Back pain can be everywhere, and a little carelessness increases the risk of back pain. There are many reasons for our back pain. Only by finding the reasons can we find the right medicine. I have sorted out the causes of back pain here for your reference. I hope you can gain something in the process of reading!
(I) acute and chronic injury
1. Acute injury: such as spinal fracture, tear of ligament, muscle and joint capsule, acute disc herniation, etc.
2. Chronic injury: such as ligamentitis, muscle strain, proliferation and degeneration of spine bones and joints, spondylolisthesis, etc.
(II) inflammatory lesions
Inflammatory lesions are divided into bacterial inflammation and non bacterial inflammation.
1. Bacterial inflammation: it can be divided into purulent and specific infections, such as spinal tuberculosis. Purulent infection is more common in intervertebral space infection, epidural abscess and vertebral osteomyelitis.
2. Non bacterial inflammation: rheumatic MYOFIBROSITIS, rheumatoid arthritis, the third lumbar transverse process syndrome, ankylosing spondylitis, dense osteoarthritis of the joint.
(III) degenerative changes of spine
Such as intervertebral disc degeneration, small joint degeneration, osteoarthritis, secondary spinal stenosis, senile osteoporosis, pseudoslippery hearing and spinal instability.
(IV) abnormal bone development
Scoliosis deformity, hemivertebra, narrow unconnected slip dolphin, hunchback, iliopsoas or lumbar dice, spina bifida and hook spinous process, horizontal cuboid bone, unequal length of lower limbs, flatfoot.
(V) poor posture
Long term desk work or bending work, pregnancy, abdominal stool caused by obesity.
(VI) tumor
Bone and soft tissue tumors, bone marrow or nerve tumors, etc.
(VII) referred pain caused by visceral diseases
Gynecological pelvic diseases and prostate diseases can cause low back pain, kidney diseases such as calculus, nephroptosis, pyelonephritis and retroperitoneal diseases such as abscess and hematoma can cause low back pain, liver, thigh and heart diseases can cause back pain.
(VIII) mental factors
With the acceleration of social progress and pace, such diseases gradually increase, such as chronic fatigue syndrome, psychoallergic spondylitis, neurasthenia, plague and depression.
1. Don't do housework too hard. It's easy to hurt your back when cleaning the top of the window or the corner of the bathtub. When bending, reaching and turning, excessive movement may lead to disc dislocation.
Suggestion: regard housework as sports and do a few minutes of warm-up training. " When lifting heavy objects, you should bend your knees instead of your waist. When pushing furniture, you should use your whole body, not just your back or arms. When using the vacuum cleaner, do not use your upper body to move the vacuum cleaner.
2. The pillow must fit. The pillow is too high or peaceful, which will lead to the deformation of the neck angle when sleeping, and then affect the back.
Suggestion: the purpose of correctly arranging pillows is to keep the ears, shoulders and hips in line no matter what sleeping position. When lying on your back, you can add a pillow under your knees and a thinner pillow at your waist. When lying on your side, a flat pillow can be sandwiched between your knees. When lying prone, put a pillow on your crotch. When reading in bed, you'd better put pillows on your back, knees and thighs, so that the distance between the book and your face is shorter to prevent neck strain.
3. If the floor is too hard, add a thick pad: the ceramic tile or hardwood floor lacks elasticity, and the waist will be under greater pressure every step.
Suggestion: the activity area where you often stand should be covered with thick non slip soft cloth pad or rubber pad. When standing, the left and right feet can rotate and rest on a small footstool for 5 minutes, which helps to relieve lumbar pressure and muscle tension.
4. The sofa had better have a back. Several studies have shown that sofa and chair without back or improper back can lead to a three fold increase in lumbar disc pressure.
Suggestion: when sitting on this kind of sofa, it's best to add a waist cushion to help sit up straight, and then put a footstool on it. Your chin should be slightly raised.
5. Don't use laptops on the sofa. Sitting on the sofa with a laptop "is most likely to lead to incorrect sitting posture, such as bow your head and waist and retract your arms. Typing can easily lead to neck and back muscle strain and repeated pressure injury.
Suggestion: use a special tray for notebook computer to maintain an appropriate height, avoid long-term operation of the computer by lowering your head and cat's waist, straighten your wrists and bend your elbows 90 degrees. Of course, it's best to use a desktop computer.
6. The mattress should be moderately soft and hard. Too soft or too hard mattresses will affect the spine, lead to back pain and affect the quality of sleep.
Suggestion: if the bed is too soft, add a 3 / 4 inch (about 2 cm) thick splint between the mattress and the spring pad. If you feel back pain every time you get up, the mattress is soft or uneven, or the mattress has been used for more than 7 years, you should replace it with a new mattress.
7. The position of toilet paper holder shall be convenient. When sitting on the toilet and reaching for toilet paper, you need to turn around. If the toilet paper holder is not positioned properly, it will hurt your spine and lead to sprain of your waist and back.
Suggestion: prepare toilet paper before going to the toilet. Reaching for toilet paper requires a straight back and a contracted abdomen. If there is no better replacement position for the toilet paper holder on the wall, you can buy a free-standing non fixed toilet paper holder.
Yoga
According to a study published in the annals of internal medicine by British researchers, patients with back pain participate in yoga practice once a week. After three months, their physical function has been significantly improved, and the effect is even better than drug treatment or physiotherapy.
Stretch
Stretching exercises are as effective as yoga in relieving back pain. By stretching the limbs up, down, left and right, important muscle groups of the human body can be exercised, especially the trunk and legs. Exercise for 40 ~ 50 minutes each time, and the action will be more diversified, and the effect will be better.
Strength
American fitness coach Kathy Keller found that proper muscle strength training can help prevent and reduce back pain. The main exercises include chair suspension, upward inclined push ups, deep squats and bow rowing.
Swimming
A 2013 study showed that if long-term sedentary adults receive "spa" five times a week, back pain will be significantly reduced after two months, which is also effective for pregnant women's back discomfort.
Tai Chi
This soothing Chinese martial arts has a magical effect on relieving back pain. Research by the American rheumatology society shows that practicing Taijiquan for 40 minutes twice a week for 10 weeks reduces the pain intensity of patients by about 13%.
Pilates
A recent study published in the European Journal of physical therapy and rehabilitation medicine shows that practicing Pilates for 5 hours a week for 6 weeks will significantly reduce the pain; Lasting for 6 months, the pain basically disappeared, the patient's mood was more stable and the quality of life was higher.
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