Reflex low back pain

Introduction Acute pancreatitis, retroperitoneal hematoma or tumor and penetrating ulcer of the duodenal posterior wall can cause visceral reflex low back pain.

Cause

Acute pancreatitis, retroperitoneal hematoma or tumor and penetrating ulcer of the duodenal posterior wall can cause visceral reflex low back pain. Genitourinary diseases, pelvic internal organs, especially gynecological diseases, including attachment inflammation, pelvic inflammatory disease, etc. can also pass through the pelvic nerve plexus and sciatic nerve, causing pain in the lumbosacral region, as well as pain in the posterior thigh and buttocks.

an examination

Related inspection

Lumbar activity spine palpation hip and knee flexion test

The patient's symptoms can be diagnosed.

Differential diagnosis

1, low back pain, lower extremity radiation

Low back pain is as painful as "explosion", and radiates to the back of the thigh, the armpit, the outside of the calf, and has a feeling of acupuncture or electric shock. After the low back pain, the lower limb feels numb. After the patient lie down, the symptoms are relieved. Standing, walking, and even coughing and sneezing. When the bowel movement is forced, the back pain is aggravated, suggesting that it may be lumbar disc herniation. Low back pain, especially in the 4th to 5th lumbar vertebrae, and radiate to one side of the lower extremity, and even have obvious numbness. When lying down, the lower limbs of the affected side cannot lift straight legs, suggesting that it may be root sciatica.

2, one side of the waist and abrupt "knife cut" like colic

Sudden "knife-cut" colic in one side of the waist and abdomen, radiating along the ureter to the lower abdomen, perineum and inner thigh, which can last from a few minutes to a few hours. During the onset of low back pain, the patient bends over the back, rests restlessly, pale, sweating. After the pain, there are many different degrees of hematuria, which are more common in urinary stones.

3, low back pain with frequent urination, urgency, dysuria

Low back pain accompanied by frequent urination, urinary urgency, and dysuria, suggesting that it may be a urinary tract infection.

4, low back pain with sputum pain in the kidney area

Low back pain, when the slamming of the waist is particularly painful, kidney disease such as pyelonephritis, kidney tuberculosis, and peri-renal abscess should be considered.

5, low back pain in bed aggravated

Low back pain is aggravated in bed, but it is relieved after getting up, and lumbar fibrosis should be considered.

6, low back pain with increased vaginal discharge

Many women with back pain and vaginal discharge often cause inflammation due to reproductive system. Such as cervicitis, pelvic inflammatory disease, annex inflammation and so on.

7, room labor, excessive birth, low back pain

Frequent sexual intercourse, excessive birth of women or excessive abortion occurred after the waist was sore, other examinations were normal, this is the Chinese medicine said kidney deficiency, caused by the loss of the waist. In summary, through the above discussion, we know that the causes of low back pain are various. In clinical practice, doctors must pass laboratory tests in addition to understanding symptoms and physical examinations to make a diagnosis. Therefore, when there is low back pain, you should go to the hospital for examination, symptomatic treatment, and do not abuse the supplement.

8, diffuse low back pain

Clinically, patients with over 40 years of age may have skeletal or diffuse low back pain, fatigue, paleness, and mild weight loss. The possibility of myeloma should be suspected. Typical and advanced plasmacytoma are easy to diagnose, but early plasmacytoma is difficult to diagnose. Plasmacytoma can be painless in the early stages, with only minor or insignificant signs, which can last for months, even years.

9, persistent low back pain with morning stiffness

Non-ocular clinical manifestations of ankylosing spondylitis: the most typical early manifestation of persistent low back pain (at least 3 months), unilateral occult, blunt or intermittent, with morning stiffness, reduced after activity .

10, low back pain when bending

When bending hard, picking heavy objects or lifting heavy objects, sudden low back pain occurs, and the muscles on both sides of the lumbar vertebrae are cramped and tender, suggesting that it may be an acute lumbar sprain or lumbar muscle strain.

11, low back pain

The pain point indicated by the patient is equivalent to the level of the buttocks area, and a few are in the lower half of the humerus, often accompanied by symptoms of lower abdominal pain. It is aggravated by premenstrual, long standing and sexual intercourse. It is a symptom of the pelvic blood stasis.

12, chronic low back pain with lower limb numbness

Lumbar spondylolisthesis is prone to chronic low back pain and radioactive numbness in one or both lower extremities.

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