Chronic lumbar strain
Introduction
Introduction to chronic lumbar strain Frequent repeated accumulation of minor damage (strain) can cause pathological changes such as congestion, edema, exudation, fibrous tissue hyperplasia and adhesion of muscle attachment points, periosteum, ligaments, etc., and stimulate and compress nerve endings to cause low back pain. Most of the strain is chronic, there is no clear history of acute trauma; some patients have heavy physical labor, history of strenuous exercise or trauma; some patients have poor posture or have long bent over work, the symptoms are light and heavy, generally improve after rest After exertion, the weight is aggravated. You can't sit for a long time. You have to change your position frequently. Some patients have different degrees of tenderness between the spine, the posterior superior iliac spine, the ankle or lumbosacral joint, and the lumbar vertebrae. The patient has a wide range of tenderness or no fixed tenderness points. basic knowledge Sickness ratio: 0.1% Susceptible people: no special people Mode of infection: non-infectious Complications: lumbar muscle strain
Cause
Causes of chronic lumbar strain
After the occurrence of strain lesions, in order to reduce the activity of the lesion, some muscles are often paralyzed, and persistent lumbar tendon can also cause accumulated strain of soft tissue, which aggravates the pathological changes of the tissue, and some occupations need to be in a fixed posture. Work, which is also an important cause of strain, acute soft tissue sprains, if not fully recovered, may also turn into chronic strain.
Prevention
Chronic lumbar strain prevention
Patients with chronic lumbar muscle strain can self-care according to the following methods to prevent disease and cure.
1 Press Shenshu, Yaoshu, Weizhong, Ashi points, 2 minutes per hole.
2 Two hands and half fists, gently slamming on the depressions on both sides of the waist, the force should be even, the force is too strong, each time slamming for 2 minutes,
3 legs stand shoulder-width wide, with both hands on the back, massage the spine muscles up and down 100 times on both sides of the waist, to feel the heat at the waist.
4 hands on the waist, the legs are separated from the shoulder width, the waist is relaxed, breathing evenly, do the front and rear rotation and shaking, the starting rotation is small, gradually increase, generally rotate 80 to 100 times.
5 lick the pain point 10 to 20 times, then gently press for 1 to 2 minutes.
1, in daily life and work, correct bad posture, often change position, do not make excessive fatigue.
2, pay attention to rest and partial warmth, control the house.
3, strengthen the back muscle exercise, appropriate to participate in outdoor activities or physical exercise.
Complication
Chronic lumbar strain complications Complications, lumbar muscle strain
Tuina treatment of chronic lumbar muscle strain can significantly improve the symptoms, especially early effective, but the disease is often easy to relapse, should pay attention to the usual working posture, such as can be combined with functional exercise, and perseverance, it is conducive to improve efficacy.
Symptom
Chronic lumbar strain symptoms Common symptoms Joint swelling, fatigue, congestion, muscle neuralgia
Most of the strain is chronic, there is no clear history of acute trauma; some patients have heavy physical labor, history of strenuous exercise or trauma; some patients have poor posture or have long bent over work, the symptoms are light and heavy, generally improve after rest After exertion, the weight is aggravated. You can't sit for a long time. You have to change your position frequently. Some patients have different degrees of tenderness between the spine, the posterior superior iliac spine, the ankle or lumbosacral joint, and the lumbar vertebrae. The patient has a wide range of tenderness or no fixed tenderness points.
Examine
Chronic lumbar strain examination
X-ray examination generally has no abnormal findings.
Diagnosis
Diagnosis and diagnosis of chronic lumbar strain
Need to identify the waist sprain, the patient is mainly the "dull pain" at the waist, the activity is limited, the reflex is negative, the elevation test is positive, the X-ray examination generally has no obvious change, the scoliosis can be seen in the chronic phase, the sprain of the waist should be It is not difficult to treat with fractures, disc herniation, lumbar spondylolisthesis and tumor lesions. It is a comprehensive treatment for rest, massage, physiotherapy, analgesia, local injection, exercise, etc., and the treatment of chronic phase must have appropriate and reasonable treatment. In order to achieve satisfactory results.
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