Lower back pain reasons:
According to the reports in the literature, about 60% to 80% of Chinese people experience lower back pain in their lives. Low Back Pain is only a symptom, for many reasons, the most common include:
Soft tissue injury / back fascia inflammation:
This is actually the most common cause of lower back pain, including acute and chronic strain of back muscles, ligaments and tendons, sprains and bruises. Office workers sitting on the desk or because of sports caused by the lower back pain, it is the majority of chronic tendonitis or muscle fatigue.
Disc herniation:
In young people caused by backache and even sciatica caused by disease, the disease accounts for a large proportion. Etiology is the disc annulus fibrosus rupture, resulting in the middle of the nucleus projecting backwards, oppression sciatic nerve root, causing the so-called sciatica, usually unilateral.
Mostly at the beginning of the heavy lifting or sudden movements of each particular sudden back pain, the patient admitted that flash is the waist, rest for a few days nothing, but the pain was slowly spread from the lower back to the buttocks, thighs or after Side, and even extended to the lower leg or dorsal foot or foot. Mr. Lee is a case of disc herniation.
Vertebra Degenerative Arthritis:
Aging caused by the spine, commonly known as long spurs, ligaments and fat around the joints due to chronic arthritis caused by fibrosis and harden, originally designed to protect the structure of the nerve to lose the original flexibility, coupled with the spurs of the attack, will Compression of the sciatic nerve root, causing sciatica. At this time the patient not only low back pain, but also accompanied by lower limb numbness. Serious patients also have lower limb weakness, cramps, or walk not far away from the phenomenon.
Compressive fracture:
Postmenopausal women due to osteoporosis caused by many examples of stress fractures, but also the main reason for the elderly humpback, the beginning of this article Case Liao that suffering from the first lumbar compression fracture, often bilateral symmetrical pain occurred.
Spinal stenosis
Spinal degeneration long bones
Spondylolisthesis
Primary or metastatic spinal tumors
kidney disease
Ureteral calculi
Prostate inflammation or pelvic inflammation
Bad posture
Emotions, stress
However, some lower back pain can not be diagnosed by routine examination. One of them is spondyloarthropathy. Although sometimes lying down can get relief, but sometimes over-strangulation spine, combined with rotation or scoliosis, pain really will need human life. Lin Zhilong, a neurosurgery surgeon at the affiliated hospital of Kaohsiung Medical University, said that these patients are now able to improve their non-surgical treatment with spine-joint injections.
Other less common, but must be particularly careful, including the tumor spondylolisthesis, as well as rigid spondylosis. The former, if not alert, will leave regret; the latter depends on whether the prognosis of early diagnosis and long-term control.
Treatment of lower back pain:
In fact, lower back pain prevention is more important than treatment, good posture, minimize weight bearing, so that the lumbar spine and nearby not too much pressure, can prevent waist soft tissue injuries; if heavy objects have to be handled, should pay attention to the method to avoid Back muscle strain or disc herniation; appropriate exercise can effectively reduce the incidence of lower back pain.
What happens if the backache really occurs? Should immediately assess the doctor, do not neglect the seriousness of the problem must be for the cause of treatment, the current treatment There are many ways, including:
medical treatement:
Outpatient commonly used drugs NSAID, non-steroidal anti-inflammatory drugs and muscle relaxants, the effect of analgesic, anti-inflammatory and relaxation of the muscles well.
Physiotherapy:
Such as massage, acupuncture, low energy laser therapy, exercise therapy, lumbar traction, electrotherapy and hyperthermia, etc., are mainly performed by the rehabilitation department.
Injection therapy:
The first two kinds of therapy are collectively referred to as "traditional conservative therapy" and refer to oral anti-inflammatory, analgesic, muscle relaxation and other drugs. Combined with heat treatment, electrotherapy, lumbar traction, massage and other rehabilitation treatments, if no improvement is found for more than one to three months, When the attack painful, but did not dare to accept surgery, this time, "injection therapy" effective relief of symptoms, short-acting and immediately another option.
