Why does my ilium hurt when I walk or stand for a long time?

Chronic lumbar muscle strain is a common and frequently-occurring disease with many pathogenic factors. The main symptoms are low back pain, increased fatigue during the day, which can be relieved after rest. Over time, muscle fibers can be denatured, even slightly torn, forming scars or fiber cords or adhesions, leaving long-term chronic low back pain. Non-surgical treatment is the main treatment. If various non-surgical treatments are ineffective, surgical treatment can be performed.

What causes lumbar muscle strain?

Lumbar muscle tension for a long time, forming traumatic inflammation. In addition, improper treatment of acute lumbar trauma can also lead to chronic lumbar muscle strain.

What are the symptoms of lumbar muscle strain?

1. Low back pain or swelling pain, local tingling or burning pain.

2. It is aggravated when you are tired and lightened when you rest; Moderate exercise and frequent body position change can relieve it, while excessive exercise can aggravate it.

You can't keep bending over to work. Often forced to stretch out from time to time or hit the waist with his fist to relieve the pain.

4. There are tender points in the waist, mostly at the sacrospinous muscle, the back of iliac spine, the stopping point of sacrospinous muscle behind sacrum or the transverse process of lumbar spine.

5. There is no abnormality in waist shape and activity, and there is no obvious lumbar muscle spasm. A few patients have slightly limited waist movement.

What inspection does lumbar muscle strain need to do?

X-ray examination: most of them are normal, and a few may have hyperosteogeny or spinal deformity.

How to treat

1. Avoid overwork and correct bad posture.

2. Proper functional exercise, such as back muscle exercise, can prevent muscle dystonia.

3. Physical therapy, massage and other therapies to relax muscles and promote blood circulation.

4. Drug therapy: mainly anti-inflammatory painkillers and traditional Chinese medicines for relaxing muscles and activating blood circulation.

5. Blocking therapy: If there is a fixed tenderness point, 0.5- 1% procaine 5- 10ml plus prednisolone acetate or hydrocortisone acetate 0.5- 1ml can be used as the pain point for blocking, and the effect is good.

6. Surgical treatment, for all kinds of cases that are ineffective in non-surgical treatment, surgery can be performed.

Causes and prevention of lumbar muscle strain

Low back pain is a common disease. Many people have low back pain or have had low back pain.

There is one of the most common low back pain. The pain around lumbosacral joints is about the size of the palm of your hand, or it is dull or painful, which is relieved when you get up in the morning and aggravated after exercise. It's hard to sit and stand for a long time. When I went to the hospital for examination, X-rays and blood tests were mostly normal. Although most patients with low back pain can live a normal life and stick to their work, over time, it will affect work efficiency and reduce the interest in life. This kind of low back pain is often called kidney deficiency low back pain in traditional Chinese medicine, that is, low back pain caused by lumbar muscle strain.

Why does lumbar muscle strain cause low back pain? The waist is the midpoint of the human body. Lumbosacral joint is the only big joint in the human body that bears the gravity of the body, and it is the hub of waist activity. Prone leaning, backward leaning, left and right bending and rotation are all involved. No matter exercise or activity, the joint here bears more force than any joint in the whole body. When labor intensity is high or activity is high, there will be more joint activities. All joint activities involve muscles, so the muscles here are prone to fatigue and injury. Lumbar muscle strain refers to the decomposition of lumbar muscle due to overwork. Some people have little physical activity and labor intensity, but because of the wrong posture, the spine is in a semi-bent state, and the back muscles are always tense, which will cause strain over time, further develop into aseptic inflammation, stimulate nerve endings and cause pain, so low back pain occurs.

It can prevent lumbago caused by lumbar muscle strain. How to prevent it? First of all, we should strengthen exercise and improve our physical fitness. Especially those who have been sitting for many years, their back muscles are weak and easy to get hurt. Therefore, it is necessary to strengthen the exercise of back muscles, such as doing some flexion, extension, left and right waist bending, gyration, supine, sit-ups, so that the waist muscles are strong, the ligaments are strong, the joints are flexible, and the chances of getting sick are reduced. Obese people should lose weight and reduce the burden on the waist. Secondly, we should pay attention to self-regulation, combine work and rest, and avoid an action that is fixed for a long time and forced to bend over. If we stand for a long time, we can squat. Squatting can not only relax waist and leg muscles, but also reduce physical exertion.

