Psoas muscle spasm

Introduction 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. Can't insist on bending over to work. Often forced to stretch from time to time or hit the waist with a fist to relieve pain, the waist has tender points, mostly in the sacral spine, the posterior tibial spine, the posterior tibial spine muscle or the lumbar vertebrae. The treatment is mainly based on non-surgical treatment. If various non-surgical treatments are ineffective, surgery can be performed.

Cause

The cause of the psoas muscle spasm:

(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

Cremaster reflex

an examination:

(1) tenderness point: the range of tenderness in the lower back is wider, and the tender points are mostly on the back of the ankle, the back of the tibia and the transverse process of the lumbar vertebrae. Light tenderness is not obvious, and severe people with tenderness may have one or both sides of the iliac spine tendon stiffness.

(B) X-ray examination, in addition to a small number of lumbosacral congenital malformations and vertebral hyperosteogeny in elderly patients, no abnormal findings.

diagnosis:

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:

(A) proliferative spondylitis: low back pain mainly manifests as rest pain, that is, nighttime, early morning low back pain, and low back pain after getting up. The spine can have snoring pain. X-ray examination showed lumbar vertebrae calcium deposition and vertebral body edge hyperplasia.

(B) old lumbar vertebrae fractures: a history of trauma, varying degrees of lumbar dysfunction. X-ray examination can be found in vertebral compression or nearby fractures.

(3) Lumbar tuberculosis: There are systemic symptoms such as low fever, night sweats, and weight loss. ESR is accelerated, X-ray examination can find lumbar vertebrae bone destruction or paraspinal abscess.

(4) Lumbar disc herniation: typical lumbar and leg pain with lower extremity radiation pain, limited lumbar activity, scoliosis, positive straight leg test, positive abdominal test, abnormal sacral reflex and skin sensory disturbance Pressure performance. Can be used for lumbar CT or MRI examination.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.