Low back pain is a problem that many people have experienced. For some patients with severe low back pain symptoms, they may even be unable to bend over. Low back pain is mostly caused by lumbar bone hyperplasia, lumbar spondylosis, lumbar muscle strain or ankylosing spondylitis. Once these diseases worsen, they will have a great impact on the patient's ability to move. Below we will introduce you to the relevant knowledge about low back pain symptoms in detail. 1. Introduction to symptoms Lumbar pain (lumbodynia; lumbago; low back pain) is a common clinical symptom, characterized by pain on one or both sides of the waist, which can often radiate to the legs, and is often accompanied by symptoms of external or internal injuries. There are many causes of low back pain. In addition to musculoskeletal diseases and injuries, diseases of other organs can also cause low back pain. Low back pain can occur due to urinary tract inflammation or stones, glomerulonephritis, certain women's diseases (pelvic inflammatory disease, retroverted uterus, etc.), pregnancy, lumbar radiculitis and certain abdominal diseases. Low back pain can be treated with surgical and non-surgical treatments. Non-surgical methods include medication and local blockade; surgical treatment should strictly follow the indications. 2. Common Diseases Lumbar bone hyperplasia, intervertebral disc herniation, lumbar hypertrophy, spinal stenosis, lumbar fracture, spinal canal tumor, acute and chronic lumbar trauma or strain, lumbar muscle strain, ankylosing spondylitis, etc. can all cause low back pain. Diseases such as urinary tract infection, urinary tract stones, tuberculosis, etc. can also cause low back pain. Reproductive organ diseases, such as cervicitis, salpingitis, pelvic inflammatory disease, chronic adnexitis, pelvic peritonitis, inflammation of the uterosacral ligament or connective tissue, are prone to complications of low back pain. Retroverted uterus, retroflexion, and uterine prolapse are one of the causes of low back pain in women. Serious reproductive organ diseases such as uterine fibroids, cervical cancer, ovarian cysts, etc. can cause compressive involved low back pain. 3. Differential Diagnosis 1. Kidney stones and ureteral stones The low back pain caused by kidney stones is usually severe and radiates to the inner thigh. In severe cases, it is accompanied by symptoms of sweating and nausea. 2. Urinary tract infection The low back pain in pyelonephritis is mostly on one side. In addition, it is accompanied by fever, percussion pain in the kidney area, hematuria, frequent urination, urgency, and pain when urinating. 3. Nephritis and nephrotic syndrome Patients often experience dull discomfort, soreness and pain in the waist, but this type of waist pain is far less intense than the pain caused by pyelonephritis and kidney stones. IV. Treatment Principles 1. Both surgical and non-surgical treatments are available. Surgical treatment should strictly follow the indications. 2. Steroidal anti-inflammatory drugs can reduce congestion and edema in cases of cumulative strain or sprain of soft tissues, and can shorten the course of treatment. 3. If the tenderness point is localized, local blockade is effective and rapid. |
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