Then pay attention to all kinds of postures in life. For example, when picking up heavy objects from the ground, kneel down to avoid bending over to increase the burden. When carrying heavy objects, keep your body as close as possible to the object, make it close to your abdomen, and squat your legs slightly; When you hold things high, you should not be forced to reach them; Keep your spine bent when you sleep. It is also important to avoid humidity and cold. Bao Jianguo

1 After acute lumbar muscle sprain, the treatment is not timely, correct and thorough.

2 Chronic cumulative injury of lumbar muscles Lumbar ligaments are often pulled in daily life and labor, such as poor working posture, one side of lumbar muscles is tense and the other side is slack, which leads to imbalance of both sides of lumbar muscles and long-term strain. These strained tissues have poor function and are easy to be pulled, which often leads to low back pain because of their compression of internal nerve fibers.

3. Aseptic inflammation of myofascia bends or sits for a long time, which makes the back muscles in a state of traction; Or feel cold and wet, make the lumbar muscles tense, cause spasm, ischemia, edema, adhesion and so on. Can cause low back pain and weakness.

Congenital spinal deformity, functional or structural defects of lower limbs can all cause imbalance of waist muscle strength, which eventually leads to tissue strain of lower back and low back pain.

In addition, after spinal fracture, with ligament injury, the internal balance system of the spine is destroyed, which leads to the imbalance of external balance system and lumbar muscle strain.

[symptoms]

Back and sacrum are sore and painful, and I feel weak. Rest is light, and it gets worse after fatigue. If you exercise properly or change your position frequently, it will also help to relieve symptoms. Patients can't stand for a long time, can't bend over to work, and are often forced to stretch their backs or beat their backs frequently to relieve pain. Lumbar pillow can relax muscles when lying on your back and keep lumbar lordosis more comfortable. Lumbago is often related to weather changes, and it is aggravated after rainy weather, humid environment or feeling cold.

[check]

1 x-ray examination.

2 ESR。

3 boycott "o"

[diagnosis]

traditional Chinese medicine

1 Low back pain has a long history and recurrent attacks.

Pain and discomfort in one or both lumbosacral regions. When it's light and heavy, it won't go away. After fatigue, it gets worse, and after rest, it gets lighter.

One or both sacrospinous muscles are slightly tender, and there is generally no obvious obstacle to waist and leg movement.

Western medicine

1 has a history of acute lumbar sprain, incomplete treatment and recurrent attacks.

2 incorrect working posture, frequent bending, or lack of exercise.

3 tenderness is extensive, muscles are stiff and stiff, and the pain is manifested as reduced rest and increased fatigue.

X-rays and laboratory tests showed nothing unusual.

[therapy]

traditional Chinese medicine

1 manual therapy.

2 Chinese medicine treatment.

Small needle knife therapy.

Acupuncture therapy.

Western medicine

Chronic lumbar muscle strain is difficult to treat. Acute lumbar sprain should be treated thoroughly; For patients with chronic strain, comprehensive treatment should be taken, including improving working conditions and posture, rather than relying solely on drugs.

1 Functional exercise For patients with chronic lumbar muscle strain, it is very necessary and effective to strengthen the functional exercise of the back muscles. This method can strengthen the exogenous balance system of the spine and give full play to the role of muscle strength.

Physical therapy, iontophoresis, spectral irradiation, ultrashort wave and other therapies have a certain effect on this disease.

If the pain point is clear in block therapy, 0.5% procaine 10ml plus prednisolone 1ml can be used for pain point injection.

4 analgesic and antispasmodic drugs fenbid, aspirin and indomethacin can be used when the pain is severe, but it is not suitable for long-term use.

In addition, we should pay attention to working posture, improve working conditions, use waistline protection when necessary, adhere to the functional exercise of back muscles, and pay attention to the combination of work and rest to facilitate recovery and prevent recurrence.

Chronic lumbar muscle strain is often caused by many factors. For example, long-term physical labor or exercise will cause damage to the lumbar muscles because of excessive waist load. Fat people who lack physical exercise for a long time, when standing, move their center of gravity forward, which is also easy to cause strain on waist ligaments and muscles. Suffering from cold for a long time can also cause chronic low back stiffness and pain. Improper or incomplete treatment of acute injury can also develop into chronic lumbar muscle strain. Exacerbation after overwork is the characteristic of chronic lumbar muscle strain. Here are several reliable and simple rehabilitation exercise methods:

1. Lumbar flexion and extension movement

Stand with your feet shoulder width apart, hands akimbo, and get ready. Then do full waist flexion and extension four times, and try to relax the waist muscles during exercise.

