腰背酸痛的病因与诊断（Etiology and diagnosis of low back pain）.docVIP

腰背酸痛的病因与诊断（Etiology and diagnosis of low back pain） What are the causes of low back pain? Etiological classification (1) acute and chronic injuries; 1, acute injuries such as spinal fractures, ligament, muscle and joint capsule tear, acute disc herniation, etc.. 2, chronic injuries such as ligament inflammation, muscle strain, spine bone and joint hyperplasia and degeneration, spondylolisthesis and so on. (two) inflammatory lesions Inflammatory lesions are divided into two types: bacterial inflammation and non bacterial inflammation. 1, bacterial inflammation can be divided into purulent and specific infection, such as spinal tuberculosis. Pyogenic infection is mainly seen in intervertebral space infection, epidural abscess, vertebral osteomyelitis. 2, non bacterial inflammatory rheumatic fibrositis, rheumatoid arthritis, third lumbar transverse process syndrome, ankylosing spondylitis, storage joint sclerosing osteitis. (three) degenerative changes of the spine Such as degenerative disc disease, degenerative osteoarthritis of the small joints, secondary spinal stenosis, senile osteoporosis, pseudo sliding and instability of the spine. (four) the abnormal development of bone Scoliosis, hemivertebra, not even the narrow part of sliding humpback dolphin, can, iliolumbar or lumbar dice, spina bifida and hook the spinous process, horizontal cuboid, limb length, flatfoot. (five) poor posture Long-term work or to work, pregnancy, potbellied due to obesity. (six) tumor; Bone and soft tissue tumors, bone marrow or nerve tumors, etc.. (seven) referred pain caused by visceral diseases; Gynecological disease, prostate disease can cause lumbago, kidney stones, kidney diseases such as J tumor prolapse, pyelonephritis and retroperitoneal diseases such as abscess, haematoma can cause liver and heart back Yong, femoral disease can cause back pain. (eight) mental factors With the progress of society and the acceleration of the pace, such diseases gradually increased, such as chronic