One is the pain in the muscularis and ligaments of the waist. This kind of low back pain is often confined to the muscles of the original injury site and extends as far as the buttocks or thighs. Most of the reasons are muscle strain, strain caused by chronic fatigue, muscle stiffness and fibrosis. Muscle pain is manifested as pain caused by fatigue, swelling and pain caused by strain and contusion. Pain often occurs during or after rest, such as waking up in the morning or sleeping until midnight. Generally speaking, this kind of low back pain can still stand or walk like a normal person, but it will begin to appear when you are sedentary or overworked.
Another kind of low back pain is caused by the compression of the spine or spinal nerves. This kind of low back pain is mostly caused by the waist pulling the hips, thighs, calves and even toes, which occurs unilaterally and rarely on both sides at the same time. The feeling of pain is mostly pain in the waist, buttocks and thighs, and most of them are pain, weakness or numbness in legs and feet. Pain usually occurs after walking or standing 15 minutes, and the patient must find a place to sit down. There are spinal nerve branches extending on each side, and the size of intervertebral foramen space is fixed. When we stand, due to gravity and erector spinae contraction behind the spine, if the intervertebral foramen becomes smaller due to bone spurs or disc herniation, the intervertebral foramen will be smaller.
Especially in the waist and sacrum, the nerve extending from the lumbosacral joint (between the five lumbar vertebrae and the sacrum) is the easiest to be compressed, accounting for about 70% of the spinal nerve compression. Symptoms other than lumbago and leg pain can cause abnormal sensation of numbness of superficial nerves in the affected calf and dorsum of foot, which makes people feel uncomfortable. When patients' toes are raised, it is difficult for their heels to touch the ground. If the nerve roots of the fourth and fifth vertebrae of the lumbar spine are pinched, the thumb, the second finger of the foot and the front of the tibia will feel abnormal numbness of the epidermis, making it difficult for patients to lift the toes of their heels, accounting for about 25%. Clinically, many patients have spinal nerve compression of the above two joints at the same time. If the nerve between the third and fourth lumbar vertebrae is compressed, there will be muscle atrophy of the thigh or numbness of the epidermal nerve in the front and inner thigh. The above diagnosis can be compared with the healthy side.
Check whether the nerve heel is stuck can be known by the following methods: make the patient lie flat, straighten his legs, and actively lift the affected lower limb to the highest limit. The average person's leg lift angle can reach a right angle of 90 degrees, at least 70 degrees or more. If it hurts when lifting the leg or can't be lifted to the standard height, the nerve root will be pulled when lifting the leg, so the unsuccessful lifting of the leg means that the nerve root is clamped, which is the so-called "straight leg lifting test". On the other hand, the patient is ordered to lie on his side, bend his knees and shrink his legs, and extend his calves on the healthy side. The doctor can touch the sciatic nerve between the affected buttock, buttock and ischium. If the nerve root is compressed, the compressed sciatic nerve will have obvious pain response than the healthy side. The relatively simple method is to let the patient stand up and put his feet on the chair. According to the above positioning method, the sciatic nerve is easy to touch.
The pain of the first kind of lumbar muscle membrane is mostly caused by lumbar scoliosis caused by sudden exercise, excessive exercise, acute lumbar sprain, chronic lumbar muscle strain or poor posture. Long-term abnormal contraction of lumbar muscles will lead to stiffness and fibrosis of lumbar muscles, which is also the culprit of chronic low back pain. Chinese herbal medicine (note 1) can be used to steam waist and massage acupoints, and Cao Qing ointment (note 2) can be applied to acupoints such as Dachangshu, Xiaochangshu, Shenshu, Zhi Zhi, Weizhong and Chengshan to relieve muscle fatigue and stiffness. Combined with oral administration of traditional Chinese medicine, it has certain curative effect. In clinical application, people with backache, weak qi and blood, and cold hands and feet can add and subtract Achyranthes bidentata, Eucommia ulmoides and Rhizoma Drynariae with Shiquan Dabu Decoction, and women with osteoporosis can take Guilu Erxian Glue or Placenta Hominis Powder, all of which have good benefits. For patients with kidney-qi deficiency or chronic lumbar muscle strain, Huanshaodan can be used as the main prescription, which can be added or subtracted according to the symptoms. Duhuo Jisheng Decoction and Sanbi Decoction can be used for those with severe pain, Shu Jing Huoxue Decoction and Li Shujing 'an Powder for those with strong constitution, and Danggui Niantong Decoction and Guizhi Shaoyao Mu Zhi Decoction for those with inflammation and fever similar to rheumatoid arthritis.
