Low back pain, seems to be a commonplace “problem”, with the recent Lingnan area “back to the south of the day”, rainy, low back pain patients also more up. The survey shows that 80% of people have a history of low back pain, of which about 4% lasted more than 3 months, becoming chronic low back pain disease, seriously affecting people’s lives and work.
Low back pain is a symptom, not an independent disease, and the causes of low back pain are complex, so do not take it lightly when there is persistent and unexplained low back pain. Pay attention to your back pain, start with yourself, and get timely diagnosis and treatment.
How much do you know about “low back pain disease”?
Although humans have been walking upright for 3 to 5 million years, the mechanical structure of the lower back is still not well adapted to the functional needs of uprightness, especially in the lower back, which often becomes the basis for the onset of acute or chronic low back pain.
Regardless of age, gender and industry, low back pain has been the new scourge of mankind. In the past, most patients with low back pain were manual laborers, but now it has become a common problem for the general public, even for urban white-collar workers. According to the survey, low back pain is the main cause of labor force loss among people under 45 years old in China. The number of patients who visit the orthopedic department with low back pain as the main complaint exceeds 30% of the daily outpatient visits.
Low back pain disease mainly refers to the disease with low back pain as the main clinical manifestation. The main clinical symptom is pain on one or both sides of the waist. Low back pain can often radiate to the legs and is often accompanied by external or internal injury symptoms. Its pathological changes often show the characteristics of kidney deficiency as the basis, feeling external evil, falling and flashing as the standard.
The main symptom of lumbago is pain in the lumbar or lumbosacral region, with recurrent attacks, which may vary with climate change or degree of exertion, sometimes light and sometimes heavy, and lingering. When acute attacks occur, all kinds of symptoms are significantly aggravated, and there may be muscle spasms, scoliosis and limited functional activities. The nature of pain is mostly dull pain, which may be limited to one area or spread throughout the back. Because of this, low back pain has become a problem for most people.
Low back pain varies from person to person
So what exactly causes our low back pain? Professor Zhou combined his years of clinical experience to solve the mystery. He said that low back pain is a symptom and a symptom in medicine, and there are many diseases that can induce low back pain in itself, but in general, there are no more than the following two categories.
First, inflammatory diseases, including urinary system infection, genital system infection, this type of disease, through active anti-inflammatory treatment can be cured.
Second, physical and mechanical injuries: this type of disease includes our common lumbar muscle strain, acute and chronic lumbar sprain, rheumatism, rheumatoid, kidney deficiency, herniated disc, lumbar spine osteophytes, etc.. These diseases, can cause lumbar muscle ischemia, cold, lumbar muscle ligament fibers overstretch. Or herniated discs or osteophytes trigger nerve compression in the lumbar region, which leads to weakness and pain in the lumbar muscles.
There are many patients with low back pain, but their manifestations and causes are different, so it is necessary for Prof. Zhou to “examine the evidence and seek the cause, dialectical treatment” for different patients and treat them differently.
The common causes of low back pain include disorders of the spinal bones and joints and their surrounding soft tissues, spinal lesions, spinal cord and spinal nerve disorders, internal organ disorders and mental factors, etc. Professor Zhou said that the causes of low back pain are rather complicated, so do not take it lightly when there is persistent and unexplained low back pain.
If low back pain is accompanied by radiating pain in the lower extremities, that is, pain radiating down the thighs to the calves or feet, and some even combined with numbness and weakness in the lower extremities, this situation is mostly caused by herniated discs compressing the nerves, then we should go to the orthopedic department of a professional hospital in time to do the necessary tests to clarify the diagnosis. In addition, if the back pain is accompanied by painful urination or difficulty in urination, it is necessary to consider urinary system diseases, such as pyelonephritis, chronic prostatitis, etc.
Low back pain in women requires extra attention
Due to their special physiological structure, women have their own unique causes of low back pain, Professor Zhou pointed out. Women have physiological characteristics such as menstruation, pregnancy, childbirth and breastfeeding, as well as pathological characteristics such as menstrual disease, hypochondriac disease, pregnancy disease, miscellaneous gynecological diseases and birth control, so lumbago is a common condition.
Most of women’s low back pain is located low, often involving the caudal sacral region, except for the sides of the spine, and the lower abdomen. The pain is not strong, mostly soreness or swelling, and may be accompanied by weakness of the waist and knees. It is often cyclical or related to menstruation or childbirth, and in many cases there are also changes in the leukorrhea. Since female reproductive organs such as the uterus, fallopian tubes and ovaries are located in the lower back, women should pay special attention when they have back pain.
