Low back pain

Low back pain refers to a symptom of pain on one or both sides of the waist and the spine. It occurs in both men and women, mostly in women. According to statistics, patients with low back pain account for about 10% of the visits to gynecological outpatient clinics. The common causes are mainly as follows:

1. Lumbar muscle strain. Women who have been engaged in standing operations for a long time, such as textiles, printing and dyeing, haircuts, sales, etc., have weakened the ability to stretch the lumbar tendons and ligaments due to continuous standing. Excessive lactic acid can accumulate locally, inhibiting the normal metabolism of the lumbar muscles, and can also lead to low back pain caused by lumbar muscle strain. Frequent carrying of heavy objects and excessive burden on the waist can easily lead to scoliosis, causing lumbar muscle strain and low back pain.

2. Urinary system infection. Because the female urethra is short and straight, and the external urethral opening is close to the anus, E. coli is often parasitic. In addition, due to female physiological characteristics, there are more opportunities for urethral orifice contamination. If ignored Poor hygiene may lead to urinary tract infections. Low back pain is mostly caused by acute or chronic pyelonephritis, manifesting as waist distension and pain, which in severe cases radiates along the ureter to the perineum. In addition to urinary tract infections, diseases such as urinary tract stones and tuberculosis can also cause low back pain.

3. Reproductive organ diseases Female reproductive organs undergo about four hundred menstrual cycles in a lifetime, and are also responsible for tasks such as pregnancy and childbirth; some women also undergo abortions, birth control surgeries, etc. Therefore, the incidence of reproductive organ inflammation is higher, such as salpingitis, pelvic inflammatory disease, etc. These inflammations are easily complicated by low back pain, and the uterus is retroverted and retroflexed, which is also one of the causes of low back pain in women. Serious reproductive organ diseases such as uterine fibroids, cervical cancer, and ovarian cysts can all cause compressive referred low back pain.

4. Cold and Trauma Women suffering from rheumatism and rheumatoid arthritis are often exposed to wind, dampness and cold during menstruation, childbirth and postpartum, which can lead to long bone spurs on the spine and induce low back pain. If the waist has been sprained, it may develop into intervertebral disc herniation, severe low back pain, and even affect the flexion, extension and rotation of the spine.

5. Exertion during pregnancy and puerperium During pregnancy, as the fetus gradually grows, the ligaments of the lumbosacral and pelvic joints of the pregnant woman relax. At the same time, the weight of the uterus also increases with the increase of gestational age, causing the body's center of gravity to move forward. shift. In order to maintain body balance, the waist should be lifted forward. If you do not pay attention to rest, it will easily cause low back pain. During pregnancy, fetal development requires sufficient calcium, phosphorus and other nutrients. If the dietary intake is insufficient, it can cause bone softening and decalcification in pregnant women, and can also cause low back pain. Excessive bleeding during the puerperium, premature labor, overexertion, cold, etc. can also cause low back pain.

6. Lumbar spinal lesions are more common in older women. As age increases, symptoms of lumbar nerve compression will also increase. Pseudospondylolisthesis caused by degenerative disease is a common disease, which can easily cause lumbar spinal stenosis, compress the spinal cord and nerve roots, lead to low back pain and radiating pain in the lower limbs, and is often caused by vertebral body collapse caused by osteoporosis. sexual fracture. Osteophyte formation in the elderly can cause spinal stiffness and can also lead to persistent low back pain.

In addition, menopausal women may also suffer from low back pain due to autonomic nerve dysfunction, which is characterized by rising in the morning and relieving after activities. There are also factors such as irregular menstruation, dysmenorrhea or emotional crisis, which are also prone to low back pain

Don’t think that low back pain is just “strain”

There are many causes of low back pain, and there are about several Ten types, the more common ones include lumbar bone hyperplasia, bone spurs, disc herniation, lumbar hypertrophy, spinal stenosis, lumbar fractures, spinal canal tumors, acute and chronic lumbar trauma or strain, lumbar muscle strain, ankylosing spondylitis, etc. In the traditional concept, chronic low back pain after general examination to rule out disease factors is often regarded as "lumbar muscle strain". In fact, 40% of people with low back pain suffer from chronic osteofascial compartment syndrome, but they suffer from chronic osteofascial compartment syndrome due to lack of symptomatic treatment. I have been suffering from low back pain for a long time. Many patients have had low back pain for a long time, and some have even had pain for 50 years without knowing what the disease is. The trend of low back pain among younger people is also obvious, with some people suffering from this disease at the age of 18.

