Symptom >> Surgical >> General Surgery

Lumbosacral or lower back pain

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction The lumbosacral fat sputum is mainly characterized by pain in the affected side of the lumbosacral or lower back, mostly pain, soreness and pain, generally not serious, but affects walking. The disease is more common in obese women after middle age, most of them have a history of production, and some patients may have varicose veins of the lower extremities, uterine prolapse, femoral hernia and other diseases.

Cause

Cause

Causes of pain in the lumbosacral or lower back:

(1) Causes of the disease: The fat is exuded from the blood vessels of the deep fascia and the peripheral nerve channels, and the neck is sick due to the compression.

(2) Pathogenesis: The occurrence of this disease is mainly due to the fact that the deep fascia on the posterior and bilateral sides of the ankle has many nerve endings with a hole through which the blood vessels pass, and the deep fat can be extracted through the neck. A local inflammatory reaction occurs due to compression and ischemia, and pain is generated.

Examine

an examination

Related inspection

Lifting leg test, bone and joint and soft tissue CT examination, Lassegg's sign, reflex toe, long flexor muscle strength test

Examination and diagnosis of lumbosacral or lower back pain:

Mainly characterized by pain in the affected side of the lumbosacral or lower back, mostly pain, soreness and pain, generally not serious, but affecting walking; because of the posterior ankle joint, there are lumbosacral nerve posterior branch and gluteal nerve cutaneous branch, subject to There is an induced pain in the back of the thigh during stimulation. In the subcutaneous examination of the ankle, circular tumors can be touched, most of which are 0.5 to 1.5 cm in size, one or several in number, slightly elastic, and elastic in the sense of hardness. Pressing the local force can cause pain and induce pain. Pain was significantly alleviated or disappeared after partial closure.

According to the medical history, complaints and physical examination, it is generally not difficult to diagnose.

Diagnosis

Differential diagnosis

Symptoms of lumbosacral or lower back pain that are confusing:

Lumbosacral Pain: The lumbosacral region is the hub connecting the upper body and the lower body (including the pelvis and lower limbs) in the trunk. The structure is more complicated. Four out of five adults have experienced significant lumbosacral pain in one person. It usually occurs after being exposed to the cold. In people under the age of 45, it is the most common cause of loss of working ability due to low back pain.

Pain in the lumbosacral region: Scar adhesions caused by chronic pelvic inflammation and pelvic congestion can cause lower abdominal swelling, pain, and lumbosacral pain. Often exacerbated after exertion, after sexual intercourse and before and after menstruation. Chronic pelvic inflammatory disease is mainly characterized by lower abdomen bulge, pain and soreness in the lumbosacral region. Sometimes it may be accompanied by anal bulging discomfort. It is often exacerbated after exertion, sexual intercourse and before and after menstruation. This is because of the scar adhesion and pelvic cavity formed by chronic inflammation. Caused by congestion.

The lumbosacral skin is hairy and abnormally pigmented: patients with tethered cord syndrome, especially children, should be alert to a clinical manifestation of this disease: the lumbosacral skin is hairy and abnormally pigmented. Tethered cord syndrome (TCS) is a syndrome in which a spinal cord or a cone is pulled due to various congenital and acquired causes, resulting in a series of neurological dysfunctions and malformations. Because the spinal cord is pulled more often in the lumbosacral medulla, causing the cone to be abnormally low, it is also called the lower spinal cord.

Brachial plexus and lumbosacral injuries after radiation: Radiotherapy is the best treatment option for breast, neck, testicular, and lymphoma, and is also most likely to cause brachial plexus and lumbosacral damage after radiation. Physical examination showed abnormal motion sensation and reduced sputum reflex. The upper brachial plexus and the lower brachial plexus are often involved at the same time. Very few patients involve the phrenic nerve, causing diaphragmatic paralysis.

Mainly characterized by pain in the affected side of the lumbosacral or lower back, mostly pain, soreness and pain, generally not serious, but affecting walking; because of the posterior ankle joint, there are lumbosacral nerve posterior branch and gluteal nerve cutaneous branch, subject to There may be induced pain behind the thigh during stimulation, but not more than the department. In the subcutaneous examination of the ankle, circular tumors can be touched, most of which are 0.5 to 1.5 cm in size, one or several in number, slightly elastic, and elastic in the sense of hardness. Pressing the local force can cause pain and induce pain. Pain was significantly alleviated or disappeared after partial closure.