There are many causes of low back pain, the common ones are lumbar disc herniation, lumbar spinal stenosis, and lumbar strain. However, all causes of low back pain should not be treated as these diseases, otherwise it will easily lead to misdiagnosis and mistreatment.
At present, many irregular private clinics take advantage of patients’ lack of medical knowledge and blindly diagnose and treat them blindly, and some of them use “Chinese medicine techniques” or “ancestral secret recipes” as excuses to sell fake drugs to patients or pretend to be scientific treatment methods, which not only make Many patients with low back pain go into the wrong area of treatment, delaying or even aggravating the disease. Only by systematically understanding the pathogenesis of each disease can we make a timely and accurate diagnosis and take the correct treatment from a rational point of view.
The following is my summary of the common diseases and classifications that can cause low back pain, to remind patients must go to the regular hospital for scientific differential diagnosis and choose the correct treatment method.
I. Common causes of low back pain
1.Intervertebral discogenic low back pain
2.Protrusion of lumbar intervertebral disc
3.Lumbar spinal stenosis
4.Slipped vertebral body
5.Spinal osteophytes
6.Acute lumbar sprain
7.Chronic lumbar muscle strain
8.Supraspinous and interspinous ligament injury: acute or chronic
9, small joint synovial impingement
10.Third lumbar transverse synovial syndrome
11.Vertebral arch isthmus fracture
12, fracture and late complications
13, scoliosis deformity
14.Primary osteoporosis
15.Supraspinatus neuritis
16.Pear-shaped muscle syndrome
17, deformity or congenital disease: lumbosacral spinal invisible cleft; lumbar sacral flower or sacral lumbarization
18, vascular origin of disease: intravertebral arteriovenous malformation; vasculitis, arterial embolism
19, tumor: vertebral body tumor, metastases
20, spinal cord tumors and intradural epidural tumors
21, Infectious diseases: epidural abscesses
22, lumbar spine tuberculosis, sacroiliac joint tuberculosis
23.Ankylosing spondylitis
24.Rheumatic immune pain
25.Nephropathy and ureteral diseases
26.Gynecological related diseases
Histological classification of low back pain diseases
1.Intervertebral discogenic low back pain
2.Arthrosis-derived pain
3.Nerve root lesions
4.Muscular pain
5.Non-muscular soft tissue pain (fascia, joint capsule)
6.Vascular pain
7.Non-neurogenic pain and entrapment pain
C. Histological classification of low back pain diseases
1, trauma-induced low back pain: spinal fracture, vertebral accessory fracture dislocation, supraspinous and interspinous ligament injury, acute small joint synovial impingement, vertebral body slippage, acute lumbar sprain.
2, degeneration caused by low back pain: discogenic low back pain; lumbar disc herniation; lumbar spinal stenosis; primary osteoporosis; arch root isthmus crack.
3, caused by chronic strain (mostly soft tissue diseases): acute lumbar sprain; lumbar muscle strain; third lumbar transverse synovial syndrome; low back fasciitis, gluteal epicutaneous neuritis; pear-shaped muscle syndrome.
4, caused by tumors: tumors: spinal column tumors, intraspinal tumors, metastases.
5, infectious diseases: lumbar spine tuberculosis, epidural abscess, sacroiliac joint tuberculosis, neuritis, myelitis, gynecological inflammatory diseases such as uterine adnexa.
6, other systemic diseases: kidney and ureteral diseases, rheumatism, hysteria and other mental factors.