Women's menstruation, around the waist as a rope tightly bound pain, after menstruation gradually relieved, the cyclical occurrence of authors, known as "menstruation wrapped around the waist pain". The pain is mostly caused by the lack of kidney yang, cold condensation belt vein, or the liver meridian dampness and heat invasion of the belt vein, the time of menstruation, yang deficiency gas weakness, so that the belt vein gas knot and pain; or Chongren qi and blood, so that the belt vein congestion, dampness and heat stagnation and pain.
Diagnostic Points in the Treatment of Low Back Pain
Clinical pain occurs on one or both sides of the lower back as the main symptom. Lumbar pain often radiates to the legs and is often accompanied by symptoms of external or internal injuries. Abnormalities are often seen in examinations such as lumbar spine radiographs.
There are many causes of lumbar pain, about dozens of reasons, the more common ones are kidney deficiency, lumbar osteophytes, bone spurs, intervertebral disc herniation, lumbar vertebral hypertrophy, spinal stenosis, lumbar fracture, vertebral canal tumors, lumbar acute and chronic trauma or strain, lumbar muscle strain, ankylosing spondylitis, and so on.
Lumbar pain treatment of evidence-based analysis
Beijingqiqin Yaofang Volume 59 "lumbar pain seventh": "Where lumbar pain has five: one said that shaoyin, shaoyin kidneys also. October everything Yang Qi are down, is to waist pain. Second, wind and spleen, wind and cold in the waist, is to back pain. Third, said kidney deficiency, service injury to the kidneys, is to lumbago. Fourth, cum waist, fall hurt waist, is to lumbago. Fifth, said to take the cold sleep ground, for the earth's gas injury, is to lumbago. Pain under the stop, lead to the waist and spine, are painful.
Lumbar pain can be caused by feeling cold and damp, wet and hot, or fall trauma, stagnation of blood stasis, or kidney deficiency due to weakness. Its pathology often shows a deficiency of the kidney for this, feel the external evil, fall and flash for the standard characteristics.
The first thing to do is to differentiate between the realities of the surface and the realities of the cold and heat. By and large, the feeling of the external evil caused by the evidence is more of the surface, is solid, the onset of the rapid, the treatment should be dispelled evil through the channels, according to the cold and wet, wet and hot different, respectively, the treatment. The most important thing to remember is that if you're not a good person, you're not a good person, and if you're not a good person, you're not a good person.
Diagnosis of low back pain:
The following steps can be taught:
①Detailed inquiry of the medical history, including age, sex, occupation, working environment and onset of causative factors of the master's degree of young people's low back pain is mostly for lumbar muscle strain, while the elderly lumbar osteoarthrosis and osteoporosis with compression fracture most of the overloaded after heavy manual labor can often occur after lumbar muscle strain, the body of the thin female often due to exhaustion, and then feel the pain after the pulmonary tuberculosis. After the lumbar pain in patients with tuberculosis or lymphatic tuberculosis after the occurrence of lumbar pain to consider spinal tuberculosis with a history of cancerous tumors lumbar pain to consider spinal metastases acute lumbar pain significantly improved after bed rest to think of acute lumbar strain lumbar pain accompanied by unilateral pain in the lower extremities after the lateral pain worsening coughing pain should be considered lumbar disc herniation Zhejiang
② comprehensive orthopedic engaged in the surgical examination and neuro-Sichuan system check normal Spine in the thoracic spine mildly backward curved our country protruding lumbar spine mildly anterior convex if the normal physiological curve has changed, then the spine is not normal lumbar vertebrae straight or tilted to the side to consider acute lumbar muscle strain lumbar disc protrusion master or posterior articular synapse lesions acute posterior protruding deformity may be a bone tuberculosis or old bone fracture lumbar anterior convex deepening may be for lumbar spine forward slip lumbar vertebrae of the pressure point helps to understand the lumbar muscle