How Do I Relieve Chronic Back Pain?

Low back pain refers to pain in the lower back, lumbosacral, and crotch, and is sometimes accompanied by lower limb pain or radiation pain. Due to the majority of low back pain manifested in the lower lumbar spine and lumbosacral, chin. Back pain is the most common condition of the human spine. Low back pain can be caused by lesions in any one of the skin of the lower back, subcutaneous tissue, muscles, ligaments, spine, ribs, spinal cord, and meninges.

Basic Information

Visiting department

Orthopedics, general surgery

Multiple groups

Middle-aged and above

Common locations

Lower back, lumbosacral, crotch

Common causes

Related to trauma, inflammation, nutritional metabolism, lumbar muscle strain, etc.

Common symptoms

Pain in the lower back, lumbosacral, and crotch

Contagious

no

Causes of chronic low back pain

Common cause

(1) Spinal low back pain Traumatic low back pain such as vertebral fractures, muscle sprains, vertebral spondylolisthesis, etc .; Congenital deformity low back pain such as hemivertebra, lumbar vertebralization, sacral lumbar vertebrae, spina bifida inflammatory low back pain such as ankylosing spondylitis, tuberculous spondylitis, purulent spondylitis, focal sacral arthritis, etc .; degenerative low back pain such as proliferative spondylitis, disc herniation, spinal canal Narrowness, posterior lumbar vertebral joint disorders, etc .; Nutritional and metabolic back pain such as osteomalacia, fluorosis, etc .; Poor low back pain; dystrophic low back pain; endocrine abnormal low back pain Such as osteoporosis, primary hyperparathyroidism and so on.

Back pain caused by other spinal diseases: such as deformed osteitis, juvenile spinal osteochondritis (youth hump) and so on.

(2) Back pain caused by soft tissue diseases near the spine Lumbar muscle strain; Back muscle myofascitis (fibromyositis); Third lumbar transverse process syndrome.

(3) Back pain caused by stimulation of spinal cord and spinal nerve roots Spinal cord compressions such as epidural abscesses, spinal tumors, spinal arachnoiditis, etc .; Acute myelitis; Subarachnoid hemorrhage; Waist Sacral radiculitis.

2. The relationship between low back pain and occupational factors

( 1) Relations with heavy physical work The high incidence of low back pain among heavy industry, construction, miners, and forestry workers may be related to the large spine load and susceptibility to injury.

(2) Relation to bending and twisting The type of work that involves lifting heavy objects and repeating bending and twisting has a high incidence of low back pain.

(3) Restrictive work posture and vibration In recent years, the relationship between restrictive work posture and low back pain has been paid more and more attention. Long-time sitting work is considered to be a high risk factor for low back pain.

(4) Other occupational factors The prevalence of low back pain is high for those who are engaged in monotonous repetitive work on the factory assembly line. The survey found that monotonous repetitive work and less amateur activities are directly related to low back pain.

Clinical manifestations of chronic low back pain

Low back pain is mainly caused by low back, lumbosacral and crotch pain. There are simple low back pain and low back pain accompanied by lower limb induction pain or radiation pain. The nature of the pain is mostly hidden pain, dull pain, Tingling, local tenderness or accompanied by radiation pain, unfavorable movements, inconvenient pitching, inability to hold weight, difficulty walking, limb fatigue and other symptoms, and even dysfunction such as forward flexion, backward extension, lateral curvature of the waist, and severe spinal deformity.

Chronic low back pain examination

1. Straight leg raising test and strengthening test

The patient lies on his back with his legs straight, and the examiner lifts his ankle with one hand and gently presses his knees to keep the leg straight, causing radioactive pain in the lower limbs to be positive. At this time, if the back of the foot is extended, the test is strengthened if the pain worsens Positive.

2. Supine abdomen test

The patient's occipital and bipedal feet are used to force up the abdomen and buttocks, and those who cause low back and leg pain are positive. If negative, the patient can lift the abdomen and breathe deeply into the face while flushing or coughing at the same time. Pain is positive and is used to examine patients with lumbar disc herniation.

3. Neck flexion test

The patient was lying on his back with his limbs straight and flat, and slowly raised his head and flexed his neck. Those who had radioactive pain in the lower limbs were positive.

4. Tilt test

The patient's limbs are straight and supine. The examiner supports the affected knee, flexes the hips and flexes the hip joint, and holds the shoulder with the other hand to fix the upper body. This can cause rotational pressure on the longitudinal axis of the pelvis. The presence of lesions can cause pain.

5. "4" test patient lying supine

Bend the knee and put the foot and ankle on the contralateral knee. The examiner presses the knee down with one hand and fixes the opposite side of the pelvis with the other hand. The sacroiliac joint pain indicates that there is a lesion in the sacroiliac joint. The joint is painful and the knee cannot be laid flat.

In addition, there are neck pressure test, Geisling test, Yaoman test, pelvic compression test and so on.

Chronic low back pain treatment

1. Rest or activity

First decide whether the patient needs rest. Those who need absolute rest are lumbar disc herniation, compression fracture or spinal tuberculosis; those who need some rest and exercise are osteoporosis and osteomalacia; as few rest as possible are ankylosing spine inflammation.

2. Exercise

After the acute period of severe low back pain, whatever the cause, a recovery period and exercise are needed to restore function.

3. physical therapy

Ultrasound therapy, acupoint magnetic bead application therapy.

4. Health status

Many obese people will suffer from low back pain, which will improve after diet control to reduce weight. Attention should be paid to factors such as anemia and depression.

5. Special treatment

Such as the treatment of tuberculosis, brucellosis, sepsis or syphilis or tumors and other diseases.

6. Analgesics or anti-inflammatory drugs

Appropriately selected according to the nature of low back pain.

7. For those with severe pain

Give narcotic painkillers.

8. Surgery

Such as removal of intervertebral discs that compress the nerve tissue; spinal fusion surgery; removal of malignant or benign tumors.