First, what is the waist soft tissue injury1, waist soft tissue injury with acute and chronicThe waist muscles, ligaments, fascia, synovial
First, what is the waist soft tissue injury
1, waist soft tissue injury with acute and chronic
The waist muscles, ligaments, fascia, synovial once directly or indirectly affected by external stimulation, suddenly violent impact, twisted or Flash pulled over, causing some waist soft tissue injury, the destruction of the normal physiological function of the waist, back pain, waist movement coordination and other symptoms that the acute soft tissue injury.
The waist of chronic soft tissue injury due to a long time in a forced posture work or repeat an action caused by local soft tissue injury caused by muscle, tendon and tendon sheath and connecting vertebral ligament and the lumbodorsal fascia, synovium, joint capsule and other tissue damage, a series of clinical symptoms which leads to the.
Treatment of acute soft tissue injury through the treatment, most can be cured, a part of the normal treatment is not converted into chronic. However, most of the chronic soft tissue injury is chronic.
2, about the waist soft tissue
By the 5 lumbar and around the waist strong muscle, fascia, ligaments and other components, a wide range of motion, can withstand the load of major, such as lifting, moving, lifting, lifting, carrying, heavy physical labor, the waist as the center. The lumbar intervertebral discs are indirectly connected with each other. The lumbar intervertebral disc is a fibrous cartilage ring, and the central part is filled with elastic rubber like material. The anterior and posterior margins of the vertebral body were protected and connected by the anterior and posterior longitudinal ligaments, respectively. The upper and lower edges of the lamina have a yellow ligament, spinous process between spinous ligaments, spinous process on the top of the supraspinal ligament. On both sides of the lumbar spine, the upper and lower joints are connected with each other to form a small joint. The intrinsic stability and balance of the lumbar spine depends on the maintenance of these tissues. The external stability and balance of the waist mainly depend on: (1) the erector muscle is the longest muscle of the back. From behind the sacrum and the iliac crest after edge, divided into 3 columns: fiber, the column called "iliocostales", check on the rib behind; column called "the longest muscle" in the vertebral transverse straight to the mastoid process; in the "spine muscle" and "sacrospinalis" and "spine erector" Limited to the vertebral spinous process. (2) transverse muscle: waist deep short muscle, deep in sacrospinalis, mainly composed of short oblique muscle in the posterior sacral and transverse process, to conduct internal oblique to the spinous process. (3): abdominal rectus abdominis, external oblique, oblique. (4) the psoas muscle is located between the iliac bone and the twelve rib.
The waist muscle is the main organ motion and power, participation and control waist spinal muscle, tendon sheath and connecting vertebral ligament and the lumbodorsal fascia, synovial joint capsule, etc. can be called lumbar soft tissue.
3, the role of lumbar soft tissue
We know that around the spine is different from thoracic rib, sacrum pelvic protection protection, lumbar lumbar only around itself and the soft tissue attached door, waist is the hub of activity of human body, is the main organ motion and power, bent, back, left and right lateral bending, and are involved, regardless of movement or activity. Here the joint which joint forces than the body are. The labor intensity is big or the activity quantity is big, the joint movement is many. Participate in various activities, joint have muscles so stable, soft tissue protection and lumbar movement it largely depends on the waist, waist soft tissue can be said to be faithful guardians and executor for our spine.
4, the common causes and types of lumbar soft tissue injury
The acute soft tissue injury due to move, carrying heavy objects too hard, cause turn sprain and flash, sprain of soft tissue, muscles, fascia, ligament injury, even tear. Muscle damage in the starting and ending points, or the muscle fascia by pulling parts. The pathological changes of the muscle, fascia, ligaments, articular process and synovial membrane damage, resulting in aseptic inflammatory changes, such as congestion, edema, fibrous tissue hyperplasia and adhesion. Ligaments may tear or rupture, stimulate, compression nerve endings, causing pain. According to the pathological process of injury, acute soft tissue injury can be divided into three stages: early, middle and late. 1, early: refers to the injury within 24 or 48 hours, tissue bleeding and local swelling and pain, fever, dysfunction and other signs of acute inflammation. 2, the middle finger injury: 24 or 48 hours later, the bleeding has stopped, acute inflammation subsided gradually, but there are still local congestion and edema, granulation tissue formation, and tissue repair are beginning to absorption. 3, late: the basic repair of damage, swelling, tenderness and other local signs have been eliminated. Common type:
Acute spine or lumbar interspinal ligament injury: between supraspinal and interspinal ligaments connected in the external flash twist, the ligament tear or injury, resulting in lumbar vertebrae appear sharp stabbing or cutting pain.
Acute lumbar synovial incarceration: this pain occurred in the spinous process of 1.5 cm, can be to the same side hip or thigh after radiation pain, and lumbar disc herniation combined. The radiation pain of the disease generally does not exceed the knee joint, and is not accompanied by sensory, muscle loss and reflection disappeared and other signs of nerve root damage.
Third acute lumbar syndrome: third lumbar vertebral transverse process of violent force posture in the activity, produce middle unilateral or bilateral waist pain, stiff waist can not bend, sedentary time increased pain.
Lumbar muscle disorder: waist muscle in a certain reason appeared under the order disorder, or stimulate muscle entrapment in nerve pain, chest pain or commonly known as it.
