Every day, I feel the muscles on both sides of the lumbar spine especially painful, sore and swollen, in the morning up pain is still relatively obvious, activities can be slightly relieved, but the 2nd day and began to pain, some patients went to the hospital for a nuclear magnetic examination, found that there is a slight herniated lumbar intervertebral discs, from the imaging does not induce such obvious symptoms in the patient, which is how it is?

For the condition of low back pain, which is very common in our clinic, there does exist the condition ofThe patient's ancillary tests don't match the patient's symptoms sometimes.Sometimes the patient's lumbar intervertebral disc has obvious herniation, but there is no symptom on the patient, once encountered a patient's family took the film to the clinic, Dr. Xie then found that the spinal cord compression is very heavy, asked a question, whether this patient is paralyzed, whether there is urinary and fecal incontinence, and the result is that people say that the patient is nothing, is the physical examination wants to check the film to see; and there are times when the patient's MRI shows that there is a slight protrusion, see the protrusion should not be induced or have any special symptoms, when the patient shows the symptoms and more serious.

Why is this happening?

In fact, this is mainly due to the fact that there are so many possible causes of back pain, such asDegeneration of the lumbar vertebrae, wear and tear of the muscles and fascia surrounding the lumbar vertebrae, herniated lumbar discs, lumbar spinal stenosis, scoliosis, and even abnormalities of the soles of the feet and pelvis as well as sacroiliac jointsIt can also affect people who experience pain in the lower back, and although some times the symptoms of pain may not manifest in the same way, there are more symptoms that overlap with each other.

Sometimes patients are given lumbar spine x-rays, MRIs, or CTs, and only a few pathologic abnormalities are detected, but theCan these pathologic abnormalities be corroborated by the patient's symptoms and signs?It is also necessary toExperience of doctorsto judge.

● Dr. Hsieh will tell you about a patient he saw today, and you may understand:

Patient male, 50 years old, a long time back pain, usually work is ambulatory work, need to sit for a long time, usually like to cross the legs, the pain for many years did not care, has always thought that he is lumbar muscle strain, the recent month's time, back pain began to significantly aggravate, the last three days began to appear the right lower limb of the radiating pain, this time the fear is sciatica, so rush to the hospital for examination.

Physician's examinationshows that the patient has obvious percussion pain in the lumbar spine, which means that percussion of the patient's vertebrae induces obvious pain in the patient, and the pain radiates to the hips; the muscles around the spine are tense, and the pain of pressure is obvious; the muscle strength of the bilateral lower extremities is normal, with no pathological reflexes and no sensory abnormalities; the patient's right hip muscles are tense, and there is widespread pain when pressing on the hip muscles in the hip-flexed position.With the patient in the prone position, bending the knee and rotating the hip induces significant hip pain, (below)。

lumbar spine MRI: The NMR showed that the patient had significant lumbar disc herniation in multiple segments of the lumbar spine, predominantly in lumbar 4-5 and lumbar 5-sacral 1, with multiple intervertebral discs showing significant signs of aging.

If weIf you judge a patient's diagnosis of the disease only by the MRI, it's definitely a herniated lumbar discThe patient may be treated accordingly for the lumbar spine, such as traction, various physical therapy or medication, but during the examination, we may find that the patient induces obvious hip pain when flexing the knees and hips, in which case we have to suspect whether the patient haspyriformis syndrome (medicine)furthermoreOn examination, we also found that the patient's hip muscles were particularly tense, and the tenderness was very obvious.。

In response to his condition, Dr. Xie contacted a rehabilitation physiotherapist and gave him aManipulation of the pyriformis muscle was loosened and tightened with acupuncture and transcutaneous electrical nerve stimulation, after just one treatment, his pain and radiating symptoms in his lower extremities, were significantly reduced, what does this mean?

this suggests thatAlthough the patient's MRI showed that he had a relatively significant lumbar disc herniation, his current problem is not coming from the lumbar spineInstead, prolonged crossing of the legs as well as prolonged sedentary behavior leads to excessive tension in the muscles around the entire pyriform machine and buttocks, which irritates the sciatic nerve and induces radiating symptoms in the lower extremities.The symptoms are naturally relieved when they are treated in a targeted mannerup, then if we target the lumbar disc to treat it, the patient may not get any relief at all.

Therefore, for patients with low back pain, the patient's symptoms should be the basis, combined with the doctor's detailed examination, and at the same time, based on the correct auxiliary examination, to determine the patient's problem, in the end, which may be induced by a situation! At the same time, targeted treatment, in order to better help patients solve the problem.

So why is it that some people will have no major problems with their MRI, but have pain around their lumbar spine?

