October 11th is world pain relief day. One speaks of lumbago, everybody thinks of lumbar disc herniation first, but 10 people nine lumbago, lumbago ten thousand kinds, not only lumbago this one kind.
October 11th is world pain relief day. One speaks of lumbago, everybody thinks of lumbar disc herniation first, but 10 people nine lumbago, lumbago ten thousand kinds, not only lumbago this one kind. Sun yanjun, deputy chief physician of the pain department of the affiliated hospital of southeast university, said that in addition to diseases related to internal organs and immunity, trauma, lumbar protrusion and fracture may cause lumbago with different reasons and treatment methods.
Herniated lumbar disc
Herniated discs are known to cause lower back pain. It is mainly because of the degeneration sex change of each part of lumbar intervertebral disc of different degree, cause intervertebral disc to protrude, press adjacent blood vessel, nerve, dural sac to wait, cause ache thereby. The pain that lumbar intervertebral disc herniation causes, the mainest expression is progressive aggravation. At the beginning, there was only local pain in the waist. As time goes on, pain and numbness in one or both lower limbs may appear, and even some people could not walk, claudication and other manifestations. Among them, the incidence of lumbar 4/5 and lumbar 5/1 was the highest. The main manifestation is lumbago, lower limbs radiate pain. The majority of the elderly population, but there is a trend of younger.
Treatment: lumbar mri is the first choice for diagnosis of a herniated disc. After identifying the herniated disc and the extent of the herniation, the appropriate treatment should be selected according to the situation. Mild protrusion can rest more, acupuncture, massage, physiotherapy and other conservative treatment to relieve symptoms. If protrusion is heavier, have apparent oppressive expression, or protrusion is bigger, prolapse is dissociated even the patient, must choose operation treatment as soon as possible.
2. External force or sprain
Acute psoas injury caused by external sprain is a more common type of pain. This pain is often due to improper movement or inadvertent force. Patients with acute lumbar sprain often experience persistent pain after the injury, or only mild discomfort in the lower back after the sprain, but significant pain the next day. The injury can also result in limited movement, cramps and other symptoms.
Treatment: after acute lumbar sprain, must pay attention to more rest. Local hot compress, or plaster paste. Most patients can relieve their pain by themselves. For severe sprain, severe pain patients, it is recommended to go to the hospital formal acupuncture, physical therapy and other treatment, promote inflammation and edema regression, is conducive to the relief of lumbago.
3. Vertebral compression fracture
Vertebral compression fractures are more common in older women and postmenopausal women. Because the hormone level of postmenopausal female is maladjusted, cause endocrine disorder, cause osteoporosis, bone density and bone quality decline, bone intensity decreases. In everyday life, a minor injury or just reaching for something, or even coughing or sneezing, can cause a compression fracture of the vertebral body. Patients with compression fractures have different degrees of back pain, sleep at night to turn over the pain increased, unable to turn over, cough pain will also increase. Compression fractures have a distinctive feature that causes significant pain in the lower back when the hand is struck with an empty fist. When the elderly and menopausal women appear waist tenderness and percussion pain should be vigilant, screen for fracture.
Treatment: clear from compression fracture, as soon as possible in the hospital. Under the guidance of a professional doctor, minimally invasive surgery with bone cement can be performed to prop up the flattened vertebral body, prevent further collapse of the vertebral body and maintain the stability of the spine.
4. Muscle membrane inflammation
In addition to the three main causes of lower back pain, myofascitis can also cause lower back pain. Generally, it is manifested as the pain in the waist, which is intensified during activities and relieved after rest. Most patients are not obvious to non-steroidal analgesics. This kind of pain happens not only in patients with chronic lumbar muscle strain, but also in pregnant women, lactating women, and even obese people.
Treatment: after the diagnosis of myohymenitis, under the guidance of the doctor, small needle knife, pain point injection and other methods, to relieve the pain.
The expert reminds, appear lumbago should have an examination to regular hospital, after the disease that removes viscera and other system, clear lumbago type. The professional doctor chooses the appropriate treatment method according to the situation, and carries on the corresponding function exercise instruction. (correspondent gao zhao liu min)
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