What are the symptoms of lumbar sprain?

The lumbar spine is an important part of our waist. If the lumbar spine is sprained, some patients may even need to stay in bed to rest. Even for patients with mild injuries, they need to rest properly and are prohibited from doing heavy work to avoid worsening of the condition. The most obvious feature of lumbar sprain is low back pain. Activities are restricted and he cannot stand or walk normally.

Symptoms of lumbar sprain

Clinical characteristics

1. Have a history of lumbar sprain, which is more common in young and middle-aged people.

2. Severe pain on one or both sides of the waist, limited movement, inability to turn over, sit or walk, and often maintaining a certain forced posture to reduce pain.

3. After the trauma, you will feel low back pain and cannot continue to exert force. The pain is continuous and worsens during activities. It cannot be eliminated after rest. Coughing, talking loudly, exerting force on the abdomen, etc. can increase the pain. Sometimes there is a popping sound or a sudden breaking sensation in the lower back when the injury occurs.

4. Waist stiffness, difficulty in active movement, difficulty in turning over, tension in the sacrospinal muscles or gluteus maximus, causing scoliosis.

5. There are tender points at the site of injury, such as the sacrospinal muscles on both sides of the spinous process, the transverse processes of the lumbar vertebrae on both sides, or behind the iliac spine. Most of them are muscle or fascia injuries. Tenderness deeper on both sides of the spinous process is mostly caused by injury to the intervertebral facet joints. If there is tenderness in the sacroiliac joint, it is usually due to sacroiliac joint injury.

6. Generally there is no radiating pain in the lower limbs. Some patients have referred pain in the lower limbs. The straight leg raising test is positive, but the enhanced test is negative. When identification is difficult, local pain points can be blocked with procaine. If the pain point is alleviated or disappears, it is referred pain. If the leg pain does not change, it is nerve root radiating pain.

【Classification of Boiling Syndrome】

1. Qi stagnation and blood stasis: After sprains or strong weight bearing, there is severe pain in the waist, lumbar muscle spasm, the waist cannot be straightened, and it is difficult to bend, extend, turn and turn. The tongue is dark red or has petechiae, the tongue coating is thin, and the pulse is tight and stringy.

2. Internal accumulation of dampness and heat: Stiffness and pain in the lower back due to improper posture during work or after twisting or spraining, with a burning sensation, which may be accompanied by abdominal distension and pain, constipation, yellow urine, yellow and greasy tongue coating, and a weak and rapid pulse.

【Diagnosis basis】

1. History of lumbar trauma, more common in young and middle-aged people.

Severe pain on one or both sides of the waist, limited movement, inability to turn over, sit or walk, and often maintaining a certain forced posture.

3. The lumbar and gluteal muscles are tense and spasmodic, or cord-like nodules may be felt, there are obvious tender points at the site of injury, and the physiological curvature of the spine changes.