Low back pain after strenuous exercise

Introduction Low back pain is one of the clinical manifestations of lumbar muscle strain after vigorous exercise. Lumbar muscle strain refers to pain on one side or both sides of the waist or moderately. It is a symptom of many diseases and can be seen as an independent disease. In modern medicine, it is called kidney disease, rheumatism, rheumatoid disease, lumbar muscle strain, spine and trauma, gynecology and other diseases. The patient has a wide range of tenderness in the lower back, and the tender points are mostly in the sacral spine, the lumbar vertebrae and the posterior margin of the palate. At the time of palpation, the waist muscles are tense, or have induration and hypertrophy.

Cause

(1) Lumbar muscle strain after repeated acute lumbar sprain and long-term recurrence.

(2) The treatment is not timely and the treatment method is improper.

(3) Long-term repeated excessive lumbar movement and excessive load, such as long-term sitting position, long standing or holding weights and lifting objects from the bent waist position to the upright position, can make the lumbar muscles in a state of high tension for a long time, which can lead to chronicity over time. Lumbar muscle strain.

(4) Chronic lumbar muscle strain has a certain relationship with climate and environmental conditions. If the temperature is too low or the humidity is too high, it can promote or aggravate lumbar muscle strain.

an examination

Related inspection

Prone and lumbar spine MRI

Sudden back pain after exercise.

Examination: X-ray examination: no abnormalities, a few and may have bone hyperplasia or spinal deformity. 2, elderly or osteoporosis patients can choose ECT examination, bone density examination. There is currently a view that osteoporosis can also cause chronic low back pain.

Diagnose based on

1. The range of tenderness in the lower back is wider. The tender points are mostly in the sacral spine, the transverse process of the lumbar vertebrae and the posterior margin of the palate.

2, tendon: lumbar muscle tension when palpation, or induration and hypertrophy.

3, X-ray examination: a small number of patients may have congenital malformations and bone hyperplasia in elderly patients, no abnormal findings.

Differential diagnosis

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.

Persistent low back pain with morning stiffness

Back pain when bending over

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.

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.

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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