Sleeping at night, the right waist has been hurting. What is the reason?
Problem description:
My right waist hurts when I sleep, but I'm fine during the day. I went to the hospital to check my kidney and my spine, and my waist just hurts. It's been more than three months. Who knows why?
Analysis:
What are the causes of low back pain?
Low back pain is a symptom, not an independent disease. There are many causes of low back pain, most of which are known, but there are still a few unknown causes. The common causes can be summarized into four categories: ① diseases of spinal joints and their surrounding soft tissues. Such as local injury, bleeding, edema, adhesion and muscle spasm caused by contusion and sprain. ② It is caused by spinal cord and spinal nerve diseases. Such as low back pain caused by spinal cord tumor and myelitis. ③ It is caused by diseases of internal organs. For example, infection of uterus and its appendages and tumors can cause lumbosacral pain, and such patients are often accompanied by corresponding gynecological symptoms. ④ It is caused by mental factors. For example, hysteria patients may also complain of lumbar disease, but there are no objective signs, or diseases that can not be explained by physiological anatomy and pathological knowledge through objective examination and subjective narration. This kind of low back pain is often a manifestation of hysteria.
can patients with low back pain wear high heels?
In daily life, many people like to wear high heels, especially young women. The height of high heels is generally about 4 ~ 6 cm, or even higher. After wearing high-heeled shoes, the height of the heel will increase the center of gravity of the body accordingly. In order to stabilize the original balance lost by the change of the center of gravity of the body, the muscle tension of the body, especially the muscle tension of the back, will be readjusted to create a new state of balance.
When people put on high heels, because the pelvis leans forward, the gravity line passes through the back of the pelvis, which increases the burden on the waist to support the weight, and then the back extension increases, which will last for a long time, resulting in low back pain due to excessive contraction of the back muscles. For every 1cm increase in heel height, the back extension of lumbar spine and the contraction of back muscles will increase exponentially, and the chance of low back pain will increase.
It can be seen that it is inappropriate for patients with low back pain to wear high heels. In order to prevent low back pain, it is best for ordinary people not to wear high heels often. So should patients with low back pain wear flat shoes? In fact, flat shoes are not necessarily absolutely beneficial, and it is more appropriate to choose a heel height of about 3 cm. Therefore, patients with low back pain may wish to change a pair of suitable shoes, which may alleviate the low back pain.
can "walking backwards" treat chronic low back pain?
"Walking backwards" means walking backwards continuously. Among people who exercise in the morning, we often see some people walking backwards. Chronic low back pain is caused by insufficient muscle strength and ligament strength of the waist and poor stability of the lumbar spine. The exercise of "walking backwards" can strengthen the strength of the back muscles and strengthen the stability and flexibility of the lumbar spine. When walking backwards, the waist muscles contract and relax rhythmically, so that the blood circulation of the waist can be better improved and the metabolism of the waist tissue can be improved, which has a certain therapeutic effect.
"Walking backwards" is easy to learn. Middle-aged and elderly people can master the amount of activity according to their personal situation. Here are two specific methods for your reference:
(1) Hip-akimbo posture: stand upright, hold your head high, with your hands akimbo, your thumb at the back and the other four fingers at the front. Press the "Shenshu" points on both sides of the waist with your thumb. (This point is 1.5 inches below the spinous process of the second lumbar vertebra). Action: when walking backwards, start with the left leg, lift the left leg as far as possible, retreat backwards, and move the center of gravity backwards. First land on the left forefoot, then land on the whole foot, shift the center of gravity to the left leg, then change the right leg, and walk backwards alternately. Every step back, press and rub Shenshu point with both thumbs once.
(2) Swing arm posture: Preparatory posture: stand upright, hold your chest high, keep your eyes straight, and your arms droop naturally. Action: The action of both legs is the same as that of akimbo. When walking backwards, your arms swing back and forth with the action of your legs.
