Standing pain, sitting pain, bending pain... Change 5 habits to keep you away from low back pain!
If you pay attention to observation, you will find that although it is also low back pain, everyone's posture may be different when it hurts. Some people experience significant pain when standing and walking, which can be relieved after rest; Some people experience significant pain while sitting or lying down, but not when exercising
If you pay attention to observation, you will find that although it is also low back pain, everyone's posture may be different when it hurts. Some people experience significant pain when standing and walking, which can be relieved after rest; Some people experience significant pain while sitting or lying down, but not when exercising... The underlying causes of lower back pain may vary greatly depending on the body position.
Low back pain in different postures,
The reasons behind it may be very different
2023Low back pain in different postures,
1. Standing pain: May be due to lumbar spine issues
Lumbar pain caused by lumbar issues often manifests as significant pain when standing upright and reduced pain when lying flat. This is because when in an upright position, the weight of the human body increases the degree of nerve root congestion and the expansion of spinal cord blood vessels, while also exacerbating the stimulation of the lesion on the surrounding nerves.
The lumbar spine is the main load-bearing structure of the lower back, which is prone to pathological changes due to factors such as physiological degeneration, strain, and acute trauma, including lumbar disc herniation, joint disorders, and lumbar spondylolisthesis. When the pressure between the lumbar vertebrae is high, the nucleus pulposus in the intervertebral disc will be squeezed out, compressing the spinal cord nerves, causing low back pain, etc; Alternatively, lumbar spinal stenosis caused by bone hyperplasia in the lumbar spine can compress the spinal cord and nerve roots, leading to low back pain and lower limb radiation pain. It is best to seek medical attention from an orthopedic specialist for this type of low back pain, which often requires surgery to address the root cause of the pain.
2. Sitting pain: discogenic lower back pain
In most cases, discogenic lower back pain only appears in the lower back, buttocks, and some legs after prolonged sitting, and there is often no obvious manifestation of lower limb radiation pain or numbness when standing.
This type of low back pain is mainly caused by problems inside the intervertebral disc, referring to disorders caused by diseases such as intervertebral disc degeneration and rupture of the fibrous ring in the intervertebral disc.
The main characteristic of this type of low back pain is a decrease in sitting tolerance, and the pain often intensifies during sitting. The pain is mainly located in the lower back and can sometimes spread to the lower limbs. For this type of low back pain, medication is usually used first, followed by bed rest and back muscle exercise, which can improve the stability of the spine. It can also be treated with auxiliary treatments such as lumbar massage and acupuncture.
3. Bending pain: May be due to muscle reasons
The waist muscles are rich and powerful, responsible for various daily waist movements. However, long-term excessive weight bearing, instability of spinal structure, long-term bending, and improper treatment after waist injuries can easily cause lumbar muscle strain.
If there is acute lumbar muscle injury, patients often experience severe pain when bending down to pick up objects or rotating their waist. However, as long as they maintain a normal lumbar posture while standing or sitting, there is no pain at all. Chronic lumbar muscle strain symptoms often occur after prolonged standing, sitting, and lying at night. At this point, appropriate activities can alleviate pain and improve symptoms.
4. Persistent pain: May be due to internal organs
Acute and chronic inflammation of the urinary system often manifests as chronic and recurrent pain in one side of the waist, with severe cases radiating along the ureter to the perineum.
Urinary tract stones often manifest as severe low back pain, commonly known as renal colic, manifested as sudden pain in the rib spinal angle or waist and abdomen. Some experienced patients describe it as knife like pain, lasting for several minutes or tens of minutes, or even hours.
Chronic pelvic inflammatory disease often leads to pain in the lumbosacral region, which worsens after exertion, sexual intercourse, and before and after menstruation, and is not closely related to changes in body position
5 small habits in life, stay away from low back pain!
Some low back pain is actually closely related to some bad habits in life, but many people do not pay attention and wait until the pain occurs to regret it.
1. Don't sit too long
Wang Zuowei, the chief physician of neurosurgery at Xuanwu Hospital of Capital Medical University, reminded in a 2023 article on the "Minimally Invasive Spine Wang Zuowei" health account of People's Daily that many people need to sit for long periods of time due to work reasons and often find themselves in a bad posture, such as a common collapsed waist. If you sit like this for a long time and sit for several hours, your lumbar spine will not receive sufficient rest for a long time. Over time, the lower back muscles may become weak, causing the physiological curvature of the lumbar spine to straighten and accelerate aging, which can easily lead to lumbar disc herniation.
So, everyone should stand up and engage in activities after sitting for about 40 minutes. You can go to the bathroom, receive water, stretch your body, and walk around, which can effectively avoid prolonged sitting
2. Don't cross your legs
Sun Haolin, Deputy Chief Physician of the Orthopedics Department at Peking University First Hospital, reminded in an article published in Health Times in 2016 that crossing your legs can lead to pelvic tilt, uneven pressure on the lumbar spine, and strain of the lumbar muscles. It can also lead to uneven force on the lumbar intervertebral disc. Prolonged exposure to this position is a risk factor for lumbar disc herniation
3. Do not bend down to carry heavy objects
Dr. Sun Haolin reminds that directly bending down to move objects can cause a sudden increase in force on the lumbar disc, which can easily cause the disc to protrude through weak areas. Many patients with low back pain experience worsening symptoms after bending down to move heavy objects.
Yang Miaoxia Cartography
4. Do not carry heavy objects alone
Dr. Sun Haolin reminds that carrying heavy objects can cause the body to tilt as a whole, resulting in uneven direction of force on the intervertebral disc and varying muscle tension. Applying force with one hand and uneven weight distribution can cause uneven force on both sides of the spine, posing great harm to the intervertebral disc.
In daily life, try to lift objects of the same weight with both hands as much as possible to ensure trunk balance and even force on the lumbar spine. Moreover, when lifting heavy objects, do not suddenly exert too much force, and do not switch positions too forcefully
5. Pay attention to sleep posture
Dr. Sun Haolin reminds that when lying flat, if there is no support in the neck and waist, it can cause tension in the lower back muscles. This is also why many people feel uncomfortable in the waist after sleeping on the sofa or soft bed.
It is recommended to choose a slightly harder mattress when sleeping, and place a soft pillow under the knee when lying flat. This can allow for slight flexion of the hip and knee joints, relaxation of the lower back muscles, reduced disc pressure, and reduced risk of disc herniation
This article is synthesized from:
Source: Health Times
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