Low back pain mostly involves organs, bones, muscles or skin in this body area, and its etiology is complicated. In this paper, low back pain is divided into three types: lumbar type, visceral type and special type, so that readers can see it at a glance.
Lumbago associated with waist i. Lumbar muscle strain
Mainly because of sitting for a long time, or sitting incorrectly, or carrying heavy loads for a long time, the lumbar muscles on both sides of the lumbar spine are mainly painful, which is manifested as pain when stretching in a bending state, and the symptoms can be obviously relieved after rest or hot compress.
Second, lumbar disc herniation
It is more common in middle-aged and elderly people, but it also tends to be younger. The main symptom is low back pain with radiation pain in buttocks and lower limbs, which is aggravated when bending over. Coughing or sneezing can induce low back pain.
Third, lumbar spinal stenosis
It is characterized by numbness, spasm and weakness of the lower limbs. After walking for tens to hundreds of meters, the symptoms get worse and need to rest for a while to relieve, which is called intermittent claudication.
Low back pain involving visceral diseases i. Urinary calculi
When kidney calculi suffers from low back pain, he usually suffers from sudden severe colic, unable to sit still, and the pain is not easy to relieve, and the tapping pain in the kidney area is positive. When ureteral calculi occur, it can also induce low back pain, and the tender point of ureter in the lower abdomen is positive, which often involves pain in the inner thigh.
Second, appendicitis, cholecystitis
The typical symptom of appendicitis is pain in the right lower abdomen, and McDonald's tenderness is positive. The typical symptom of cholecystitis is pain under the right rib and Murphy's sign is positive. Lumbar pain can also occur when the pain symptoms are atypical.
Third, kidney rupture.
There was once a woman in her twenties who suddenly felt a dull pain in her left waist. At first, she considered the local diagnosis of "acute lumbar muscle strain" for symptomatic treatment, but the symptoms never eased, but gradually worsened. Finally, blood routine, urine routine and CT were done in the hospital. Finally, it is suggested that "non-traumatic left renal rupture and subcapsular hematoma" be treated in urology department, and finally discharged after treatment. Therefore, if you can't find the cause of low back pain repeatedly, you must go to a big hospital to see clearly, so as not to delay your illness.
Some diseases that need attention 1. Tumors. Some tumors can also cause low back pain, which is mostly related to the digestive system, such as liver cancer, pancreatic cancer, rectal cancer and kidney cancer. There was once a patient with sudden persistent low back pain, which was gradually aggravated, accompanied by dizziness, fatigue, nausea and vomiting. The right kidney area was positive for percussion pain, and there was no tenderness in the ureter area. There is nothing abnormal in blood routine. Color Doppler ultrasound showed perirenal hematoma. Later, abdominal CT showed multiple space-occupying lesions in both kidneys and increased tumor markers. Combined with pathological diagnosis, it is a "renal tumor".
Second, gynecological diseases. When women have low back pain, they should pay more attention to it and exclude gynecological diseases. Such as uterine inflammation, gynecological tumor, adnexitis, pelvic inflammatory disease and ectopic pregnancy. Ectopic pregnancy, in particular, has a serious condition, high misdiagnosis rate and rapid change, which is easy to cause hemorrhagic shock and endanger life.
Third, abdominal aneurysm and arterial dissection. When abdominal aortic aneurysm and aortic dissection attack, the back is painful and swollen, and there will be pulsating mass in the abdomen of patients with aneurysm, which may be accompanied by shock. At this time, the possibility of aneurysm rupture is often suggested, which is an extremely dangerous disease in clinic, with high misdiagnosis rate and high mortality. Most of them occur in middle-aged and elderly people with a history of atherosclerosis, especially those with poor control of hypertension.