Lumbar spine pain
Introduction
Introduction Pain is a kind of low back pain in the lumbar spine. Low back pain refers to a symptom of the side of the waist or bilateral pain and even the spine. Both men and women occur, and women are mostly. Physical workers are the most common. There are many causes of lumbar spine pain, small joint dislocation, lumbar disc herniation, sprain or strain, lumbar spondylolisthesis, lumbar tuberculosis, etc. If it is the pain caused by the primary lesion of the spine, the primary disease should be actively treated. Because lumbar spine pain can affect quality of life and work, patients with no obvious organic lesions should take some rehabilitation measures to relieve pain.
Cause
Cause
Most of the low back pain is caused by muscle contracture, trauma or spinal deformity, but about one in every 10 patients is caused by systemic disease. Low back pain may occur anywhere on the back from the neck to the waist, and may be a small part or spread to a wide range. Such as small joint dislocation, lumbar disc herniation, sprain or strain, lumbar spondylolisthesis, lumbar tuberculosis and so on.
Examine
an examination
Related inspection
Spinal activity test
Once the human spine is abnormal, there are many visceral diseases that appear to be unrelated to the spine. These diseases include internal medicine, surgery, neurology, endocrinology, gynecology, pediatrics, otolaryngology, ophthalmology, stomatology and dermatology. At this time, it is necessary to check the local CT first, and then combine with other physical symptoms to make further examination to confirm the diagnosis.
Diagnosis
Differential diagnosis
Symptoms of lumbar spine pain that are confusing:
Low back pain: The pain point indicated by the patient is equivalent to the level of the buttocks area, and a few are in the lower half of the humerus, often accompanied by symptoms of lower abdominal pain. It is aggravated by premenstrual, long standing and sexual intercourse. It is a symptom of the pelvic blood stasis.
Back pain: It is the most troublesome problem for women. In contrast to men's back pain, men can improve their symptoms of back pain as long as they improve their sitting posture and warm up before exercise. However, women's back pain, but also related to the maintenance of the physiological period, the choice of shoes, and the design of the kitchen activity space.
Sudden "knife-cut" colic in one side of the waist and abdomen: radiates along the ureter to the lower abdomen, perineum and inner thigh, which 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.
Pain in the back or hip of the thoracolumbar: may be the main symptom of spinal vascular malformation, spinal vascular malformation is less common, the most common manifestation is subarachnoid hemorrhage or spinal cord hemorrhage. Spinal vascular malformations can occur in any segment of the spinal cord, but the most common are the cervical segments and cones.
In addition to spinal pain, the waist becomes sunken, swelled, and hardened. In severe cases, the bed cannot be lifted.
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