Soreness and weakness in the waist

Introduction There is deep pain between the spinous processes of the spine, and the following waist is sore and weak. The ligamentitis interinale is a damage caused by a sudden excessive torsion of the spine, which is confused with the damage of the supraspinous ligament in clinical practice. Both the supraspinous ligament and the interspinous ligament limit the excessive flexion and torsion of the spine. Through the EMG observation, when the spine is bent forward to a certain extent, the sacral spine muscle is completely relaxed, and the ligament maintains the spine posture. The posture between the waist 4, 5 and the waist 5 1 is basically maintained by the interspinous ligament. When extreme bending, the tension of the waist 51 is much greater than other parts.

Cause

Causes of soreness and weakness in the waist:

Both the supraspinous ligament and the interspinous ligament limit the excessive flexion and torsion of the spine. Through the EMG observation, when the spine is bent forward to a certain extent, the sacral spine muscle is completely relaxed, and the ligament maintains the spine posture. The posture between the waist 4, 5 and the waist 5 1 is basically maintained by the interspinous ligament. When extreme bending, the tension of the waist 51 is much greater than other parts. Especially when the upper body is bent over, the pelvis will be fixed in the supination position by the tensioned rope muscle, and the interspinous ligament will be subjected to a high tensile force. When this pulling force continues to act, the interspinous ligament can be chronically damaged. If you stand on the side of the pool and bend over the laundry for a while, when the waist is straight, you can feel the pain between the lumbosacral and you need to slap a few times to relieve. The ligament is prone to breakage if it is struck under extreme bending. According to statistics, the injury of the 5 1 interspinous ligament was 926% of all interspinous ligament lesions. Interspinous ligament injury can be caused by lumbar spondylolisthesis, dislocation or excessive torsion. As the vertebrae shift or twist, the spines also shift. The interspinous ligament is also subject to displaced tension. Patients often feel pain and discomfort after injury, afraid to turn or bend over. It has also been reported that the interspinous ligament injury can be aggravated by lumbar strain or lumbar disc herniation.

Its pathological changes are fiber breakage, necrosis, steatosis and calcification. The acute damage is most pronounced in the middle part of the fiber break. Chronic injury is characterized by shallow fissures in the starting and ending parts.

an examination

Related inspection

Bone marrow image analysis of bone and joint soft tissue CT

Check and diagnose the waist soreness and weakness:

Clinical manifestations:

There is deep pain between the spinous processes of the spine, and the following symptoms of soreness in the lower back are multiple symptoms; but the pain is not as obvious as 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.

Physical examination: When the patient is sitting flexed, the deep tenderness between the spines is the main sign. Interspinous ligament angiography can help with diagnosis.

Diagnose based on:

1. History: Most of them have long-term bending work or heavy weight sprains and repeated twists.

2. Symptoms: The patient feels deep pain in the lumbosacral region, and the severe pain can spread to the lower jaw or hip.

3. Signs: The pain was not obvious when the spine was flexed and flexed, but the pain was significantly aggravated during the rotation. Spinal tenderness is not obvious or only deep tenderness.

Differential diagnosis

Symptoms of soreness and weakness in the waist:

Soreness or pain in the waist when you are tired: The soreness or pain in the lower back is caused by the disease of the lumbar muscle strain. When you are tired, the pain or pain will increase. It is a clinical manifestation of lumbar muscle strain. Chronic lumbar muscle strain is a common clinical disease, frequently-occurring disease, and more pathogenic factors. The main symptoms are waist pain, increased fatigue during the day, and can be alleviated after rest. Over time, muscle fiber degeneration, even a small amount of tear, formation of scar or fiber Suspension or adhesion, leaving long-term chronic low back pain. The treatment is mainly based on non-surgical treatment. If various non-surgical treatments are ineffective, surgery can be performed.

Dull pain in the lower back: 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.

Low back pain: radioactive pain, soreness, crushing pain, cough pain, and pulling pain in the waist, back, shoulders, and legs. It affects normal life, but damages health. In severe cases, it can lose labor. ability. The diagnosis is based on the patient's self-conscious symptoms, supplemented by imaging studies.

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