Low back pain is psoas muscle strain? It could also be these four diseases!

Sitting at work all the time, sore waist and stinging? Can you beat your fist when you have back pain? When you are tired, your waist hurts badly, but it can be alleviated when you rest? Seeing these situations, I believe that most people's first reaction is psoas muscle strain.

Indeed, psoas muscle strain is a relatively common disease, the scope of incidence is relatively wide, but sometimes low back pain is not caused by psoas muscle strain, but many people will blindly diagnose themselves, self-treatment, causing a lot of problems. Today we will talk about this topic, so that everyone has a deeper understanding of psoas muscle strain, to help you protect your waist in daily life.

One

What is a psoas muscle strain?

Psoas muscle strain is a relatively common disease, the scope of incidence is relatively wide, foreign countries will be psoas muscle strain called "lumbar muscle strain", emphasizing overuse, too much force caused by the lower back part of the muscles or ligament strain, this explanation does not fully explain the true meaning of the disease, psoas muscle strain is often mistaken for psoas muscle mechanical force trauma. In fact, psoas muscle strain is mainly "chronic cumulative strain", which is a chronic injurious inflammation of the lumbar muscles and their attachment point fascia (that is, the tissues that are relatively tough between muscle and fat) or periosteum (a membrane wrapped around the bone).

The cause of lumbar muscle strain is mainly due to the long-term overload of the lumbar back muscles in the trunk during weight-bearing activities or sedentary positions for a long time, squeezing the blood vessels that supply oxygen to the muscles, resulting in thinning of blood vessels, resulting in insufficient oxygen supply, accumulation of metabolites, and stimulation of local and injurious inflammation. 【1】

For example, long-term sewage pipe discharge, a large amount of sediment slowly accumulates to block the water pipe, causing sewage obstacles, thereby causing the flow of dirty water to slow down, and the dirty water deposition produces a large number of harmful substances, affecting the environment. In the same way, the metabolites in our body are equivalent to sediment, and the deposition of metabolites will also stimulate the blood vessels, muscles and soft tissues around us, causing pain.

Two

What conditions can cause waist stiffness?

1. The lumbar disc herniation of the lumbar spine has a natural physiological curvature, and after we sit for a long time, the waist will become more and more stiff, and the lumbar spine will lose flexibility and become fragile and stiff.

The lumbar disc is protruding

2. Ankylosing spondylitis Ankylosing spondylitis is referred to as AS. It is characterized by inflammation and ossification of the lumbar, cervical, and thoracic spinal joints and ligaments, as well as the sacroiliac joint, hip involvement and inflammation of other peripheral joints, and symptoms of lower back pain and morning stiffness are common in the early stages of the disease.

3. Spinal stenosis is a type of disease that causes the shortening of the diameters of the spinal canal and compresses the dural sac, spinal cord or nerve roots for various reasons, resulting in pain, numbness and a series of neurological dysfunctions.

4. Scoliosis spinal deformation can easily lead to nerve damage, nerve compression, limb sensory disorders, numbness and other symptoms in the shoulders, back and waist

Three

How to judge psoas muscle strain?

pay attention

From the above introduction, we can see that psoas muscle strain does cause waist stiffness, but it does not mean that when waist stiffness occurs, it can be judged as a lumbar muscle strain, and if you want to diagnose the diagnosis, you need to make further judgments, and the following will briefly introduce the judgment method of waist muscle strain:

Weak waist, a little carelessness will have "sprain", symptoms will worsen, accompanied by lumbar movement disorder.

Lumbar movement is basically normal, generally no obvious obstacles, but sometimes patients with psoas muscle strain may feel uncomfortable. Can not sit for a long time, can not be competent to bend the work, bend over a little longer, then straighten the waist difficult.

There are fixed tender points in the painful area, mostly near the muscle start and end point, and when the tender point is percussed, the degree of pain can be clearly felt to be reduced.

During clinical examination, it is found that the lumbar muscles are weak, weak, and there is no obvious tenderness, which are all symptoms of psoas muscle strain.

Long-term recurrent back pain and discomfort, or blunt swelling pain, waist heavy plate tight, such as heavy weight, sometimes light and heavy, lingering.

