What to do if the lower right side of the back hurts

For friends who have symptoms such as pain in the lower right back, they must want to know what to do about pain in the lower right back. So what should I do if I have pain in the lower right side of my back? Next, this article will introduce you to what to do if you have pain in the lower right side of your back, for your reference only. Friends who want to know more about this can continue reading! Please see the detailed introduction below.

Pain in the lower right back is most likely caused by a herniated disc. Lumbar disc herniation is one of the more common diseases. It is mainly caused by different degrees of degenerative changes in the various parts of the lumbar disc (nucleus pulposus, annulus fibrosus and cartilage plate), especially the nucleus pulposus. Under the influence of external factors, the annulus fibrosus of the intervertebral disc ruptures, and the nucleus pulposus tissue protrudes (or falls out) from the rupture to the back or inside the spinal canal, causing the adjacent spinal nerve roots to be stimulated or compressed, resulting in a series of clinical symptoms such as low back pain, numbness and pain in one or both lower limbs.

What should I do if I have pain in the lower right side of my back? If it is caused by lumbar disc herniation, the treatment is as follows:

1. Non-surgical treatment

1. Absolute bed rest: When the disease first occurs, you should strictly rest in bed, and emphasize that you should not get out of bed or sit up to urinate or defecate. This will achieve better results.

2. Traction therapy: Pelvic traction can increase the width of the intervertebral space, reduce the intra-disc pressure, retract the protruding disc, and reduce stimulation and compression on the nerve roots. It needs to be performed under the guidance of a professional doctor.

3. Physical therapy and massage: can relieve muscle spasms and reduce pressure in the intervertebral disc, but be aware that violent massage can aggravate the condition and should be used with caution.

4. Epidural injection of corticosteroids: Corticosteroids are a long-acting anti-inflammatory agent that can reduce inflammation and adhesions around nerve roots. Generally, long-acting corticosteroid preparations + 2% lidocaine are used for epidural injection once a week, 3 times as a course of treatment, and another course of treatment can be used after 2-4 weeks.

5. Chemical nucleus pulposus dissolution: Collagenase or papain is injected into the intervertebral disc or between the dura mater and the protruding nucleus pulposus to selectively dissolve the nucleus pulposus and annulus fibrosus without damaging the nerve roots, so as to reduce the pressure in the intervertebral disc or reduce the size of the protruding nucleus pulposus to relieve symptoms.

2. Percutaneous nucleotomy/laser vaporization of the nucleus pulposus

Through the use of special instruments, the intervertebral space is entered under X-ray monitoring, and part of the nucleus pulposus is crushed, sucked out or vaporized by laser, thereby reducing the pressure within the intervertebral disc and relieving symptoms. It is suitable for patients with bulging or mild herniation, but not suitable for patients with lateral recess stenosis or obvious herniation, or those whose nucleus pulposus has prolapsed into the spinal canal.

3. Surgical treatment

Through the posterior lumbar incision, part of the lamina and articular process are removed, or the intervertebral disc is removed through the interlaminar space. For central disc herniation, laminectomy is performed followed by epidural or intradural discectomy. Patients with lumbar instability and lumbar spinal stenosis require spinal fusion surgery at the same time.

The above is an introduction on what to do if you have pain in the lower right side of your back. I believe that after reading the above introduction, you already know what to do if you have pain in the lower right side of your back. From the above introduction, we can know that pain in the lower right back is most likely caused by lumbar disc herniation. Therefore, once this symptom appears, everyone should be vigilant!