Back and spine pain. In the absence of frequent strenuous exercise, back and spine pain may be caused by rheumatic diseases. According to incomplete statistics, there are cases of back and spine pain caused by rheumatic diseases. The number is also increasing every year. The following is a detailed explanation of back pain and rheumatic diseases by authoritative experts, so that patients can have a confident understanding of back pain.

Rheumatoid arthritis is a manifestation of rheumatic fever. Rheumatic fever is a systemic allergic disease caused by Group A B-hemolytic Streptococcus infection. There is often a history of infections such as erysipelas at the beginning of the disease. Rheumatic fever has an acute onset and is more common in teenagers. Rheumatoid arthritis can invade the heart and cause rheumatic heart disease, with symptoms such as fever, subcutaneous nodules, and rashes. Rheumatoid arthritis has two characteristics:

Firstly, the joints are red, swollen, hot and painful, and cannot move. The affected areas are often large joints of the lower limbs such as knees, hips, and ankles, followed by shoulders and elbows. , wrist joints, and small joints of hands and feet are rare.

The second is that the pain wanders around. Sometimes it attacks one joint, and sometimes it causes discomfort in that joint. However, the pain does not last long and subsides in a few days. Blood tests showed accelerated erythrocyte sedimentation rate, elevated anti-"0" titer, and negative rheumatoid factor. Recurrence is rare after cure, and no deformity is left in the joints. Some patients may have heart disease left behind.

1. Pain: Joint pain is the most common symptom of rheumatism. Pain may occur in joints throughout the body, but pain in the limbs and trunk may cause lesions in the internal organs and nervous system.

2. Muscles may also experience pain symptoms, and may also experience muscle weakness, elevated muscle enzymes, myogenic damage, etc., such as systemic lupus erythematosus, mixed connective tissue disease, dermatomyositis, etc.

3. Irregular fever: Before the onset of rheumatism, irregular fever will occur without chills. Antibiotic treatment is ineffective. At the same time, rapid erythrocyte sedimentation rate may occur, such as systemic lupus erythematosus, acute Neutrophilic febrile dermatoses, adult Still's disease, and panniculitis can all have fever as their first symptom.

4. Skin and mucosal symptoms: Dermatomyositis, Sjogren's syndrome, Behcet's disease, panniculitis, etc. may cause rashes, oral ulcers, skin ulcers, reticular bruising, eye symptoms, etc.

5. Raynaud's sign: The fingertips will turn white when exposed to cold or emotional changes, then turn to purple, and finally turn to red accompanied by numbness, pain and severe skin ulcers, which can be seen in similar cases. Rheumatoid arthritis, systemic lupus erythematosus, mixed connective tissue disease.

6. Abnormal autoantibody blood indicators: anti-ENA antibody, anti-ds-DNA antibody, anti-platelet antibody, anti-nuclear antibody, anti-cardiolipin antibody, rheumatoid factor, etc.

Rheumatism in medicine refers to unexplained chronic pain in joints and surrounding soft tissues. Rheumatic diseases refer to a large class of diseases with different causes but the common point is that they involve joints and surrounding soft tissues, including muscles, ligaments, bursae, and fascia. In addition to pain, joint lesions are accompanied by swelling and mobility impairment, showing a chronic course of alternating attacks and remissions. Due to the patient's poor blood circulation, the nutrients needed by the muscles or tissues cannot be transported through the blood circulation, causing the patient's muscles to lack nutrients and accelerate aging and stiffness. In severe cases, the patient's muscles and blood vessels will atrophy, and some patients may develop Joint disabling and visceral failure.

Treatment

1. Avoid overexertion and correct bad posture.

2. When you have severe pain, you can rest in bed, or use waist restraint, or Use a wide belt for protection. You can wear a waistband when working to reduce the stretch of the psoas muscles, but you must remove the waistband every day to exercise the lower back muscles and psoas muscles.

3. Physical therapy, massage and other muscle relaxation Blood-activating therapy. Medium-frequency electrotherapy combined with acupuncture and massage are most effective. Acupuncture and Chinese medicine: Acupuncture and cupping have certain effects and can relieve pain. Chinese medicine mainly removes evil and strengthens the body.

4. Drug treatment: mainly anti-inflammatory and analgesic Medicines (Fenbid, one tablet, twice a day, chlorzoxazone 2 tablets, three times a day, Chenxiang tablets 4 tablets, three times a day) and traditional Chinese medicine for relaxing tendons and activating blood circulation (Shujin Huoxue Tablets). You can take medicine If taken at the same time, the side effect is irritation to the stomach. If you have stomach problems or neurasthenia, you can take Jiannao Bushen Pills, Zhuangyao Jianshen Pills, Xiaohuoluo Dan, Ginseng Guipi Pills, and traditional Chinese medicine preparations, no side effects, orally for 1 month. .

5. Sealing therapy: For those with fixed tender points, 0.5-1% procaine 5-10ml plus 0.5-1ml prednisolone acetate or hydrocortisone acetate can be used to seal the pain points. The effect is good. Or use Shikawa therapy, the effect is also good. (For details, please consult the local pain doctor)

6. Surgical treatment. For cases in which various non-surgical treatments are ineffective, surgical treatment (small acupuncture) can be performed. Knife, etc.).

7. Prevention: 30% cure and 70% nourishment!!!

Strengthen the exercise of the waist and back muscles to promote the circulation of qi and blood and enhance the strength of the waist muscles. Lie down, hold your head with both hands, fix your lower limbs, and lift your upper body upwards, just like sit-ups, but with the opposite force. Walking backwards and forwards are both ways to exercise the lower back muscles. You can also lean forward and backward, and bend left and right, , lie on your back and raise your legs, equal strength, and can be combined with broadcast exercises, Tai Chi, etc.