low back pain
Introduction
Introduction Low back pain is a disease with the main symptom of pain on one side or both sides of the waist. Western medicine for kidney disease, rheumatism, lumbar muscle strain, spinal and spinal cord diseases and other low back pain, can refer to the syndrome differentiation and treatment. The pain of the waist is mostly caused by lack of kidney yang, cold coagulation, or the liver is invaded by the damp heat. When the line is gone, the yang is weak and weak, so that the pain is caused by the qi qi; So that the pulse is stagnant, the damp heat stays and the pain. First of all, you should pay attention to changing your lifestyle when you suffer from low back pain. It is not suitable to wear shoes with heel. If you have the condition, you can choose negative heel shoes. Low back pain is a symptom, not an independent disease. The cause of low back pain is complicated. Therefore, there is persistent and unexplained low back pain. Don't take it lightly. You should go to the hospital as soon as possible to avoid the development of some serious diseases.
Cause
Cause
Lumbar muscle strain
Women who have been engaged in standing operations such as textiles, printing and dyeing, hairdressing, and sales for a long time, due to continuous standing, weakening of the tendon and ligaments of the lower back, local accumulation of excessive lactic acid, inhibiting the normal metabolism of the lumbar muscles, can also lead to waist Low back pain caused by muscle strain. Often carrying heavy objects, the waist is overburdened, and the scoliosis is prone to occur, causing lumbar muscle strain and low back pain.
Urinary system infection
Because the female urethra is short and straight, and the external urethra is close to the anus, there is often E. coli parasitism. In addition to the physiological characteristics of women, there are many opportunities for urinary tract contamination. If neglect of hygiene, urinary tract infection is prone to occur. Low back pain is caused by acute and chronic pyelonephritis. It is manifested as lumbar pain and severe radiation to the perineum along the ureter. In addition to urinary tract infections, urinary stones, tuberculosis and other diseases can also cause low back pain.
Genital diseases
Female reproductive organs have to go through about 400 times in a lifetime, and also bear the mission of pregnancy, childbirth, etc. Some women also experience abortion, birth control and so on. Therefore, the incidence of genital inflammation is higher, such as salpingitis, pelvic inflammatory disease and so on. These inflammations are easy to have low back pain, and the uterus is tilted back and bent. It is also one of the causes of low back pain in women. Uterine fibroids, cervical cancer, ovarian cysts and other serious genital diseases can cause oppressive implicated low back pain.
Cold, rheumatism, etc.
This type of woman is often affected by wind, wetness and cold during menstruation, childbirth and postpartum, causing long bone spurs and causing low back pain. If the waist has been sprained, it may develop into intervertebral disc prolapse, heavier back pain, and even affect the flexion and extension of the spine.
Tired during pregnancy and puerperium
During pregnancy, as the fetus grows up, the ligaments of the lumbosacral and pelvic joints of the pregnant woman relax, and the weight of the uterus increases with the gestational age, causing the center of gravity to move forward. In order to maintain the balance of the body, the waist tends to rise forward. If you do not pay attention to rest, it is easy to cause low back pain. During pregnancy, fetal development requires adequate calcium, phosphorus and other nutrients. If the intake in the diet is insufficient, it can cause softening and decalcification of the bones of pregnant women, which can also cause low back pain. Lack of bleeding during puerperium, or premature labor, overwork and cold, can also cause low back pain.
Many pregnant women sit well in the postpartum period, but they still have low back pain. This is the most common postpartum low back pain phenomenon in pregnant women. If the postpartum low back pain can not be cured, it may cause harm to women's health in the future. Generally caused by the following reasons:
1, lack of exercise: always lying or sitting on the bed after childbirth, easy to lead to pelvic congestion. Weight gain increases the lumbar muscle load.
2, improper rest: after the postpartum, often bend over to take care of the little baby, such as bathing, wearing clothes, changing diapers and other overworked, waist muscles are overwhelmed, it is easy to cause lumbar muscle strain and pain.
3, old problems: prenatal pain, bone, kidney, gynecology and other diseases caused by low back pain, postpartum may be aggravated.
4, wearing high-heeled shoes too early: make the body's center of gravity forward, in addition to causing discomfort such as foot pain, but also through the reflection involving the waist, resulting in a sore feeling.
5, improper breastfeeding posture: often take the improper or not relaxed posture to feed the baby, such as sideways, bending and other postures, or the waist is too tight, so that the waist muscles are always in a state of non-relaxation, causing lumbar muscle strain and low back pain.
Examine
an examination
Related inspection
CT examination of the supine and abdomen test chest and abdomen bolster test Bragaer enucleation magnetic resonance imaging (MRI)
1. CT examination: can clearly show the anterior and posterior margin of the vertebral body, the location and extent of the dural sac, spinal cord, nerve root compression, the anteroposterior diameter and transverse diameter of the spinal canal, and the intervertebral foramen And whether the transverse hole is narrow, whether the lamina is hypertrophic or the like.
2. Take X-ray film: It is a routine examination of patients with lumbar pain. - It is necessary to take a positive position, a lateral position, and a left and right oblique piece. If necessary, add a lateral piece of the neck flexion and extension. The anterior slice may see stenosis of the intervertebral space, hyperosteogeny of the hook joint, and thickening of the pedicle. Lateral radiographs can be found in the cervical spine, and the anterior and posterior margins of the vertebral body form the labrum, intervertebral space stenosis and spinal stenosis. The oblique position can determine the condition of the intervertebral foramen.
3. Magnetic resonance: It can clearly show the posterior disc herniation, compression of the dural sac and spinal cord, as well as the presence or absence of venous return obstruction, compression, and local cystic lesions in the spinal cord.
4, other examinations: for patients with suspected bone hyperplasia, heart disease and other diseases, with bone density examination, ECG examination and other diseases. Generally speaking, the diagnosis depends first on the clinical symptoms and the doctor's detailed physical examination. The accuracy of clinical diagnosis of common diseases is sometimes much more accurate than CT and MRI. Ordinary X-ray films should be routinely examined, and other images are examined. basis. CT, examination of certain diseases that are still unclear by symptom, position, or X-ray film should be used to further understand the soft tissue, ligament, intervertebral disc and contents of the lumbar spine. If necessary, MRI should be considered.
Diagnosis
Differential diagnosis
Most low back pain is caused by diseases and injuries in the motor system. The following are common:
1. Trauma: acute lumbar sprain, lumbar strain, lumbar disc herniation, lumbar fracture and dislocation. There is often a history of trauma. If the acute phase is not treated promptly or improperly treated, it can become chronic low back pain.
2, rheumatism: rheumatism and rheumatoid can cause low back pain, the disease changes are related to the weather and the season, often combined with other joint pain.
3, tuberculosis: lumbar tuberculosis, ankle joint tuberculosis often have a history of tuberculosis, physical examination and X-ray film can be diagnosed.
4, poor posture: long-term bending work and work, the waist muscles can often be in an excessive tension, long-term lumbar muscle strain and low back pain.
5, congenital variation of the lumbar spine: recessive spina bifida, transitional vertebrae, spondylolisthesis, etc., can occur low back pain, but only filming can find these variations.
6, degenerative changes in the elderly: lumbar vertebrae hyperplasia or stubborn loosening.
7, metabolic disease: osteomalacia due to insufficient calcium intake or increased consumption caused by bone decalcification, softening, more common in perinatal women and women with many children.
8, tumor: primary tumor of the spine or metastases.
In short, low back pain should be examined in detail to diagnose the cause before treatment. Should not simply use antipyretic analgesics or adrenocortical hormones to relieve pain, so as not to delay the treatment of the cause.
