Unbearable back pain, how can I save "you"?

What is back pain

Low back pain refers to the pain and discomfort in the area under the rib, above the hip horizontal lines, and the region between the axillary lines on both sides. It can be manifested as pain on one or both sides, and sometimes pain can be radiated to the legs.

What are the types of low back pain

According to different duration, low back pain can be divided into acute low back pain (less than 6 weeks), subacute low back pain (6 ~ 12 weeks), and chronic low back pain (lasting for more than 12 weeks).

Back pain may be caused by what cause

There are many causes of back pain.Most low back pain belongs to non -specific low back pain, that is, you can’t find a clear disease that causes low back pain.Among them, muscle skeletal pain is the main, and this kind of low back pain can be relieved within a few weeks.

In addition, diseases that cause lumbar pain include local waist problems, such as lumbar disc herniation, lumbar vertebral degenerative diseases, lumbar spondylosis, vertebral fractures, spinal stenosis, and ponytail syndrome;Spinalitis, osteoporosis compressed fractures, abdominal aortic anesthesis, kidney/gastrointestinal/urogenital diseases and tumors.

Who are prone to back pain

The risk factors of low back pain include: smoking, obesity, age, women, heavy physical labor, sedentary, large work pressure, low education, and psychological factors (such as anxiety and depression).Generally, people with the above situations are prone to low back pain.

Under what circumstances should seek medical treatment

Most low back pain can usually subscribe by itself, but if no improvement is seen in 3 to 4 weeks, or low back pain is severe enough to handle simple transactions, you need to seek medical treatment in time.

In addition, if your low back pain exists with the following situations, you need to seek medical treatment in time: recent falls or back injuries, leg numb or weakness, stool or urination cannot be controlled, there is a fever or unknown weight loss, etc., is being used.Steroids such as Pennone have a history of diabetes or low immunity, and have a history of cancer or osteoporosis.

What examinations do doctors do for back pain patients

Doctors will first ask the medical history and conduct physical examinations in detail to judge the condition, and then give the following examinations as needed on this basis.

1

Lumbar spine X -ray flat film

X -ray flat tape is the most basic imaging examination of the lumbar spine, which can reflect changes in the physiological curvature, deformity, disability, vertebral morphology, and vertebral soft tissue of the lumbar spine.

2

Lumbar magnetic resonance imaging examination

Magnetic resonance imaging (MRI) has unique advantages in displaying soft tissues. It can distinguish the nucleus myelopa and fiber rings of the intervertebral disc, displaying ligaments.MRI can show spinal stenosis directly from sagittal positions and coronary positions.MRI does not generate ionizing radiation, high safety, can be used for lumbar and back pain diagnosis, severity and evaluation of recovery, and the formulation of treatment goals.

3

SPECT

This examination can be used for systemic bone appearance, which clearly explicitly discovered fractures, infections, bone tumors and tumor stages.

4

Lumbar spine X -ray flat film

This test can be used to determine whether patients have osteoporosis to eliminate osteoporosis back pain.

Misunderstanding

Misunderstanding 1: Lumbar pain is equal to a bad kidney.

mistake!Back pain in Western medicine and the traditional Chinese understanding of "bad waist" is not the same thing.The "waist is not good" by Chinese people, which refers to the decline in the function of the urogenital system.However, low back pain in Western medicine contains the problems of lumbar muscles, lumbar spine, and kidneys, so the two cannot be the same.

Misunderstanding 2: Lumbar disc herniation must

Absolutely rest.

mistake!Once strictly lying in bed is one of the main treatment methods to deal with lumbar disc herniation, but more and more clinical studies have found that for patients with lumbar disc herniation, strict bed rest and properly maintain the impact of daily activities on the disease.no difference.On the contrary, proper maintenance of daily activities is more conducive to recovery.

Tip

Lumbar pain risk factors or those who have already occurred back pain can prevent low back pain through the following ways.

● Strengthen exercise: Even if there is low back pain, it is not recommended to stay in bed.If the body does not have a special discomfort, you need to reduce the activity in the first one or two days at the beginning of the back pain, and then you need to slowly restore the daily activity.After 2 to 3 weeks, aerobic exercise and muscle exercise can be gradually started.

● Pay attention to sitting and avoid sedentary: Frequent sitting, especially when using a computer, pay attention to the sitting position, get up every 1 hour, select adjustable seats, back chairs, and choose straight on the back of the chair.You can also put a stool under your feet to make your knees higher than the hip when you sit.When sitting or driving for a long time, you can put a small pillow or rolled towel on your waist.

● Quit smoking: Smoking is also a risk factor for low back pain.Nicotine in cigarettes can cause vascular contraction.If the intervertebral disk contraction occurs, the nutrient supply can be insufficient and causes lesions.

● Control weight: Obesity is also a risk factor that causes low back pain. If there is a problem of overweight or obesity, you should start to lose weight.

People’s Health Publishing House published "Family Doctors Beingby -Common Symptoms Recognition and Treatment"

Editor in this book: Ren Jingjing

Author of this article: Liu Ying

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