1, osteoarthritis
Osteoarthritis is a degenerative change of articular cartilage, and new bone grows at the edge of the joint. Older people over 60 are prone to this disease. In addition to back pain, it can also be accompanied by pain in knees, hips and ankles. The onset is finger stiffness, especially after getting up in the morning and getting better after the activity.
2. Spinal cord injury
Sudden pain after falling or back injury, accompanied by one of the following symptoms: loss of limb motor function, numbness or tingling of limbs, out of control of urination and defecation, suggesting that it may be spinal cord injury.
3. osteoporosis
The back pain caused by osteoporosis is limited to the lower part of the back, and there will be severe pain somewhere in the spine.
4. Compulsory spondylitis
Mandatory spondylitis is inflammation of the spinal joints. The main manifestation is sacrococcygeal pain, which can be directed at the buttocks. The pain and toughness in the early stage are more obvious.
5, back muscle strain
Back pain may also be caused by back muscle strain. This kind of pain can often be relieved after a few days' rest.
6, radiation back pain
Cardiovascular diseases (angina pectoris, myocardial infarction, myocarditis, etc.). ), cholecystitis, gallstones, pancreatitis, peptic ulcer will not only cause pain in the lesion, but also radiate to different parts of the back, causing back pain.
7, cancer lesions
Patients with esophageal cancer, lung cancer, liver cancer, pancreatic cancer and other cancerous lesions may have different degrees of back pain and swelling pain.
8. Other disease factors
Patients with esophagitis will suffer from backache due to scar obstruction and peripheral adhesion in the later stage; The combination of chest and wall can cause persistent pain in chest and back; Herpes zoster infection in the trunk can also cause back pain.
9. Treatment of back pain
The treatment of low back pain can be divided into surgical treatment and non-surgical treatment. Experts believe that most low back pain diseases are caused by bad posture, improper muscle use or soft tissue injury. Therefore, conservative medication, such as physical therapy, is generally used. Surgery is the last resort to treat low back pain. Only when the illness is serious enough to affect the patient's life and other treatments are ineffective, resulting in serious disability, should it be considered.
1, drug therapy
Although there are many western medicines used to treat low back pain, most of them are drugs to relieve symptoms and eliminate pain, not cure.
2. Blocking therapy
Blocking therapy is a method to eliminate inflammation and relieve pain by injecting lidocaine, steroid drugs and other anesthetic drugs into the painful part.
However, blocking therapy may be due to local acute foreign body reaction, aseptic operation is not strict, and the use of hormones reduces local defense function, which will lead to infection. If the infection lasts for a long time, it may cause local tissue necrosis, abscess and sinus.
3. Nerve block therapy
Injecting drugs directly into or around peripheral nerve trunk, nerve plexus, spinal nerve root, sympathetic ganglion and other nerve tissues to block the function of nerve conduction is called nerve block therapy.
The main function of this method is to relieve pain, but there will also be adverse reactions similar to blocking therapy.
4. Traction therapy
Traction therapy is a traditional treatment method, which has been used in hospitals for a long time. It is usually used with other patients.
In the acute stage of severe low back pain, patients should not only stay in bed, but also be treated with traction according to their condition.
Traction therapy is suitable for patients with acute and chronic low back pain, disc herniation, lumbar facet joint disorder, cervical spondylosis and partial spinal instability.
This treatment method is not suitable for spinal purulent diseases, spinal tuberculosis and spinal tumors.
5. Physical therapy
Physical therapy is a method of applying physical factors to the human body to prevent and treat diseases, which is called physical therapy for short.
It includes the use of natural and artificial physical factors, including electricity, magnetism, light, sound, heat and cold. , naturally including the use of sunlight, air, soil, mineral water, climate, etc.
The application of physical factors to treat diseases has a very long history. Practice has proved that many diseases, whether acute or chronic or subacute, can be treated by physical therapy according to different diseases and specific conditions.
It is not only widely and effectively used in clinic as a routine treatment in hospitals, but also as an auxiliary therapy that we can use at home. Therefore, physical therapy has a dual effect on low back pain, and it can play a role in treatment and health care when used in different situations.
10, methods to prevent back pain
Check whether your body posture is correct at any time during the day, especially at work, and form the habit of correct posture.
Avoid taking any posture that will cause back muscle tension for a long time, such as working at the workbench all day or washing your hair in the washbasin.
Persistent wrong posture makes muscles tense, ligaments stretch, causing pain, and may also make muscle fibers spasm, and some muscle fibers form hard and painful nodules.
No matter how long it takes, you should avoid standing still.
If you can't, you can do some stretching or lean on a stool or railing with one leg to reduce the tension on your waist.
Warm up before doing any exercise or heavy housework.
Exercise makes the muscles in the back and abdomen strong and flexible, because if the muscles can't support the spine, the spine will become unstable and easily injured.
Ensure that the weight is consistent with height, physique and age, and maintain an appropriate weight.