"Walking backwards" exercise can be done once every morning and evening, each time for 2 minutes. Generally speaking, after each exercise, it is advisable to take a short rest and the fatigue will gradually disappear. The venue should be flat and barrier-free. When exercising, you should hold your chest as much as possible and lift your thighs as much as possible.
Is the cold weather related to low back pain?
Some people will have low back pain or it will get worse because of the weather change, and some patients' symptoms of low back pain will be as accurate as the weather forecast. Cold is one of the reasons for low back pain. Cold mainly causes patients with low back pain through changes in blood circulation such as vasoconstriction, ischemia, congestion and edema in the back. Most patients have low back pain because they stay in cold areas for a long time, or sleep on the cold ground or at the wind outlet. Cold can lead to muscle contraction, which affects body movements to a certain extent. In addition, in order to keep out the cold, people wear more clothes and are inflexible. If the waist moves sharply, it is easy to cause waist injuries.
does playing mahjong cause low back pain?
If you play mahjong for a long time, your back will be straight, and the intervertebral disc and interspinous ligament will be in a state of tension and rigidity for a long time. After a long time, your back will be painful and stiff, and you can't lie on your back and turn around. Moreover, sedentary will make the pelvis and sacroiliac joints bear heavy load for a long time, and the waist lacks activity. Qi and blood are easy to stagnate at the waist and cause qi stagnation and blood stasis, which affects the blood circulation of the lower limbs, and numbness of the legs can lead to muscle atrophy for a long time. In this case, the muscles are stiff, and a little activity may sprain or cause other injuries, which may lead to low back pain.
Is smoking related to low back pain?
Many smokers are prone to low back pain. The reason is unclear. It may be that smoking causes chronic bronchitis, while coughing causes the increase of intervertebral disc pressure and spinal canal pressure. Injecting nicotine into animals can reduce the blood volume of vertebral body, thus affecting the nutrition of intervertebral disc and making intervertebral disc prone to degeneration. This may be the reason why smokers are prone to low back pain. In addition, smokers are prone to lung cancer, which often metastasizes to the vertebral body. Because of the tumor on the vertebral body, low back pain inevitably occurs, and it gets worse gradually, and finally it can't be treated. It can be seen that smoking is related to low back pain, and smoking is harmful and not beneficial.
Is low back pain necessarily lumbar disc herniation?
The lower waist mainly refers to the lumbar vertebrae, sacrum, bilateral sacroiliac joints and their adjacent tissues, and may involve muscles, ligaments, fascia, posterior joints, lumbosacral joints or sacroiliac joints. Everyone has a history of low back pain more or less, light or heavy. People often say that they have lumbar disc herniation after low back pain. In fact, not all symptoms of low back pain are caused by lumbar disc herniation.
There are many causes of low back pain, which can be roughly divided into the following categories:
(1) Congenital or developmental abnormalities of lumbar spine, including congenital lumbar fusion, hemivertebra deformity, spina bifida occulta, lumbosacral, lumbosacral spondylolysis or spondylolisthesis, scoliosis, hypertrophy of transverse process of the third lumbar vertebra, free spinous process, too large or too small spinous process, hooked spinous process, congenital.
(2) Degenerative changes of lumbar spine: including lumbar hypertrophic spondylitis, senile osteoporosis, lumbar disc herniation, secondary lumbar spinal stenosis, pseudospondylolisthesis, senile hunchback, degenerative osteoarthropathy of lumbar spine, lower lumbar instability, etc.
(3) Inflammation of lower waist: including fasciitis of lower back, tuberculosis of lumbar spine, sacroiliitis, ankylosing spondylitis, rheumatoid arthritis, suppurative spondylitis, bursitis of transverse process of lumbar 3, and lumbar discitis.
(4) Lower waist injury: including acute lumbar sprain, lumbar muscle strain, lumbar ligament injury, lumbar fracture, dislocation, sacrococcygeal injury, sacroiliac joint sprain, etc.
