low back pain after childbirth
Introduction
Introduction Low back pain after birth: women have too many children or excessive flow after a few times, the waist is sore, other tests are normal, this is the Chinese medicine said kidney deficiency, caused by the loss of the waist. Low back pain is a disease with the main symptom of pain on one side or both sides of the waist. Clinically, pain occurs on one side or both sides of the waist as the main symptom. Low back pain can often be radiated to the legs, often accompanied by exogenous or internal injuries. Lumbar X-rays and other examinations, often seen abnormalities. Because of the physiological characteristics of menstruation, gestation, childbirth, and breastfeeding, women also have pathological features such as menstrual disease, vaginal disease, pregnancy, gynecological diseases and birth control, so low back pain is a common disease.
Cause
Cause
Gynecological pelvic disease, prostate disease, etc. can cause low back pain, kidney diseases such as stone J tumor, kidney ptosis, pyelonephritis and retroperitoneal diseases such as abscess, hematoma, etc. can cause back pain, liver and heart disease can cause back pain. Should be related to postpartum kidney deficiency and spleen, and long-term relationship with the baby sitting to see if there is diarrhea, abnormal vaginal discharge, pay attention to massage.
Examine
an examination
1. Age and gender
Age and gender are closely related to the cause of low back pain. Adolescents are prone to tuberculosis. Long-term sitting can lead to ligament inflammation or muscle fibroinitis. If adolescent males have a history of cold, they are prone to ankylosing spondylitis. Young women have lower back pain. Most of them are dense iliac bones due to pregnancy and strain. inflammation. Young and middle-aged household chores and work are more arduous, and the intervertebral disc. The ligaments and muscles have begun to degenerate, resulting in lumbar disc herniation, myofasthesia, ligament inflammation, and spondylolisthesis. In middle-aged and elderly patients, spine degenerative osteoarthritis and ligamentitis should be considered first. If women should pay attention to osteoporosis and Menopausal syndrome.
2, medical history
The back of the spine is sore on both sides of the spine. If you bend over or sit for a long time, it will be aggravated. If you rest in bed or after a little activity, you can alleviate muscle fiber inflammation. Pain in the back of the back, painless or relieved in the upright position, pain increased during flexion, waist weakness can not be bent for a long time to work, chest and lumbar segments are mostly supraspinous ligament inflammation, mainly lumbosacral segments For interspinous ligament inflammation.
If the low back pain suddenly occurs after bending, and it is rapidly aggravated, and the waist is stiff and does not dare to move, it is mostly the incarceration of the lumbar facet joint synovial membrane. If the pain is mainly caused by the sacroiliac joint, sometimes accompanied by pain in the knee or myelopathy, cold or cloudy, the back pain is gradually developing upward, the spine is stiff, and may be accompanied by fatigue, low fever, loss of appetite, etc. Spondylitis.
If the back pain gradually worsens, the nighttime pain will pay attention to the spinal tumor. If it is gradually aggravated, it will become a horn deformity, accompanied by low heat and weakness, night sweats, etc. may be vertebral tuberculosis, and some vertebral tuberculosis patients with low back pain There is a painless cold abscess. Lumbar disc herniation, nucleus pulposus removal after a few days to several weeks after the occurrence of severe deep pain in the waist, first consider the intervertebral space infection. Patients with fluorosis-prone areas or long-term drinking industrial pollution should be excluded from fluorosis caused by fluorosis.
Diagnosis
Differential diagnosis
Differential diagnosis of low back pain after birth:
1, reflective low back pain: low back pain does not hinder the waist activity.
2, low back pain after strenuous exercise: lumbar pain after strenuous exercise is one of the clinical manifestations of lumbar muscle strain, lumbar muscle strain refers to the pain on one side or both sides of the waist, is a symptom of a variety of diseases, and It can be used as an independent disease, which can be found in modern medicine, such as kidney disease, rheumatism, rheumatoid disease, lumbar muscle strain, spine and trauma, gynecology and other diseases.
3, persistent low back pain with morning stiffness: non-ocular clinical manifestations of ankylosing spondylitis scleritis: the most typical early manifestations of persistent low back pain (at least 3 months), unilateral occult, blunt or intermittent Sexuality, accompanied by morning stiffness, reduced after activities. Ankylosing spondylitis (AS) is a chronic systemic disease of unknown cause involving the joints of the spine, ankle, and joints.
4, low back pain when bending: When bending hard, picking heavy objects or lifting heavy objects, sudden low back pain, and muscles on both sides of the lumbar vertebrae are tender and tender, suggesting that it may be an acute lumbar sprain or lumbar muscle strain.
5, sudden severe back pain: sudden low back pain without obvious history of trauma, this symptom is often the main symptoms of urinary calculi in patients with onset, common diseases such as kidney stones, ureteral stones and so on.