If it is the second reason ... >>
Question 2: There are dozens of reasons why low back pain can be solved. The common diseases are lumbar hyperosteogeny, bone spur, disc herniation, lumbar hypertrophy, spinal canal stenosis, lumbar fracture, spinal tumor, acute and chronic lumbar trauma or strain, lumbar muscle strain, ankylosing spondylitis and so on. In the traditional concept, chronic low back pain is often considered as "lumbar muscle strain" after systemic examination excludes disease factors. In fact, 40% patients with low back pain suffer from chronic osteofascial compartment syndrome, but they have been troubled by low back pain for a long time because they cannot get symptomatic treatment. Many patients have had low back pain for a long time, and some people even have been hurting for 50 years and still don't know what is going on. The trend of low back pain is also obvious, and some people suffer from this disease at the age of 18.
The back is the most laborious part of the human body, providing support for the human body and protecting the spine. For people who are sedentary in the office for a long time and lack exercise, or who need to stand for a long time because of work, it is easy to cause low back pain, leading to chronic osteofascial compartment syndrome in lumbosacral region, and some of them accumulate after repeated injuries. Many patients with chronic low back pain are related to chronic osteofascial compartment syndrome, which may be caused by the increase of pressure in the osteofascial compartment, which leads to the disappearance of the subfascial space of the lower back, the decrease of muscle blood flow and the degeneration of loose adipose tissue. Because of this kind of injury, patients will have low back pain whether they walk more, sit more or lie more, that is, it is easy to have low back pain if they keep a posture for a long time. This is an important clinical feature of chronic osteofascial compartment syndrome.
Related links chronic low back pain * * * manipulation
Kneading: Take a seat, put your hands and fingers together, put them on the left and right back lumbar vertebrae, and knead them slowly up and down until you get hot.
Rolling: make a fist with both hands, roll left and right with your waist, * * *, bottom-up, top-down, repeated many times. The head can be tilted back and forth.
Push: After hands rub against each other and get hot, put them in the middle of lumbar spine and push them from top to bottom for 30-50 times until they get hot locally.
Press: press your hands on your hips, press your thumb on your waist and eyes respectively, squeeze hard, and rotate and rub, first clockwise and then counterclockwise, a total of 36 times.
Pinch: Sit with your feet stretched forward, or bend your knees, or sit up straight. Lift the waist muscles with both hands 15-20 times respectively.
Knock: Make a fist with both hands, with both fists outward. It is advisable to tap the waist lightly without causing pain, and tap at the same time, 30 times each time.
Grasping method: Hands akimbo, thumb in front, press on the waist side, the other four fingers grasp the skin from both sides of the lumbar spine with fingertips, and grasp the tail from the waist eye, with both hands at the same time, 36 times each.
Shake: put your hands on your waist, press the root of your palm on the waist eye, and shake your palm up and down quickly 15-20 times.
Pressing: Sit still, and press the fingertip of the left or right middle finger on Renzhong point 1-2 minutes.
Point: Take a sitting position, point the Weizhong point (behind the knee joint) on both legs with the fingertips of both hands, and press 1-2 minutes until the pressed part feels sour, numb and swollen.
Small knowledge of rehabilitation medicine can also see the problem through "walking"
Gait is a behavioral feature that people move their bodies through double substitution. Gait analysis is to reveal the causes and laws of abnormal gait through the study of walking laws, and to evaluate the degree of injury and rehabilitation. Rehabilitation doctors have been able to let patients "walk" while seeing a doctor through special machines! Through gait analysis, doctors can provide objective diagnosis basis for patients' health, sub-health and diseases of bones, muscles and nervous system such as orthopedics, neurology and surgery. At the same time, it can provide objective and true basis for the formulation of surgical plan, the evaluation of postoperative effect and the evaluation of rehabilitation effect.
Four new concepts of orthopedic rehabilitation medicine
* Not only patients with late recovery or sequela should be rehabilitated, but also patients should be rehabilitated from the early clinical stage to strengthen their awareness of clinical rehabilitation.
* It is necessary to master not only the skills of rehabilitation specialty itself, but also the principles of clinical treatment of related diseases, such as related orthopedic injuries and diseases, in order to cooperate with rehabilitation.
* We should not only form an "intra-disciplinary team" with therapists in various treatment departments of rehabilitation medicine, but also closely contact doctors in orthopedics and other related clinical departments to form an "interdisciplinary team" to provide patients with the best rehabilitation treatment.