Injection of sciatica treatment:
Disease symptoms:
Starting from the lower back pain, pain as current extends to the buttocks, thighs, calves to the feet or the soles of the feet, but also common from the lower back pain to the knee, hip pain or simply lower back pain situation.
treatment method:
The injection of sciatica is treated with "spinal nerve root injection," said Wang Yi-jun, an orthopedic surgeon at Chang Gung Memorial Hospital in Keelung. The physician, with the help of a mobile x-ray machine, transforms a long needle from the back of the patient to the pain Of the nerve root, from the foramen into the appropriate amount of anesthetics and anti-inflammatory steroid play paralytic nerve pain and inhibit the role of inflammation, a few hours there is a significant analgesic effect, and 70% of the patients can be extended for several Effective month.
Spinal arthritis injections
Disease symptoms:
Is a back pain caused by a spondyloarthropathic disorder with symptoms similar to those of sciatica, with some having a local joint pain in the lower back or pain from the back of the thigh, and the patient described the pain as being blunt, deep and not easily positioned Often, the back has a feeling of being locked, especially backwards, standing or sitting slightly longer, which can cause or worsen back pain.
The doctor said that the treatment is the needle into the spine joint injection of a small amount of local anesthesia, only a small pinhole, without suture, the patient injection only need 30 to 60 minutes, the case of lower back pain can be effective improve. Not only can reduce the use of painkillers, but also improve the quality of life of patients.
treatment method:
"Spinal joint injection therapy" is guided by a computed tomography or X-ray and inserted into a long needle that accurately injects anesthetics and steroids into the facet joints that cause arthritis. Wang Yi-jun, an orthopedic surgeon at Keunglung Chang Gung Memorial Hospital, points out that anesthetics can Peripheral articular paralysis of small facial nerve pain, steroids can inhibit the inflammatory reaction, the effect is fast and immediate.
Low back pain of high frequency thermocoagulation therapy
Indications: Spondylitis, stubborn back pain
treatment method:
High-frequency heat is a tool, Zhongli Tiansheng Hospital neurosurgeon Zhuang vitality pointed out that the treatment of eight centimeters long first needle into the inflammation of the joints of the spine, and then high-frequency heat generated 60 to 80 degrees introduced Among them, the pain in the joints near the small nerve burn out to achieve the purpose of blocking the pain, than the "spondylosis" injection method of numbness achieved more lasting effect with an efficiency up to 80%. However, Zhuang vitality pointed out that since the small nerves around the spine joints will regenerate, so whether the spondylitis or refractory back pain after this treatment, the recurrence rate is still high, 80% will still relapse after more than three months , But this therapy is still a good way to quickly relieve back pain.
Physician's caution:
Zhuang vitality pointed out that whether it is sciatica, degenerative spondylitis or stubborn back pain, oral anti-inflammatory painkillers should still be treated with conservative treatment and other conservative treatment is preferred, unless ineffective and pain remains, or are waiting for surgery, Temporarily afraid to surgery, can not surgery or incision useless back pain patients, it is recommended to use injection therapy or high-frequency thermocoagulation therapy.
However, according to the United States recommendations, injection therapy for sciatica and spondyloarthritis is up to three times a year, and Johnson said that this is because seizures that cause neurofibrosis are still caused by repeated injections or are more ineffective, Can only be used as "over-treatment", not long-term treatment, can not replace surgery.
Surgery:
Most lower back pain patients "talk about knife discoloration", in fact, really need surgery treatment of the few cases, but when necessary, such as disc herniation and lower extremity muscle atrophy, or pain after several months of conservative treatment is invalid, but also diagnosed the cause, You must carefully consider surgery.
However, after surgery is not representative of once and for all. Because either the disc, vertebral plate or spinal surgery, the original is damaged tissue, will be faster than normal aging, but also easy to re-injury, the back of the syndrome after surgery, the symptoms of pain, foot and other symptoms.
