Which department should I go to for low back pain_Which department does low back pain belong to

In life, we can't avoid back and leg pain. However, many people don’t know which department to go to for treatment for back and leg pain. There are many reasons for low back pain, and we should take corresponding treatments for different causes. If you cannot determine the cause yourself, you can go to the Department of Traditional Chinese Medicine to diagnose the disease first, and then regulate your body to restore your body to a healthy state. So, which department should I go to for low back pain?

1. Common diseases

Lumbar bone hyperplasia, intervertebral disc herniation, lumbar hypertrophy, spinal stenosis, lumbar fracture, spinal canal tumor, acute and chronic lumbar trauma or strain, lumbar muscle strain, ankylosing spondylitis, etc. can all cause low back pain. Diseases such as urinary tract infection, urinary tract stones, tuberculosis, etc. can also cause low back pain. Reproductive organ diseases, such as cervicitis, salpingitis, pelvic inflammatory disease, chronic adnexitis, pelvic peritonitis, inflammation of the uterosacral ligament or connective tissue, are prone to complications of low back pain. Retroverted uterus, retroflexion, and uterine prolapse are one of the causes of low back pain in women. Serious reproductive organ diseases such as uterine fibroids, cervical cancer, ovarian cysts, etc. can cause compressive involved low back pain.

2. Inspection

1. CT examination

It can clearly display the osteophytes at the anterior and posterior edges of the vertebral body, the location and degree of compression of the dura mater sac, spinal cord, and nerve roots, measure the anterior-posterior and transverse diameters of the spinal canal, and understand whether the intervertebral foramen and transverse foramen are narrow, whether the vertebral lamina is thickened, etc.

2. X-ray

Conventional X-rays should be performed routinely and are the basis for other imaging examinations. — Generally, anteroposterior, lateral, and left and right oblique films should be taken, and lateral films with the neck flexed and extended should be taken if necessary. The anteroposterior radiograph may reveal narrowing of the intervertebral disc, bone hyperplasia of the uncovertebral joint, and thickening of the pedicle. The lateral view can reveal that the physiological protrusion of the cervical spine disappears, a bony lip is formed at the anterior and posterior edges of the vertebral body, and the intervertebral space and spinal canal are narrowed. Oblique views can be used to determine the condition of the intervertebral foramen.

3. Magnetic resonance

It can clearly show the posterior protrusion of the intervertebral disc tissue, the compression of the dura mater sac and spinal cord, whether there is venous return obstruction or compression, and whether there are cystic lesions in the local spinal cord.

4. Blood test

Patients suspected of having tuberculosis or ankylosing spondylitis need to undergo ESR (erythrocyte sedimentation rate), ASO (anti-strand O), RF (rheumatoid factor), and CRP (C-reactive protein) tests.

5. Other examinations

For patients suspected of having bone hyperplasia, heart disease and other diseases, bone density tests, electrocardiogram tests and other tests are performed to rule out the diseases. If certain diseases cannot be clearly diagnosed through symptoms, body positions, and X-rays, a CT scan is performed to further understand the condition of the lumbar soft tissues, ligaments, intervertebral discs, and contents. An MRI scan may be considered if necessary.