* Not only give full play to the role of non-surgical rehabilitation therapy in functional rehabilitation, but also fully understand the value and role of necessary orthopedic surgery in functional rehabilitation, and introduce patients who should undergo rehabilitation surgery into orthopedic surgery in time to correct deformity and improve function.
For a long time, people have always thought that for those who always complain about low back pain. & gt
Question 3: What about the man's backache? Both men and women may be lumbar muscle strain, regardless of age. As long as you have suffered trauma or strenuous exercise, including flashing your waist, both men and women may cause low back pain. Chinese medicine says that the lumbar spine will also be affected by wind, especially when you open the window while sleeping, and the waist is not covered properly, which will cause low back pain for both men and women. If your bed is too soft, it will also cause low back pain, regardless of gender. If you catch a cold, it will be X-rayed. But it won't hurt for a long time, and it will be better after a period of cultivation. The following are aimed at men of different sexes. If the above reasons are excluded, it is kidney deficiency, which can't be detected by laboratory tests. It's what Chinese medicine says, which is temperament. Just take Zhuangyao Shen Jian Pill, but when you have a cold, you can't eat woman, which means irregular menstruation. The root of correcting it is endocrine disorder, taking Wuji Baifeng Pill.
Question 4: What should I do if I often have low back pain recently? People will feel weak, tired and lazy in the early days.
Gradually began to appear white hair. Initially, it first appeared in the brain vortex above the head, and then gradually spread around. (Usually, white hair will appear within 5 years of habitual * * *, and the phenomenon of individual * * * is not obvious) At the same time, scalp oil secretion is strong and dandruff is thickened. Long-term development gradually turned to hair loss, also starting from the top of the head. (Usually habitual *** 10 years will appear, and individual * * * phenomena are not obvious. )
Leave the hospital early, which usually shows that * * * time is getting shorter and shorter, from * * * to * * * completion soon. (In general, the habit of * * * will appear in about 5 years. )
The prostate is abnormal. Usually * * * can experience obvious manifestations around 10, such as urinary bifurcation (it can't be said that all urinary bifurcation is related to * * * and prostate, but it is common for long-term * * * users).
Prolonged sweating in genital area. * * * Long-term sweat is sticky and greasy, which breeds sludge and bean dregs. Sweaty and smelly.
Then there is bad breath, and the teeth are yellow and not white. People who are used to it all the year round even have dental caries, and most of them are in the upper teeth.
Oral ulcers are very prone to occur, and a slight scar on the basic tongue will develop into oral ulcers or even self-ulcers.
Easy to sweat, sweat secretion in midsummer or high temperature environment is significantly higher than others. In addition, people who exercise for a long time, such as going upstairs, will have a state of breathing and fatigue.
The interval between stools becomes longer.
In addition, people who have been * * * for a long time have abnormal faces. Or pale, or gloomy. The figure is not normal, either thin or swollen.
There are several other phenomena. If you show habitual * * * when you are young, your ears will grow out slowly when you are young, which shows that the proportion of your ears in your head is slightly different from that of normal people. Ears are obviously small.
These are just physical manifestations, and besides, * * * can also lead to personality changes.
Long-term habitual * * * leads to kidney essence deficiency, from which the personality gradually changes into introversion, lack of vitality, and even loneliness and social fear. Mental state and personality are actually related to the internal organs, so it is difficult to adjust personality out of thin air. It is not easy to make a person with kidney deficiency brave.
Moreover, habitual. * * * People often have a poor field, which may be related to the dissipation of their own essence. The so-called "field" refers to a potential charm. For example, a beautiful and really healthy girl will feel very comfortable as long as she stands beside her. An excellent person, even if his appearance is not outstanding, will feel relaxed in contact with him. And a long-term habitual * * *, others close to it will have an unnatural feeling, and it will be embarrassing to associate with it. Often marginalized in social situations. Only people who have experienced it for a long time will feel this way.
As a result, from habitual * * * long-term development, into youth, looks young and white hair or even hair loss, bad breath, yellow teeth. Weak and incompetent. Depressed, withdrawn, unsociable, cowardly and even obscene. In this state, there is great pressure to be unique in the social stack. Even normal marriage and love will be greatly hindered. So * * * people have a strong * * *, but they are lewd and love beauty in their minds. But in reality, it is difficult to get the favor of the right woman. Self-quality determines that there is almost no chance. Even * * * people themselves simply lack the confidence and courage to contact the right woman. Moreover, personality and physical conditions naturally lead to a career that will not be smooth sailing, so * * * people show * * when they live by their parents, but they will see bitter results when they leave their parents to support the world alone.
