Lumbar muscle strain, also known as functional lumbago, chronic lower back injury, lumbar gluteal fasciitis, etc., is actually a chronic injury inflammation of the lumbar muscles and their attachment points fascia or periosteum, is one of the common causes of lumbar pain, the main symptoms are lumbar or lumbosacral distension, soreness, recurrent, pain can change with climate change or the degree of exertion, such as daytime exertion aggravated, after rest can be reduced when light and sometimes heavy, as a common clinical disease. It is a common clinical disease with multiple morbidities and many factors. It is a common clinical condition with many factors, and the accumulation of months can cause degeneration of muscle fibers, and even a small amount of tearing, forming scar, fiber cords or adhesions, leaving long-term chronic low back pain.
Causes of lumbar muscle strain
1.After acute lumbar sprain and long-term repeated lumbar muscle strain.
2, Untimely treatment and improper treatment method.
3, long-term repeated excessive lumbar movement and excessive load, such as long periods of sitting, standing or from the bent position to the upright position holding heavy objects, lifting objects, can make the lumbar muscle in a long-term high tension state, over time can lead to chronic lumbar muscle strain.
4, chronic lumbar muscle strain and climate, environmental conditions also have a certain relationship, the temperature is too low or humidity is too large can promote or aggravate the lumbar muscle strain.
Symptoms of lumbar muscle strain.
1. Soreness or swelling of the lumbar region, partly stabbing or burning pain. Sometimes light and sometimes heavy, aggravated by exertion and reduced by rest; reduced by appropriate activities and frequent changes in position, and aggravated by excessive activities. And may produce deformity.
2.Muscle spasm is often manifested at the sacrospinous muscle, the posterior part of the iliac spine, the stop of the sacrospinous muscle after the sacrum or the transverse process of the lumbar vertebrae.
3, can not adhere to the bending work. Often forced to stretch the waist or hit the waist with fist to relieve pain.
4.Many pressure points in the lumbar region, mostly at the sacrospinous muscle, the posterior part of the iliac spine, the stopping point of the posterior sacrospinous muscle or the transverse process of the lumbar vertebrae.
5.The shape and activities of the lumbar region are mostly abnormal, and there is no obvious lumbar muscle spasm, and a few patients have slightly restricted lumbar activities.
Examination of lumbar muscle strain.
1.X-ray examination.
Mostly no abnormalities, a few may have osteophytes or spinal deformities.
2.Elderly or osteoporotic patients examination.
ECT examination and bone density examination can be chosen. There is a view that osteoporosis can also cause chronic low back pain.
Diagnosis of lumbar muscle strain.
1.According to symptoms, signs and other clinical manifestations.
2, combined with the history of long-term chronic low back pain and physical examination, the diagnosis is not very difficult, and attention should be paid to differentiate from degenerative diseases of the lumbar spine, such as lumbar disc herniation and lumbar spondylolisthesis.
Prevention of lumbar muscle strain.
1, prevent dampness, cold and cold.
Do not sleep in a damp place at will. According to the change of climate, add clothes at any time, after sweating and rain, to replace the wet clothes or dry the body in time.
2.Acute lumbar sprain.
Should be actively treated, rest at ease, to prevent the transformation into chronic.
3, sports or strenuous activities.
To do a good job of preparation activities.
4, correct poor working posture.
Such as bending too long, or ambling too low, etc. After sitting rigidly for an hour to change the posture. At the same time, you can use a cushion with a protrusion at the waist to relieve pressure for the waist, which helps to avoid lumbar muscle strain. When carrying heavy objects, the chest and waist slightly bent forward, hips and knees slightly flexed, step should be stable, the step should not be large.
5, to prevent overwork.
The waist as the center of human movement, overwork, is bound to cause injury and lumbago, so pay attention to the work or labor in the labor and leisure.
6, the use of hard board upholstered bed.
Too soft mattress can not maintain the normal physiological curvature of the spine, so it is best to add a 10 cm thick cushion on a wooden board.
7, pay attention to weight loss.
Control weight, the body is too obese, is bound to bring extra burden to the waist, especially middle-aged people and women after childbirth, for the period of easy to gain weight, moderate diet, strengthen exercise.
Treatment of lumbar muscle strain.
Generally you can use massage, physical therapy, acupuncture. But the efficacy is slow.
Post-acupuncture treatment, can be done by
1, dredging the meridians.
2, loosening the tendons and dispersing paralysis knots.
3, through the channels to disperse cold.
4, balance the body, regulate the left and right yin and Yang.
In order to achieve rapid elimination of lumbar muscle strain lumbago, so that they recover.