Dull low back pain

Introduction Pain in the waist or lumbosacral region, repeated attacks, pain can change with climate change or fatigue, when it is light and heavy, lingering. The nature of the pain is mostly dull pain, can be limited to one part, and can spread the entire back. Long-term position is not correct or work under bending, or often sustained weight on the waist, can cause chronic accumulation damage of the waist muscles. After acute injury of the waist, improper treatment or delay in treatment, prolonged, can cause chronic damage to the waist. Congenital structural abnormalities in the lumbosacral region cause abnormalities in the starting and ending points of the muscles or imbalances in the activity of the muscles, which may cause chronic damage to the waist.

Cause

The cause of dull pain in the waist:

Long-term position is not correct or work under bending, or often sustained weight on the waist, can cause chronic accumulation damage of the waist muscles. After acute injury of the waist, improper treatment or delay in treatment, prolonged, can cause chronic damage to the waist. Congenital structural abnormalities in the lumbosacral region cause abnormalities in the starting and ending points of the muscles or imbalances in the activity of the muscles, which may cause chronic damage to the waist. The waist is the house of the kidney. Because the strain is strained on the kidney, or the body is weak, the kidney is weak, and the essence of the kidney cannot fill the bones and the meridians. Therefore, the affected part is mostly poor in blood or stagnant blood in the meridians, and the blood is not honored. The tendons are not comfortable, and the waist tendons are painful. Kidney qi is weak, wind, cold and dampness are easy to take advantage of virtual invasion, long time but not scattered, muscles tend to weaken, if the patient bends and work, the weak muscles are easy to damage, making strain and cold and disease.

an examination

Related inspection

CT examination, general radiography, foot-mouth test

Examination and diagnosis of dull pain in the waist:

Patients have a history of overworked or varying degrees of trauma. The waist is sore, when it is light and heavy, repeated attacks, increased when tired, and relieved after rest. It is difficult to bend over and work hard. When you bend over for a long time, the pain is aggravated. You often use your hands to waist to relieve pain. Check the shape of the waist for no abnormalities, and the pitching activity is more accessible. A small number of patients have limited waist activity and tenderness. The tenderness is mostly at the sacral spine, at the sacral spine, behind the humerus, or at the posterior aspect of the humerus and lumbar vertebrae. X-ray photos have no abnormalities, and a small number of patients may have bone hyperplasia or spinal deformity.

Differential diagnosis

Symptoms of blunt pain in the waist:

Swelling and weakness in the lower back: There is deep pain between the spinous processes of the spine. The following waist swelling is weak and multiple symptoms; but the pain is not as obvious after the injury of the supraspinous ligament. Sometimes the patient feels "the feeling of a break in the waist." May be associated with sacral muscle tension, stiffness and movement limitations. When you are serious, you can't even bend over and work. When walking, the spine is in a stiff state, and when the bed is in bed, the spine is stretched straight to the side. When the patient is sitting flexed, deep tenderness between the spines is the main sign. Interspinous ligament angiography can help with diagnosis.

Lumbar stiffness refers to the stiffness of the waist caused by diseases such as sciatica. It is one of the clinical symptoms of sciatica. Sciatica refers to sciatic neuropathy, a group of painful symptoms that occur along the sciatic nerve pathways, namely the lower back, buttocks, back of the thigh, posterior aspect of the lower leg, and lateral aspect of the foot. The sciatic nerve is the main nerve trunk that governs the lower extremities. Sciatica refers to pain in the sciatic nerve pathway and its distribution (hip, back of the thigh, posterior aspect of the calf, and lateral aspect of the foot).

Backache: refers to the acidity and discomfort of the waist. Clinically, kidney deficiency is more common.

Lower back pain: common in spondylitis, also known as bamboo wind, the current medical community is not satisfied with this disease. The main multiple young people, the initial performance is lower back pain. Because the spondylitis first erodes the ankle joint, gradually spreads upward, and makes the ligaments of the spine calcified, the x-ray shows that the intervertebral space disappears, the spine is bamboo-like, early is not easy to find, the late back pain is aggravated, can not be sedentary, and finally form a serious Humpback, neck strong, can not stand upright.

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