In fact, most of this condition is due to the patient's improper standing or sitting posture, or excessive exertion, which stimulates the muscles or fascia around the spine, resulting in wear and tear on the muscles and fascia, inducing the patient to develop this symptom, which we sometimes call the conditionMyofasciitis of the low back, in fact, it is not necessarily inflammation that causes the pain, but mainly due to aging and wear and tear.

There are several features that tend to characterize this problem when it occurs:

• The pain is relatively heavy, but oftenConfined to the peripheral muscles of the spine。
• This pain in theIt's especially noticeable when you get up in the morning.The activity is likely to be relieved by a period of time.
• Some patients may roll over in their sleep, inducing pain that canwake up from a painful experience。
• In other cases, the pain is not particularly noticeable during normal activities, but when the patient needs to lie down and rest, the pain is significantly worse.

● What to do when this happens?

• If the pain is more severeConsider oral or topical nonsteroidal anti-inflammatory drugsthat help patients manage their pain generally recommend that medications be used for a period of timeNot more than two weeks.Consider taking oral loxoprofen sodium, diclofenac sodium, or topical flurbiprofen gel cream. People with stomach problems may consider taking oral celecoxib, or taking topical medications without oral medications to help control the pain.
• For those who have some resistance to substance use, consider aAcupuncture as well as manipulative treatments by specialized physicians.Helps loosen tight muscles and fascia in the low back.
• Many physical therapies can also help patients with symptoms, such astranscutaneous electrical nerve stimulationIt's just a very good treatment, and heat and wax therapy can also be very helpful.

• shockwave therapy. This is a physical therapy technique that has been developing rapidly in recent years. Shockwave therapy can be a good way to help patients with chronic pain, including those with fasciitis and tendonitis, to relieve localized symptoms, and is usually performed once a week, and the cost is not very high, making it ideal for patients with long-term chronic pain to try.

● If you want to really solve your problem item and try to keep the problem under control and not let the condition continue to worsen, then sticking to proper standing, sitting and low back rehabilitation exercises is the best way to do it.Through scientific and rational rehabilitation exercises, you can make your spine more flexible, you can stabilize the muscles around your spine, and you can make your spine more suitable for your own use。

• Here are some rehabilitation exercises to relax the muscles and fascia of the lower back! There are some movements that can help us control our symptoms, as long as we can stick to them, try them every day, and work out three sets of them in the morning, afternoon, and evening. Dr. Hsieh himself is doing them every day, for about 15 minutes at a time.

• These are exercises to strengthen the muscles around the lumbar spine and are not suitable for all patients, patients can try to stick to them ifWhich movement induces significant pain, then it's totally fine to not do it, and if any of the moves feel particularly comfortable in your lower back when you're done, stick with it.

summarize

There are so many causes that trigger people to experience low back pain that sometimes we can't rely solely on the results of ancillary tests to determine what kind of cause induces the symptoms in a patient to beBased on the patient's symptoms and physical examination, together with the auxiliary examination to determine theIn order to help the patient find the real cause of the disease to the greatest extent possible, so that targeted treatment can be given.

And sometimes people have the symptom of muscle soreness on both sides of the waist, often due to overwork or prolonged standing or sitting improperly, or overuse, resulting in problems with the muscles and fascia. How should be dealt with, in the article has given you an introduction, if you still have other doubts you can leave a message below, we discuss together.

Of course, every patient's problem can't be obtained by following a textbook，And it's not going to be based on every doctor's experience.The above suggestions are only a brief overview of common conditions. Specific treatment should be based on the local doctor's examination and each patient's auxiliary examination to make personalized judgment and not generalized.

I am Xie Xinhui who insists on using simple language to explain the complex knowledge of the disease, it is not easy to code, if you agree with my point of view, please help to point a concern or click a like it, if you or your family and friends, but also have lumbar spine muscle pain on both sides of the problem, please forward this article to the need of their it, thank you!

