Lumbago, I'm still a little puzzled by your question, because lumbago is divided into upper back pain and lower back pain. Normally, the lower back is commonly known as lumbago, and only the upper back says lumbago, but when I see your picture, it seems that my lumbago has returned ... (There is actually a pain in the middle)
Pain analysis
I will write to you according to the upper back pain I often encounter at work, and it doesn't mean everything for your reference!
fasciitis
Also known as myofibrositis. The dorsal fascia and muscles are tender and tense, with cord-like adhesion, which mostly occurs in the rhomboid muscle area. Cloudy days will be more serious. It can be improved by massage and hot compress. Humpback people can also suffer from excessive stretching of rhomboid muscles, which can be classified as this!
thoracic-outlet-syndrome
The scalene muscle is tense and tender, which can compress the dorsal scapular nerve. A branch of the dorsal scapular nerve passes through the deep surface of levator scapulae and rhomboid muscle. There will be obvious tenderness in the position of scalene muscle of neck and the direction of dorsal scapular nerve.
C4-5 cervical disc herniation
The origin of dorsal scapular nerve is C5. When the compression of intervertebral disc stimulates C5 nerve, it can also cause pain of dorsal scapular nerve. Back pain can be diagnosed by doing a coping test.
In fact, it is not troublesome to treat the pain, for fear that the problem will not be found. Diagnosis is the basis of making treatment plan. There should be patience and communication between doctors and patients. Don't be a doctor who provides a treatment plan as soon as the patient says what the disease is, and don't be a patient who starts asking how to treat it!
Back pain is a common symptom of many people, whether they are sedentary, long-standing office workers or hunched elderly people. The following are some common causes of back pain.
First, acute coronary syndrome
Acute coronary syndrome (ACS) is a group of diseases caused by myocardial ischemia and hypoxia caused by coronary artery stenosis or occlusion. Simply put, it includes unstable angina pectoris, acute non-ST-segment elevation myocardial infarction and acute ST-segment elevation myocardial infarction. The typical symptom of this kind of disease is precordial pain, but many of them have atypical pain, such as arm, neck and back pain. So it doesn't mean that low back pain must be a local back problem. When you have low back pain, accompanied by chest pain, cold sweat, etc. You should be especially alert to whether there is acute coronary syndrome.
Second, acute aortic dissection
Aortic dissection is caused by endovascular bleeding due to tearing of aortic intima. In severe cases, hemorrhagic shock will occur, and if it is not actively treated, it will soon lead to death. Without active treatment within 24 hours, the mortality rate reached 25%, and without active treatment within 48 hours, the mortality rate reached 50%. Aortic dissection, a typical symptom is back tearing pain, accompanied by blood pressure asymmetry in both upper limbs or upper limbs and lower limbs.
Third, acute pancreatitis.
Acute pancreatitis is the abnormal activation of digestive enzymes, which leads to indigestion of its own tissues, causing upper abdominal pain, nausea and vomiting, back pain and other symptoms. Among them, severe pancreatitis has not been actively treated, and the mortality rate is also high. The most easily overlooked symptom is back pain, not just abdominal pain. If the patient has a history of overeating, he should pay special attention.
Fourth, acute cholecystitis.
Acute cholecystitis is cholecystitis caused by obstruction or infection of cystic duct. The main symptoms are pain in the right upper abdomen, nausea and vomiting, fever, etc. Signs include tenderness and rebound pain in the right upper abdomen, and physical examination shows Murphy's sign. However, it is worth noting that a considerable number of patients with acute cholecystitis have low back pain as the main symptom, which should also be paid attention to.
Five, lumbar muscle strain
In medicine, lumbar muscle strain mainly refers to the inflammatory reaction caused by the injury of lumbar muscle, fascia and periosteum, which mostly occurs in people over 30 years old. The causes of lumbar muscle strain are sedentary, standing for a long time, poor sedentary, lifting heavy objects and so on. , causing local muscle tension in the back, leading to pain. Therefore, people with bad long-term living habits should pay more attention to activities and avoid sedentary.
Six, cervical spondylosis
Cervical spondylosis refers to diseases caused by degenerative changes and injuries of cervical vertebrae and hypertrophy and hyperplasia of vertebral bodies. Cervical spondylosis can lead to local compression of muscles, nerves and blood vessels. The most common symptom is back pain, accompanied by numbness of limbs, dizziness and tinnitus.