If you often have these symptoms, then it is likely to be caused by psoas muscle strain, but I recommend going to the hospital for a formal examination to confirm the diagnosis. In general, psoas muscle strain is confirmed by clinical symptoms, medical history, and physical examination.

Four

Treatment

The harm of lumbar muscle strain is not only low back pain, affecting daily work and life, in the long run, it will also cause the acceleration of lumbar degeneration, causing diseases such as intervertebral disc herniation, lumbar instability and spinal stenosis. 【2】

At present, in the treatment of psoas muscle strain, most of them only stay in the use of various painkillers to relieve pain, and do not pay attention or pay attention to eliminating or reducing the root causes of aseptic inflammatory reactions. Therefore, as soon as the painkillers are stopped, the disease recurs.

In fact, the treatment of psoas muscle strain should take "both symptoms and root causes": in addition to symptomatic treatment, as soon as possible to relieve pain and relieve muscle spasms, it is also necessary to eliminate or reduce overload stress at the attachment of skeletal muscles for primary factors, block the vicious cycle of tissue degenerative contractures, and transform mild degenerated tissue into normal.

1. There is no effective or specific drug for controlling acute inflammatory reaction, analgesic and anti-aseptic inflammatory reaction, and the fundamental reason is that there is no bacteria in the sterile inflammatory response, so there is a lack of receptor targets for new drug development. At present, clinical drugs are all swelling and pain relief, that is, the so-called "treatment of symptoms", and patients with severe pain can also be treated with pain point closure, but it should be noted that pain relief is to create conditions for functional regulation and exercise, and is not a fundamental treatment method.

2. In view of the factors of the disease, the onset of psoas muscle strain is mainly caused by sitting and bending over a long time, so special attention should be paid to strengthening the function of the lumbar back muscles, especially the exercise guidance of the function of the stretch muscles, strengthening the anti-fatigue ability of the relevant muscles, so that the body can rebuild a new balance. At present, the most common way of exercising is "XiaoyanFei":

The principle of this action is that long-term sedentary, lack of exercise and other bad habits will make the deep core muscles of the lower back loose and weak, unable to provide stable support for the spine, resulting in a biomechanical imbalance in the waist, [4]

The "Xiaoyan Fei" can strengthen the core muscle group of the lower back, play a protective and stable role in the degenerating lumbar spine, and slow down the degeneration process of the lumbar spine.

The specific exercise methods are:

1) Lift your hands, feet, head and neck: Slowly lift your hands and feet while raising your neck slightly and looking ahead.

2) Lift the chest: Continue to lift until you feel the chest leave the ground.

3) Hold: Hold this position, do not relax, feel the contraction of the lower back muscles, silently count for five seconds. Maintaining this position allows your lower back muscles to get the best workout results.

4) Relax: When sticking to the specified time, slowly lower your hands and feet to put your muscles in a state of complete relaxation and prepare for the next set of exercises.

5) Repetition: It is recommended to practice 30-60 groups a day, and determine the amount of exercise according to each person's physical condition, step by step.

[1] Otávio TuroloSilva,Andrei Fernandes Joaquim,Alpesh A. Patel. Management of Low BackPain[M]. Springer International Publishing:2019-07-13.

[2] H Li,H Zhang,SLiu,Y Wang,D Gai,Q Lu,H Gan,Y Shi,W Qi. Rehabilitation effect of exercise withsoft tissue manipulation in patients with lumbar muscle strain[J]. NigerianJournal of Clinical Practice,2017,20(5).

[3] Michael P.Glotzbecker,Daniel J. Hedequist. Acute Thoracic and Lumbar Injuries[M]. SpringerNew York:2014-06-15.

ZHANG Min. Comparative study on the effect of dynamic/static core strength exercises on psoas muscle strain rehabilitation[D].Xi'an Institute of Physical Education, 2015.

[5] Adams M A,HuttonW C. The effect of posture on the role of the apophysial joints in resistingintervertebral compressive forces. [J]. JOURNAL OF BONE AND JOINTSURGERY-BRITISH VOLUME,1980,62(3).