腰肌劳损-摘抄（Lumbar muscle strain - excerpt）.docVIP

腰肌劳损-摘抄（Lumbar muscle strain - excerpt） 1. acute lumbar sprain and chronic recurrent lumbar muscle strain. 2., treatment is not timely, improper treatment. Excessive waist movement 3. long-term repeated and excessive load, such as long periods of sitting, standing for a long time or bend to the upright position from the heavy hand, lifting, can make the waist muscle in the high tension state for a long time, in the course of time can lead to chronic lumbar muscle strain. 4. chronic lumbar muscle strain and climate, environmental conditions also have a certain relationship, the temperature is too low or too much humidity can promote or aggravate lumbar muscle strain. Clinical manifestation The 1. part of the waist ache or pain, tingling or burning. 2., aggravating when tired, reduce when resting; appropriate activity and often change, when body position is reduced, overworked and aggravating. 3., can not adhere to stoop to work. Often forced to constantly stretch or to relieve the pain in the waist fist hit. 4., there are tenderness points at the waist, mostly in the sacral spine muscle, the back of the iliac spine, sacrum, posterior sacral spine muscle, or at the lumbar spine. 5., the waist shape and activities of more than no abnormalities, there is no obvious lumbar muscle spasm, a small number of patients with slightly restricted waist activity. inspect 1. X-ray examination No abnormalities, few or bony hyperplasia or spinal deformities. 2. elderly or osteoporotic patients were examined ECT examinations and bone mineral density examinations are available. There is a view that osteoporosis can also cause chronic low back pain. Diagnosis 1. according to symptoms, signs and other clinical manifestations. 2., combined with chronic low back pain history and physical examination, the diagnosis is difficult, attention should be paid to the lumbar degenerative diseases, such as lumbar disc herniation, lumbar spondylolisthesis and other diseases identified. Treatment 1. a