Of course, if it's just a simple backache, don't worry too much. You should actively adjust your work and rest habits, ensure good sleep, sleep posture and sitting posture, and moderate exercise can improve it. However, if there is lumbago and discomfort for a long time, we should pay attention to it and pay attention to eliminating related diseases.
There are many back pains, but we are most worried about one of them-acute coronary syndrome!
There are many clinical reasons that can cause low back pain, including cervical spondylosis, cholecystitis, herpes zoster, strong spine, lung cancer, kidney disease and so on.
But what we are most worried about in clinic is acute coronary syndrome. Why?
Because acute coronary syndrome is the most dangerous and the mortality rate is high.
It is necessary for Dr. Wang to tell you something about acute coronary syndrome, including unstable angina pectoris and acute myocardial infarction.
In fact, the symptoms are similar, but the symptoms of acute myocardial infarction persist, and the symptoms are more severe, accompanied by a sense of near death and so on.
Angina pectoris often manifests as back pain or chest tightness, lasting 2- 15 minutes each time. Taking nitroglycerin can obviously relieve the pain symptoms and disappear. It often occurs after exercise and can be relieved after rest. Unstable angina pectoris and myocardial infarction can also occur at rest.
If back pain persists, or accompanied by sweating or chest tightness, you must suspect acute myocardial infarction.
If you have a backache, it has nothing to do with moving your arms and taking a deep breath. It's obviously related to activities. Then you must see a doctor at the first time, and you must rule out chest pain caused by acute coronary syndrome!
Remember! Remember!
Back pain is usually accompanied by cervical spondylosis and lumbar hyperplasia. Most people are sedentary and lack of exercise, especially those with heavy moisture in their bodies.
If radiation pain suddenly appears in the back and heart, it should be paid enough attention, which is usually the reaction and precursor of a heart attack a few days ago, and it is easy to cause sudden death.
Du meridian and bladder meridian are mainly distributed in the back. Once you sit for a long time or catch cold, it will cause blockage of qi and blood in the meridians. Many people will find a knot in one's back or a "tendon" that is particularly sour when touched. Du meridian is called Xiao Zhou Tian, which has the function of regulating the blood of Yang meridian, so it is called "the sea of Yang pulse".
Bladder meridian is the largest detoxification meridian in human body. Once the two meridians are blocked, the back will be sore, which is what we often say: the truth is painless and the pain is outrageous. In fact, the meridians are impassable.
The best way is to scrape and cupping to dredge the meridians, and scrape the blocked places, mainly scraping the Du meridian and bladder meridian. When scraping, there will be many scratches in the severely blocked places, such as black and purple. At this time, we will focus on scraping the parts, and we can also scrape the parts that are not well scraped.
Furthermore, you can find a big tree by relying on the Du Meridian and Bladder Meridian (if it is inconvenient, you can also use the door frame) and hit the big tree with your back. Can bear the strength better. From top to bottom, call there when it hurts, and you don't need any complicated essentials. Do it a hundred times at a time, and increase the number as you get used to it. Generally, I will feel my back pain worse the next day, which is a normal reaction. Don't worry.
The above two methods are very effective. After scraping and cupping several times, or leaning against a big tree, you will find that your back no longer hurts, and your tendons are small and gone! However, it needs to be reminded that we must insist on it several times to completely open the back meridians. If you feel uncomfortable, give up and give up halfway!
Lumbago often occurs in contemporary society, especially among people who often sit and work. So how is it caused?
In fact, sometimes low back pain is mainly due to long-term incorrect sitting posture, such as crossing your legs and hunching over your desk, which leads to muscle fatigue. Generally, the symptoms are mild and do not need special treatment. They can be relieved after rest or local massage.
Cervical spondylosis can also cause back pain, mainly caused by cervical deformation and compression of local nerves, which can be reflected to the back to cause back pain.
Lumbar diseases, such as lumbar degeneration, lumbar disc herniation, ankylosing spondylitis and other diseases, lead to local nerve compression, hyperosteogeny, muscle injury and other involvement, and then back pain.
Visceral related diseases can also cause back pain, such as myocardial infarction or angina pectoris. In addition to chest pain, it can also be accompanied by radiation pain in the shoulder and back. Lung diseases, including lung infection, pleural effusion, pneumothorax, lung cancer, pleural adhesion, etc., can also cause back pain; Kidney calculi and other kidney diseases, knocking on the back can cause knocking pain in the corresponding position of the kidney area; Liver disease and appendix disease sometimes cause back pain.
