In life, many people suffer from lumbar muscle strain, lumbar spondylosis and other lumbar diseases. Most of them are caused by long-term sitting. Therefore, you should get up and move your body after sitting for a long time. This will help the development of bones in the body. Otherwise, the bones will form a certain memory function and bone spurs will occur. Then you will feel pain and burning sensation in the waist. So what is the reason for the burning sensation in the waist? Lumbar muscle strain, also known as functional low back pain, chronic low back injury, lumbar gluteal muscle fasciitis, etc., is actually a chronic damaging inflammation of the lumbar muscles and the fascia or periosteum of their attachment points. It is one of the common causes of low back pain. The main symptoms are swelling and pain in the waist or lumbosacral area, which recur repeatedly. The pain may vary with climate change or the degree of fatigue. For example, it may be aggravated by daytime fatigue and relieved after rest. It is a common clinical disease, a frequently-occurring disease, and has many causative factors. Over time, it can cause muscle fiber degeneration or even small tears, forming scars, fibrous cords or adhesions, leaving long-term chronic low back pain. Causes 1. After acute lumbar sprain and long-term repeated lumbar muscle strain. 2. Untimely treatment and inappropriate handling methods. 3. Long-term and repeated excessive waist movement and excessive load, such as sitting or standing for a long time, or holding heavy objects or lifting objects from a bent position to an upright position, can keep the lumbar muscles in a state of high tension for a long time, which can lead to chronic lumbar muscle strain over time. 4. Chronic lumbar muscle strain is also related to climate and environmental conditions. Too low temperature or too high humidity can trigger or aggravate lumbar muscle strain. Clinical manifestations 1. Soreness or distension in the waist, local tingling or burning pain. 2. It gets worse when you are tired and gets better when you rest; it gets better with proper exercise and frequent changes of body position, but gets worse with excessive activity. 3. Unable to persist in bending over while working. They are often forced to stretch their waist or hit their waist with fists from time to time to relieve the pain. 4. There are tender points in the lower back, mostly in the sacrospinal muscle, the posterior part of the iliac spine, the insertion point of the sacrospinal muscle behind the sacrum, or the transverse process of the lumbar vertebra. 5. There is usually no abnormality in the appearance and movement of the waist, and there is no obvious lumbar muscle spasm. A few patients have slightly restricted waist movement. treat 1. Avoid overwork and correct bad posture. 2. Appropriate functional exercise Strengthen exercises of the waist and back muscles to prevent muscle tension disorders, such as lying prone without a pillow, then straightening your chest and head, and stretching your hands and feet into the air; you can also lie on your back in bed without a pillow, push your head back against the bed, and lift your shoulders. 3. Physical therapy, massage, and other therapies that relax muscles and promote blood circulation. 4. Medication The main ones are anti-inflammatory analgesics, injected corticosteroids and oral non-steroidal anti-inflammatory drugs, local muscle relaxants and analgesics. 5. Blockade therapy For those with fixed tenderness points, 0.5% to 1% procaine plus methylprednisolone acetate or hydrocortisone acetate can be used to block the pain points, with good results. 6. Physical therapy Under the guidance of a doctor, choosing appropriate physical therapy can also enhance the treatment effect. There are currently many physical therapy methods, including electromagnetic, ultrasonic, infrared, laser, etc., which act on the human body through sound, light, electricity, heat, etc. to play a role in relaxing muscles and activating blood circulation. 7. Surgery For cases that fail to respond to non-surgical treatments, surgical treatment can be performed. |
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