Pain below waist and above buttocks

Pain below the waist and above the buttocks is generally a symptom caused by lumbar muscle strain. Lumbar muscle strain is a problem that many people have, especially for those who need to work frequently or sit in the office for a long time, lumbar muscle strain is very common. Lumbar muscle strain can be treated through certain methods. Below, we will introduce in detail the causes, clinical manifestations and treatment methods of lumbar muscle strain.

1. 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.

2. 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.

Treatment

1. Avoid overwork and correct bad posture.

2. Appropriate functional exercise: Strengthen the waist and back muscle exercises to prevent muscle tension disorder, such as lying prone, removing the pillow, then straightening your chest and head, and stretching your hands and feet into the air; you can also lie on your back on the bed, remove the 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. Drug treatment: mainly anti-inflammatory analgesics, injected corticosteroids and oral non-steroidal anti-inflammatory drugs, local muscle relaxants and analgesics.

5. Block therapy: For those with fixed tender 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. Surgical treatment: Surgical treatment can be performed for cases that are resistant to various non-surgical treatments.