In the clinic, we often meet some elderly people who say: “I sprained my waist a few days ago when I bent over or turned around to get something, and I applied ointment and wine at home, but the effect is not good. Are these elderly people really suffering from lumbar sprain? Before answering this question, let’s understand what is lumbar sprain. In the eyes of the general public, the so-called lumbar sprain mainly refers to the lumbar tendons sprained, without injury to the bone, people will understand the lumbar sprain as equivalent to the sprain of the limb joints, that is, the sprain of the muscles and/or ligaments of the lumbar region. The tendons of the lumbar region include muscles, ligaments, intervertebral discs and joint capsules between small joints in anatomy. Therefore, a single bend, turn, or heavy object can sprain these structures. In practice, however, the incidence of lumbar sprains in which only the muscles and/or ligaments of the lower back are sprained is not high, but rather the incidence of disc injuries and misalignments between the small joints of the lumbar spine is higher. The recovery of disc injury is slower than muscle and ligament injury, and it is easy to leave chronic back pain or further development of lumbar disc herniation; small joint misalignment, if handled properly, can quickly stop pain and restore mobility under the effective reset of the specialist, and even have the immediate effect of “lying in, walking out”, which is not This is not how brilliant the doctor’s medical skills, but the different parts of your sprain caused by the different treatment effect. After understanding what is lumbar sprain, we return to the original question: elderly people can lumbar sprain? In recent years, with the development of society and the continuous progress of health care, human life expectancy has been increasing, generally speaking, 60 years of age or older can be called old age, while 75 years of age or older can be called senior citizens. Since humans are upright walking animals, degeneration of the spine is almost inevitable. Under the age of 60, most people still have some flexibility in the spine and osteoporosis is not serious, so an inadvertent movement is likely to cause the various lumbar sprains mentioned above. However, in elderly people over 60 years of age, due to degeneration of the spine leading to osteophytes and osteoporosis and other problems, the flexibility of the spine decreases, the brittleness of the bone increases, and the same inadvertent action often damages small joints or leads to compression fractures of the spine. In elderly women, more severe osteoporosis is present, so it is more common to see compression fractures of the spine rather than lumbar sprains. These patients do not necessarily have an obvious history of trauma, but may simply carry a pot of flowers, carry half a bucket of water or bend over to pick up something, or even take a bus, which may cause a compression fracture of the spine. The site of the fracture is mostly in the thoracolumbar segment (i.e., from the 10th vertebra to the 2nd vertebra), but it is mostly manifested as lower back pain or pain in the lumbar iliac region, and the pain is obvious when moving, such as getting up or sitting up, and relieved when lying down. We know that the treatment of vertebral compression fracture is different from the treatment of ordinary lumbar sprain, the fracture cannot be massaged, acupuncture and physiotherapy are not effective, and the most important thing is absolute bed rest (4-6 weeks) and anti-osteoporosis treatment, otherwise the fracture will not heal for a long time and the lumbar back pain will not be relieved. In addition, we should also mention a kind of “lumbar sprain”, mostly seen in male patients in their 50s to 70s, the patient also has a history of lumbar sprain or heavy objects, and then lead to obvious lumbar pain and limited activities, but the X-ray can not see obvious fractures, these patients usually have chronic lumbar pain, small joints have degeneration, lumbar pain is due to external force These patients usually have chronic low back pain and degenerated small joints. These patients are actually not what we call lumbar sprains, and treatment requires bed rest, but bed rest for 2-3 days is sufficient, massage and reset treatment is not recommended. As long as these patients are treated properly, they can be cured in a short time.