It is common for patients in the clinic to describe their sudden onset of unbearable back pain and inability to move when bending over to wash their faces, carry things, or lift heavy objects. What is this acute low back pain? The more common clinical conditions are acute lumbar sprain, lumbar small joint disorder, acute intervertebral disc herniation, and lumbar compression fracture.
I. Acute lumbar sprain
Acute lumbar sprain is commonly known as flashback, which often occurs when lifting heavy objects, incorrect posture, uncoordinated movements, strong contraction of the lumbar muscles, and excessive range of activities. It is an acute laceration of the lumbar muscles, fascia, ligaments and other soft tissues caused by sudden overstretching. Patients exhibit lumbar stiffness, bending and rotation in a difficult situation, severe pain with a wide range of motion, muscle spasm, coughing or sneezing will increase the pain, difficulty walking, and in severe cases, family support is required. x-ray examination shows that the bone is intact, and the spine is straight or has a protective scoliosis.
Treatment.
1, first of all, rest, lie on your back on a hard bed, avoid sedentary, low sitting, bending, lifting and other activities.
2, do not immediately after the injury massage, hot compress and other treatments, 24 hours later, the affected area can be hot compress, light manual massage.
3, the conditions can be local microwave, ultra-laser and other physical therapy to eliminate acute inflammatory exudation.
4.Topical ointment can also be used locally, such as Qizheng pain relief patch, flurbiprofen babu cream, etc.
5.People with severe pain can take oral non-steroidal anti-inflammatory drugs, such as ibuprofen, Furtalin, Ciloxel, Ankangxin, etc.. Usually not more than 3 days of continuous use.
6.Functional exercise of the lumbar back muscles should be performed after the pain is relieved.
Second, small joint disorder of lumbar spine
When the lumbar suddenly flash twist, bending forward and rotational movement will cause another kind of lumbar injury, the injury immediately after the occurrence of unusual and severe lumbar pain, the patient often flexed side, waist can not straight, dare not move, but fear that others touch. Clinical often misdiagnosed as acute lumbar muscle sprain, in fact, this is another kind of lumbar sprain, the exact diagnosis of the disease should be lumbar joint synovial imbrication, or called lumbar posterior joint disorder, commonly known as your small joint disorder.
It is because the lumbosacral region has a large range of motion, and the small joints of the lumbosacral region are also more relaxed, which can cause synovial imbrication or subluxation of the small joints when the lumbar spine is twisted and rotated, that is, the synovial membrane is stuck inside the joints, or the small joints are misaligned. Synovial membrane and joint capsule are rich in sensory and motor nerve fibers
The synovial membrane and joint capsule are rich in sensory and motor nerve fibers, thus causing severe pain and reflex muscle spasm. If the disorder is not released in time, it can lead to chronic severe back pain and arthritis.
Treatment.
Manual rehabilitation is an effective treatment for this disease. If the diagnosis is clear, the implementation of manipulation can get immediate results. The commonly used method is the lateral recumbent lumbar method or seated lumbar lifting and pushing method, which can release the embedded and strangulated lock. After the symptoms are relieved, bed rest, local physiotherapy, internal and external use of Chinese medicine should be used to consolidate the effect; after recovery, the lumbar back muscle exercise should be strengthened, pay attention to the protection of the lumbar region, the correct use of lumbar strength to prevent recurrence.
Third, acute lumbar intervertebral disc herniation
Acute lumbar intervertebral disc herniation is mostly seen in young people, bending too hard when carrying heavy objects, the pressure on the waist is also greater, resulting in the lumbar intervertebral disc being severely squeezed and protruding, which in turn compresses the nerve and causes symptoms of lumbar and leg pain, or inflammatory exudation and edema at the protruding site compressing or stimulating the nerve causing symptoms of lumbar and leg pain. The symptoms are mainly low back pain, radiating pain and numbness in the lower limbs, inability to straighten the back, or even abnormal urination and defecation. In this case, immediate hospitalization is recommended.
Treatment methods include
1.Bed rest
2.Medication
3.Traction therapy
4.Physical therapy
5.Tui na treatment
6.Acupuncture treatment
7.Closure therapy
8.Small needle knife therapy
Compression fracture of lumbar spine
Lumbar compression fractures are mostly seen in the elderly, due to their own osteoporosis, coupled with external forces on the lumbar area leading to fractures, and serious osteoporosis can cause fractures in the case of accidental slip or gravity cough. Immediate hospitalization is recommended for this condition.
The treatment methods are.
1.Conservative treatment (bed rest, functional exercise)
2.Surgical treatment (general surgery, minimally invasive surgery)