Feel the waist both sides of the soreness and pain, thigh pain walking inconvenience this is the lumbar disc herniation with osteophytes compression of the nerve root of the nerve, why do you say so, I myself is not a doctor, but I am at the age of 70 years old, feel thigh pain, with Yunnan Baiyao spray, the beginning of the symptoms have been alleviated, and then ineffective, to the hospital inspection, MRI, determined to be the lumbar disc herniation and lumbar osteophytes, the doctor wants me to physical therapy massage, who knows! A course of treatment (10 days) no effect at all, there is a disease seek medical advice, inquiring about a famous orthopedic surgeon in the provincial capital, he is also an orthopedic family origin. He looked at my examination and said, let me do surgery, the cost of more than 40,000, the son heard, did not blink an eye, said, Dad, do it! Otherwise, paralyzed, old you suffer ah, not to mention 40,000, no matter how much also have to do, not enough money, that is, sell the house, but also have to smelt, I think more than 40,000 for the search for the family, is not a small amount, after returning home, the son many times Cui I went to do, but I think, is 70 years old, spend so much money, to the son of the increased burden, so intolerant, so I excused myself while at home to read books of traditional Chinese medicine, because of the elder sister's brother-in-law when he lived, is also an old Chinese medicine. When I graduated from high school, I also learned Chinese medicine with him for a period of time, there is a certain foundation, after the death of my elder sister's husband, his book of medicines I have collected, so, it is flipping through the research, with the ability to activate blood circulation and remove blood stasis, regulate the meridians of a dozen flavors of Chinese herbs, try it on yourself, try this, ate three days, the pain is significantly reduced, and then ate for half a month, healed. Until now more than 8 years have not recurred.

Hi, I'm Dr. Sui, an acupuncturist, and based on the question you posed, a mild herniated lumbar disc with soreness on both sides of the back.My initial diagnosis is that it's caused by a lumbar strain, analyzed together below.

Lumbar disc herniation pain characteristics and range

Lumbar disc herniation is caused by long-term exertion as well as degenerative aging of the lumbar spine resulting in rupture of the lumbar annulus fibrosus and protrusion of the nucleus pulposus inside to compress the sciatic nerve.Its pain is characterized by pain in the middle of the lumbar vertebrae, and there is pressure pain in the 1 cm next to the lumbar vertebrae, and there is a kind of radiating pain to the lower limbs when pressed hard.Lumbar disc herniation offense when the patient coughs or turn over the lumbar pain is particularly obvious, do not dare to bend over and so on.

Characteristics and extent of pain in lumbar strain

Lumbar muscle strain painThe area is usually on both sides of the psoas major muscle, with intermittent soreness and pain, to put it bluntly, pain in both sides of the waist. Anatomy says there is marked tenderness at the third transverse process, theThere are many patients whose pain is aggravated in the early morning, resulting in decreased sleep quality. After sitting for a long time, patients will feel uncomfortable with back pain as if they are carrying a wooden board on their backs. And after intercourse, the situation is more serious.

My opinion and treatment options

In summary, I think your main symptom is still caused by lumbar muscle strain, although you herniated lumbar disc, but it does not appear symptoms, that is to say, no symptoms of lumbar disc herniation we do not need treatment. In fact, now on the street to find a random person to take a picture he will have a lumbar disc herniation, but not everyone has compressed to the sciatic nerve, so there is no symptom.

About the lumbar muscle strain treatment is still relatively simple, in addition to acupuncture physiotherapy, we will also use Chinese herbal medicine kidney tonic treatment, the effect is more.

Kidney deficiency is divided into yin and yang deficiencyThe symptoms of Yin deficiency are the patient's self-consciousness of fear of heat, dry mouth, irritability, back pain, short and red urine. At this time, you can take Chinese medicines orallySix-flavored Dihuang Pill (Chinese medicine)。

Symptoms of yang deficiency are usually manifested as fear of cold, lack of love for water, edema, impotence and premature ejaculation, and clear and long urine. This is the time to take oralJin Qian Kidney Qi Pills。

Self-protection of the lumbar spine

Whether it's a herniated disc or a lumbar strain.We usually do not sit for a long time, do not sleep on soft beds, sofas, usually lift heavy things carefully, hold your breath and then do it. Lastly, I hope my answer will help more people with low back pain to recover. Thanks.

I am Dr. Sui and I would like to help you with what I have learned and hope you get well soon. If there is anything you don't understand feel free to leave a comment and I will answer it.

Hello, first of all, a brief introduction to some of the structures around the lumbar spine, you can see in the picture below that there are many muscle groups distributed around the lumbar spine.When the lumbar stability is poor, but under the need for supportive movements, if the strength of the low back muscle groups is insufficient will lead to the emergence of strain injury, manifested as soreness and pain on both sides of the back.

It is recommended that you can train the core muscles of the lower back and abdomen like in the picture below to increase the stability of the lumbar spine.

Pay attention to the training process, the waist close to the bed, and do not have pain ! If you are not sure whether the waist is close to the bed, you can press the elastic band under the waist, and then find a partner to help you slightly tighten the elastic band, at this time, you have to make sure that the elastic band is not pulled out.

Also, do you use your computer in your daily life in a position like the one below?

If so, you need to be aware thatThe spine in the posture above shows a tendency to flex, and holding this posture for a long period of time will cause the low back muscles to be stretched and in a weak state.