The lower back is the part of the human body that exerts the most force. It provides support to the human body and protects the spine. For people who sit for a long time in the office and lack exercise, or who need to stand for a long time because of their work, it can maintain a stable posture for a long time. Positioning or posture for too long can easily cause pain in the lower back and lead to chronic osteofascial compartment syndrome in the lumbosacral region, which may also occur after repeated injuries. Many patients with chronic low back pain are related to chronic osteofascial compartment syndrome. The reason may be that the increase in pressure within the osteofascial compartment leads to the disappearance of the subfascial space in the back and back, decreased muscle blood flow, and degeneration of loose fat tissue. Due to this damage, patients will suffer from back pain no matter whether they walk a lot, sit a lot or lie down a lot, that is, maintaining one posture for a long time can easily cause back pain. This is an important clinical feature of chronic osteofascial compartment syndrome.

Related Links Massage Techniques for Chronic Low Back Pain

Kneading: Take a sitting position, put your hands and five fingers together, place them on the left and right lumbar vertebrae respectively, with your palms facing inward, rub slowly up and down until it becomes hot.

Rolling: Make fists with both hands, place your waist, roll and massage around, from bottom to top, top to bottom, repeat for many times. The head can be tilted forward and backward.

Pushing: After rubbing your hands together to generate heat, place them overlapping in the middle of the lumbar spine, and push and rub from top to bottom 30-50 times until a local heating sensation occurs.

Compression: Put your hands on your hips, press your thumbs on the waist and eyes, squeeze hard, and rotate and massage, first clockwise, then counterclockwise, 36 times each.

Pinch: Sit with your feet stretched forward, or bend your knees, or sit upright. Knead, lift and release the waist muscles with both hands 15-20 times.

Knocking: Make fists with both hands, with the palms of the two fists facing outwards, and tap the waist lightly to avoid causing pain. Do this on the left and right sides at the same time, 30 times each.

Grasping: Put your hands on your hips, with your thumb in front, press on the waist side without moving, use the other four fingers from both sides of the lumbar spine to scratch the skin outwards, from the waist eye to the tail, with both hands at the same time Carry out, catch each 36 times.

Shaking: Put both hands on the waist, press the waist and eyes with the heels of the palms, and shake the palms up and down quickly 15-20 times inward.

Press: Take a sitting position and massage the Renzhong point with the tip of the middle finger of your left hand or right hand for 1-2 minutes.

Point: Take a sitting position, use the tips of your middle finger to tap the Weizhong point on both legs (behind the knee joint), and press for 1-2 minutes until soreness, numbness, and swelling appear in the area being pressed. Feel.

Tips of Rehabilitation Medicine: Problems can be diagnosed by "walking"

Gait is the behavioral characteristic of a person's body displacement through alternating movements of his feet. Gait analysis is based on walking Regular research reveals the causes and patterns of gait abnormalities, and evaluates the degree of injury and recovery status. Rehabilitation doctors can already use special machines to allow patients to "walk" while seeing doctors! Through gait analysis, doctors can provide an objective diagnosis basis for whether the patient is healthy, sub-healthy, or suffering from bone, muscle, nervous system diseases such as orthopedics, neurology, surgery, etc. It can also help formulate surgical plans and evaluate post-operative effects. Provide objective and true basis for evaluation and evaluation of rehabilitation treatment effects.

Four new concepts in orthopedic rehabilitation medicine

* Not only should we rehabilitate patients in the late recovery or sequelae stage, but we should also start rehabilitation treatment from the early clinical stage and strengthen clinical rehabilitation awareness. .

Team" provides patients with the best rehabilitation treatment.

* Not only should we give full play to the role of non-surgical rehabilitation therapy in functional rehabilitation, we should also fully understand the value and role of necessary orthopedic surgery on functional rehabilitation, and promptly introduce patients who should undergo rehabilitation surgery to the orthopedics department. Surgical treatment to correct deformity and improve function.

For a long time, people have believed that for those who always complain about back pain, it is best to sleep on a hard bed. In order to verify whether this traditional statement has scientific truth, Spanish scientists recently conducted a related experiment. Experimental results show that for patients with back pain, the type of mattress that can best relieve their back pain is medium hardness, not the hard board level that people often say.

Researchers explained that because hard mattresses can provide better support for the entire body, doctors generally recommend that people with back pain use hard mattresses. However, experiments have shown that to reduce back pain itself, the selected mattress should be of moderate hardness and not too hard. Researchers say the waist is one of the most trouble-prone parts of the human body. Most people will suffer from back pain at some stage in their lives, either due to injury, careless use of the waist, or accidents. At the same time, few people know that the amount of money people spend on treating back pain is staggering.