What is Lumbago?

Low back pain (lumbodynia; lumbago; low back pain) is a common clinical symptom. It is mainly pain on one or both sides of the waist. It can often be radiated to the legs and is often accompanied by external sensations or internal injuries. There are many causes of low back pain. In addition to motor system diseases and trauma, diseases of other organs can also cause low back pain. Such as urinary inflammation or stones, glomerulonephritis, certain women's diseases (pelvic inflammatory disease, retroverted uterus, etc.), pregnancy, lumbar radiculitis and some abdominal diseases can all cause back pain. Low back pain can be treated with surgery and non-surgical treatment. Non-surgical methods can use drugs and local closed treatment; surgical treatment should strictly grasp the indications.

Low back pain (lumbodynia; lumbago; low back pain) is a common clinical symptom. It is mainly pain on one or both sides of the waist. It can often be radiated to the legs and is often accompanied by external sensations or internal injuries. There are many causes of low back pain. In addition to motor system diseases and trauma, diseases of other organs can also cause low back pain. Such as urinary inflammation or stones, glomerulonephritis, certain women's diseases (pelvic inflammatory disease, retroverted uterus, etc.), pregnancy, lumbar radiculitis and some abdominal diseases can all cause back pain. Low back pain can be treated with surgery and non-surgical treatment. Non-surgical methods can use drugs and local closed treatment; surgical treatment should strictly grasp the indications.

Visiting department

orthopedics

Common locations

waist

Common causes

Lumbar muscle strain, urinary system infection, etc.

Common symptoms

Pain on one or both sides of the waist is predominant, and can often radiate to the legs

Causes of low back pain

Common causes of low back pain are:

1. Lumbar muscle strain.

2. Urinary system infection.

3. Reproductive organ diseases.

4. Women with cold and trauma suffering from rheumatism and rheumatoid arthritis are often affected by wind, humidity and cold during menstruation, childbirth and postpartum, which lead to spinal long bone spurs and induce back pain.

5. Tired during pregnancy and puerperium.

6. Lumbar spine lesions.

7. Menopausal women may also suffer from low back pain due to autonomic nerve dysfunction, which is characterized by morning lifting and reduction after exercise. There are also factors such as irregular menstruation, dysmenorrhea or mood.

Common diseases of low back pain

Lumbar bone hyperplasia, intervertebral disc herniation, lumbar hypertrophy, spinal stenosis, lumbar fractures, spinal tumors, acute or chronic trauma or strain of the waist, lumbar muscle strain, ankylosing spondylitis, etc. can all cause low back pain. Urinary system infections, urinary stones, tuberculosis and other diseases can also cause low back pain. Reproductive organ diseases, such as cervicitis, salpingitis, pelvic inflammatory disease, chronic appendicitis, pelvic peritonitis, uterine and sacral ligament or connective tissue inflammation, are easy to complicate low back pain, posterior uterine tilt, retroflexion, and uterine prolapse are the causes of low back pain First, severe genital disorders such as uterine fibroids, cervical cancer, and ovarian cysts can cause oppressive implicated low back pain.

Back pain check

1.CT examination

It can clearly show the osteophytes at the anterior and posterior edges of the vertebrae, the compression sites and degrees of the dural sac, spinal cord, and nerve roots. The anterior and transverse diameters of the spinal canal can be measured. No narrowness, no laminar hypertrophy.

2.X-ray film

Ordinary X-ray photography should be routinely examined, which is the basis of other imaging examinations. -Normally, the lateral, lateral, and left and right oblique films must be taken. If necessary, the lateral films of the neck forward flexion and extension are added. Orthotopic radiographs may see vertebral space stenosis, osteoarticular hyperplasia of the articulated vertebrae, and thickened pedicles. Lateral radiographs showed that the physiological lordosis of the cervical spine disappeared, the lip formed at the anterior and posterior edges of the vertebral body, the intervertebral space was narrowed and the spinal canal was narrowed. The oblique film can determine the condition of the intervertebral foramen.

3. Magnetic resonance

It can clearly show the disc herniation, compression of the dural sac and spinal cord, and the presence or absence of venous return obstruction and compression, and the presence of cystic lesions in the local spinal cord.

4. Blood test

Those with suspected tuberculosis and ankylosing spondylitis need to undergo ESR (erythrocyte sedimentation), ASO (anti-chain O), RF (rheumatoid factor), and CRP (C-reactive protein) tests.

5. Other inspections

For patients suspected of having bone hyperplasia, heart disease and other diseases, the bone density examination and electrocardiogram examination are used to exclude the disease. For certain diseases that cannot be clearly diagnosed through symptoms, posture, and X-rays, CT examinations are taken. To better understand the situation of soft tissues, ligaments, intervertebral discs, and contents of the waist, consider MRI examinations if necessary.

Differential diagnosis of low back pain

1. Kidney stones, ureteral stones

The low back pain caused by kidney stones is usually very severe, and it often radiates to the inner thighs. In severe cases, it will be accompanied by sweating and nausea.

2. Urinary system infection

Low back pain in pyelonephritis is mostly on one side. In addition, it is accompanied by fever, pain in the kidney area, hematuria, frequent urination, urgency, and dysuria.

3. Nephritis and nephrotic syndrome

Patients are often accompanied by faint discomfort in the waist and backache, pain, but this kind of back pain is far less intense than that caused by pyelonephritis and kidney stones.

Low back pain treatment principles

1. Both surgical and non-surgical treatments are available. Surgical treatment should strictly grasp the indications for surgery.

2. Steroidal anti-inflammatory drugs have the effect of reducing congestion and edema on accumulated soft tissue strain or sprain, and can shorten the course of treatment.

3. If the tenderness point is limited, the effect of local closure is reliable and rapid.