Urinary tract infections, urinary stones, tuberculosis and other diseases in women can also cause back pain. Women who suffer from rheumatism and rheumatoid arthritis due to cold, trauma, wind, dampness and cold during menstruation, childbirth and postpartum can cause low back pain due to long bone spurs in the spine. Older women also suffer from lumbar spine lesions due to old age, causing low back pain. Menopausal women may also suffer from low back pain due to plant nerve dysfunction, which is characterized by morning lifting and reduced after activity. There are also factors such as menstrual disorders, dysmenorrhea or emotional crisis, which can also cause low back pain.
In fact, the degree of low back pain in women varies greatly from person to person, clinically, and the length of time the pain continues varies, so it is necessary to treat it.
The treatment of low back pain depends on persistence
Chinese medicine has always emphasized “prevention before illness, prevention is better than cure”. Professor Zhou said it is extremely important to prevent the occurrence and development of diseases.
To prevent low back pain, first of all, we should avoid sitting, standing and lying for a long time, have a certain sitting, standing and sleeping posture, and combine work and rest. Should also avoid sitting and lying on wet ground in daily life, if wading, rain or body labor sweat should be changed after wiping body, summer heat and humidity steam should be avoided when the night sleep outdoors or greedy cold like water. Do not force to carry heavy objects, do not do violent sports without preparation for the action. This disease is based on kidney deficiency, so excessive intercourse and labor should be avoided. For the care of low back pain, you can do self-massage, move your waist and perform functional exercises under the guidance of a physician.
Most of the lumbago is due to the accumulation of long-term unreasonable posture caused by excessive lumbar spine curvature, resulting in excessive force on the posterior lumbar area and chronic injury. Therefore, the medical profession agrees that posture correction is the key and core of lumbar pain rehabilitation treatment.
From a therapeutic point of view, activating blood circulation, clearing the meridians and resolving stasis, together with the necessary orthopedic chiropractic treatment, are commonly used in the treatment of lumbar pain, and these methods can play a therapeutic role for different types of conditions.
Reasonable treatment is the key to lumbar disc herniation. When you feel abnormal lumbar pain, you should go to a regular hospital for timely treatment. Through professional personnel for orthopedic chiropractic, physiotherapy and other treatment, blood activation, anti-inflammatory and pain relief, correction of lumbar spine deformity, relief of pain and spasm in the soft tissues of the lumbar region and the site of herniated disc, loosening of local tissue adhesions, elimination of numbness and pain in the lower limbs, and muscle atrophy.
Serious patients with lumbar disc herniation and osteophytes can be treated surgically, especially patients with diagnosed lumbar disc herniation who have been ineffective with strict non-surgical treatment or those with cauda equina nerve compression can be considered for nucleus pulposus removal, but surgical indications should be strictly mastered and surgical skills improved.
Finally, Professor Zhou reminded that the key to the treatment of lumbar pain lies in persistence. Many patients with low back pain do not get effective relief, repeatedly delayed and cannot be completely cured because they cannot get the right treatment method and they cannot persist in treatment. In this regard, it is recommended that patients with low back pain pay more attention to some commonly used medical devices in their daily home treatment, such as: low back pain treatment belt, low back pain fixation belt, etc., which are all common methods of multifunctional treatment in China. Low back pain treatment belt is a medical device products, product design structure both magnetic therapy, heat steam, traction and fixed four effects, can better assist treatment.
Stay away from low back pain, prevention is more important than treatment, three points of treatment, seven points of adjustment
In the orthopedic clinic, we often encounter very young patients, some are only teenagers suffering from low back pain, and there are also elderly people who have to go to the doctor because they can’t even stand up from the back pain. They think that back pain is not a disease, so they can put it off; they don’t pay attention to their lifestyle, and often wait until their back pain is too much to bear, and they come to the hospital only when they are in a wheelchair. There are also some patients who like to treat themselves when they have an attack of low back pain by taking a few painkillers or buying creams or salves to apply, not knowing that the abuse of analgesics can only temporarily relieve the pain, and once the drugs are stopped, the pain will recur and even cover up the condition and delay the treatment.
If you can change some habits, be more aware of health care and disease prevention, take a few more minutes to exercise, and pay attention to your back pain strategically and tactically, then it is as important as a doctor’s scalpel. “In the story of the three magpie brothers, King Wen of Wei realized that “prevention is better than cure”. As the saying goes, to cure a disease, three parts are in the doctor and seven parts depend on the patient. Doctors need excellent medical skills and rich clinical experience, but what about patients? If you are not sick, you can prevent the disease before it happens, make a clear diagnosis, cooperate with the treatment, and actively take care of yourself at a later stage, and insist on exercising, will your back pain recur?