Low back pain is a condition characterized by pain in one or both sides of the lower back. Why does it hurt? What to do with low back pain? I'll tell you.
Causes of low back pain :
1 lumbar disc pathology
According to the degree, lumbar intervertebral disc herniation is divided into lumbar intervertebral disc bulging, lumbar intervertebral disc protrusion, lumbar intervertebral disc prolapse. Regardless of whether it is a bulging lumbar disc, herniated lumbar disc and prolapsed lumbar disc, they all lead to low back pain. The more severe cases of lumbar disc herniation and lumbar disc prolapse can also lead to radiating pain in the lower extremities, which is beyond the scope of this article. Lumbar disc bulge, lumbar disc herniation, lumbar disc prolapse and other causes of low back pain include: increased pressure within the lumbar disc, rupture of the annulus fibrosus, inflammatory factors *** sinusoidal nerves and so on. This type of low back pain is characterized by: most often seen in young adults, stooping and weight-bearing aggravation, rest relief, lumbar spine CT or magnetic **** vibration can be diagnosed. For this kind of low back pain patients, the general treatment includes lying down hard bed rest, oral analgesic drugs, physical therapy, traction and so on. In some patients, after the above treatment is still unable to relieve back pain, can consider minimally invasive interventional therapy, such as lumbar disc plasma ablation, can reduce the pressure within the lumbar disc to relieve pain.
2 Lumbar muscle strain
Lumbar muscle strain is also a common cause of low back pain. Lumbar muscle strain is common in people who often bend over and work at the desk, and now it is also seen in young people who often stay up late to surf the Internet. Low back pain caused by lumbar muscle strain is characterized by aggravation after exertion and change of day, relief after rest, and physical examination reveals pressure pain in the lumbar muscles. Mild lumbar muscle strain can be oral analgesic drugs, muscle relaxation drugs, with rest lying hard bed treatment, long-term lumbar muscle strain can be considered pain point injection, radiofrequency treatment, the effect is more satisfactory.
3 Osteoporosis
Osteoporosis is a common cause of low back pain, common in the elderly. Osteoporosis is characterized by widespread pain in the lumbar back, which is obvious at night. Physical examination reveals widespread pressure pain in the spinous processes and interspinous spaces of the lumbar back, and lumbar spine X-ray can be used to make a clear diagnosis. Its treatment includes rest and calcium supplementation, but the effect is slow. Intramuscular injection of calcitonin can inhibit osteoclasts, promote bone calcium resorption, rapid analgesia.
4 Posterior branch of lumbar spinal nerve syndrome
The posterior branch of lumbar spinal nerve goes around from the small joints and transverse processes and innervates the muscles and joints of the lumbar back, where it is easy to be jammed and cause low back pain. This type of low back pain is characterized by: lumbar spine X-ray lumbar degenerative changes; low back pain in the activities of the waist, bending, turn over and get up; lumbar spine spinous process pressure pain; this type of low back pain in the elderly common. This type of low back pain is not easy to cure, conventional physical therapy, drug effect is not good. For patients with intractable lumbar spinal nerve posterior branch syndrome, consider lumbar spinal nerve posterior branch radiofrequency thermo-coagulation therapy, this method is non-invasive, safe, is currently the only way to completely cure this type of low back pain.
5 Lumbar L3 transverse process syndrome
The lumbar L3 transverse process is the longest and most hypertrophic transverse process in the lumbar region, with many ligaments and tendons attached to it, which can easily lead to injury of the lumbar L3 transverse process, resulting in low back pain. This type of low back pain is characterized by: aggravation during lumbar activities; pressure pain at the lumbar 3 transverse process; lumbar X-ray shows hypertrophy of the lumbar 3 transverse process. For the treatment of lumbar 3 transverse processes, lumbar 3 transverse processes at the pain point injection has obvious efficacy, and for chronic lumbar 3 transverse processes syndrome patients, feasible lumbar 3 transverse processes radiofrequency treatment, the efficacy is more satisfactory.
6 Lumbar spondylolisthesis syndrome
The lumbar spondylolisthesis is an important part of the lumbar spine, and once the lumbar spondylolisthesis is damaged, it will lead to intractable low back pain. This kind of low back pain is characterized by: some patients have a clear history of lumbar sprain; pain in the activities of the waist, turn over and get up, and radiate to the buttocks; lumbar vertebrae small joints at the pressure pain is obvious. This type of low back pain is the best way to lumbar small joint injections, chronic patients best line small joint radiofrequency thermo-coagulation
7 discogenic low back pain
The discogenic low back pain and the disc bulging, lumbar disc protrusion, lumbar disc prolapse caused by the lumbar disc is not the same as that described above. Patients with this type of low back pain, their lumbar spine CT, magnetic **** vibration MRI did not see obvious protrusion, but only lumbar spine MRI of a disc obviously black, regional inflammatory signal, so it is easy to misdiagnose. This type of low back pain is characterized by the patient's inability to sit or stand for a long period of time, low back pain and discomfort when sitting or standing for more than 15-30 minutes, and significant relief of low back pain when lying down. The best treatment for these patients is intradiscal fibrous annulus thermo-coaguloplasty, which is non-invasive and safe with satisfactory results.
