What Are Common Causes of Constant Lower Back Pain?

The cause is unknown. Studies have suggested that the onset is related to infection, such as Campylobacter infection. The bacteria and HLA-B27 may have crossover or common structure between antigen residues, but it is difficult to draw conclusions.

Persistent low back pain with morning stiffness

Non-ocular clinical manifestations of ankylosing spondylitis scleritis: The most typical early manifestation is persistent low back pain (at least 3 months), which is unilaterally occult, blunt, or intermittent, with morning stiffness and reduced after activity . Ankylosing spondylitis scleritis (AS) is an unexplained chronic systemic disease that affects the spinal joints, sacroiliac joints, and tissues around the joints. Studies have suggested that the onset is related to infection, such as Campylobacter infection. The bacteria and HLA-B27 may have crossover or common structure between antigen residues, but it is difficult to draw conclusions.

Affected area

waist

Related diseases

Osteoarthritis rheumatoid arthritis ankylosing spondylitis purulent arthritis juvenile rheumatoid scleritis non-gonococcal bacterial arthritis reactive arthritis ankylosing spondylitis and its associated uveitis juveniles Rheumatoid arthritis acute septic arthritis traumatic arthritis nontuberculous mycobacterium arthritis recurrent rheumatism parasite arthritis osteoarthritis elderly elderly rheumatoid arthritis ankylosing spondylitis scleritis pregnancy Rheumatoid arthritis pediatric acute septic arthritis hepatitis B virus arthritis fungal arthritis accumulation

Affiliated Department

Rheumatology and Immunology

Related symptoms

Leukocyte urine morning stiffness abdominal hypertension hypertension venous thrombosis chronic low back pain with lower limb numbness urinary protein oliguria kidney stones kidney area throbbing placental abruption abrupt sudden severe back pain hematuria back pain

The cause is unknown. Studies have suggested that the onset is related to infection, such as Campylobacter infection. The bacteria and HLA-B27 may have crossover or common structure between antigen residues, but it is difficult to draw conclusions.

Pathogenesis: Sacral arthritis is a pathological marker of ankylosing spondylitis. Early changes can be seen in synovial hyperplasia and accumulation of lymphoid cells and plasma cells. Lymphoid follicle formation and plasma cells containing IgG, IgA, and IgM.

The diagnosis of AS is based on the patient's susceptibility, medical history, clinical characteristics, and imaging results. The most commonly used diagnostic criteria are the so-called New York criteria:

1. Lumbar lordosis, lateral bending and backward bending are restricted in three directions.

2. Pain at the lumbar spine or back to waist junction lasts for more than 3 months.

3. Chest expansion is limited. Take the 4th intercostal space measurement, and the chest expansion is 2.5cm.

It can also be graded according to sacroiliac joint X-ray changes (level 0 is normal, level 1 is suspicious, level 2 is slightly changed, and the localized area has erosion or hardening, but the joint cavity width has not changed. Level 3 is positive or moderate abnormal, and erosion occurs , Sclerosis, widening or narrowing of the joint cavity or partial rigidity, all grade 4 severe abnormal joints are rigid). The sacroiliac joint is bilaterally graded 3 or 4, and a diagnosis can be made in one of the above 3 items. Sacroiliac joint changes of grade 3 or 4 but only 1 side or 2 grades and 2 sides with the above 1 or 2 and 3 can also be diagnosed sacroiliac joint changes of 3 or 4 bilaterals, but no Any one of the above 3 items is regarded as a suspected case.

The above criteria are helpful for diagnosis, but should be considered after all consideration. HLA-B27 cannot be used as a screening test for AS, because most people who are HLA-B27 positive do not have AS, and some patients with AS are HLA-B27 negative. When clinical diagnosis of AS is suspected and imaging is difficult to confirm sacral arthritis, HLA-B27 may increase the possibility of AS diagnosis, but it cannot be confirmed.

Chronic low back pain with numbness of lower limbs: Lumbar spondylolisthesis can easily lead to chronic low back pain and radiation numbness pain in one or both lower limbs. Lumbar spondylolisthesis refers to a condition in which some or all of the lumbar vertebrae are misaligned. It is generally called clinically the vertebrae, and the upper vertebrae are usually slipped forward. The incidence of lumbar spondylolisthesis is 3 to 7% in Europe. There is still no accurate statistical data in China. It is generally believed that routine X-ray examination of patients with lumbar pain has found that about 5% of adults have a tendency to suffer from lumbar spondylolisthesis.

Low back pain with throbbing pain in the kidney area: Acute membranous nephropathy is usually manifested as sudden back pain, which is often severe, with throbbing pain in the kidney area. It is manifested as a sudden back pain, which is often severe, with pain in the kidney area. Urinary protein suddenly increased, gross hematuria, leukocyte urine, hypertension, and acute renal damage were often seen. Ultrasound on the B-side showed enlarged kidneys on the diseased side. Bilateral renal vein thrombosis can cause oliguria and acute renal failure.

Sudden low back pain: Sudden low back pain without obvious history of trauma. This symptom is often the main symptom in patients with urinary stones, and common diseases such as kidney stones and ureteral stones.

Persistent abdominal pain or low back pain during pregnancy: The severe symptoms of placental abruption are mainly sudden and persistent abdominal pain and / or low back pain and low back pain. After 20 weeks of pregnancy or during childbirth, the placenta in the normal position is partly or completely stripped from the uterine wall before the fetus is delivered, which is called placentalabruption. Placental abruption is a serious complication in the third trimester of pregnancy. The short-term training course starts quickly and progresses quickly. If not handled in time, it can endanger the life of the mother and child. The incidence rate reported in China is 4.6permil; 21permil; the incidence rate abroad is 5.1permil; 23.3permil ;. The incidence is related to whether the placenta is carefully checked after delivery. Some mild placental abruptions may have no obvious symptoms before delivery. Only when the placenta is examined postpartum, a clot mark is found at the placental abruption, which is easy to be ignored.

No effective preventive measures. Active treatment to prevent complications. Pay attention to exercise more reasonably, adjust the diet and massage reasonably to ensure sleep. You can use traditional Chinese medicine methods such as acupuncture, massage, cupping, etc., you can also use moxibustion, you can bathe your feet, or you can use Chinese medicine to fumigate. Make good habits and stick to normal exercise.