I. Definition of lower lumbar region
1.Lower lumbar region refers to the anatomical segment centered on the lumbosacral joint. In a narrow sense, it refers to the area from L4 to sacrum.
2.Since this area contains the cauda equina and the spinal nerve roots that constitute the sciatic nerve, its symptom range involves not only the lumbar region but also the buttocks and lower limbs.
3.There are 33 spinal plates, including 7 cervical, 12 thoracic, 5 lumbar, 5 sacral and 4 caudal vertebrae. Only 26 sections are involved in activities, and the human body is 26 vertebrae interlocked, forming a chain-like structure that moves freely and has a strong friendly support force.
Second, lower back pain is usually divided into six categories, clear classification is very beneficial to treatment.
1.Lower back pain caused by congenital malformation.
a. Short back deformity.
b. Spina bifida.
c. Vertebral malformation.
d. Congenital. Developmental spinal stenosis .
2. degenerative lower back pain disorders.
a. Lumbar hypertrophic (hyperplastic) spondylitis.
b. Lumbar disc protrusion (prolapse) disease.
c. Secondary lumbar spinal stenosis.
d. Lumbar spondylolisthesis.
3.Injury back pain.
a. Lumbar muscle sprain.
b. Lumbar muscle strain.
c. Lumbar fracture and dislocation.
d. Lumbar ligament injury.
4.Inflammatory low back pain disorders
a. Ankylosing spondylitis.
b. septic spondylitis.
c. Inflammation of the sacroiliac joint.
d. Lumbar spine tuberculosis.
5. Tumor back pain.
a. Benign tumors of the lumbar spine.
b. Tumors with malignant tendency.
c. Malignant tumor of the lumbar spine.
d. Metastatic tumor of lumbosacral region.
6. Other causes of lower back pain.
a. Osteoporosis.
b. Cervicolumbar syndrome.
c. Sciatic nerve pelvic outlet stenosis.
d. Fluorosis.
Treatment of lower back pain
1. Non-surgical treatment of lower back pain.
2. Surgical treatment of lower lumbar spine and lumbosacral region.
3. Rehabilitation and prevention of lower back pain.
a. Psychotherapy: eliminate pessimism. Eliminate impatience, suggestive effect, and correct guidance should be given to those whose treatment is ineffective.
b. Personal self-care and housework training: training of muscle strength. The use of simple support devices.
c. Physical therapy. Walking training and vocational training.
d. Prevention: extensive scientific education. Correction of poor spinal position (sleep position. Work position). Avoid trauma to the low back, etc.