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Lower back pain worsens in bed

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Low back pain is aggravated in bed, but it is relieved after getting up, and lumbar fibrosis should be considered.

Cause

Cause

The cause of aggravation of low back pain in bed:

It is a sterile inflammatory lesion of the local fascia, tendon, ligament and adipose tissue of the waist. It belongs to the tendons of the low back pain in the Chinese medicine department.

Examine

an examination

Related inspection

Low back examination Thomas test

Check and diagnosis of increased back pain in bed:

Low back pain is aggravated when you are in bed, but it is relieved after getting up.

Diagnosis

Differential diagnosis

Low back pain in bed to aggravate the symptoms of confusion:

(1) Low back pain when bending over, picking heavy weights, lifting heavy objects: When bending hard, lifting heavy objects or lifting heavy objects, sudden low back pain occurs, and the muscles on both sides of the lumbar vertebrae are cramped and tender, suggesting that it may be an acute lumbar sprain or waist. Muscle strain.

(2) low back pain to the lower extremity: low back pain such as "breaking" pain, and radiate to the back of the thigh, armpit, calf outside, acupuncture or electric shock-like feeling, lower limbs feel numb after low back pain. After the patient lie down, the symptoms are relieved. Standing, walking, and even coughing and sneezing. When the bowel movement is forced, the back pain is aggravated, suggesting that it may be lumbar disc herniation. Low back pain, especially in the 4th to 5th lumbar vertebrae, and radiate to one side of the lower extremity, and even have obvious numbness. When lying down, the lower limbs of the affected side cannot lift straight legs, suggesting that it may be root sciatica.

(3) One side of the waist and abdomen suddenly "knife cut"-like colic: a side of the waist and abdomen suddenly "knife cut" like colic, radiating along the ureter to the lower abdomen, perineum and inner thigh, can last for a few minutes 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.

(4) low back pain with frequent urination, urgency, dysuria: low back pain accompanied by frequent urination, urinary urgency, dysuria, suggesting that it may be a urinary tract infection.

(5) low back pain with kidney area sputum pain: low back pain, when slamming the waist when the pain is particularly dramatic, should consider pyelonephritis, kidney tuberculosis, peri-renal abscess and other kidney diseases.

(6) increased back pain in bed: low back pain in bed, aggravated, but reduced after getting up, should consider lumbar fibrosis.

(7) low back pain with increased vaginal discharge: many women with back pain, vaginal discharge more often, caused by inflammation of the reproductive system. Such as cervicitis, pelvic inflammatory disease, annex inflammation and so on.

(8) Low back pain after excessive labor and childbirth: excessive sexual intercourse, excessive childbearing of children or excessive abortion, waist pain, other examinations are normal, this is the Chinese medicine said kidney deficiency, waist Caused by dying. In summary, through the above discussion, we know that the causes of low back pain are various. In clinical practice, doctors must pass laboratory tests in addition to understanding symptoms and physical examinations to make a diagnosis. Therefore, when there is low back pain, you should go to the hospital for examination, symptomatic treatment, and do not abuse the supplement.