8 Acute lumbar sprain
Acute lumbar sprain patients with severe lumbar pain, there is a history of acute lumbar sprain, physical examination found that the patient lumbar muscle tension, sprain pressure pain obvious. Acute lumbar sprain treatment is the best way to lumbar pain point injection, can immediately eliminate the pain, to prevent the transformation into chronic pain.
9 For the elderly sudden severe low back pain, are alert to the possibility of lumbar spine fracture. This type of lumbar pain is aggravated during lumbar activities and can only be rested in bed. Lumbar spine X-ray examination can be clearly diagnosed. For lumbar fractures within three months, injecting bone cement into the fractured lumbar vertebrae is the best approach.
10 Ureteral stones
Typical kidney stones are characterized by severe cramping pain in the lower back, which is very painful for the patient. In addition, there are many patients with kidney stones who show only vague pain and swelling in the lower back. Kidney and ureter ultrasound can make a clear diagnosis. Such patients can go to the urology specialist treatment.
11 Ankylosing spondylitis
If a young patient has chronic low back pain without a clear history of low back injury, he needs to be alert to ankylosing spondylitis. Ankylosing spondylitis low back pain is characterized by: patients are younger; low back pain is significantly worse at night, and is not relieved by rest; X-ray findings of sacroiliac joint destruction. Patients with ankylosing spondylitis should first be staged, and then a standardized treatment plan should be designated to avoid future disability.
12 Female Pelvic Inflammatory Disease
Female pelvic inflammatory disease is one of the common causes of low back pain. This kind of low back pain is characterized by: no obvious pressure points in the waist, the patient has a history of gynecological diseases; gynecological ultrasound can be diagnosed. The treatment of such patients need to go to gynecological specialties.
13 Lumbar spine tuberculosis
Lumbar spine tuberculosis patients, lumbar pain is very intense, lumbar percussion pain is obvious, and accompanied by low-grade fever, fatigue, obvious emaciation, lumbar spine magnetic *** vibration examination can be clearly diagnosed. Such patients first need anti-tuberculosis treatment.
14 Deep lumbar muscle ligament strains
For young adults who love intense sports, it is easy to accompany the deep lumbar muscle ligament strains. Therefore, this type of low back pain is very easy to misdiagnose and difficult to treat. This type of low back pain is characterized by: a history of lumbar injury; bending over, moving the waist, lifting the legs and other inadvertent movements can often trigger low back pain as if a tendon in the lumbar region is being strenuously pulled. The best treatment for this type of low back pain is radiofrequency thermo-coagulation, a fine radiofrequency needle piercing into the damaged muscle ligament, using radiofrequency against the damaged muscle ligament heating coagulation. This method is currently the most satisfactory treatment for this disease.
15 Lumbar spine tumor
Lumbar spine tumor is also a cause of low back pain, although uncommon, but should be taken seriously. Therefore, for patients with past history of tumors in other parts of the body and recent sudden onset of lumbar pain accompanied by sudden loss of weight and fatigue, lumbar spine tumors should be alerted. Lumbar spine X-ray, CT and other examinations can often clarify the diagnosis. Treatment can choose anti-tumor therapy.
16 Abdominal tumors
Abdominal tumors can also radiate to the lumbar region and cause pain, which is not common, but should be taken seriously. For patients with recent sudden loss of weight, fatigue, low back pain with abdominal pain, abdominal tumors should be excluded. Abdominal CT can clarify the diagnosis. Treatment should be directed at abdominal tumors.
What to do about lumbar pain:
Chinese medicine treatment
For lumbar disc herniation caused by lumbar pain can generally take medication for treatment, correction of the cervical lumbar capsule is more commonly used medication, correction of the cervical lumbar capsule has the effect of shu meridian and collaterals, activate the blood circulation and eliminate blood stasis, reduce swelling and stop the pain, for the lumbar disc herniation caused by lumbar pain has a The role of both symptoms and root causes, not only can quickly reduce pain, but also make the elimination of inflammation at the lesion site, so that the edema tissue dehydration, reduce compression.
Prescription
1 Angelica sinensis 12 grams, sumac, peach kernel, 9 grams each of the ground dragon, Guan Gui, ephedra, cypress, licorice 6 grams each.
Use: water decoction, 1 dose per day, 2 times before meals, 15 days as a course of treatment.
Effects: 2 courses of medication, the cure rate of 92%
2 system of 180 grams of Shouwu, Coix seed 20 grams, 750 milliliters of white wine.
