What is the condition of low back pain?

There are many reasons for low back pain, such as lumbar disc herniation, hyperosteogeny, spondylolisthesis, or during menstruation (of course, it depends on whether you are a man or a woman), so it is not easy to answer why low back pain. At present, there are a series of nervous system symptoms, such as lumbar disc herniation, lumbar disc degeneration or traumatic annulus fibrosus rupture, nucleus pulposus prolapse at the rupture, compression of lumbar nerve roots or cauda equina, and radiation pain in the waist and legs, which are called lumbar disc herniation or lumbar disc annulus fibrosus rupture. Lumbar spondylosis mostly occurs in middle-aged and elderly people and people who keep a fixed posture for a long time, such as office workers, computer operators, accountants, typists, teachers and drivers. Because these people lack physical exercise for a long time, their bodies are relatively weak, and their lumbar vertebrae are in a state of static pressure for a long time, so the lumbar vertebrae of "office workers" are prone to pathological changes. Then, people who have been engaged in heavy physical labor or working in cold and humid environment for a long time are also prone to pathological changes in the lumbar spine. Lumbar disc herniation is more common in young adults aged 20-40, accounting for about 80% of patients, with more males than females and more rural than urban. Women often occur during pregnancy and after delivery, often accompanied by sudden low back pain and mobility disorders. Lumbar disc herniation is common in young and middle-aged people, especially manual workers or workers who sit for a long time. There is no significant difference in the incidence between men and women. Except for a few young adults who are caused by trauma, most of them are caused by people's lack of health care awareness, lack of attention to rest and physical strain. In particular, some drivers and copywriters often have symptoms such as neck and shoulder discomfort, low back pain, leg pain and numbness of limbs due to incorrect sitting posture or sedentary, which eventually leads to lumbar spondylosis. What are the clinical manifestations of lumbar disc herniation? (1) Low back pain: This kind of pain occurs before or at the same time as leg pain. The pain is mainly in the lower waist or lumbosacral region. The main cause of pain is that the disc herniation stimulates the sinus nerve fibers in the outer layer of the fibrous ring and the posterior longitudinal ligament. The pain site is deep and difficult to locate, generally dull pain, tingling or radiation pain. (2) Radiation pain of lower limbs: Because lumbar disc herniation mostly occurs in the intervertebral space between waist 4, 5 and waist 5, and the sciatic nerve comes from the nerve roots of waist 4, 5 and sacrum 1-3, most patients with lumbar disc herniation have sciatica, which gradually radiates to the posterolateral thigh, lateral calf, instep, lateral plantar and toe. Central protrusion often causes bilateral sciatica. When the intra-abdominal pressure such as cough, sneezing and defecation increases, the radiation pain of lower limbs is aggravated. Leg pain is more serious than low back pain, which is one of the main signs of disc herniation. (3) Numbness and paresthesia: After lumbar disc herniation, it can cause local compression and involved compression in the nerve root contact area, which makes nerve root fibers and blood vessels compressed, resulting in ischemia and hypoxia, so there are sensory abnormalities such as pain and numbness in the affected nerve root control area. Lumbar 4 and 5 intervertebral disc herniation may involve the lumbar 5 nerve root, and abnormal sensory numbness will appear on the back of thigh, lateral leg, lateral dorsum of foot and dorsal toe. 1 Lumbosacral protrusion of intervertebral disc may involve abnormal skin sensation on the back of the 4th and 5th toes. If the intervertebral disc herniation compresses or stimulates paraspinal sympathetic nerve fibers, it can reflexively cause the contraction of blood vessel wall of lower limbs, leading to chills, chills and weakening of dorsal artery of foot. (4) Muscle paralysis: If the protrusion of lumbar intervertebral disc compresses the nerve root for a long time, it can cause ischemia and hypoxia degeneration of the nerve root, leading to nerve paralysis and muscle paralysis. Prolapse of lumbar intervertebral disc 4 and 5 can cause paralysis of tibialis anterior, peroneal longus, extensor pollicis longus and extensor digitorum longus caused by nerve root paralysis of lumbar 5. After the fifth sacrum 1 lumbar disc herniation, the sacrum 1 nerve root was involved and paralyzed, resulting in calf triceps paralysis. (5) Intermittent claudication: The nerve root is compressed by the protrusion of the intervertebral disc, causing inflammatory reactions such as congestion, edema and ischemia of the nerve root. When walking, the blocked vertebral venous plexus in the spinal canal is congested, which aggravates the congestion of nerve roots and the expansion of spinal blood vessels, and also aggravates the