Why does my waist hurt when I lie in bed

Symptoms of lower back pain as soon as you lie down in bed are generally an important manifestation of lumbar spondylosis. Lumbar bulge is caused by the waist being twisted or hit. In addition, excessive use of the waist can also cause lumbar bulge. Lumbar bulge can be prevented through certain methods, and after the onset of the disease, it can also be treated with corresponding methods. Below, we will introduce in detail the causes, examinations, differential diagnosis and relief methods of lumbar bulge.

1. Causes of lumbar bulge

The waist may be twisted, sprained, or hit during labor or sports activities, or injured by excessive force or overwork when lifting heavy objects, which may cause the intervertebral disc fibers to rupture and the nucleus pulposus tissue to protrude from the rupture.

2. Examination of lumbar bulge

Since this disease is mainly characterized by pain in the waist and legs, Chinese medicine calls it lumbar injury. Lumbar disc bulging is mainly caused by herniated nucleus pulposus. Once bulging, it will stimulate the lumbar nerve roots and cause fluid accumulation. The local circulation mechanism is affected and cannot be restored by the body's own immune function. Traditional Chinese medicine calls it arthralgia, which will lead to calcification over time. Further aggravating nerve compression and irritation. It will cause serious consequences. (When calcification reaches a certain level, also known as ossification, drug treatment is no longer possible)

3. Differential Diagnosis

Differentiate from lumbar disc herniation.

Intervertebral disc herniation means that the nucleus pulposus has broken through the annulus fibrosus, and its fibrous and bony state protrudes, adheres to the surrounding tissues, and the gap becomes narrower; intervertebral disc protrusion is also called intervertebral disc free, which means that the nucleus pulposus is completely separated from the annulus fibrosus, the intervertebral space and enters the spinal canal, becoming free tissue and adhering to the surrounding tissues.

Since this disease is mainly characterized by pain in the waist and legs, Chinese medicine calls it lumbar injury. Lumbar disc bulging is mainly caused by herniated nucleus pulposus. Once bulging, it will stimulate the lumbar nerve roots and cause fluid accumulation. The local circulation mechanism is affected and cannot be restored by the body's own immune function. Traditional Chinese medicine calls it arthralgia, which will lead to calcification over time. Further aggravating nerve compression and irritation. It will cause serious consequences. (When calcification reaches a certain level, also known as ossification, drug treatment is no longer possible)

4. Mitigation methods

Prevention: Be careful to protect yourself when working or doing sports, and seek medical attention immediately if you experience pain in your waist or legs. Avoid or reduce the onset of low back and leg pain, such as adopting a reasonable working posture, sitting upright, avoiding staying in one posture for too long, exercising the waist and back muscles, and doing warm-up exercises before participating in strenuous exercise.

Treatment: Strict supine rest on a hard bed, traction, physical therapy, massage, epidural injection of glucocorticoids; if it does not improve after a long time, minimally invasive surgery or surgical treatment can be performed.