strain of the site ( The common pressure points are at the transverse process of the lumbar vertebrae, the iliac crest and sacroiliac joints. Acute lumbar muscle strain has obvious limitation of lumbar activities, and the activities of the lumbar vertebrae are not limited in chronic labor. In lumbar spondylolisthesis, the activities of the lumbar vertebrae are partially limited, and the activities of the lumbar vertebrae in ankylosing spondylitis are limited not only in the forward and backward flexion and extension, but also in the lateral activities. If the patient is accompanied by the pain of lower limbs and the Lassezek's sign (supine straight-legged raising test) is positive, it is necessary to consider that there is lumbar disc The current herniation of the possibility of attention to check the muscles of the two lower limbs atrophy of the lower limbs tendon reflexes are low or disappeared lower leg and foot sensory deficits these reflect whether the spinal nerve roots are damaged
③ laboratory tests congenital (developmental) degenerative lesions trauma lumbar strain and other specialized diseases of the laboratory tests are not abnormal lumbar spine tuberculosis osteomyelitis and tumors, when the sedimentation rate will be accelerated in the malignant tumors and sometimes alkaline phosphatase elevated in ankylosing spine. The blood sedimentation is accelerated in malignant tumors and sometimes alkaline phosphatase is elevated in ankylosing spondylitis and sometimes hlab (human leukocyte antigen b test) is positive
4 x-ray examination congenital developmental anomalies can be seen on x-ray photographs of bone tuberculosis and tumors osteomyelitis and ankylosing spondylitis can also be seen in x-ray photographs of obvious changes in the lumbar vertebrae in the case of osteochondritis dissecans, different levels of treatment of bones and joints can be seen on x-ray photographs of the bone cumbersome lumbar strain of x-radiation The examination is not abnormal for some lumbar pain ordinary x-ray examination is still difficult to confirm the diagnosis to participate in the spinal myelography computerized body scanning (ct) or magnetic *** vibration examination
Prevention of care
Prevention of lumbar pain should be avoided to sit down in the wetlands, if you wade in the water, the rain or the body to labor sweating out that is, you should be changed and wiped, the summer day, hot and humid Yu steam should be avoided to sleep outdoors at night or greed for cold and happy with the water. Don't do anything to lift weights, and don't make violent movements without preparation. This evidence in the kidney deficiency, so should avoid intercourse and excessive labor. The care of low back pain, can make self-massage, activity waist, playing tai chi, diligent bathing or hot water bath.
Lumbago refers to one side of the lumbar or bilateral pain with a spinal a symptom, men and women have occurred, the majority of women. According to statistics, gynecological outpatient clinic to back pain mainly patients accounted for about 10% of the number of visits. Common causes are mainly the following:
One, lumbar muscle strain Long-term standing operation such as textile, printing and dyeing, hairdressing, sales and other work of women, due to continuous standing, lumbar tendons, ligaments, stretching ability to weaken, the local area can be accumulated too much lactic acid, inhibit the normal metabolism of the lumbar muscles can also lead to lumbar muscle strain caused by low back pain. Often carry heavy objects, lumbar overburden, easy to occur spinal scoliosis, resulting in lumbar muscle strain and lumbago.
Two, urinary tract infections Because the female urethra is short and straight, and the urethral opening is close to the anus, there are often E. coli parasites, coupled with the characteristics of the female physiological aspects of the urethra, the urethral opening of the contamination of the opportunity to be more, if you ignore the hygiene, it is prone to urinary tract infections. Low back pain is caused by acute and chronic pyelonephritis, which is characterized by swelling and pain in the lower back, and in severe cases, it radiates along the ureter to the perineum. In addition to urinary tract infections, urinary stones, tuberculosis and other diseases, can also cause back pain.
