Chronic simple traumatic lumbar and leg pain

　　Prolonged sustained contraction of the lumbar and back muscles leads to an increase in the production and accumulation of lactic acid locally, which inhibits normal muscle metabolism, leading to fatigue or ache in the lumbar pain area. If the lumbar muscles continue to contract, when the lactic acid concentration reaches 0.3%, muscle contraction will completely stop (as when muscles have been fully rested, the lactic acid concentration is 0.015%). The tension to maintain the posture is borne by the ligaments. If you continue to bend over, the supraspinous, interspinous, yellow ligament, posterior longitudinal ligament, interarticular joint, and joint capsule, etc., can remain in a state of tension for a long time, leading to fatigue and causing lumbar pain. Especially after the age of 30 to 40, those with varying degrees of degenerative changes in the above ligaments are more prone to lumbar and back pain.

　　The flexion of the waist can increase the anterior pressure on the lumbar intervertebral disc, pushing the nucleus pulposus towards the back, increasing the tension on the annulus fibrosus and the posterior longitudinal ligament, and even causing the annulus fibrosus to rupture and the nucleus to extrude, leading to lumbar and leg pain. As the tension continues to increase, the joint capsule between the articular processes becomes tense, joint wear increases, and the anterior edge of adjacent vertebrae is compressed, which further promotes lumbar and leg pain.

　　Chronic patients with this disease may develop muscle spasms in the back, or a series of complications such as radicular pain in the lower limbs due to stimulation or compression of the nerve trunks. If not treated properly or in a timely manner, the course of the disease may be protracted and incurable, directly affecting work and quality of life. Therefore, once diagnosed with this disease, active rest and treatment should be carried out.

　　Most patients with this disease have no obvious history of trauma, only spontaneous chronic lumbar and leg pain, which is not severe, not persistent, and still allows for free movement of daily life. They can still work, but for a short period of time, and often feel sore and weak in the waist, unable to sit or stand for long periods, and often need to change positions, need to straighten the waist and support the hip, and the pain in the lumbar and back will slightly alleviate. Over time, the back muscles may develop spasms, and the location of the lumbar and back pain is not very clear. Some patients cannot say where the pain is most severe, but can only point out the discomfort in a large area of the lumbar and back.

　　Traumatic lumbar and leg pain refers to lumbar pain caused by injuries from various causes. That is, lumbar injuries caused by external forces such as falls, falls, sprains, and carrying heavy loads, so attention should be paid to safety in production and life, and trauma should be avoided as the key to preventing this disease. In addition, it is also necessary to pay attention to not staying in any position for too long, and changing positions frequently when necessary, as prolonged illness can lead to muscle spasms in the back.

　　The main examination for this disease is a physical examination: it may show localized pain that is not obvious, and pain may be more severe when pressed or struck, with back extensor spasm and functional limitation, mild scoliosis and radicular neuralgia, such as lower limb radicular neuralgia that continues to exist, is often due to stimulation or compression of the nerve trunk.

　　Food Therapy Recipes:

　　1, a pair of pork kidneys or sheep kidneys, 100 grams of black beans, 3 grams of fennel, 9 grams of ginger. Boil together, eat the kidneys and beans, drink the soup, and can be eaten regularly. Used for cold and damp lumbar pain.

　　2, 250 grams of turtle meat, 100 grams of walnuts. Boil and take together. Used for chronic fatigue lumbar pain.

　　3, 20 grams of Eucommia ulmoides, 250 grams of pork bone. Boil together to make a soup. Suitable for general lumbar pain.

　　When treating chronic lumbar and leg pain, the first step should be to alleviate the patient's mental concerns and strengthen their confidence in treatment. Improve the work and living environment, correct poor working postures. Avoid overfatigue, and then perform appropriate functional exercises. Local physiotherapy or hot compresses. If necessary, analgesic drugs that relax muscles and promote blood circulation, or pressure point closure, acupuncture, massage, etc., can be administered. For stubborn cases, a wide belt can be used for protection during functional exercises, or lumbar and back muscle release surgery can be performed if necessary.