In addition to the above, there is another phenomenon, the basis of which is still unclear, but the phenomenon exists. In the environment where * * * often happens, such as at home, pay attention to the status of family members, such as health, career status, harmony and so on. In the environment where * * * often happens, it is often full of disharmony. This may be that the so-called "Feng Shui" has gone bad. People who have been through this for a long time can understand it themselves. Here, we don't say whether this phenomenon has a basis. In a word, we can speak with factual feelings.
This shows that the harm of * * * is real, but the most fatal shortcoming of young people is their inexperience. People who haven't experienced it may not believe it completely, but they have to bear the consequences whether they like it or not. It is recommended to quit * * * bad habits and color. Welcome ... >>
Question 5: How to deal with long-term low back pain? Low back pain is mostly caused by unreasonable posture for a long time. The medical profession agrees that posture correction is the key and core of rehabilitation treatment, and walking backwards is the most effective method at present. Human posture is a mechanical whole, and the role of the center of gravity is very important. You can feel for yourself: stand in the most upright position, and the center of gravity must be at the heel; When you hunch over, your center of gravity will definitely move forward. From the anatomical structure of the foot, the thick and solid heel is the most suitable part for bearing weight, and it is also a unique symbol of human evolution. This is all the knowledge of the scientific community, so how to make the body's center of gravity move backwards is the core and principle of posture correction. The pelvis is the position of the center of gravity of the human body, and the forward tilt of the pelvis is essentially the forward movement of the center of gravity of the human body, and the position of the center of gravity of the human body is closely related to the stress state of the feet and the situation of the shoes, and there is an inherent and inevitable relationship between them. The most typical one is high heels. When wearing high heels, the human body's center of gravity moves forward, the pelvis leans forward, and the lumbar lordosis increases, which is easy to cause and aggravate low back pain. Therefore, doctors unanimously warned patients with low back pain not to wear high heels, and long-term wearing high heels as one of the causes of low back pain. If people are compared to a building, feet are the foundation of people, and heels can make this foundation tilt, which can be said to be four or two kilograms. If the heel height is reduced, the range of pelvic anteversion and lumbar lordosis will also be reduced, and the adverse effects will also be reduced. If you wear flat shoes, the bad influence of shoes on lumbar spine will be basically eliminated, but flat shoes have no corrective effect on the already formed bad posture. According to this mechanical principle, if the sole is changed from front high to back low, the center of gravity of the human body will be forced to move back to the heel, the pelvis will be in an upright state, the lordosis of the lumbar spine will be greatly reduced, and the shoes will have the effect of correcting the body, which is the same as the principle of walking backwards. Because it can force the body's center of gravity to move backwards when walking backwards, and correct the excessive curvature of the spine. You can do an experiment: stand barefoot or wear flat shoes, step on a book about 20 mm thick with your forefoot, and let your feet be in a state of high before and low after. You can experience it. The longer it takes, the better. If the symptoms are relieved, in order to facilitate persistence, you can choose negative heel shoes with high front and low back, which can be bought in some top three hospitals. Insisting on using it in daily life is equivalent to extending the posture correction that forces the center of gravity to move backward to daily life. It can be used as a substitute for walking backwards, which is safer and conducive to achieving better results. It is not contradictory to the existing treatment and rehabilitation methods, but also has the functions of supplementing, strengthening and consolidating, and is beneficial and harmless. Similar products are very common in developed countries in Europe and America, and are called "floor shoes". It is the most popular in Japan, especially for patients with low back pain. Note: If you have low back pain, don't wear shoes with heels. Any shoes with heels will aggravate pelvic anteversion and lumbar lordosis, and aggravate low back pain. Everyone knows that high-heeled shoes can cause and aggravate low back pain, and so do middle-heeled shoes. Long-term chronic low back pain can easily lead to disc herniation with serious consequences, and the fundamental way to recover from disc herniation is to correct posture, especially the center of gravity.
Question 6: How to treat low back pain?
Lumbar surgery is the last magic weapon to use. Lumbar spine is active in people's life. After the operation, this part will become relatively fragile and more fragile. And once you do the "cone fusion", you will become a person who will not bend over for the "five buckets of gold"-you lose the right to bend over. .
If there is acute low back pain, you should take a posture that makes your body comfortable at the first time and practice quietly. Lying on your back, hunching like a shrimp, and hugging your knees are all casual postures. Then apply a wet cloth or cold towel to the painful part to relieve the pain. Cold compress for about 3 days according to the situation, and be careful not to shower or bathe during this period.