Exogenous pathogenic factors such as wind-cold, wind-heat and so on, or living in a cold and humid environment for a long time, or catching cold in the shower. Can cause back pain. The pain caused by these reasons can be relieved by sticking plaster or paying attention to cold and warmth.
Through the above introduction, I believe everyone has a certain understanding of the causes of low back pain. In life, we should develop good sitting habits and reduce the occurrence of low back pain. At the same time, we should actively treat the back pain caused by the disease according to the inducement to alleviate the local pain symptoms.
Answer: Xu Xia, Master of Medicine.
Welcome to pay attention to the life call order and get more useful health knowledge. The range of back pain is too wide, provide several common reasons and sit accordingly.
1. Angina pectoris or acute myocardial infarction: most of them are angina pectoris or acute myocardial infarction, and the pain radiates to the left back, which is squeezing, contraction and stuffy pain. Angina pectoris can usually be relieved by taking nitroglycerin in the mouth for about 5- 10 minutes, but the pain can not be relieved during acute myocardial infarction, accompanied by sweating and dying feeling. (The symptoms are different according to the location of the infarction).
Second, cervical spondylosis: mostly pain and stiffness on both sides of the shoulder, neck and spine. Keep an action for a long time, the pain is obvious, and it is slightly relieved after the activity.
Third, cholecystitis: colic in the right upper abdomen. The pain can radiate to the right shoulder and the lower corner of the right scapula, and the pain lasts. Often accompanied by fever, nausea, vomiting and so on.
Incubation period of herpes zoster: the incubation period can be as long as more than 20 days, which is burning pain and electric pain, and it has obvious pain sensitivity when touched.
5. Neuralgia and costal chondritis: Most of them are paroxysmal electric pain, which occurs when the body position changes.
Where is the backache? Different parts have different reasons.
1. Conventional orthopedic problems are generally stinging and severe pain accompanied by posture change, with obvious severe pain.
For example, scapulohumeral periarthritis, cervical spondylosis and ankylosing spondylitis can all cause low back pain.
Standing or sitting for a long time will cause different degrees of damage to the spine, and repeated mechanical actions will easily cause muscle strain and fatigue.
2. Visceral diseases, usually dull pain, not obvious, but always painful.
Upper back pain is probably radiation pain caused by gallbladder, gastritis and heart of digestive system;
Kidney diseases (nephritis, kidney calculi) are easy to cause bilateral low back pain.
Gynecological pelvic diseases and prostate diseases can cause low back pain;
Fennel, a licensed pharmacist, reminds you that you can't take medicine blindly for specific back pain. You need a professional doctor to diagnose and treat. There are many causes, and the right medicine is the key to rehabilitation.
In the usual clinical work and outpatient service, it is more common in orthopedic patients with low back pain, and most adults are caused by muscle strain. Other organ diseases such as cervical spondylosis, scapulohumeral periarthritis, chest and abdomen, tumor metastasis, etc. May cause back pain in adults.
After searching online, such articles can be seen everywhere. Friends in need can read more and choose articles that they think are useful!
Today, the blame is mainly on the evaluation of back pain in children and adolescents.
What diseases do children and adolescents need to guard against? What caused it? What diseases may be suggested?
After reading this article, you may know more!
Compared with adults, back pain is a relatively rare complaint among children and adolescents!
Most children who come to see a doctor may have benign causes, but from time to time they will find several serious congenital or acquired diseases.
Here, the evaluation of back pain in children and adolescents is a simple science.
First, the status quo of low back pain in children and adolescents You may ask, are there many children with low back pain?
It can only be said that the proportion is not much, but the total is still quite large! The possible illness can be light or heavy. Don't think that it can't be yourself. Probability is sometimes quite mysterious!
A foreign study found that among pediatric emergency patients, the proportion of patients with back pain is less than 0.4% 1, which means that among 200 patients, patients with back pain are less than 1.
Half of patients with low back pain at all ages are caused by bone and muscle trauma, in addition, urinary tract infection and other microbial infections account for 9%, patients with low back pain without obvious reasons account for 13%, and others are due to various reasons.
In addition, some studies have found that overweight schoolbags may also cause back pain, but not all studies support this view.
Special attention should be paid to the persistent or aggravated back pain of children, which often suggests that there may be tumors or infected lesions!
I heard that many people are getting serious! In this age of "smelling cancer turns pale"!
One study analyzed 6 1 children who went to the orthopedic clinic for back pain. Among them, 32 children developed serious lesions, and 9 of them found infection and tumor focus 2. ......
