What Are Common Causes of Middle Right Back Pain?

Clinically, the main symptoms are pain on one or both sides of the waist. Low back pain can often radiate to the legs, often accompanied by external sensations or internal injuries. Low back pain can be caused by feeling cold, dampness, heat, or trauma due to falling servants, qi stagnation, blood stasis, or kidney deficiency. The pathological changes are often characterized by kidney deficiency, feeling exogenous, and falling down.

Low back pain

Basic overview of low back pain

Back pain symptoms

The main symptoms are pain in the waist or lumbosacral region, which recurs. The pain can change with the climate change or the degree of exertion. There may be extensive tenderness in the waist, and there is no abnormality in spine movement. During an acute attack, various symptoms are significantly exacerbated, and muscle spasms, scoliosis, and limited functional activity may occur. Some patients may have traction pain in the lower limbs, but there is no string pain and skin numbness. The nature of the pain is mostly dull pain, which can be confined to one area or spread throughout the back.

Both elderly and young people should pay attention to the identification of lumbar pain and lumbar disc herniation. If radiation pain in the lower limbs occurs at the same time as back pain, that is, the pain radiates along the thighs to the lower legs or feet, and some even have numbness and weakness in the lower limbs. This is mostly caused by the disc herniation and compression of the nerve. Go to the hospital's pain department or orthopedics in time and make the necessary examinations to confirm the diagnosis.

In addition, if the patient has back pain accompanied by pain or difficulty urinating, urinary system diseases, such as pyelonephritis and chronic prostatitis, need to be considered.

Etiology and pathology of low back pain

5 5 reasons for low back pain

Back pain is not an independent disease, but a symptom. The causes of back pain are many and complicated. The common causes of back pain are roughly divided into the following five types.

One of the causes of low back pain: caused by diseases of the spine bone joints and the surrounding soft tissues. Such as lumbar muscle strain, myofiberitis, and local injuries caused by bruises, sprains, bleeding, edema, adhesions, and muscle spasms.

Back pain causes two: due to spinal disease. Such as rheumatoid spondylitis, osteoporosis, tuberculous spondylitis, spinal trauma and disc herniation.

Back pain causes three: due to spinal and spinal nerve disorders. Such as spinal cord compression, acute myelitis, radiculitis, spinal cord tumors and other low back pain.

Back Pain Cause 4: Caused by internal organ diseases. Such as nephritis, urinary tract infections, urinary stones, cholecystitis, gallbladder stones, pancreatitis, gastric and duodenal ulcers, prostatitis, endometritis, appendicitis and pelvic inflammatory disease, etc. Tumors can also cause waist Pain in the crotch is painful, and female patients are often accompanied by corresponding gynecological symptoms.

Back pain reasons five: caused by mental factors. If patients with rickets may also complain of lumbar disease, but there are no objective signs, or objective examination and subjective narration cannot be explained by physiological anatomy and pathological knowledge, this kind of back pain is often a manifestation of rickets.

It can be seen that the causes of low back pain are many and complicated, so if there is a continuous and unexplained low back pain, do not take it lightly, you should go to the hospital for a diagnosis as soon as possible to avoid the development of some serious diseases.

Common causes of back pain in women

I. Lumbar muscle strain People who have been engaged in standing operations such as textiles, printing and dyeing, chefs, restaurant employees, haircuts, and sales for a long time. Due to continued standing, the lumbar tendon and ligament stretch ability is weakened, and excessive lactic acid can locally accumulate and inhibit In addition to the normal metabolism of the lumbar muscles, it can also cause lumbago caused by lumbar muscle strain. Often carry a heavy load, overload the waist, prone to scoliosis, cause lumbar muscle strain and low back pain.

2. Urinary system infections Because women's urethra is short and straight, and the outer mouth of the urethra is close to the anus, E. coli parasites are often present. In addition to female physiological characteristics, the chance of urethral mouth pollution is more. infection. Low back pain is mainly caused by acute and chronic pyelonephritis, manifested as lumbar pain, and severe cases radiate along the ureter to the perineum. In addition to urinary system infections, diseases such as urinary stones and tuberculosis can also cause back pain.