80%-90% of low back pain is caused by muscle pain. Muscle is covered with a substance called "muscle membrane", which is equivalent to the white membrane of our common chicken. When you have low back pain, your muscles suddenly contract, hurting the muscle membrane, causing myositis and pain. This kind of pain can be cured in a week or so, so be careful not to put pressure on your waist during this period. It takes about 1-2 weeks to cure acute low back pain, but the muscle elasticity of this part where the pain occurs decreases. If you are not careful, the pain will recur. Therefore, when the waist is not painful, we should pay attention to exercising the lumbar muscles, promote the blood circulation of the waist, discharge the old waste of the waist in time, and don't be too intense when exercising, so as not to hurt and aggravate the low back pain. Therefore, daily family therapy and exercise are inseparable from the low back pain treatment belt, which itself has the functions of dredging collaterals, promoting blood circulation, diminishing inflammation and relieving pain, and is a medical instrument. It is convenient for daily use at home, which is the key to the treatment, protection and prevention of low back pain.
Common treatment measures for recurrent low back pain
1, lumbago. Parching two pieces of orange core and Eucommia ulmoides respectively, and grinding. Two yuan each time, salt and wine. On the other hand: take betel nut as the end and give one yuan for wine. Recipe: stir-fry loofah seeds, mash them, and serve them with wine. Apply slag to the pain.
2, falling low back pain. Stagnation of blood stasis. Use shredded paper (fried), fennel (fried), spicy cinnamon, etc. Divide into powder. Two yuan each time, hot wine is available.
3, low back pain in the elderly. Hawthorn and velvet antler (stir-fried) are evenly divided into powder, and honey is added to make balls, which are as big as five sons. Take 100 tablet twice a day.
4, low back pain is difficult to treat. Decoct tea five times, add vinegar twice, and take it once.
5, flashing low back pain. Dry watermelon skin in the shade, grind it into powder, and mix it with salt and wine to adapt to San Qian. [3]
10 diet therapy
(1) Du
lumbago
Pot pork loin: 30 grams of Eucommia ulmoides, 65438+ 0-2 pork loin, add appropriate amount of water to make soup. Suitable for lumbago due to kidney deficiency.
(2) Pepper root snake meat pot: 50 grams of pepper root, 250 grams of snake meat, soup, seasoning. It is suitable for low back pain caused by cold and dampness.
(3) kelp 25g, litchi 15g, fennel 15g. Decoct with water once a day.
(4) 500g of raw leek (or root). Pour the juice with warm clothes, 500ml each time, twice a day.
(5) Mytilus 300g. Sun-dried and ground, stir-fry with black sesame 150g, and take one spoonful each morning and evening.
(6) Sesame 15g, rice 100g. Wash sesame seeds with clear water, stir-fry them and grind them into mud. Add rice to cook porridge. One dose of breakfast every day.
1 1 waist health exercise therapy
waist
lumbago
The pathological mechanism of departmental strain is postural strain and acute soft tissue injury caused by long-term improper labor in daily work, which can not be cured in time and induce symptoms such as lumbar muscle pain and functional decline. Clinical medicine has proved that incorrect working posture will lead to muscle imbalance, and then change the shape of the spine. The therapeutic effect of exercise therapy aims at relieving muscle spasm, stretching adhesion and contracture tissue; It can develop and promote the muscle strength of the waist and abdomen, correct the shape of the spine and adjust the internal balance. Continuous light load aerobic physical therapy can prevent recurrence.
There are many methods to control and improve lumbar muscle strain and develop exercise therapy, which are simple and easy to learn. * * * therapy and aerobic medical gymnastics have become functional therapies specifically for lumbar strain.
* * * Therapy * * * Manipulation acts on skin and muscles, which can promote blood flow in the affected area, accelerate metabolic function and enhance the elasticity of tendons and ligaments. * * * is divided into self * * * and passive * * *, the latter is used for patients to accept others' * * * (also known as * * *).
Early strain-early treatment of lumbar strain can be done by pushing and rubbing (electric vibrator can also be used instead).
Moxibustion: During self-massage, the four fingers are close together, the thumb is separated, the palm is firmly attached to the sacrospinous muscles on both sides of the lumbar spine, and it is slowly pushed rhythmically, and the thrust is gradually increased from light to heavy.
Kneading method
lumbago
Methods: Shenshu (below the second lumbar vertebra 1.5 inch) and Dazhi (below the spinous process of the second lumbar vertebra). Thumb and four fingers form a pair of pliers, which will >>