Usage: medicine immersed in wine for 15 days, remove the dregs and take the liquid, each serving 30 ml, 2 times a day.
Effectiveness: 1-2 doses of medicine, the effective rate of 82.5%
External Chinese medicine treatment
External Chinese medicine treatment of lumbar pain, there are no side effects, easy to use, non-allergic, known as the green therapy. Internal medicine through the gastrointestinal absorption, digestion, decomposition, and finally through the blood loop, the drug can be sent to the regional input, the whole process needs to pass through the layers of barriers in order to reach the focal point of the site, but the efficacy of the medicine has been very little, so the effect is extremely slow and ineffective, and the clinical application of these methods can only alleviate the symptoms of pain, the function of the recovery is irreversible, the bone repair is not even talk about, and the oral medication on the liver, kidneys, gastrointestinal damage is very great, so choose the best way to get the best results. The oral medication is extremely damaging to the liver, kidneys, stomach and intestines, so choosing the ancestral external Chinese medicine - Huangjia powder package, the effect will be better, from the epidermal penetration, the drug penetrates into the bone, and there are no side effects, the Huangjia powder package can completely solve the lumbar pain and suffering.
Drug therapy
To anti-inflammatory analgesic-based, currently commonly used oral medications such as topical application Bonjourn Shu pain recovery liquid, the Bonjourn Shu pain recovery liquid drops in the lumbar pain location 1 ~ 2 drops coated evenly, after the application of the pain in the 5 ~ 10 disappeared. But most of the anti-inflammatory analgesic drugs gastrointestinal reaction and other side effects are obvious, you can also consider the use of traditional Chinese medicine,
Traction therapy, massage: the role is to release the muscle spasm, so that the vertebral body of the slippage of the reset. Improper operation can lead to more serious lumbar disc bulge, there is a certain risk.
Surgical treatment: Most of the intervertebral fusion technology or lumbar discectomy method. The technique is relatively complex, prone to trauma, long recovery period, and may bring complications.
Chinese medicine treatment: Shuluo Pain Relief Patch, as a traditional Chinese medicine black ointment of Sihuatang, has the effect of reducing swelling and pain, dispelling wind and cold, and relieving tendon and blood circulation, which can effectively eliminate lumbar and leg pain. In addition, Shu Luo Pain Relief Paste also has the effect of nourishing the liver and tonifying the kidney, strengthening the tendons and bones, and can promote bone mineralization and improve bone density, so as to achieve the purpose of strengthening the tendons and bones and removing the roots of lumbar and leg pain.
Chronic back pain *** Manipulation:
Rub: Take a sitting position, two hands, five fingers together, were placed on the left and right back of the lumbar vertebrae, palm inward, up and down the slow kneading, until the heat.
Rolling: two hands clenched fist, put the waist to roll around, ***, from the bottom to the top, from the top to the bottom, repeated many times. The head can cooperate with the forward tilt backward.
Push: after the two hands rubbed heat, overlap in the middle of the lumbar vertebrae, from top to bottom push and rub 30-50 times, to the regional heating sensation.
Press: Both hands crossed the waist, thumbs were pressed in the lumbar eye, squeeze, and rotate and knead, first clockwise, then counterclockwise 36 circles.
Knead: Sit with your feet stretched out in front of you, or bend your knees, or sit in a sitting position. Both hands were kneaded, lifting and releasing the waist muscles 15-20 times.
Knock: both hands clenched fist, two fists palm outward, gently knocking the waist in order not to cause pain as appropriate, left and right at the same time, each knock 30 times.
Grab: hands against the waist, thumbs in front, press the side of the waist does not move, the remaining four fingers from the lumbar vertebrae on both sides, with the belly of the fingers outward grabbing and rubbing the panel, from the waist eye to grab the tail, both hands at the same time, each grab 36 times.
Shake: both hands on the waist, the root of the palm by the lumbar eye, the palm inward rapid up and down shake 15-20 times.
Press: Take a sitting position and press and knead Renzhong point with the tip of the middle finger of the left or right hand for 1-2 minutes.
Points: Take a seated position, with the tips of the fingertips of the two hands, respectively, press the two legs on the commission of the middle point after the knee joints, pointing and pressing for 1-2 minutes, until the pressed part of the soreness, numbness, swelling sensation.
6, food therapy: 1 kelp 25g, lychee 15g, cumin 15g. add water **** boiled, drink once a day. 2 raw leeks or roots 500g. pounded juice and warm, 500ml each time, 2 times a day. 3 tamarind 300g. drying and grinding, and 150g of black sesame seeds, stir-fried, mixing, and morning and evening to take a spoonful of. 4 sesame seeds 15g, 100g of rice. Amalgamate the sesame seeds with water, lightly fry them and then grind them into mud, add rice and cook porridge. Take one dose daily for breakfast.
The waist pain is a very good feeling.
Lower back pain
These are the most common symptoms of back pain.