What tests should patients with low back and leg pain do?

1，“ESR”。 It is the abbreviation of "erythrocyte sedimentation rate", and doctors sometimes use its English abbreviation "ESR" on laboratory sheets. Normal values are 1- 10 mm/h for adult males and 0-16 mm/h for females. pay attention to

Although "/"is used, it does not refer to the hourly settlement, but refers to the settlement at the end of 1 hour. The common diseases that cause ESR acceleration are ankylosing spondylitis, thoracolumbar tuberculosis and rheumatoid joint.

Inflammation, thoracolumbar osteomyelitis, intervertebral infection and thoracolumbar malignant tumor.

But we can't think that patients with low back and leg pain must get these diseases because of their rapid ESR. Other examination results should be combined with clinical symptoms and signs to make a conclusion. There are also the following reasons for the rapid increase of ESR: female menstrual period, pregnancy and poverty.

Blood, infectious diseases and some drug interference will all lead to accelerated ESR. At the same time, there may be both low back pain and other diseases. Lead to accelerated erythrocyte sedimentation rate, so it is necessary to conduct a comprehensive examination to avoid misdiagnosis.

2. Rheumatoid factor agglutination test. Doctors usually call it "radio frequency". Rheumatoid factor is an autoantibody. Normal is usually negative. According to research, rheumatoid factor exists not only in rheumatoid diseases.

Arthritis patients. 1%-4% normal people can also be positive. The detection rate of rheumatoid factor in various diseases is listed as follows for reference.

The detection rate of rheumatoid factors in various diseases (%): rheumatoid arthritis 79,6%, polymyositis 20,0%, dermatomyositis/kloc-0,0%, juvenile rheumatoid arthritis/kloc-0,0%, tuberculosis/kloc-0,0%, over 60 years old.

the aged

It can be seen that people with rheumatoid factor positive do not necessarily have rheumatoid arthritis, and people with rheumatoid factor negative are not sure that they are not sick. Suspected rheumatoid arthritis in the waist

After examining rheumatoid factor, patients with leg pain still need to combine other examination results to diagnose the disease.

3. Anti-hemolytic streptococcus "O" type test. The doctor's English abbreviation on the laboratory list is "ASO", and the normal value is less than 400U U u. This test is an immunological test to prove whether there is hemolytic streptococcus infection recently, such as

The "O" test of anti-hemolytic streptococcus is more than 500U, and the results of many tests are gradually increasing, which is helpful for the diagnosis of active rheumatism. At the same time, multiple myeloma and nephritis can also increase.

Orthopedic experts in Tianjin 464 Hospital of the People's Liberation Army warmly reminded that patients with low back and leg pain should go to regular hospitals for examination in time. Clear the cause, under the guidance of doctors, choose the right treatment method, and cure it in time and effectively.

Don't blindly take medicine, or endure it again and again, so as not to delay the illness.