The iliolumbar ligament injury: lumbar and iliac bone ligament junction called iliolumbar ligament, the pain in waist deep in one side or both sides of the 5 vertebral injury, generally not point to a specific point of pain, lumbar flexion, lateral flexion limitation. The heavy lifting is easy to cause pain.
The waist of chronic soft tissue injury due to a long time in a forced posture work or repeat an action caused by local soft tissue injury caused by muscle, tendon and tendon sheath and connecting vertebral ligament and the lumbodorsal fascia, synovium, joint capsule and other tissue damage, a series of clinical symptoms which leads to the. Treatment of acute soft tissue injury through the treatment, most can be cured, a part of the normal treatment is not converted into chronic. However, most of the chronic soft tissue injury is chronic. Such as accounting, drivers, etc. the typist exposed to certain posture, muscle sustained contraction, even stop working, still can not restore muscle relaxation state, some hours, some even for months and years. Chronic soft tissue injury is the formation of a long period of time, the short term is not easy to observe, when symptoms are obvious, there has been a qualitative change.
The etiology of chronic lumbar soft tissue injury: 1 cumulative damage: caused pulling and pressing a mild persistent human body by repeated injury, this injury through long time accumulation, more than the body's self recovery ability becomes a cumulative damage disease. 2 concealed damage: the most damage is not perceived by patients, such as in some recreational activities or occasional minor fall, hit, bump, caused by injury, there was pain, but did not care about the pain that over a period of time, to ignore the injury patients history, and easy to be misdiagnosed as other diseases. 3 fatigue damage: refers to the body's limbs, trunk long time overload caused by damage. Such as a long period of intense physical activity, limbs, trunk overload caused by the damage caused by the injury caused by heavy lifting, etc., all belong to fatigue damage. Features: low intensity, long period of existence, latent strong. Common types are:
Lumbar muscle strain: lumbar muscle strain refers to chronic injury of muscle, lumbosacral fascia and ligament and soft tissue, leading to local aseptic inflammation, which caused diffuse pain in waist and buttocks on one side or both sides of the. This disease is also called lumbar gluteal fasciitis or functional lumbago, motherland medicine says for kidney back pain. Is one of the common diseases of chronic lumbocrural pain. The main clinical symptoms of lumbar back pain: long-term recurrent discomfort or a blunt pain, waist heavy tight, such as negative weight, weight, lingering. A good rest, strengthening the warm, appropriate activity or a change of posture can reduce symptoms, tired or in rainy weather, the wind cold dampness effect is aggravated symptoms. The activity is basically normal, generally no obstacle, but sometimes hold up discomfort. Not sedentary long standing, not equal to bend, bend slightly long, straight waist, Changxi hands thump of the back. Acute onset, the disease was aggravated, can have obvious muscle spasm, and even the emergence of lumbar scoliosis, lower limb impede symptoms such as pain.
Yaojiyan: performance for wide waist pain, waist or heaviness, creepss, tired, cold, rest, heat symptoms. There are much more common in women, especially in the cold history, abortion or rest well after delivery or after the onset of the cold wind.
5 how to judge whether suffering from lumbar soft tissue injury
Acute lumbar soft tissue injury
Patients often feel injured when the injured parts of the sound or tissue suddenly tearing feeling. Local pain and disability. Patients often feel injured when the injured parts of the sound or tissue suddenly tearing feeling. Local pain and disability. Can be divided into three stages: 1, early: refers to the injury within 24 or 48 hours, tissue bleeding and local swelling and pain, fever, dysfunction and other signs of acute inflammation. 2, the middle finger injury: 24 or 48 hours later, the bleeding has stopped, acute inflammation subsided gradually, but there are still local congestion and edema, granulation tissue formation, and tissue repair are beginning to absorption. 3, later: the basic damage repair, swelling, tenderness and other local signs have been eliminated, but the function has not been fully restored, still feeling pain during exercise, numbness. In some severe cases, due to adhesion or scar contraction, the occurrence of injury stiffness, activity limitations and so on. Simple judgment: 1 patients with acute soft tissue injury involving or tearing pain. 2, local swelling. 3, activities are significantly limited. 4, pain and muscle tension, tenderness point clear. 5, X-ray examination without fracture and small joint dislocation.
Two, chronic lumbar soft tissue injury
Slow onset, in modern society, more and more chronic soft tissue injury, many people feel strange, he was not injured, but the waist and leg pain, symptoms of weight, generally improved after the break, fatigue after the increase, not sedentary long standing, must often change positions. Some patients have different degrees of pain in the affected area, some patients with a wide range of tenderness or no fixed tenderness point. X-ray examination showed no abnormal findings. Common symptoms: 1 patient ache or pain, tingling or burning part. 2 tired when the weight, reduce the rest; appropriate activities and often change the body position to reduce, hyperactivity and aggravation. 3 the affected area is limited. 4 suffering from tenderness points. 5 no abnormal appearance.
6 after suffering from lumbar soft tissue injury
To avoid the recurrence of acute waist injury posture, reason, and bed rest, oral anti-inflammatory analgesic drugs, recommended to the local medical institutions, speed outpatient treatment. Chronic lumbar muscle strain patients can take the treatment for their disease or to the hospital for treatment for the corresponding treatment.