3. Reproductive organ diseases The reproductive organs of women have to go through about 400 times in their lifetime, and they also bear the tasks of pregnancy and childbirth; some women also undergo abortion and birth control surgery. Therefore, the incidence of reproductive organ inflammation is higher, such as salpingitis and pelvic inflammatory disease. These inflammations are easy to be accompanied by low back pain, and the uterus tilts backwards and backwards. It is also one of the causes of low back pain in women. Serious genital disorders such as uterine fibroids, cervical cancer, and ovarian cysts can cause oppressive implicated low back pain.

4. Women suffering from rheumatism and rheumatoid arthritis who suffer from cold and trauma are mostly affected by wind, humidity, and cold during menstruation, childbirth, and postpartum, which cause spinal long bone spurs and induce back pain. If the waist has been sprained, it may develop as a disc herniation, cause severe back pain, and even affect the flexion, extension and rotation of the spine.

Fifth, during pregnancy and puerperium during pregnancy, as the fetus grows up, the ligaments of the lumbosacral and pelvic joints of the pregnant woman relax, and the weight of the uterus increases with the gestational age, causing the body's center of gravity to move forward. In order to maintain body balance, the waist is often raised forward. If you do not pay attention to rest, it will easily cause back pain. During pregnancy, the fetus needs sufficient calcium, phosphorus and other nutrients. If the intake of the diet is insufficient, it can cause demineralization of the bone mass of pregnant women and cause back pain. Excessive bleeding during puerperium, or premature labor, exhaustion, and cold can also cause low back pain.

Six, lumbar spine lesions are more common in elderly women, with the increase of age, the symptoms of lumbar spinal nerve compression will increase. Pseudo-vertebral spondylolisthesis caused by degenerative lesions is a relatively common disease, which easily causes lumbar spinal canal stenosis, compresses the spinal cord and nerve roots, causes back pain and radiation pain in the lower limbs, and is often caused by vertebral collapse caused by osteoporosis. Fracture. Osteophyte formation in the elderly can cause spinal stiffness and can also cause persistent low back pain.

7. Duodenal ulcer is located in the right upper abdomen. When the ulcer is located in the back wall, it can be expressed as low back pain.

In addition, menopausal women may also cause back pain due to autonomic dysfunction, which is characterized by morning lifting and reduced after exercise. There are also factors such as irregular menstruation, dysmenorrhea or emotional crisis, which are also prone to low back pain.

Clinical diagnosis of low back pain

Diagnosis points for low back pain treatment

Clinically, the main symptoms are pain on one or both sides of the waist. Low back pain can often radiate to the legs, often accompanied by external sensations or internal injuries. Lumbar spine X-rays and other examinations often show abnormalities. There are many causes of low back pain, about dozens of types. The more common ones are kidney deficiency, lumbar bone hyperplasia, bone spurs, disc herniation, lumbar hypertrophy, spinal stenosis, lumbar fracture, spinal canal tumors, acute and chronic trauma or strain on the waist. , Lumbar muscle strain, ankylosing spondylitis, etc.

Differential analysis of low back pain treatment

Volume 59 of "Preparing for Emergency", "Seventh Low Back Pain": "Every low back pain has five: Shaoyin, Shaoyin and kidneys. In October, all yang is dying, and it is back pain. Second, wind and spleen, The wind chills the waist with low back pain. The third is kidney deficiency, and the kidneys hurt with low waist pain. The fourth is cum waist, falling down and hurt the waist with low back pain. The fifth is taking the cold sleeping place, which is hurt by the ground gas, so Low back pain. Pain stops, leading to lumbar spine, all pain. " Low back pain can be caused by feeling cold, dampness, heat, or trauma due to falling servants, qi stagnation, blood stasis, or kidney deficiency. The pathological changes are often characterized by kidney deficiency, feeling exogenous, and falling down.

Dialectical treatment of low back pain

Cold-wet type [see evidence] Lumbar pain is severe, but turning is unfavorable. The tongue is white and greasy with heavy pulses.

Governance method Dispersing cold and removing temperature, warming meridians.