(5) Lower waist tumors: including primary and secondary tumors ① Primary benign tumors: such as osteoid osteoma, bone cyst, osteoblastoma, osteochondroma and fibrous dysplasia of bone. ② Primary tumors with malignant pathological tendency: chordoma, giant cell tumor of bone, osteoblastoma, etc. ③ Primary malignant tumors: malignant lymphoma, osteoblastoma, lumbosacral sarcoma, etc. ④ Breast cancer, prostate cancer, uterine cancer and other malignant tumors can all produce symptoms of low back pain when they metastasize to lumbosacral region.
(6) Diseases of adjacent tissues, such as sciatica and piriformis syndrome; Urinary calculi, pyelonephritis, perirenal abscess, etc. Peptic ulcer of digestive system, chronic pancreatitis, etc. Uterus, adnexitis, uterine prolapse, pelvic tumor, etc. in obstetrics and gynecology; Retroperitoneal tumors that erode the spine can also produce low back pain.
(7) Functional defects: such as poor physical condition, pregnancy, flat feet, unequal length of lower limbs, insufficient muscle strength of waist and buttocks, etc.
(8) Others: toxic diseases, such as skeletal fluorosis; Nutritional diseases, such as osteomalacia; Nervous system diseases, such as hysteria.
What is the difference between low back pain caused by osteoporosis and low back pain caused by lumbar disc herniation?
Osteoporosis refers to a clinical syndrome caused by various reasons, such as the decrease of the number of systemic bones, the increase of trabecular space, the decrease of bone matrix and weight, and the decrease of the mechanical strength of bones, which leads to non-traumatic fractures, or the fracture of some parts can occur with slight external force.
At present, the etiology and pathogenesis of osteoporosis are not completely clear. At present, the commonly recognized causes are as follows:
(1) Endocrine disorder: As we all know, this disease is more common in the elderly, especially in female patients after menopause. This shows that sex hormones have a direct relationship with bone metabolism. Hyperadrenocorticism can cause osteoporosis, which is not only the main feature of Cushing's syndrome, but also the result of long-term use of adrenocortical hormone in clinical treatment. This shows that adrenocortical hormone can accelerate the process of osteoporosis. Sex hormones can inhibit pituitrin and indirectly inhibit adrenocortical hormones. Therefore, the decrease of sex hormone secretion in the elderly, especially women after menopause, is more prone to osteoporosis.
(2) calcium metabolism disorder: there is no doubt that calcium deficiency is one of the causes of osteoporosis in adults. The daily intake of calcium by normal people is about 1mg/kg body weight, of which a small amount is used by human body, and most of it is excreted with urine and stool to maintain the metabolic balance of calcium. If the intake of calcium decreases, or the intestinal absorption function is impaired, or the excretion from urine and stool increases, it is easy to cause osteoporosis caused by calcium deficiency. At this time, if combined with the influence of endocrine disorders, it is more likely to cause osteoporosis.
(3) disuse factors: under normal circumstances, the skeletal tissue maintains a normal calcium metabolism balance due to the relaxation and contraction of muscles and various stresses. However, once the limbs or the whole body lose physiological activities and physical labor or exercise, it is easy to cause a series of changes in bone tissue, which will lead to decalcification and increased urinary calcium excretion, leading to osteoporosis. Long-term bedridden patients show systemic osteoporosis, while limb plaster splint fixation or neurotic disuse shows local osteoporosis.
osteoporosis is more common in the elderly, especially in women over 6 years old. Patients often complain of general fatigue, preferring to stay in bed or sit on their back rather than exercise; The whole body aches, especially in the waist, which can be dissipated from the waist to the buttocks and lower limbs, or from the back to the ribs and abdomen. The patients themselves feel that their height is getting shorter and shorter, which is related to the compression fracture easily caused by vertebral osteoporosis, in addition to the degeneration of intervertebral discs. For the same reason, the hunchback deformity can be aggravated gradually.
X-ray findings: the spine is osteoporosis, the trabecular bone is reduced, and the middle of the vertebral body is sunken, showing a fishtail shape.
