These causes cause low back pain
Did you know that there are many causes of back pain? It can be caused by the direct lesion of lumbar and dorsal tissues, but also by the lesion of adjacent tissues and organs. Can be a variety of congenital diseases and trauma, but also can be inflammation or bone and joint disease; It can also be caused by metabolic diseases or primary or metastatic tumors. Depending on the location and nature of the lesion, it can be local pain in a particular area or pain in the entire spine.
Congenital deformity of spine
Scoliosis, spina bifida, 5th lumbar sacral, etc.
Lumbar back muscle sprain, strain, vertebra, rib fracture, disc herniation.
Metabolic bone disease
Hyperparathyroidism and osteoporosis.
Systemic rheumatic disease
Arthritis associated with spondylitis, especially ankylosing spondylitis, mainly involving the sacroiliac joints and spine, rheumatoid arthritis, osteoarthritis, etc.
Destructive bone disease
Primary tumor and bone metastasis cancer, infection such as: vertebral tuberculosis, abscess, etc.
Radiation pain caused by visceral disease
Angina pectoris causes pain in the back of the left shoulder, cholecystitis, peptic ulcer, pancreatic diseases caused by back pain, female pelvic disease, male prostatitis caused by low back, lumbosacral pain.
Some back pain is mental, and others are caused by poor posture.
Why does it happen?
The etiology of low back pain is different, so the occurrence mechanism is different. The main mechanisms are as follows:
1. Abnormal anatomical structure
The lower back is composed of the spine, ribs, and soft tissues. The spinal canal contains the spinal cord. Low back pain can be caused by damage to the anatomy of these tissues, such as vertebral and rib fractures, lumbar muscle strain, and disc prolapse.
2. Inflammatory response
Some systemic diseases, such as: rheumatoid arthritis, and spondylitis related arthritis. These diseases not only cause the destruction of bone structure, but also abnormal inflammatory factors, such as interleukin and tumor necrosis factor, which cause pain in the inflammatory response at the lesion site. Direct infections in the lower back can also cause pain.
3. Formation of new organisms
Primary or metastatic tumors cause structural damage to bone.
4. Metabolic diseases
Osteitis malformation (paget's disease), urinary black acid urine and cartilage calcium deposition.
5. Reflex pain
Some diseases of the organs cause reflex pain. It is generally believed that some visceral and afferent nerves distributed on the body surface enter the same segment of the spinal cord and connect with the posterior horn. The pain impulse from the viscera directly stimulates the sensory neurons on the body surface of the spinal cord and causes pain sensation in the corresponding body surface area, also known as radiative pain and involved pain. Such as: angina pectoris left shoulder back pain, cholecystitis of the right back pain, such as kidney stones back pain.
Do you have any of these clinical manifestations?
Low back pain
Low back pain is the most important and common clinical manifestation of low back disease. Generally speaking, the pain in the affected area is the most obvious, and the pain in other areas is usually mild. The pain can be spontaneous, or it can be nonconscious and only painful when pressed or tapped, often indicating that the lesion may be mild. Those with severe lesions have both.
Low back pain is often associated with spinal dysfunction. For instance: activity of waist, neck, bosom is restricted, appear limbless activity, breath range is restricted even. This has two respects reason: it is the ego that airframe protects when acute disease ache, be like: fracture, acute sprain, because aching spine causes limb activity to be restricted, breath slows down, lest ache aggravate; It is disease brings about anatomic structure to change, make the function drops and lose, be like: ankylosing spondylitis, spinal column is irreversibly ankylosing, make lumbar neck activity is restricted seriously.
Back permanent tissue damage, such as deformation of vertebral compression fractures, vertebral tuberculosis cone defect caused by deformation, ankylosing spondylitis spinal deformation, congenital scoliosis, back soft tissue damage to the formation of scar contracture, and above all can make the spine appear deformity, appearance change, not only affects the spine and the function of the body.
Listlessness, appetite, weight loss, fever, anemia, etc., which is often the manifestation of systemic diseases, including infectious diseases, such as tuberculosis; Rheumatic diseases, such as: ankylosing spondylitis, rheumatoid arthritis.
Other joint pain
A variety of joint inflammatory disease can involve the spine, causing back pain, accompanied by pain of other joints, such as limb size joint pain, swelling, etc., these manifestations often prompt back pain and other diseases.
Systemic joint inflammatory disease is like: rheumatoid arthritis, ankylosing spondylitis can cause morning stiffness. The emergence of morning stiffness is of great help to clinical judgment of the nature of the disease.
Relationship with activities
Some diseases are aggravated after activity, such as acute lumbar muscle strain, lumbar arthritis. Others, such as arthritis, are associated with spondylitis.
Lumbar disc herniation compresses the nerve root of the same place, can appear the numbness of side lower extremity that press press, disease is prolonged do not alleviate still can cause the muscle atrophy of side lower extremity.
In a word, the etiology of back pain is complex, accompanied by many and different symptoms, which need to be fully understood in clinical work.
Before seeking medical advice, you need to understand the following questions
1. The onset of the disease is rapid, with or without inducement, the location of pain, continuous pain, or intermittent pain, with no regularity.
2. Whether it is heavy at night or in the day, whether it can be relieved after rest, and whether it is heavier or lighter after activity.
3. Whether accompanied by systemic symptoms, such as fever, fatigue, wasting, rash and morning stiffness, etc.
4. Whether there are other joint swelling, pain, deformation and dysfunction, etc.
5. Have you ever had similar attacks, tests or treatments?
6. Whether there is a family history of similar diseases.
People's medical publishing house published "clinical diagnostics" zhang fengchun