2. Waist rotation

Same posture as before. Rotate the waist clockwise and clockwise once, then rotate from slow to fast, from big to small, clockwise and counterclockwise eight times.

3. "Arch Bridge"

On the supine bed, your legs are flexed, and your hips are forcibly raised with your feet, elbows and back of your head as fulcrums (five-point support), just like an arch bridge. With the progress of exercise, you can put your arms on your chest and practice with your feet and the back of your head as fulcrums. Exercise 20 to 40 times repeatedly.

4. "Swallow style"

On the prone bed, put your arms on your sides, straighten your legs, and then lift your head, upper limbs and lower limbs hard. Don't bend your elbows and knees, but always keep straight, like a flying swallow. Exercise 20 to 40 times repeatedly.

Do the above methods once before going to bed and once in the morning.

(1) Eliminate pathogenic factors: If the cause of strain is working posture, we should change the conditions and improve working posture according to the reasons.

(2) Strengthen exercise: increase targeted physical therapy, such as Tai Ji Chuan and health gymnastics.

(3) Rest and fixation: Patients with chronic lumbosacral strain can rest in bed when the pain is severe, or they can be braked at the waist or protected by a wide belt. At work, you can wear a waistline to reduce the traction on the lumbar muscles, but you must remove the waistline every day and exercise the back muscles and lumbar muscles.

(4) Improve blood circulation: Massage, traction, local diathermy, iontophoresis, ultrashort wave, audio frequency and other methods are used to relieve muscle spasm and improve blood circulation.

(5) Analgesia: For patients with localized tenderness, prednisolone acetate 1ml or hydrocortisone acetate 5 ~ 10ml 1% procaine can be injected as pain points, 5 ~ 7 days 1 time, 3 ~ 4 times as a course of treatment.

(6) Acupuncture and Chinese medicine: Acupuncture and cupping have a certain effect and can relieve pain. Traditional Chinese medicine focuses on eliminating pathogenic factors and strengthening the body resistance.

(7) Analgesic and spasmolytic drugs: aspirin, indomethacin, ibuprofen, etc. You can use it when it hurts, but don't use it for a long time, so as not to form dependence or reduce the effect.

Chronic lumbar muscle strain is difficult to treat, and prevention is the key.

(1) Maintain a good posture and correct all kinds of deformities: the correct posture should be to hold your head up, abdomen in and chest out, maintain the normal physiological curvature of the spine and avoid excessive lordosis of the cervical and lumbar vertebrae. In the development of children and adolescents, it is most important to maintain a good posture, especially for school-age children. Bad posture should be corrected in time. When there is deformity or dyskinesia in the lower limbs or pelvis, it should be corrected.

(2) Strengthening physical exercise: Strengthening physical exercise can keep muscles, ligaments and joint capsules healthy and developed. Those who have strong muscle strength and elastic ligaments have less chance of strain.

(3) Pay attention to posture at work: avoid working in bad posture for too long, and improve physical labor conditions. For those who work in a single posture, they should insist on exercising during the rest time, or use waistline to protect their waist. Pay attention to technological innovation and improve operation methods.

(4) Pay attention to the combination of work and rest: those with chronic diseases, malnutrition and obesity should pay attention to rest and strengthen treatment, and should pay attention to rest after initial recovery, pregnancy, childbirth and menstrual period to avoid overwork. Patients with acute lumbar sprain should be treated thoroughly.

Patients with chronic lumbar muscle strain can carry out self-care according to the following methods to prevent and treat diseases.

① Press points Roushenshu, Shu Yao, Weizhong and Ashi for 2 minutes each. ② Make a fist with both hands half-clenched, and pat gently at the depressions on both sides of the waist. The strength should be even, not too hard. Tap for 2 minutes at a time. ③ Stand with your legs shoulder width apart, put the back of your hand on your back, and massage up and down along the sacrospinous muscles on both sides of your waist 100 times, depending on the feeling of fever in your waist. (4) Cross your hands at your waist, spread your legs shoulder width apart, relax your waist, breathe evenly, rotate and shake back, forth, left and right, and gradually increase the rotation range, generally 80 ~ 100 times. ⑤ Turn the pain point 10 ~ 20 times, and then gently massage 1 ~ 2 minutes.