[Prescription]

1. The main recipe Gan Jianglingzhu Decoction

Prescription: 12 grams of dried ginger, 9 grams of licorice root, 15 grams of atractylodes, 20 grams of Poria, 12 grams of Eucommia and Duhuo, 20 grams of dog spine, 15 grams of Achyranthes bidentata. Decoction.

2. Chinese patent medicine

(1) Back pain, 2 capsules each time, 3 times a day.

(2) Shujin Huoluo Pills, 1-2 pills each time, 2 times a day

(3) Lumbar vertebral pain pills, 1 pill each time, 3 times a day.

3 Unilateral prescription

(1) Ershu Tongren Decoction (Liu Guopu's prescription)

Prescription: 30 grams of Atractylodes, 20 grams of Coix Seed, 15 grams of Atractylodes. Decoction.

(2) Gan Jiang Cang Shu San (Li Zhenqiong's "Experimental Recipe for Strange Effects")

Prescription: 50 grams of dried ginger, 10 grams of atractylodes, 15 grams of angelica, 95% alcohol. Grind the fine medicine, sieve it, and apply heat to the affected area. 1 time daily.

(3) Strong waist scattered (Zhang Jianming's prescription)

Prescription: 30 grams of Chuanwu, 30 grams of cinnamon, 30 grams of dried ginger, 20 grams of white peony, 20 grams of gallbladder, 20 grams of red peony, and 30 grams of camphor. The medicine is co-developed into a very fine powder, 30-50 grams at a time, boiled with water to make a paste, spread on gauze, apply to the pain while hot, change every other day.

The diagnosis goes through the following steps:

Ask about the medical history in detail

Including age, gender, occupation, operating environment and causes of onset, young people's low back pain is mostly lumbar muscle strain, and the elderly are mostly lumbar osteoarthropathy and osteoporosis with compressive fractures, which often occur after heavy physical work. Lumbar muscle strain, thin women often feel low back pain due to fatigue. When patients with tuberculosis or lymph tuberculosis experience low back pain, spinal tuberculosis should be considered. If patients with a history of cancer have low back pain, spinal metastases should be considered. Acute back pain is obvious after bed rest For those who have improved, it is necessary to think of acute lumbar muscle strain, lumbar disc herniation with lumbar pain accompanied by unilateral lower extremity pain and coughing.

Fully orthopedic engaged in surgical examination and neurological examination

The normal spine is slightly curved in the back of the thoracic spine. If the normal physiological curve of the lumbar spine is slightly changed in China, it indicates that the spine is abnormal. If the lumbar spine is straight or tilted to one side, it is necessary to consider acute lumbar muscle strain. Or the posterior articular process has a sharp acute kyphotic deformity that may be bone tuberculosis or old fractures. The deepening of the lumbar lordosis may cause the lumbar spine to slip forward. The tender point of the lumbar spine is helpful to understand the site of lumbar muscle strain. The common tenderness area is in the At the sacroiliac and sacroiliac joints of the lumbar vertebrae, the lumbar movement is significantly restricted during acute lumbar muscle strain. The department is unrestricted during chronic labor at the lumbar spine. When lumbar osteoarthropathy, the lumbar vertebra is partially restricted in ankylosing spondylitis. Waist movement is not only limited by forward flexion and extension. Lateral movement is also limited. If the patient is positive for Lassek's sign with a lower extremity pain (upright straight leg lift test), the possibility of a current lumbar disc herniation should be considered. Whether the lower limb muscles are atrophied, whether the lower limb tendon reflexes are diminished or disappeared, and whether the calf and feet have sensory disturbances all reflect whether the spinal nerve root is damaged.

Laboratory inspection

Congenital (developmental) degenerative lesions, trauma, lumbar muscle strain, and other professional diseases have no abnormalities in the examination of lumbar tuberculosis osteomyelitis and tumors, and the erythrocyte sedimentation rate will be accelerated. In malignant tumors, alkaline phosphatase may increase in ankylosing spondylitis. HLAB (Human Leukocyte Antigen B Test) is positive.

