Should I see an orthopedic surgeon or a gynecologist for back pain in women?

Back pain is a common problem for many mothers, I’m afraid. In addition to visiting an orthopedic doctor in time and asking the doctor to diagnose whether they are suffering from common orthopedic diseases such as lumbar disc herniation and lumbar strain, they should also consider the possibility of the following diseases: Osteoporosis Osteoporosis is one of the main causes of low back pain in middle-aged and elderly women, especially in post-menopausal women, who are more likely to suffer from osteoporosis unknowingly due to the sharp drop of estrogen in their bodies. Suggestions: These people need to supplement their diet with calcium-rich foods, such as dairy products and dark vegetables, get more sunshine, and actively cooperate with doctors for professional treatment of osteoporosis. Gynecological tumors Uterine fibroids, cervical cancer and ovarian cysts may also cause low back pain. The reason why these diseases cause low back pain is mostly related to the compression of nerves by tumors or the infiltration of cancer cells into the connective tissue in the pelvis. Suggestion: When these patients experience low back pain, it is usually accompanied by widespread pain throughout the abdomen. Therefore, women who often feel low back pain should not forget to have gynecological related examinations. The causes are divided into two categories I. Orthopedic disease causes 1. Lumbar muscle strain For certain characteristics of the work of the population, easy to produce lumbar muscle strain, such as hairdressing, sales, nursing staff, etc.. This is due to continuous standing, so that the lumbar ligament strain, causing pain. Or often carrying heavy loads, which overloads the lumbar region and causes lumbar muscle strain, resulting in back pain. 2, lumbar spine lesions Many women find that lumbar pain increases as they age. This is because the bones of the elderly are prone to osteoporosis, causing collapsed vertebral fractures. Bone fractures in the elderly can lead to persistent low back pain. This condition is common in the elderly. Not only that, the osteoporosis can cause narrowing of the lumbar spinal canal, which in turn can cause pain by compressing the nerves. 3, lumbar disc herniation This disease is a common cause of back pain in young and middle-aged women. Mostly caused by lumbar injuries, long-term chronic strain, manifested as pain in the lower back, radiating pain numbness in the lower limbs, etc. 4, sacroiliac joint strain The sacroiliac joint is composed of the lateral sacrum and bilateral iliac bones, although it is a synovial joint, but the joint surface is staggered in height, and strong ligament fixation, only a small amount of back and forth and rotational activities. Sacroiliac joint sprain is one of the most common causes of low back pain in women. Endocrine influence in women in late pregnancy can make the ligaments relaxed and prone to sprain or early after birth for a long time. Clinical manifestations are persistent local pain, afraid to bear weight, aggravated by activity, turning difficulties. 5, rheumatoid arthritis Many women may be attacked by wind and dampness during childbirth, the postpartum period, and menstruation, which can lead to bone spurs, the location of bone spurs may grow in the spine and other locations, and then because of herniated discs, causing very serious pain. 6.Cold and trauma Women suffering from rheumatism and rheumatoid arthritis are often attacked by wind, dampness and cold during menstruation, childbirth and postpartum, resulting in bone spurs in the spine and inducing lumbago. If the lumbar region has been sprained, it may develop into a prolapsed intervertebral disc, resulting in heavier lumbago and even affecting the flexion, extension and rotation of the spine. 7, blood stasis lumbago Blood stasis lumbago is caused by strain or sprain of the lumbar muscles and the poor operation of qi and blood, which leads to blood stasis lumbago. In this case, organic diseases such as lumbar disc herniation, kidney stones, nephritis, etc. should be excluded first. Back pain caused by organic diseases will last longer, and it is not easy to distinguish it from blood stasis back pain in the early stage, so it should be examined. Second, other causes Like female pelvic inflammation, abnormal position of uterus, kidney deficiency, pelvic tumor, long-term wearing of high heels, strain during pregnancy and puerperium, etc. can cause symptoms of lumbago. There are many reasons for women’s low back pain, low back pain is only a symptom of disease performance, determine what causes it in order to carry out targeted treatment, otherwise blind medical treatment is meaningless. What about women’s low back pain? 1, bed rest, hot compresses, massage, lumbar traction, such methods are for women with low back pain symptoms are relatively light, rest or massage, not long to ease. 2, daily activities should try to bend the knee joint to replace bending, keep the waist straight at all times. Try to use hand force, and leg force, rather than waist force. 3, white-collar women spend most of their time sitting in chairs, so sitting is very important, when sitting back must have the support of the back of the chair, the best chair back can be slightly protruding curvature to support the back. In addition, the height of the knee can be slightly higher than the position of the hip, so you can also reduce the pressure on the spine. 4, the spine to bear all the weight, so the standing posture is very important, and the normal spine has a certain curvature, maintain and maintain a normal curvature can reduce the pressure on the spine, so you can reduce back pain, when we need to stand for a long time can take turns to put a foot on the footstool at a height of about 3 cm, so you can reduce the pressure on the back. 5, avoid standing for a long time in the wind and other cold areas. 6, to avoid doing excessive exercise caused by lumbar injury. 7, usually best not to get wet, sleep at night to avoid the wind, do not sleep in a wet position for a long time. If the weather is relatively wet and cold, then you can use electric blankets and electric mattresses and so on to keep warm. 8, in the sexual life can be found in the case of back pain more love obvious, this time should stop sex. At the same time, after the recovery of health, should also be appropriate to adjust the frequency of sexual life. 9, must pay attention to keep the vulva area clean, to avoid the emergence of urinary tract infection, to relieve women’s low back pain. 10, if there is a girdle, then it may be due to the girdle is too tight resulting in lumbago, this time should stop the girdle, to avoid impaired blood circulation in the lumbar muscle area. 11, women better not excessively eat ice cream and other frozen food, some cold fruits and vegetables should also eat less or not.