The most common cause of this disease is complex, often due to sprain and contusion of the low back, single labor posture, persistent weight bearing, cold or certain congenital deformities, which can cause strain, edema and spasm of sacrospinous, latissimus dorsi, rhomboid and other muscles and fascia, if not relieved and persistent, then fibrous degeneration and persistent low back pain, this disease often coexists with muscle sprain.
Diagnostic points
1.History of cold, moisture or overexertion.
2. Soreness, heaviness and pain in the low back.
3.The strained muscles may be splayed or have cord-like spasms. When examined, forward flexion is still possible, but posterior extension increases soreness and pain.
4. Local pressure points are significant, and hard nodules of 1.5-2.0 cm can often be felt, and sometimes the pressure pain can radiate to the back of the leg.
Differential diagnosis
The disease should be differentiated from supraspinous ligament injury, gluteal epicondylar nerve pressure sign, and lumbar 3 transverse process syndrome. Supraspinous ligament injury has a history of trauma or recurrent episodes of low back pain, especially during weight bearing or sudden lifting of the back, and the pain is sometimes very intense. Patients often feel pain and weakness in the lower back when bending over, and some patients describe a rupture-like sensation in the lower back when bending over, while lumbar dorsal myofasciitis is sore and painful when posterior extension is increased. The main clinical manifestation of epiglottis nerve pressure syndrome is pain in the lumbar and hip areas, especially in the buttocks, and most patients can detect fixed pressure points. In the case of lumbar 3 transverse process syndrome, a distinct pressure pain can be palpated at the tip of the transverse process of the third lumbar vertebra, and fixed localization is its characteristic feature.
Diagnostic tips
The disease should be considered whenever there is soreness, heaviness, pain in the low back, aggravated by cold, moisture or exertion.
Treatment methods
I. Non-surgical treatment
1.Dry and wet heat compresses, heat preservation therapy.
2.Physiotherapy: infrared, ultra-short wave, hot vinegar bath, etc.
3.Acupuncture: Kidney Yu, Guizhong, Kunlun, Lumbar Yangguan, Aye and other points.
4.Closure therapy.
Second, surgery therapy
Surgery consists of removing the diseased tissues and separating the tissues adhered by the lesions. The scope of surgery may be wide, but it is superficial. Lumbar tissue release is often performed.
Manual therapy
The stretching and smoothing technique is often used to relax the muscles, and after the symptoms improve, the rolling and pressing technique can be used.
Treatment Tips
There are many ways to treat lumbar back fasciitis. Physical therapy can relieve symptoms to varying degrees or temporarily eliminate them, but is often prone to recurrence. Surgery should only be performed in cases of severe disease, severe pain, and incapacity. Local painful spot closure with external Chinese medicine and internal Chinese medicine can also receive good results.