X-ray inspection

Congenital developmental abnormalities, bone tuberculosis tumor osteomyelitis and ankylosing spondylitis can be seen on X-ray pictures, and bones can be seen on X-ray pictures when X-ray pictures show obvious changes in lumbar osteogenesis X-ray examinations of osteophyte and lumbar muscle strains with different degrees of treatment of joints are not abnormal. It is difficult to confirm the general X-ray examination of some low back pains. Sometimes myelography computer computed tomography (CT) or magnetic resonance examination is used to participate.

Low back pain treatment

Back pain routine treatment

1. Apply Bangjingshu Pain Rehabilitation Liquid for external application, apply 1 to 2 drops of Bangjingshu Pain Rehabilitation Liquid on the pain area of the waist evenly, and the pain disappears after 5 to 10 after application.

2. Food therapy: (1) 25g kelp, 15g lychee, 15g cumin. Boil with water and drink once a day. (2) 500g of raw leek (or root). Punch the juice warm, 500ml each time, 2 times a day. (3) 300g mussels. Dry the ground powder, stir-fry with 150g of black sesame, mix well, and serve one spoon each morning and evening. (4) 15g of sesame and 100g of rice. Wash the sesame seeds with water, stir-fry them slightly and grind them into a mud, then increase the rice to make porridge. One dose daily for breakfast.

Multifunctional treatment of low back pain

Back pain is medically a symptom and a symptom. There are many diseases that can cause back pain, but in general, there are two types of diseases:

1. Inflammatory diseases, including urinary system infection, genital system infection, this type of disease can be cured through active anti-inflammatory treatment.

2. Physical and mechanical injuries: These diseases include lumbar muscle strain, acute and chronic lumbar sprains, rheumatoid rheumatism, kidney deficiency, disc herniation, and lumbar bone hyperplasia. These diseases can cause waist muscle ischemia, calcium deficiency, cold, and excessive stretching of the lumbar ligament fibers. Either the disc herniation or bone hyperplasia can cause lumbar nerve compression, which can cause lumbar muscle weakness and pain.

Therefore, from the perspective of treatment, promoting blood circulation, dissolving collaterals, removing stasis, and cooperating with necessary traction and fixation are common methods for treating waist pain. These methods can be effective for different types of diseases. However, the key to the treatment of low back pain is persistence. Most customers do not have effective relief of low back pain, repeated delays, and incomplete cure, which is because they cannot get symptomatic methods and cannot adhere to treatment themselves.

Comprehensive treatment of low back pain can be cured

Back pain has affected patients' normal life and work for a long time, which has brought a lot of trouble. Some patients seek medical treatments, have recurrences, suffer pain, and even cast a shadow on their psychology. Whether the back pain can be completely cured requires attention to three aspects. 1. Clear diagnosis in a timely manner; 2. Comprehensive treatment in a timely and effective manner; 3. Functional exercise in a timely manner and good daily health care, these three links are indispensable.

Clear diagnosis in time

Low back pain may be caused by a variety of diseases, including lumbar muscle strain, and the most common lumbar disc herniation. Therefore, if you find a similar situation, you should seek medical treatment in time, make a clear diagnosis, rule out other factors, and carefully check to prevent missed diagnosis and avoid delay. Some patients blindly treat without the correct diagnosis, and lose the best opportunity for treatment.

Timely and effective comprehensive treatment

Prompt and effective treatment is critical after the diagnosis. Under the action of the biological magnetic field, it improves local blood circulation, while reducing capillary permeability, accelerating the absorption and dissipation of inflammatory exudates, effectively alleviating pain, increasing the ligament around the lumbar spine, and the saturation of blood oxygen exchange in muscle tissue. Therefore, the effect of strengthening the ligaments around the lumbar spine and protecting muscles is effective for up to 5 years. Therefore, it is also very suitable for controlling the condition and the later functional exercises.

Timely functional exercise and post-rehabilitation care

In the normal treatment of low back pain, in addition to actively treating the primary disease, later functional exercise and rehabilitation care are also essential. It is generally suggested that treatment and functional exercise should be carried out at the same time to avoid complications after healing, and to cooperate with correct functional activities to form a good lifestyle. Health care after rehabilitation is very important, so health care after healing is very necessary. On the one hand, back pain can be completely cured.

