Myofasciitis of the low back Myofasciitis of the low back is a series of clinical symptoms caused by edema, exudation and fibrous changes in the myofascia and muscle tissue of the low back due to cold, dampness and chronic strain. Pathogenesis Humid and cold climates are one of the most common causes. Humidity and cold can cause vasoconstriction of the muscles of the low back, ischemia, edema causing local fibrous plasma exudation and eventually fibrofibrillitis. Chronic strain injury is another important pathogenic factor. The muscles of the low back and fascia are damaged and fibrotic changes occur, leaving the soft tissue in a high tension state. This results in tiny tearing injuries, and finally an increase in fibrous-like tissue and contraction, squeezing the local capillaries and peripheral nerves to cause pain. Other causes such as sitting in one position frequently, lack of appropriate activities, sitting in front of a computer and viral infections, muscle metamorphosis of rheumatism, etc. are all triggers. Chinese medicine considers fasciitis to be a chronic injury to the tendons, mainly due to localized meridian blockage and poor blood flow, as stated in “Ling Shu. The “Organ” says: “Blood and the meridians are popular, the camp restores yin and yang, the tendons and bones are strong, and the joints are clear.” Su Wen. Five Tibetan generation of the chapter cloud: “foot by blood and can walk, palm by blood and can hold, finger by blood and can take.” Therefore, in the treatment, the main focus is to relax the tendons and activate the blood, remove blood stasis and relieve pain. As a famous prescription for external treatment of orthopedics, Fasciitis cream can be applied to the affected area without the pain of surgery, which can reach the lesioned tissue of muscle and fascia, promote blood flow and repair the fascia tissue. Clinical symptoms The main manifestation is diffuse dull pain in the low back, especially more pronounced in the lumbar muscles on both sides and above the iliac crest. Local pain, chilliness, skin numbness, muscle spasm and movement disorders. The pain is characterized by morning pain, light in the daytime, and heavy in the evening, and can be triggered by prolonged inactivity or excessive activity. On examination, there are obvious limited pressure points on the affected area, and touching this point can cause pain and radiation. Sometimes a nodule can be palpated in the myofascial membrane, which is called a fascial fat hernia. Diagnosis 1. The main manifestation is diffuse dull pain in the low back, especially more obvious over the lumbar muscles and iliac crest on both sides. There is pain, chilliness, skin numbness, muscle spasm and movement disorder in the lumbar region. 2. Pain in the morning, light in the daytime and heavy in the evening, can be triggered by long time inactivity or excessive activity, with a long duration, and attacks due to exertion and climatic changes. 3.There are obvious limited pressure points on the affected area during physical examination, and touching this point can cause pain and radiation. 4.The pain disappears after injection with procaine pain point. 5.X-ray examination is not abnormal. Laboratory examination of anti-“O” or blood sedimentation is normal or slightly high. 6.Magnetic resonance MR examination, long T1-long T2 signal is seen in the subcutaneous of the low back, with clear border and fluid signal of exudation. Treatment 1, general treatment: remove the cause, pay attention to warmth, local hot compress, and prevent from getting cold. Pay attention to rest during the acute period. 2.Medication: anti-inflammatory and analgesic drugs (the use of corticosteroids should be strictly controlled) vitamins and traditional Chinese medicine, etc. 3.Closure therapy, acupuncture therapy, physiotherapy, massage therapy. 4.Avoid causative factors, prevention-oriented. Treatment is complete to prevent recurrence. 5, acupuncture treatment: clear muscle nodules and peripheral nerve compression signs, is the best indication for the implementation of small needle knife therapy. After local release by small needle knife, the effect is obvious. No medication, no hormonal drugs. 6, Chinese medicine treatment: Chinese medicine is best to choose external creams, so that the muscle and fascial tissue completely closed, from the outside to eradicate the disease. For fasciitis caused by a variety of acute and chronic symptoms is effective, through the drug penetration epidermis, can be conducted to the meridians, tendons and bones, stimulate the regulatory function of the muscle, quickly eliminate pain, promote blood flow, to achieve the recovery of the fascia, and ultimately achieve the purpose of curing fasciitis. When living with protection and prevention, treatment should be chosen for complete eradication to prevent recurrence. Effective treatment methods combined with physical therapy and massage can enable patients to quickly return to normal life. Daily attention should be paid to warmth, local hot compresses, to prevent cold. Pay attention to rest during the acute period.