Think about it, the incidence of children's back pain is low, but if your child is one of these low probabilities, and it is caused by a tumor ... then it is meaningless to think about the so-called incidence!
Second, what "danger signals" do children need to pay attention to with back pain? The human body is a magical organism. Many times when the body is diseased, it will remind you in various ways such as pain that it is time to go to the hospital!
Most people will go, but a few people choose to believe in themselves, which delays the best treatment opportunity for the disease ... This part mainly tells the "danger signals" of the child's back pain, suggesting that there may be serious lesions, so be sure to see a doctor in time!
1 young
At the beginning of the article, it is said that for adults, low back pain may be caused by muscle strain caused by long-term work, but children and adolescents, especially children under 4 years old, rarely have such benign musculoskeletal low back pain!
2. The nature of pain
If it's just pain, it will be fine in the next few months, so this kind of pain can be observed a little.
If there is pain reflected in the buttocks and lower limbs, there may be spinal nerve root compression and paravertebral compression.
However, if there is severe pain, persistent pain, or even nighttime pain that affects rest and daily activities that affect life, you should pay attention.
3, fever, weight loss
A fever may indicate an infection in the body.
Fever with back pain may indicate spinal infection or paravertebral infection. Such as osteomyelitis and spinal abscess;
Fever combined with weight loss may be related to malignant tumor! Leukemia? Lymphoma? Wait, these all need to be considered! (Because tumors are wasting diseases)
4. Other medical history
Past medical history is very important. Doctors can make a preliminary diagnosis direction according to the child's medical history and current symptoms, so as to catch a "diagnosis" needle in the sea!
Children with a past history of malignant tumors need to rule out the possibility of spinal metastasis if they have low back pain;
When the child has a history of contact with tuberculosis patients and has back pain, it may be necessary to rule out spinal tuberculosis.
3. What are the clinical manifestations of children's low back pain caused by various reasons? Various causes of children's back pain usually have their own unique clinical manifestations. Identifying these clinical manifestations quickly and correctly is helpful for parents to understand the priorities of diseases and see a doctor as soon as possible.
1, if it is a simple muscle sprain and strain caused by low back pain in children, it can generally get better after rest, and the pain may be similar to nerve compression symptoms and radiate to one or both hips;
2. If it is the pain caused by the compression of the back nerve root, it is generally severe pain and click-like pain. When abdominal pressure increases such as cough or defecation, the pain is aggravated; The pain is relieved when lying on the supine position, and obvious when standing and sitting;
3. If the pain gets worse in the morning, but the back pain is relieved after getting up several times, then this situation may rule out the possibility of inflammatory diseases. Such as whether there are autoimmune diseases, ankylosing spondylitis and other diseases.
One thing to note is that if there is something wrong with the anatomy of the back and spine, such patients usually wake up in the morning with mild symptoms and get worse after getting up and going to the ground, so they need to be identified;
4. If the local pain in the back is severe and the pain range is "banded", it is necessary to rule out whether there is back pain caused by herpes zoster;
5. Low back pain and sciatica are the main manifestations of patients with disc herniation. Typical performance is hip pain, which can radiate to the back of thigh and the outside of calf;
6. If you have systemic pain, you need to rule out related diseases such as malignant tumor in the elderly, systemic bone metastasis and systemic osteoporosis;
In children, if there is systemic pain, it is necessary to rule out the metastasis of malignant tumor, but also to clarify whether the nature of the child's pain is related to truancy, and to rule out whether there are reasons such as pain expansion or deliberate concealment by the child.
7. Finally, emphasize once again: severe persistent back pain, which lasts at night, suggests that there is tumor, infection or nerve root compression, especially tumor!
Summary:
There are many reasons for back pain. This paper introduces the diagnosis and treatment of children's low back pain, aiming to help you realize the seriousness of your disease as soon as possible and see a doctor as soon as possible.
The reason why there is no treatment is because there are many related diseases that cause the symptoms of low back pain in children, and the treatment ideas of different diseases are completely different.
I have a backache. I haven't recovered from a few days' rest. I still suggest going to a regular hospital early, and don't delay treatment!
Back pain is usually low back pain, and the common causes of back pain are:
1. Acute sprain
The posture of moving and lifting heavy objects is incorrect, or the muscles are not suitable for waist activities, and the range of waist activities is too large, which will lead to lumbar sprain and backache.
2. Back pain caused by sedentary.
Nowadays, young people work at their desks for a long time and have little time for activities. If they sit improperly, their desks are too high, and their arms are held up for a long time, it is easy to cause shoulder, neck and upper back pain.
