Lumbar tuberculosis symptoms?

summary

Lumbar tuberculosis is commonly known as "turtle back inflammation", and has a high incidence rate. It is the first of all tuberculosis of bone and joint. Most of them are vertebral tuberculosis, and lamina, spinous process, articular process and transverse process tuberculosis are rare. The incidence rate of this disease is high: first, the backbone is the backbone of the trunk, while the lumbar spine is heavy and there are many opportunities for strain in daily life. Second, tuberculosis mostly invades cancellous bone, and lumbar tuberculosis mostly occurs in adults.

Lumbar tuberculosis symptoms?

Low back pain is the most common symptom of lumbar tuberculosis. The nature of pain is dull or sore, accompanied by tenderness and percussion pain. The pain is aggravated before fatigue, cough and sleep. Upper lumbar tuberculosis can have thigh pain, lower lumbar tuberculosis can have sciatica, which is due to tuberculous abscess, granulation tissue and necrosis of intervertebral disc or dead bone back into the spinal canal, so that the spinal cord or nerve root by compression or stimulation, can appear radiation pain.

At the initial stage, the local pain was not obvious. When the lesion developed, the adjacent nerve roots were stimulated or compressed, such as intercostal neuralgia in thoracic tuberculosis; Lumbar tuberculous stimulation or compression of lumbar plexus caused lumbocrural pain; When simple bone tuberculosis or synovial tuberculosis develops into total joint tuberculosis, the pain is aggravated, which often causes the patient's attention at this time. In order to reduce the pain, the affected muscles have been in a state of spasm, in order to play a protective role. When the patient's position changes, especially in the sleep at night when losing the protection of muscle spasm, the pain is more obvious, children often show nocturnal crying.

Local swelling of joint tuberculosis of extremities is easy to find, and the skin color is usually normal, with slight local heat sensation. Joint swelling gradually increased, limb muscle atrophy, the sick joints were fusiform. Usually, joint dysfunction occurs earlier than pain. In order to reduce the pain of the affected part, each joint is often forced to be in a special position, such as shoulder joint droop, elbow joint half flexion position, hip joint flexion position, ankle joint foot drop position. Tuberculosis of cervical vertebra is commonly used to support the mandible with both hands, and the muscle protective spasm of tuberculosis of thoracic vertebra or lumbar vertebra makes it difficult to bend down and squat carefully.

matters needing attention

Patients with lumbar tuberculosis often have anorexia, emaciation, anemia or hypoproteinemia. They should actively supplement nutrition and give delicious, digestible and nutritious food. Poor nutritional status can supply cod liver oil, vitamin B, C, etc. Anemia can give iron, vitamin B12, folic acid, etc.