What are the causes of back pain? Can it be cured? How can the pain be relieved? How can I prevent or take care of it in normal times? The lumbar spine is made up of the spinal bones, intervertebral discs, synovial joints and the surrounding muscles and ligaments. Any one of these structures can be the cause of pain. The most common is muscle strain, which manifests itself as a relatively superficial soreness in the lower back, which is more extensive and feels uncomfortable throughout the spine, and which would feel comfortable if someone helped to massage it. The pain caused by joint strain is often located on both sides of the midline of the lumbar spine, and sometimes radiates to the lateral hip or thigh. There is another kind of acute lumbar pain that is also caused by joint strain, which is manifested by a slight movement, such as spreading a quilt or sneezing, when you just get up, and then sudden and severe lumbar pain occurs, and the lumbar spine cannot be straightened or bent at once. We call this condition lumbar small joint disorder or lumbar small joint synovial impaction. The lumbar pain caused by the lumbar disc is a relatively deep dull pain, the positioning is not particularly accurate, often feel the lower back can not support the body, especially can not sit for a long time, when lying in bed can feel better. So how do we treat it? Most people turn to their doctor for some kind of treatment, such as massage, traction or medication. They believe that low back pain is a “disease” and therefore needs to be treated by a doctor to get better. In fact, this is not the case, most lumbar pain is not a “disease”, causing lumbar strain is part of the body’s physiological aging process, is age-related, the human lumbar spine reaches its peak at the age of 25, and then gradually began to degenerate. Then there is the usual life and work habits related to the third is the lack of exercise. Recognizing the problem of aging helps you eliminate anxiety. After all, most people don’t panic because their skin is wrinkled, and it’s like a bicycle that has been ridden for 20-30 years. Recognizing that most back pain is caused by bad habits in your daily life helps to eliminate the root cause of back pain. For example, people who are heavy lose weight, 20 pounds less meat on the body, how much burden can be reduced lumbar spine ah. People who sit and work for a long time, first of all, to maintain the correct sitting posture, sitting straight or lightly lean back in the chair back on the lumbar spine force is minimal. Then it is every hour of work to get up and move around, helping to relieve muscle and joint fatigue. Usually to move heavy things from the ground must not bend to move, but first squat down, hold things after standing up, so as to avoid the force and sprain of the waist. Third, to adhere to the waist exercise. For example, stretching exercises help to stretch and stretch the muscles around the spine, helping to relieve muscle fatigue. The discs and synovial joints of our lumbar spine age with age, and there is really nothing we can do about it, but we can compensate for their support by strengthening the muscles. Muscle exercises, such as the little swallow fly, five-point support, lying on your back in bed, with elbows and heels to support the bed, the hips will be lifted, also adhere to 5 seconds, 3-5 groups per day, 20 times per group. The same goes for sit-ups. Swimming and yoga are also good ways to increase your low back muscles. Although aging or damage to the lumbar spine is a natural process, the human body is not a machine after all, it has some ability to repair itself. It takes time to repair, with acute lumbar pain relief taking 2-3 weeks, or 2-3 months in long cases. Many patients feel that the sky is falling after 3-5 days of pain, which is totally unnecessary. In addition, the cure or relief of low back pain requires the patient’s own efforts, and it is true that in acute or severe cases, we can use drugs or physical therapy or massage. But the long-term maintenance is needed for ourselves. For example, if a child is in poor health and prone to illness, do parents continue to wrap them in thick clothes and give them ginseng chicken soup every day? Or should they keep running and swimming every day to improve their health? This is also the case with our back pain patients. A few easily confused concepts. 1, low back pain is not a hint of a herniated lumbar disc. The typical manifestation of lumbar disc herniation is sciatica, that is, pain radiating from the hip along the outer thigh all the way to the calf or foot, so that the symptoms can suggest lumbar disc herniation. 2. Bone spurs are not the cause of pain. Many patients are very nervous when they see their X-rays with bone spurs, or osteophytes, saying that I have grown bone spurs. What medicine can I take to eliminate the bone spur? I’ll tell you, bone spurs, like the wrinkles on our faces, are a sign of aging of our bones and joints. Their actual role is to compensate for the instability of our spine, they are not the source of pain, and therefore do not need to be treated for them. 3, lumbar intervertebral bulge and lumbar disc herniation and lumbar disc herniation are not the same. The first two terms are an imaging description, which describes a state of the intervertebral disc, which may be present in normal people who go for an MRI. As long as these herniated or bulging discs do not compress the nerves and do not cause sciatica as described above, they are not a disease and do not require treatment. Most back pain is caused by strain, but don’t overlook some potentially serious problems. 1. There is no trauma. Serious trauma is certainly not ignored. However, in people with osteoporosis, some minor trauma can also cause fractures of the vertebrae. For example, older women are prone to osteoporosis, and sometimes fractures can occur simply because they carry a jug of water, or the sofa is relatively short, and they sit heavily when they do go down. 2. There are no signs of nerve damage. If the back pain radiates to the lower extremities, especially the calves and feet, it suggests nerve compression. If there is pain around the perineum and anus, you need to go to the hospital immediately for examination and treatment. 3. There is no manifestation of tumor or infectious disease. In elderly or particularly young patients, the occurrence of tumors should be excluded. Be especially alert if there is progressive aggravation of low back pain, especially if there is night pain and pain that cannot be relieved by lying in bed. Patients who have had tumors before should be alert to the occurrence of metastatic cancer of the spine. If accompanied by systemic symptoms such as fever, chills and weight loss, be alert to the presence of tumors or infectious diseases. If these danger signs above appear, patients are expected to go to regular hospitals for examination immediately.