3. rheumatism
Rheumatism is mostly autoimmune disease, with slow onset and long course of disease. It invades joints, bones, muscles, blood vessels and related soft tissues, and can cause back pain to some extent. The weather is cool, cold and humid, and the back pain is aggravated.
4. Lumbar muscle strain
Long-term bending or lifting heavy objects leads to lumbar muscle strain, which is mainly manifested as diffuse pain in the back (sometimes including buttocks), especially in the bilateral waist, paraspinal and sacral crest. It is manifested as obvious pain in the morning, which is relieved after a few minutes or half an hour of exercise, but it seems that the pain reappears at night because of too much activity. 5. Cervical spondylosis
Cervical spondylosis is a kind of disease that seriously endangers the health of desk workers, and its manifestations are various. There are mainly neck, shoulder and back pain, acid sinking, weakness of upper limbs, chills of limbs, numbness of fingers, dizziness, nausea, tinnitus, numbness of tongue, palpitation, local sweating and even blurred vision.
6. Involvement pain caused by visceral diseases
Gynecological pelvic diseases and prostate diseases can cause low back pain, kidney diseases such as calculus J tumor, nephroptosis, pyelonephritis and retroperitoneal diseases such as abscess and hematoma can cause low back pain, and liver, thigh and heart diseases can cause low back pain.
7.scapulohumeral periarthritis
At first, scapulohumeral periarthritis is only local pain and shoulder pain, but with the development of the disease, it will spread to the whole back, and some patients will have symptoms such as redness and swelling.
How to relieve backache? 1, rest
In the acute phase, rest is the main way to keep back muscles relaxed.
2. Correct posture
Avoid bad sitting posture and bending over to carry heavy objects, and actively exercise back muscles during the period of pain relief, such as Little Yin Fei, which can prevent the occurrence of back fasciitis.
Step 3 stretch and relax
Stretching, relaxation and regular training will release endorphins into the brain, which will produce a feeling of happiness, reduce physical tension and strengthen muscles.
Step 4 stand against the wall
Stand against the wall to increase back muscle strength and relieve back pain. Stand up straight against the wall with your back and shoulder blades on both sides as close as possible to the wall for about 3 minutes at a time, which will help to enhance muscle strength and relieve and prevent back pain.
5. Hot compress your back
Sticking to hot compress on the back can reduce the risk of various diseases and effectively relieve back pain, especially for patients with lumbar diseases. Hot compress can be used to relieve symptoms.
Dr. Gao Zhi from Sports Orthopedics reminds you that there are many reasons for back pain, which also hides the health problems of other parts of the body. Please go to the hospital in time to find out the reason before treatment.
Generally, we are not alert to back pain, which is usually really not a big problem. However, you can't be sure that back pain is not a serious illness. If young people who do nothing often have backache, you need to pay attention, because your body may be sending other signals. Unjustified back pain may be a sign of illness, do you understand?
1. There is something wrong with the circulation system.
Shoulder and back pain, heart discomfort, may be a heart problem. To some extent, this kind of shoulder and back pain is manifested as follows: the pain site is mostly located in the posterior sternum or precordial area, which can radiate to the shoulder; Often induced or aggravated by physical activity, it will get better after rest; And the pain duration is not long, and the pain can be quickly relieved or disappeared after applying vasodilators and oxygen inhalation. When heart damage causes some heart diseases, it may be accompanied by chest and back pain, among which common heart diseases that can cause back pain, such as angina pectoris and myocardial infarction, need detailed heart examination.
2. Hip imbalance
Many people don't know or have never heard of the word hip imbalance. In fact, hip imbalance means that one pelvis is slightly higher than the other. This imbalance will lead to low back pain in people's daily life, which will often become particularly obvious during exercise. Will affect the human body's response to certain actions. For example, if our left hip joint is high and we do lunges on the left side, we may feel that the hip muscles are pulled tighter. If your back pain persists during exercise, you'd better see a doctor.
3. Tumor
The occurrence of some tumors can also lead to low back pain, and the pain caused by tumors is mostly persistent, and the pain will be aggravated at night. In addition, the pain symptoms continue to worsen, and some patients can touch the lump. If this is the case, you need to go to the hospital to check and rule out the existence of tumors, which will generally cause low back pain, such as bone tumors, rectal cancer, lung cancer and other tumors. These tumors will transplant to the shoulder after they occur, causing back pain.