Symptoms of lumbar muscle strain

summary

Chronic strain low back pain, also known as chronic low back muscle strain, is one of the common clinical diseases. It is similar to thoracodorsal or lumbosacral fibrositis in symptoms. Although its pathogenesis is another cause, it is more common in workers under humid and cold conditions, but it is often difficult to distinguish clinically, unless based on the characteristics of medical history. The author thinks that: if we can distinguish them, we should distinguish them, because they have different emphasis on prevention and treatment; And for those who can not be distinguished, they can be collectively referred to as "lumbar muscle strain".

Symptoms of lumbar muscle strain

Patients with diffuse pain often complained of diffuse pain in the low back (sometimes including the buttocks), especially in the bilateral waist, paravertebral and sacral ridge. It is characterized by acute pain in the morning and relief after a few minutes or half an hour of activity, but it seems to recur in the evening due to excessive activity. After rest, it improved again, which is similar to hypertrophic spondylitis.

Patients with punctate tenderness and subcutaneous nodules can clearly point out the pain points (one or several points) with their fingers. In addition to local pain, it can also conduct upward along the nerve fiber endings distributed at the pain point and reflect the pain in the adjacent area. If the skin is thin, the nodule like hard mass can be found in the deep part of the pain point, with the size of 5mm × Below 5mm. Sometimes, lipomatous nodules with a diameter of about 1cm (usually accompanied by radiation pain) can be touched.

Most patients with predisposing factors have definite predisposing factors, among which physical labor, physical exercise, excessive fatigue, damp and cold are the most common, and there are similar cases in the past medical history.

matters needing attention

The prevention of this disease is omni-directional, from living conditions to working posture should consider whether it will cause low back muscle strain, and should consider the specific problems and measures to prevent chronic low back pain. Avoid greasy, spicy, stimulating food, quit smoking wine.