Lower back pain when bending over

Introduction 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 in lumbar muscle strain can be prevented. First of all, it is necessary to strengthen exercise and improve physical fitness. Especially for people who have been sitting for years, the back muscles are weak and easy to damage. Therefore, the exercise of the back muscles should be purposefully strengthened, such as doing some flexion, extension, left and right waist bending, swinging, and supine and sitting movements, so that the waist muscles are strong and strong, the ligaments are strong, the joints are flexible, and the illness is reduced. Opportunity.

Cause

Reasons for low back pain when bending over:

(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

Bone joint and soft tissue CT examination blood routine 4 word test spinal super-extension test lumbar activity

Examination and diagnosis of low back pain when bending over:

1. The waist is sore or painful, partly stinging or burning.

2. Increased when tired, relieved at rest; appropriate activities and frequent changes in position, and excessive activity.

3. Can't insist on bending over to work. Often forced to stretch at all times or hit the waist with a fist to relieve pain.

4. There is tenderness in the waist, mostly in the sacral spine, the posterior tibial spine, the posterior tibial spine muscle or the lumbar vertebrae.

5. There is no abnormality in the shape and movement of the waist, and there is no obvious lumbar muscle spasm. A few patients have limited waist activity.

Differential diagnosis

Differential diagnosis of low back pain when bending over:

Low back pain radiates to the lower extremities: 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 extremity 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.

One side of the waist and abdomen suddenly "knife cut" like colic: a side of the waist and abdomen suddenly "knife cut" like colic, along the direction of the ureter to the lower abdomen, perineum and inner thigh, 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.

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

Low back pain with kidney area sputum pain: 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.

Back pain in bed is aggravated: low back pain is aggravated when lying in bed, but it is relieved after getting up, and lumbar fibrosis should be considered.

Low back pain with increased vaginal discharge: Many women with back pain, vaginal discharge more often, caused by inflammation of the reproductive system. Such as cervicitis, pelvic inflammatory disease, annex inflammation and so on.

Lodging after excessive labor and childbirth: excessive sexual intercourse, excessive childbearing of children or excessive abortion, waist pain, other tests are normal, this is the Chinese medicine said kidney deficiency, Yaofu deficiencies To. 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.

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