It is recommended not to be sedentary for more than 30 minutes, in addition, you can replace it with the correct sitting position in the picture below, and pay attention to what you need to watch for example, the computer screen is not too low! I hope my answer can help you!

First of all, lumbar disc herniation he does not always have symptoms, when he has symptoms, we call it lumbar disc herniation. Because very often we meet some patients, although the examination found that there is a herniated disc, but he does not have any symptoms. In fact, in my personal opinion, many times low back pain is not necessarily a disc problem. But many clinicians attribute the symptoms to a herniated disc.

Secondly, it seems to me personally that many times it is a chronic strain of the soft tissues that is acutely flaring up with low back pain. That's why when we use acupuncture and massage to treat low back pain, there are some tests that do show images of herniated discs, but when we relax the local tense muscles after acupuncture and massage treatment, the symptoms are relieved. But on imaging, the herniated disc is still there, which is why I don't really think that low back pain is a herniated disc.

The last piece of advice I would give is to develop a good routine and posture.

{!-- PGC_VIDEO:{'thumb_height': 720, 'vid': 'v020161e0000bs1ufo9p3hvastigr3s0', 'thumb_width': 1280, 'vposter': 'https://p3-sign.toutiaoimg.com/tos-cn-p-0000/91506c18417d4aba993f58633162981b~noop.image?x-expires=1960292580&x-signature=w8EFCS%2Fb%2BeiCwFKJS%2B5AYXumjfc%3D', 'vu': 'v020161e0000bs1ufo9p3hvastigr3s0', 'duration': 200.167, 'thumb_url': 'tos-cn-p-0000/91506c18417d4aba993f58633162981b', 'thumb_uri': 'tos-cn-p-0000/91506c18417d4aba993f58633162981b', 'video_size': {'high': {'duration': 200.167, 'h': 720, 'w': 1280}, 'ultra': {'duration': 200.167, 'h': 720, 'w': 1280}, 'normal': {'duration': 200.167, 'h': 720, 'w': 1280}}} --}

I am now the lumbar disc herniation, lasted for a long time, went to a lot of places to check, the sentiment is to say it's fine, but then said it's a lumbar disc herniation. Take medicine or something basically does not work, usually can only sleep 6 hours, more than 6 hours must get up a bit, or the pain is unbearable.

Last year, I went to a Chinese medicine hospital, looking for a famous see, conditioning a little effect, but not very obvious. Then my friend introduced me, I went to do a Chinese medicine massage, that time is long, almost lasted three months, go twice a week, each time about 200 yuan or so, feel the effect is very obvious, every time he massaged, feel relaxed a lot of every day can also sleep, much better than before.

Therefore, I suggest that people with this condition can go for a Chinese massage, preferably one of the more famous ones, which is quite effective.

Other medications seem to have a hard time with herniated discs, and there is little to no cure, at least not yet.

And it's a difficult condition that causes a person to not be able to rest for long periods of time, and to only be able to sleep for a few hours a day.

In fact, this is mainly due to the possible causes of lumbar pain are too many, such as lumbar vertebrae degeneration, lumbar vertebrae around the muscles and fascia wear and tear, lumbar disc herniation, lumbar spinal stenosis, scoliosis, and even the soles of the feet, pelvis, and sacroiliac joints of the anomaly will also affect people to appear in the lumbar pain, although some of the time the symptoms of the pain may not be the same performance, but overlap with each other's symptoms are There are many symptoms that overlap with each other.

There are two aspects to this issue

First, is there a causal relationship between the lumbar bulge and the low back pain. To further determine the need for intervertebral discography, that is, the contrast agent is injected into the intervertebral disc, to observe whether it can be replicated in the same location, the nature of the pain, if so, the back pain is likely to be due to lumbar protrusion. If it does, the low back pain is most likely due to a lumbar bulge. If it does not, it is important to consider whether there is another cause.

Secondly, there are many reasons for the soreness and pain on both sides of the waist, such as lumbar muscle strain, fasciitis, spondylolisthesis, osteoarthritis (small joints), women's gynecological diseases, lumbar spondylolisthesis and so on.

It is estimated that it may be a lumbar muscle strain, which may be caused by you sitting for too long or just sitting in an incorrect position.

I have had the same experience before, sitting in front of the computer every day for too long, and do not get up and do not move, and the body is crooked, a long time on both sides of the eye is a little sore, and then walk every day, sit for a while to get up and walk around, and slowly on the good. Suggest that you more activities, you can walk, or do twisting activities, do not sit for a long time, sitting should also pay attention to the posture, after two days on their own will be better, I hope to help you, I wish you a speedy recovery!