The course of pain caused by osteoporosis is far less serious than that caused by lumbar disc herniation, and the X-ray manifestations are quite different. After treatment with sex hormones, high protein and high calcium, the symptoms of low back pain can be alleviated.
what is involved low back pain? What visceral diseases can cause low back pain?
Involvement low back pain refers to a clinical symptom of low back pain that is not caused by lumbar vertebrae, but by a disease of an internal organ. Since the cause of low back pain is not the spine itself such as bones, joints, muscles and ligaments, it is also called non-spinal low back pain. Specifically, the visceral diseases that can cause low back pain are:
(1) Urinary system diseases, such as acute and chronic pyelonephritis, renal tumor, kidney calculi's disease, ureteral calculi, renal tuberculosis, nephroptosis, perirenal abscess, prostatitis, prostatic tumor, etc.
(2) digestive system diseases: such as digestive tract ulcer, chronic cholecystitis, gallstones, pancreatic cancer, rectal cancer, etc.
(3) Gynecological diseases: such as adnexitis, metritis, uterine retroversion, pelvic tumor, uterine prolapse, pelvic congestion, menstrual tension, etc.
(4) In addition, subphrenic abscess and retroperitoneal tumor can also cause low back pain. Just like a headache, the cause of a headache is not necessarily in the head. Some low back pain is just a symptom of a certain organ or systemic disease. The causes of low back pain caused by visceral diseases are mainly in the following two aspects: ① The lesions involve the waist or its adjacent tissues: when the lesions of visceral diseases involve the tissues around the spine and retroperitoneum, the waist can feel pain, and at the same time, it is often accompanied by spasm of the back muscles. For example, low back pain caused by retroperitoneal tumor and abscess around kidney. ② Reflexively causing low back pain through nerve fiber conduction: Because of the pathological changes of some organs, * * * sensory nerve fibers are introduced into a certain stage of the posterior root or spinal cord, and * * * will be transferred and spread to the tissues such as waist skin and fascia dominated by this segment of spinal cord and nerve roots, resulting in low back pain.
For the treatment of lumbago involving non-spinal lumbago, symptomatic treatment should be given according to the cause of its onset. To be exact, we must first find out the primary disease. On the basis of treating the primary disease, we can properly choose Chinese medicine, acupuncture, physical therapy, * * * and other methods to cooperate with the treatment, and we can exercise the function of the back muscles. These methods can all be effective.
what are the characteristics of low back pain caused by gynecological diseases?
Due to anatomical and physiological characteristics, women have some diseases peculiar to women, such as metritis, adnexitis, uterine retroversion, uterine prolapse, pelvic tumors and so on. Women with these diseases often have symptoms of low back pain. In addition, lower back pain can be caused during menstruation, pelvic congestion, menstrual tension and pregnancy. However, the low back pain caused by gynecological diseases is not similar to that caused by other reasons, and it has the following characteristics:
(1) The pain site caused by gynecological diseases is relatively limited, usually located in the lumbosacral region, with few lower limb symptoms.
(2) The pain caused by gynecological diseases is generally swelling pain, dull pain, soreness or dull pain, and there is no obvious radiation pain.
(3) The symptoms of low back pain are closely related to menstrual period or primary gynecological diseases. For example, women with backward uterus have symptoms of low back pain during menstrual cramps.
(4) In addition to the symptoms of low back pain, the main symptoms are gynecological symptoms, such as abdominal distension and pain, increased leucorrhea, dysmenorrhea and irregular menstruation.
(5) No positive signs were found in lumbosacral region, tenderness was not obvious, tenderness point was not limited, straight leg elevation test was negative, knocking pain was not obvious, and there was comfort after knocking; Gynecological examination can find positive signs such as uterine retroversion and uterine prolapse.
(6) The B-ultrasound examination of pelvic cavity, uterus and its appendages may have imaging changes, but the X-ray examination of lumbosacral region has no positive signs.
Gynecological diseases can cause low back pain.