What Are Common Causes of High Back Pain?

Lower back pain, as the name suggests, refers to the pain in the lower back, usually the part below the lower edge of the ribs of the back, because it occurs in the fourth and fifth lumbar vertebrae or between the fifth lumbar vertebra and the first iliac vertebra. Many people call it "back pain", which is one of the main civilizational diseases of modern people.

Lower back pain

Lower back pain, as the name suggests, refers to the pain in the lower back, usually the part below the lower edge of the ribs of the back, because it occurs in the fourth and fifth lumbar vertebrae or between the fifth lumbar vertebra and the first iliac vertebra. Many people call it "back pain", which is one of the main civilizational diseases of modern people.

A set of words corresponding to lower back pain is lower back pain; it appears in discussions

1.

Lower back pain

2.Single or numb legs feel sore

1. Daily maintenance: maintain correct posture, avoid standing for a long time, stretch gymnastics, etc.

2. Drug treatment:

Acute lower back pain often occurs after lifting weights, twisting the waist, and bending forwards; symptoms may worsen instantly when moving or getting up early in the morning and sitting up. Actions such as raising legs, standing or sitting do not necessarily cause pain. The pain may be limited to a specific tenderness point, or it may be a large-scale pain; in addition, the pain may extend from the lower back to the legs (radially referred to as "

Disc herniation seen by magnetic resonance imaging is one of the possible causes of low back pain.

Lower back pain is not a single disease, but a symptom caused by multiple causes. There is no clear cause for most low back pain, but most should be related to muscle

Because the anatomy of the back is complicated, and the pain itself is sometimes quite subjective and affected by environmental and social factors, the diagnosis of lower back pain is not easy to establish. Lower back pain is mostly caused by problems with muscles and joints. This cause must be distinguished from other causes of lower back pain such as neurological problems, spinal tumors, spinal fractures, and spinal infections.

Lifting weights to avoid lower back pain

There is currently no effective way to prevent lower back pain. For patients with back pain over six weeks, exercise may help reduce the recurrence of symptoms. Medium hardness mattresses are better for patients with chronic back pain than hard mattresses. The so-called "waist support belt" currently has no evidence to show its effectiveness, and may not be as good as teaching patients the correct posture and manner of lifting heavy objects. Insoles have no effect on preventing back pain.

The treatment principles of back pain are related to the three major categories of back pain causes (mechanical back pain, non-mechanical back pain, and metastatic pain). For acute back pain with mild to moderate symptoms, the goal of treatment is to restore the patient's original normal function, enable the patient to return to work, and reduce pain. This type of condition is generally not serious, and often does not require too aggressive treatment, and it will naturally ease. Returning to normal activities as soon as possible after pain relief will help overall recovery. Inform patients about the aforementioned information about lower back pain

Overall, the prognosis for acute low back pain is positive. Within 6 weeks of treatment initiation, there is usually a significant improvement in pain and dysfunction, which has been reported to recover to 40-90%. After 6 weeks of treatment, progress usually starts to slow down, and it is not until 1 year after treatment that a small effect is achieved. After 1 year of treatment, most patients can reduce the pain and dysfunction of lower back pain to the lowest level. The degree of pain, the history of lower back pain, and job satisfaction are predictive indicators of the long-term prognosis of lower back pain. Certain psychological issues, such as depression or unhappiness due to loss of work, may extend the prognosis for lower back pain. Once lower back pain occurs for the first time, about half of people will be able to relapse.

For persistent low back pain, short-term treatment results are also positive. As with acute, there was a significant improvement within 6 weeks of the start of treatment, but then only a small progress. After 1 year of treatment, patients with chronic low back pain usually still have moderate pain and dysfunction. For poor skills, fear of activity (about a 2.5-fold increase in risk in a year), poor ability to overcome pain, dysfunction, poor overall health, or whether the pain is related to psychological or mental factors (not organic (Sexual symptoms), there is a higher risk of long-term dysfunction.

Low back pain and limited activity that last more than a day are common complaints. About 40% of people in the world have experienced lower back pain in their lifetime, and even more than 80% in developed countries. Nearly 9 to 12% of the population (632 million people) often experience lower back pain, and nearly a quarter of the population (23.2%) have lower back pain at some point for at least one month as long as. Most patients start at the age of 20 to 40 and suffer from lower back pain. Lower back pain is more common in people between the ages of 40 and 80. As the population ages, the number of people affected will increase predictably.

It is still unclear whether lower back pain is higher in men and women. In a 2012 literature review, the proportions of men and women were reported to be 9.6% and 8.7%, respectively. A review of the same literature in the same year showed that a higher proportion of women may be due to osteoporosis, menstruation, pregnancy, etc., or that women are more willing to express pain than men.

About 70% of women have experienced low back pain during pregnancy, and the actual percentage may be higher. Smokers, especially adolescents, are more likely to have lower back pain than those who quit smoking, and those who quit smoking are more likely to have lower back pain than those who have never smoked. ^[1]

Harvey Williams Cushing, 1920s

Lower back pain at least from

Lower back pain causes a lot of economic costs. This is the most common pain among adults in the United States, and many people ask for sick leave, even the most common musculoskeletal complaint in the emergency room. It is estimated that in 1998, nearly $ 90 billion in annual medical care budgets could be attributed to lower back pain, with 5% of patients using 75% of this budget. Between 1999 and 2001, although the indications for spinal fusion surgery were not modified or increased in use at that time, the number of surgeries in the United States nearly doubled. Losing income and productivity brings another level of cost. In the United States, 40% of sick leave is caused by lower back pain. Compared with the United States and Germany, lower back pain causes a large number of labor dysfunctions in Canada, the United Kingdom, the Netherlands, and Sweden. ^[1]

Total disc replacement is still being studied experimentally, but there is no significant evidence to support its use in the treatment of lumbar spine consolidation. Researchers are investigating the use of human growth factor injections, implants, cell therapy, and tissue engineering to cultivate new intervertebral tissue for use by patients.