Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): April 2011 began to lumbar pain, went to Changping Hospital of Traditional Chinese Medicine to check the film said it is fasciitis, ligamentitis, prescribed oral medication, taking a few months still not good, also physical therapy, but still not good Want to completely cure the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine Tui Na Department of Shang Zhongxin
The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tuina Department, Shang Zhongxin: More than half of the patients can be relieved by rest, hot compresses, massage can dissipate nodules, the closure of painful nodules is also quite effective, but the exercise of lumbar muscles may still be the most important. A small number of patients with stubborn symptoms and prolonged treatment require surgery, which can reveal a fissure in the local fascia and herniation of fat from the fissure, which is the nodule that is clinically retrieved. The fat is adherent to the surrounding tissue including the fascia and adjacent dermal nerve branches, which may be the cause of the pain. Surgery should be performed to remove the nodule, repair the fascia, separate the adhesions and remove the dermal nerve. The results are often good, but because the lesions are often multiple, surgery can only address one symptom, so the indications for surgery should still be strictly controlled. The treatment of chronic patients is based on proper rest, oral and topical anti-inflammatory and analgesic drugs, muscle relaxation and sedative drugs, the use of blood-activating herbs and appropriate muscle relaxation massage. After the symptoms of lumbar back pain are relieved, you should actively strengthen the exercise of lumbar back muscles, adjust the rhythm of work and life, strengthen the health care of the lumbar region, prevent the lumbar region from being stimulated by wind and cold, trauma and strain, etc. You should sleep on a hard bed or a hard Simmons mattress, avoid sleeping on a marching bed or a soft sofa, and do some lumbar exercises properly after getting up. Otherwise, the symptoms of chronic lumbar strain may very easily recur. If you have recurrent episodes of lumbar strain or lumbar myofasciitis, it is easy to accelerate the degeneration of the lumbar spine, and over time, it may easily cause more serious lumbar disc herniation or lumbar spinal stenosis. In clinical practice, lumbar strain, lower back strain, and chronic lumbar myofasciitis actually mean the same thing. Most of the time, different orthopedic surgeons may diagnose the same patient as lumbar strain or lumbar myofasciitis, or even lower back strain, according to their different habits, but the treatment they choose is the same, and the estimation of the condition is also the same. So if such patients get different diagnoses from different doctors, there is absolutely no need to make a fuss about it. Both medication and manipulation are very effective. Chinese medicine believes that this disease is mainly caused by localized meridian blockage and poor flow of qi and blood, but it varies depending on the patient’s physique and the wind, cold and dampness experienced during the illness. Treatment is based on activating blood circulation, relieving swelling and pain, warming the meridians and dispersing cold. Acute lumbar myofasciitis can have a tendency to remit naturally and recurrently, which can be alleviated by bed rest and aggravated by exertion and cold. After bed rest, lumbar braking, anti-inflammatory and pain-relieving drugs and physical therapy, most patients can have their pain relieved quickly, and the symptoms can be reduced significantly in two or three days, and disappear within one to two weeks without leaving sequelae. However, the disease can recur, causing certain pain to the patient and affecting the patient’s study, work and life. As a result of not getting thorough treatment in the acute stage and turning into chronic; or because the patient is subjected to repeated strain, wind and cold and other adverse stimuli, there can be recurrent symptoms of continuous or intermittent chronic low back muscle pain, soreness and weakness. This is also clinically known as chronic lumbar myofasciitis or chronic lower back strain or chronic lumbar muscle strain. The symptoms of chronic phase are not as severe as those of acute phase, but the long-term recurrent lumbar pain can bring significant adverse effects on the patient’s study, work and life, leading to a decrease in the patient’s work efficiency, and in severe cases the patient has difficulty in holding down a normal job. These symptoms can be aggravated after lumbar injury, exertion and cold. Proper rest, a little tenderness of the lumbar muscles by oneself, or doing hot compresses, or even hammering the lumbar area by oneself or bystanders, can make the lumbar area feel very comfortable and the symptoms can be relieved to some extent. There are also many people who complain that they often have vague pain in the lower back, and the pain can start in the morning after waking up, and even have to wake up from sleep in the morning because of the pain in the lower back; the pain can be reduced to a certain extent after getting up and moving around, and after working continuously in one position for a period of time, there will be gradually increasing back pain, and they have to stop working; many people have pain in the lower back after sitting continuously to read, write, or work on the computer. After a period of time reading, writing, working in front of the computer or playing games for too long, driving for too long, or sitting for a long time playing mahjong, choosing vegetables in the kitchen, cooking, washing dishes, or cleaning and other household chores, there will be back pain and weakness, and have to stop and rest for a while. The reason for this is that some people are sleeping in unsuitable beds, and some are suffering from chronic low back pain due to excessive fatigue of the lumbar muscles as a result of continuous stress on the lumbar region for too long.
Lumbar back fasciitis