Teach the patient daily life and work matters needing attention, sitting, standing, sleeping position and so on
Wearing a back frame and corset
How to prevent lower back pain:
To reduce the occurrence of low back pain, prevention should be emphasized on the treatment, including good posture, reduce heavy loads, do not allow too much pressure on the lumbar spine and nearby compression, so to prevent muscle, ligament, tendon and other soft tissue injuries. To prevent low back pain should pay attention to:
Avoid sedentary, backpackers should support the lower back for sedentary use, and use the high back seat. And sit posture to correct.
In daily life, the pressure on the spine when lying down is minimal.
Bed rest should use the wooden bed, and can be an additional layer of quilt or tatami, so lying, the waist position more natural and straight. Do not sleep too soft bed, because the buttocks will sink, so lying like a pregnant woman stomach, the condition of oppression of the lumbar disc will worsen.
Rest a pillow under the knee during bed rest.
Avoid rapid forward bending and rotation, excessive body back and so may hurt the back of the action.
Need to turn around to pick up or take things, not only to reverse the upper body, should try to turn the whole body.
Hold things should be separated from the legs about 45 cm, one foot in front of the other foot slightly behind the knees bent squat down to keep the back straight, the items as close to the body, legs straight up, the items lifted . Stoving lumbar lifting is the most strenuous action, back discomfort should be avoided.
Hyperthermia can improve the back pain, for example, hot water bath (available hot water waist painful parts), heat and so on, but the temperature can not be too high, the time can not be too long, so as not to burn the skin.
Do not maintain the same posture for a long time.
Appropriate exercise can improve and prevent the symptoms of lower back pain.
For example: swimming, lifting mute dumbbell muscles, walking, jogging
【2004-03-09 / United Daily News / E4 Edition / Health】
With acupuncture, medicated treatment of lower back pain:
Huang Zhiliang, Director of Acupuncture and Moxibustion Department of Taipei Chinese Medicine Hospital
Chinese medicine practitioners are advised to suffer from the pain of the lower back pain of the people in addition to the rehabilitation of Western medicine, you can also try traditional Chinese medicine acupuncture treatment to ease the pain of go hand in hand.
In general, the lower back pain refers to the back of the lower 12 ribs to the lower hip pain, attack less than three months called acute lower back pain, more than three months is chronic lower back pain. Huang Jialiang, director of acupuncture and moxibustion department at Taipei Municipal Hospital of Traditional Chinese Medicine, said that the causes of acute and chronic lower back pain are different and the treatment methods are also different.
Common acute lower back pain is caused by back muscle strain, fracture and dislocation, muscle fascia syndrome, osteomyelitis and ligament inflammation. As for chronic lower back pain, it is usually associated with degenerative arthritis, disc herniation, spondylolisthesis, muscular tendons Membrane syndrome, compression fractures, osteoporosis, metastatic pain and cancer and other factors.
Huang Jie Liang pointed out that acupuncture treatment of back pain in the main syndrome differentiation, the doctor will usually be based on the location and cause of lower back pain, in the end is identified by the tendon or meridian disease, if it is by the tendons, the treatment of local stress points Mainly, if it is meridian disease, Zeyi Meridian syndrome. For example, foot and Yang Yang low back pain, pain mostly appear in the threatening ribs; foot sun by low back pain, pain usually appears on both sides of the spine; if the Du meridians low back pain, the pain is mainly the spine.
When choosing acupuncture points, Wong Ching Leong often adopts the method of "seeking acupoints and acupuncture points" or "up and down copulation". If it is sufficient sun, low back pain, take the Kunlun hole, take Shenshu points; foot shaoyang low back pain, take Yanglingquan point, take the next loop jump point; And ditch points.
In addition to acupuncture treatment, the usual diet also has the effect of strong waist and knee. Huang Jiliang recommended "Morinda Eucommiae pork spine soup", take Morinda 4 money, six money Eucommia, wolfberry five money, five yam money and pork pound for raw materials. Wash the pork chops first and wash with hot water to remove the bloody water, add other ingredients to wash, and add appropriate amount of water to boil, then simmer for 2 to 3 hours, then add the appropriate amount of seasoning edible. 【2004-06-14 / Minsheng Daily / A8 Edition / Health Collection】