compression of nerve roots, leading to intermittent claudication and pain. (6) Changes of spinal posture: About 90% of patients with lumbar disc herniation have different degrees of functional scoliosis, most of which are convex to the affected side and a few are convex to the healthy side, mainly depending on the relationship between the protrusion and the nerve roots. Lateral bending can relax nerve roots and relieve pain. If the protrusion is on the anterolateral side of the nerve root, the spine will protrude to the affected side; When the protrusion is inside the nerve root, the spine protrudes to the healthy side. Lateral bending is a protective compensation measure to reduce the compression of nerve roots by protrusions. What are the common causes of lumbar disc herniation? (1) intervertebral disc degeneration: Under normal circumstances, the intervertebral disc is often pressed by body weight, and the waist is often flexed and extended, which is more likely to cause the intervertebral disc to be squeezed and worn, especially the intervertebral disc in the lower waist, thus producing a series of degeneration. (2) Function In daily life and work, some people often have long-term improper waist exertion, excessive exertion and incorrect posture. For example, stevedores bend over to lift heavy objects for a long time, and drivers are in a state of sitting and overturning for a long time. These long-term repeated external forces caused minor injuries. Overload: Heavy physical labor and weightlifting often act on intervertebral discs due to overload, which aggravates the degree of degenerative diseases. (3) Inducing factors: ① Sudden load or waist flash: Sudden increase of waist load, especially rapid bending, lateral bending or rotation, is the main reason for the formation of fiber ring rupture. ② Lumbar trauma: Degenerated nucleus pulposus can protrude when the violence is strong and no fracture or dislocation is caused. In addition, lumbar puncture or spinal anesthesia may also lead to disc herniation. ③ Improper posture: In daily life and some work such as getting up and standing, if the waist is in flexion position, suddenly giving an extra rotation will easily induce nucleus pulposus protrusion. ④ Increased abdominal pressure: There is a certain relationship between increased abdominal pressure and disc herniation. Sometimes, even when coughing violently, sneezing, constipation and holding one's breath hard, nucleus pulposus protrusion may occur. ⑤ Cold and dampness: Cold or dampness can cause contraction of small blood vessels, muscle spasm, increase intervertebral disc pressure, and may also cause rupture of degenerative intervertebral disc. Oral drugs play an important role in the treatment of various bone and joint diseases (including lumbar spondylosis). They mainly have the functions of relieving pain, diminishing inflammation, accelerating healing, relaxing muscles and activating collaterals. Some drugs can also increase bone density and maintain various parts of joint tissue. Therefore, these drugs have obvious and substantial therapeutic effects on bone and joint diseases and soft tissue injuries, poor blood circulation and soft tissue diseases with inflammatory reaction, and have substantial therapeutic effects on osteoporosis and joint aging, but they cannot substantially treat intervertebral disc herniation, lumbar facet joint dysfunction and lumbar hyperplasia, because diseases such as intervertebral disc herniation, lumbar facet joint dysfunction and lumbar hyperplasia are all caused by ectopic lumbar joints and their accessories. Compressing the surrounding nerves and blood vessels leads to soft tissue inflammation, pain, limited joint activity, numbness and weakness of limbs and muscle atrophy. Therefore, oral drugs with anti-inflammatory, analgesic and activating collaterals as the main functions can not play a substantial therapeutic role, but can only play a temporary anti-inflammatory and analgesic role. The herniated intervertebral disc can't be reset and the hyperplastic osteophyte can't be eliminated. The only way to solve this problem is physical reduction (surgery, traction, bone setting and osteophyte). Medicine Kangbao can play the role of osteopathy, make ectopic lumbar intervertebral disc and lumbar facet joints quickly reset, and relieve the compression on nerves and blood vessels, so some patients can be relieved on the same day. Because of its continuous traction at home, the recovered nucleus pulposus can be consolidated, and there will be no short-term traction in the hospital. After the reduction of nucleus pulposus, it is difficult to recover because standing is pressed out by the patient's own pressure. Of course, some drugs or nutrients that can improve bones, relax muscles and collaterals, nourish joints, and moderate exercise can obviously improve patients' bones and enhance patients' muscle strength, thus reducing the possibility of patients with disc herniation, facet joint dysfunction and hyperosteogeny; But once suffering from the above diseases, the solution is physical reduction (surgery, traction, bone setting, osteophyte fusion, etc. ).