Back pain prevention

To prevent low back pain, avoid lying on the wet ground. If you are wading, raining, or sweating, you should change clothes and wipe your body. Avoid hot nights or greedy water when you are wet and hot in the summer. Do nt try to lift weights, do nt do unprepared violence. This certificate is based on kidney deficiency, so sexual intercourse and excessive labor should be avoided. The treatment of low back pain can be used for self-massage, active waist, Tai Chi, bathing frequently or bathing in hot water. Low back pain is a symptom of pain in one or both sides of the waist and the spine, which occurs in both men and women, mostly women. According to statistics, gynecological outpatients are mainly about 10% of the patients. The common reasons are as follows:

I. Lumbar muscle strain Women who have been engaged in standing operations such as textiles, printing and dyeing, haircuts, and sales for a long time. Due to continuous standing, the lumbar tendons and ligaments are weakened to stretch, and local lactic acid can accumulate locally, which inhibits the normal metabolism of lumbar muscles. It can also cause back pain caused by strain on the lumbar muscles. Often carry a heavy load, overload the waist, prone to scoliosis, cause lumbar muscle strain and low back pain.

2. Urinary system infections Because women's urethra is short and straight, and the outer mouth of the urethra is close to the anus, E. coli parasites are often present. In addition to female physiological characteristics, there are more opportunities for contamination of the urethra. If hygiene is ignored, the urinary system is prone to occur. infection. Low back pain is mainly caused by acute and chronic pyelonephritis, manifested as lumbar pain, and severe cases radiate along the ureter to the perineum. In addition to urinary system infections, diseases such as urinary stones and tuberculosis can also cause back pain.

3. Reproductive organ diseases The reproductive organs of women have to go through about 400 times in their lifetime, and they also bear the tasks of pregnancy and childbirth; some women also undergo abortion and birth control surgery. Therefore, the incidence of reproductive organ inflammation is higher, such as salpingitis and pelvic inflammatory disease. These inflammations are easy to be accompanied by low back pain, and the uterus tilts backwards and backwards. It is also one of the causes of low back pain in women. Serious genital disorders such as uterine fibroids , cervical cancer, and ovarian cysts can cause oppressive implicated low back pain.

Prevention method

Low back pain needs to pay attention to the correct sitting position: the upper body should keep the neck upright to support the head, the shoulders should hang down naturally, the upper arms should be close to the body, the elbows should be bent at 90 degrees, and the keyboard or mouse should be operated to keep the wrists as horizontal as possible. The centerline and the forearm centerline should remain aligned.

The lower part of the waist is straight, the knees are naturally bent at 90 degrees, and the feet are sitting on the ground. If you are sitting on a chair with a backrest, you should try your best to keep your lower back against the back of the chair based on the above postures, so that the muscles of the lumbosacral region will not fatigue. Patients with lumbar disc herniation should not sit on a low stool lower than 20cm, and try to sit on a chair with a backrest. This can bear part of the body weight and reduce the chance of back strain.

Need to pay attention to the use of cushions to alleviate low back pain 1: Cushions can relieve people with lumbar muscle strain. Medical experts recommend that in order to prevent low back pain, it may be better to put a cushion on an office chair, but it should be noted that there are also Quite particular.

First, the cushion must be placed on the waist, it is not effective to put it on the back. This is because the spine of a normal human body has three physiological curvatures. Due to physiological requirements, they do not grow in a straight line. The thoracic vertebra is convex backwards, and the cervical and lumbar vertebrae are convex forward. From the side, the spine is like the connection of two S's.

The use of cushions to relieve low back pain needs attention 2: the thickness of the cushions should be appropriate. It should not be too thin or too soft, so that it can not support the waist, nor should it be too thick or too hard. Too thick may cause excessive forward flexion of the lumbar spine, while too hard will make people feel uncomfortable. 10 cm height cushion is good. In this way, the human body presses backwards, compressing exactly 5-8 cm, which is most in line with the physiological lordosis of the lumbar spine. ^[1]

Back pain precautions

Back pain precautions for women with low back pain

Low back pain is more common in women than in men, and many women often hear complaints of back pain. This kind of low back pain is mostly low, except for the sides of the spine, which often involves the crotch region and the lower abdomen. The pain is not strong, mostly sore or falling, and can be accompanied by waist and knee weakness. It is often cyclical, or related to menstruation and labor. Many people also have leucorrhea.