Three, reproductive organ diseases The reproductive organs of women have to perform menstruation about four hundred times in their lives, and also bear the mission of pregnancy and childbirth; some women also experience abortion, birth control surgery, and so on. Therefore, the incidence of inflammatory diseases of reproductive organs is higher, such as tubalitis, pelvic inflammatory disease, etc. These inflammatory diseases are easily complicated by back pain. These inflammatory diseases are easy to complicate low back pain, uterine backward tilt, backward flexion, is also one of the causes of women's low back pain, uterine fibroids, cervical cancer, ovarian cysts and other serious reproductive organ disorders, can cause compression involvement of low back pain.
Four, cold, trauma suffered rheumatism, rheumatoid arthritis in women, mostly due to menstruation, childbirth and post-partum by the wind, wet, cold attack, resulting in spinal long bone spurs and induced low back pain. If the lumbar region has been sprained, it may develop into intervertebral disc prolapse, resulting in heavier lumbar pain and even affecting spinal flexion, extension and rotation.
Fifth, pregnancy and puerperal exertion During pregnancy, with the gradual growth of the fetus, pregnant women lumbosacral and pelvic joint ligaments laxity, while the weight of the uterus with the growth of the fetus and increase the center of gravity of the body to move forward. In order to maintain body balance, the waist more forward, if you do not pay attention to rest, it is easy to cause back pain. During pregnancy, the development of the fetus needs sufficient calcium, phosphorus and other nutrients, if the dietary intake is insufficient, can cause maternal bone softening decalcification, will also cause back pain. Excessive bleeding during puerperium, or labor too early, too tired and cold, can also cause back pain.
Six, lumbar spine lesions are mostly seen in older women, with age, lumbar spine nerve compression symptoms will also increase. Due to degenerative lesions caused by pseudo spinal column slippage is a more common lesion, easy to cause lumbar spinal stenosis, compression of the spinal cord and nerve roots, resulting in lumbago and lower extremity radiating pain, often due to osteoporosis caused by the vertebral body collapsed fracture. In the elderly, osteophyte formation can cause spinal stiffness, which can also lead to persistent low back pain.
Additionally, menopausal women may also suffer from low back pain due to plant nerve dysfunction, which is characterized by lifting in the morning and decreasing after activity. There are also irregular menstruation, dysmenorrhea or emotional crisis and other factors, also prone to lumbar pain
Lumbar pain, do not think that all "strain"
The cause of lumbar pain disease has many reasons, about dozens of kinds of more common lumbar osteophytes, bone spurs, intervertebral disc herniation, lumbar vertebral hypertrophy, spinal stenosis, lumbar fracture, spinal canal tumors, lumbar acute and chronic trauma or strain, lumbar muscle strain, ankylosing spondylitis and so on. In the traditional concept, chronic lumbar pain after the general examination to exclude disease factors are often treated as "lumbar muscle strain", in fact, 40% of the people with lumbar pain suffered from chronic osteofascial interval syndrome, but due to the lack of symptomatic treatment and long-term suffering from lumbar pain. Many patients suffer from prolonged low back pain, and some even suffer from pain for 50 years without knowing what the disease is. The trend of low back pain is also very obvious, some people only 18 years old suffered from this disease.
The lumbar back is the part of the body that exerts the most force to provide support for the human body and protect the spine, for a long time in the office sedentary and lack of exercise, or because of the work needs to stand for a long time, long time to maintain a position or posture for too long, it is easy to cause lumbar back pain and cause lumbosacral chronic osteofascial interval syndrome, there are also in the repetitive injury after the accumulation of the onset of the disease. Many patients with chronic low back pain are associated with chronic osteofascial compartment syndrome, which may be due to elevated pressure within the osteofascial compartment resulting in the loss of the subfascial space in the low back, decreased blood flow to the muscles, and degeneration of the lax adipose tissue. As a result of this damage, it causes patients to have low back pain whether they walk, sit or lie down more, i.e., they are prone to low back pain if they remain in one position for a long period of time. This is an important clinical feature of chronic osteofascial interval syndrome.