The director of orthopedics reveals the secret: lumbar disc herniation? Lumbar muscle strain? Don't let "confusion" miss health!

Professor Zhang Jiming from Huaxi Hospital

Now there are more and more patients with lumbar disc herniation. This has also turned many people into frightened birds. Whenever I find my low back pain, I think I have lumbar disc herniation. What's more, they are busy seeking medical advice everywhere before going to the hospital for CT or MRI. But does low back pain necessarily mean disc herniation? That was not the case.

Lumbar muscle strain is more common than lumbar disc herniation.

Lumbar muscle strain is mainly pain and soreness in the waist or lumbosacral region, which occurs repeatedly. Rainy weather, cold weather or fatigue can aggravate the pain, and rest, appropriate activities or frequent posture changes can alleviate the discomfort. The waist activity is basically normal, generally without obvious obstacles. It is difficult to stand for a long time, and it is difficult to bend over for a long time. Often forced to stretch or punch the waist to relieve pain.

Causes of lumbar muscle strain: "Lumbar muscle strain" has the word "fatigue", which is easily associated with manual labor. We should know that there are many reasons for lumbar muscle strain, not only repeated excessive lumbar exercise for a long time, but also keeping a posture for a long time will overload the lumbar muscles, such as sitting for a long time and standing for a long time.

At this time, the back muscles are already tense, and too much lactic acid is accumulated locally, which inhibits the normal metabolism of the back muscles and further develops into aseptic inflammation and nerve endings, causing pain.

Lumbar muscle strain and disc herniation are the most common causes of low back pain, and it is very important to distinguish them for treatment and maintenance. We can identify it from the following three aspects.

Differentiation between lumbar muscle strain and lumbar disc herniation

1. Lumbar muscle strain is mostly low back pain, but patients with lumbar disc herniation may have low back and leg pain.