Because female reproductive organs such as the uterus, fallopian tubes, and ovaries are all located in the lower back, women should pay special attention to the occurrence of gynecological diseases.

If lumbosacral soreness is accompanied by a large amount of leucorrhea and yellow sticky odor, consider the possibility of pelvic inflammatory disease or vaginitis.

If the waist and knees are sour, and there is a large amount of leucorrhea but it is thin and odorless, consider inflammation of the appendix or cervicitis. If postmenopausal low back pain, leucorrhea may appear bloody, be alert to the occurrence of uterine and cervical malignancies. For obvious low back pain during dysmenorrhea, pay attention to whether there are uterine fibroids or changes in uterine position.

Premature abortion may be caused by lumbar abdomen swelling and vaginal bleeding in pregnant women; lower abdominal pain, lumbosacral soreness, and premature birth; if low back pain is accompanied by swelling and dizziness, check blood pressure to see if there is a possibility of pregnancy poisoning As for some women who have low back pain and heel pain after childbirth, TCM often thinks that it is caused by virtual wind or kidney deficiency after childbirth.

Because women's low back pain is mostly related to the various gynecological diseases mentioned above, special attention should be paid to the examination and treatment of gynecological diseases.

What to do if you get back pain in the morning

The cause of back pain in the morning is most likely due to the bed. Traditional brown or nylon wire trampolines, steel wire trampolines, steel wire trampoline beds, soft sofas or too soft or inflexible Simmons mattresses, etc., can cause people to lie on it. Due to the weight, the body appears central. Low, four-corner high state, the waist muscles are in a state of convulsion for a long time, and the intervertebral disc cannot be fully rested and relaxed, and a back pain will occur. Many people sleep on such a bed and will feel back pain and weakness after getting up in the morning the next morning. In the long run, it can easily cause lumbar muscle strain and can also induce lumbar disc herniation. In the morning, back pain caused by this situation, changing the bedding can generally improve the symptoms.

If it is not a bedding problem, it may be due to chronic lumbar muscle strain. This kind of low back pain needs to be treated with lumbar traction, manual massage, hot Chinese medicine compress and oral Shujin Huoxue tablets.

Low back pain health care

Back pain prevention and care

Low back pain massage method for chronic back pain

Knead: Take a sitting position, put your hands and five fingers together, place them on the left and right back lumbar vertebrae, palms inward, rub slowly up and down until fever.

Rolling: Fists in both hands, roll your waist around, massage, bottom to top, top to bottom, repeated many times. The head can be tilted forward and backward.

Push: After rubbing with both hands, they are placed in the center of the lumbar vertebrae, and they are rubbed 30-50 times from top to bottom until they feel fever locally.

Pressure: Press your hands on your hips, press your thumbs on the waist and eyes, squeeze firmly, and rotate and knead, first clockwise and then counterclockwise for 36 turns.

Pinch: Sit with your feet forward, bend your knees, or sit up. Pinch and lift the waist muscles 15-20 times with both hands.

: Make a fist with both hands, with the palms of the two fists facing outwards. It is advisable to gently tap the waist so as not to cause pain.

Grasping: Put your hands against your hips, press your thumbs forward, and press on the sides of the waist without moving. The other four fingers are rubbing the skin outward with your fingertips from both sides of the lumbar spine, from the waist and eyes to the tail.

Shake: Put your hands on the waist, press the palms to the waist and eyes, and shake the palms up and down 15-20 times.

Press: Take the seat, rub the middle point of the person with your left or right fingertip for 1-2 minutes.

Point: Take the seat, use the fingertips of both hands to press the middle point (behind the knee joint) on both legs, and press for 1-2 minutes until the pressed part appears acid, numb, and swollen.