joint soft tissue CT examination general radiography examination chest and abdomen pillow test
Examination and diagnosis of lumbosacral pain:
1. Lie flat (face up), straighten your hands and feet, ask your family to close your heels to see if you have long or short legs.
2. See if the chest is tilted (size side).
3, squatting (same position) to see if the buttocks are big or small, usually with the chest.
4, can carry out knee and soft tissue CT examination, MRI examination.
Diagnosis
Differential diagnosis
Differential diagnosis of lumbosacral pain : lumbosacral pain is not an independent disease, but symptoms of various diseases, such as fatigue, low back pain, acute and chronic injury, bone hyperplasia, arthritis, kidney disease, lumbar muscle strain, Diseases such as lumbar disc herniation need to be identified.
Exhaustive low back pain: Exercising low back pain refers to a kind of extensive lumbar pain caused by people who lack exercise during a relatively concentrated period of time. There is a significant point of tenderness when pressing the waist, and generally no medication is needed.
Osteoporosis and fractures : Loss of bone is inevitable over time, especially after menopause, which can easily be caused by falls and even under pressure in some routine handling of heavy objects. The occurrence of a fracture.
Bone hyperplasia: hyperosteogeny, also known as proliferative osteoarthritis, osteoarthritis (OA), degenerative joint disease, senile arthritis, hypertrophic arthritis, is due to the formation of joint cartilage, intervertebral disc, ligament Such as soft tissue degeneration, degeneration, joint bone spurs, synovial hypertrophy and other changes, and bone destruction, causing secondary bone hyperplasia, resulting in joint deformation, when subjected to abnormal load, causing joint pain, limited mobility and other symptoms a disease. Both primary and secondary.
Arthritis: Arthritis is a common chronic disease. The most common ones are osteoarthritis and rheumatoid arthritis. There are an estimated more than 100 million arthritis patients in China, and the number is still increasing. According to statistics, half of the population over 50 years old in China suffer from osteoarthritis; 90% of women and 80% of men over 65 years old suffer from osteoarthritis. The prevalence of rheumatoid arthritis in China is 0.34% to 0.36%. According to reports, the life expectancy of patients with severe rheumatoid arthritis is shortened by 10 to 15 years.
Lumbar muscle strain: Most patients with lumbar muscle strain have a history of acute lumbar sprain before the onset of the disease, and then the back pain caused by improper treatment, eventually leading to or complicated by lumbar muscle strain. There are also some patients with lumbar muscle strain without a history of lumbar sprain, but because of long-term bending work or long-term sitting posture, the lumbar muscles are in a state of tension for a long time, resulting in lumbar muscle strain.
Lumbar disc herniation : The lumbar intervertebral disc is composed of a central water core, a peripheral annular fiber, and an upper and lower cartilage plate. In children and young age, the water core is frozen and fluid. With age, the water core gradually dehydrates and the fluidity decreases. The ring fibers and the upper and lower cartilage crack, causing the water core to crack. Outflow of the gap causes stenosis of the spinal canal and oppresses the nerve, resulting in limited muscle movement and skin paresthesia dominated by these nerves. As a result, lumbosacral pain and lower limb pain and function are limited.
