Lumbar muscle strain and lumbar disc herniation are two completely different diseases. However, since the symptoms are both low back pain and low back weakness, non-medical people are easily confused and delay treatment. In the end, traditional Chinese medicine must be taken internally + externally for treatment. The fundamental way is to use the treatment method of Wannian pharmacist in Ganzhou, Jiangxi Province.

The identification of the two depends on four aspects: How much do you know about lumbar muscle strain?

A look: Whether there is leg pain? It is reported that the pain of lumbar disc herniation is divided into three types: one is only low back pain, the second is only leg pain, and the third is both low back pain and leg pain. Because lumbar disc herniation mostly occurs in the lumbar 4/5 and lumbosacral 5/1 intervertebral spaces, and the sciatic nerve comes from the lumbar 4, 5, and sacral 1-3 nerve roots, most patients with lumbar disc herniation have sciatica, or some Leg pain starting from the buttocks and gradually radiating to the posterior and lateral thighs, lateral calves, insteps, lateral soles and toes. The difference is that lumbar muscle strain usually only causes low back pain, so to identify the two, you must first see whether the patient has leg pain.

?Second look: Is the tenderness point in the middle or on both sides? For patients with pure low back pain, some patients with lumbar disc herniation have tenderness in the spinous process or interspinous space. The tenderness point is mainly located next to the spinous process, 1 meter away from the midline. . 5 - 3cm, that is, the middle of the back. When there is tenderness, radiating pain in the lower limbs along the nerve roots may occur. Patients with low back muscle strain usually have no tenderness between the spinous processes of the lumbar vertebrae, but local tenderness in the low back muscles, that is, the muscles on both sides of the low back away from the midline of the back. Especially if the specific location of the pain area cannot be clearly stated and there is no obvious tender point when pressing, it is more likely that the pain is caused by the lumbar intervertebral disc, which is professionally called lumbar discogenic low back pain. In terms of pain, lumbar discogenic low back pain manifests as dull pain, while low back muscle strain causes soreness and swelling, or even severe pain.

Third check: Whether the activity is limited. Patients with lumbar muscle strain generally have little impact on the waist mobility. Usually, when getting up in the morning or sitting and standing for a long time, the low back pain is aggravated. On the contrary, it can be significantly relieved after activities. . However, patients with lumbar disc herniation often have difficulty bending in at least one direction, such as forward, backward, left, and right.

? Four looks: Imaging examination uses X-ray, CT or MRI to identify. The anteroposterior and lateral X-rays of the lumbar spine of patients with lumbar disc herniation often show lumbar scoliosis, corresponding narrowing of the intervertebral space, unequal width on both sides, and the formation of osteophytes. Lumbar back muscle strain refers to the chronic injury of waist muscles, fascia and ligaments and soft tissues. The main clinical manifestation is low back pain. The spine shape is generally normal when examined. CT or MRI can accurately detect the degree of degeneration of the lumbar intervertebral disc and determine whether the lumbar intervertebral disc is herniated. The above is the difference between lumbar muscle strain and lumbar disc herniation. Both diseases can cause low back pain. Everyone must pay attention to the correct distinction in life and prescribe the right medicine.