怡保最有效治疗腰痛背痛坐骨神经痛,不能行走,不能站直。
#怡保#坐骨神经痛#腰椎盘突出#中医#脚痛
腰痛的诊断与治疗
![back pain back pain](data:image/jpeg;base64,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)
是以腰部一侧或两侧疼痛为主要症状的一种病证。西医的肾脏疾病、风湿病、腰肌劳损、脊椎及脊髓疾病等所致腰痛,可参照该证辨证论治。缠腰疼痛多由肾阳不足,寒凝带脉,或肝经湿热侵及带脉,经行之际,阳虚气 弱,以致带脉气结不通而出现疼痛;或冲任气血充盛,以致带脉壅滞,湿热滞留而疼痛。患腰痛首先要注意改变生活方式,不适宜穿带跟的鞋,有条件的可以选择负 跟鞋。腰痛是一个症状,不是一个独立的疾病,引起腰痛的原因是比较复杂的,所以出现持续且不明原因的腰痛,不要掉以轻心,应尽快到医院确诊,避免某些严重 疾病的发展。
临床症状
临床以腰部一侧或两侧发生疼痛为主要症状。 腰痛常可放射到腿部,常伴有外感或内伤症状。腰椎X线照片等检查,常可见异常。 妇女由于有月经、孕育、分娩、哺乳等生理特点,同时又有月经病、带下病、妊娠病、妇科杂病及节育等病理特点,所以腰痛是常见的病症。经产妇女80%以上都可出现腰痛,特别是经期、孕期和产后的腰痛,常被认为是生理性疼痛,不需要特别治疗。
2病因病理
病因概述
引起腰痛病的原因很多,约有数十种,比较常见的有肾虚、腰部骨质增生、骨刺、椎间盘突出症、腰椎肥大、椎管狭窄、腰部骨折、椎管肿瘤、腰部急慢性外伤或劳损、腰肌劳损、强直性脊柱炎等。腰背部是人体用力最多的部位,为人体提供支持并保护脊柱,对长期在办公室久坐而缺少运动的人,或是因为工作需要久站的人,长时间维持一个体位或姿势太久,就容易造成腰背部的疼痛并引发腰骶部慢性骨筋膜间隔综合征,也有的是在重复性损伤后积累发病。很多慢性腰痛病人与慢性骨筋膜间隔综合征有关,原因可能是骨筋膜间隔内压升高导致腰背筋膜下间隙消失,肌肉血流量下降,疏松脂肪组织变性。由于这种损害,造成了患者无论是多走、多坐还是多卧,都会腰疼,即长时间保持一种姿势容易产生腰疼。
腰痛是指腰部一侧或双侧疼痛连脊椎的症状,男女均有发生,女性居多。据统计,妇科门诊以腰痛为主的患者约占就诊数的10%。常见原因主要有以下几种:
腰肌劳损
长期从事站立操作诸如纺织、印染、理发、售货等工作的妇女,由于持续站立,腰部肌腱、韧带伸展能力减弱,局部可积聚过多的乳酸,抑制了腰肌的正常代谢,也可导致腰肌劳损而引起的腰痛。经常背重物,腰部负担过重,易发生脊椎侧弯,造成腰肌劳损而出现腰痛。泌尿系统感染
由于女性的尿道短而直,且尿道外口靠近肛门,常有大肠杆菌寄生,加之女性生理方面的特点,尿道口污染的机会较多,若忽视卫生,则容易发生泌尿系感染。腰痛以急、慢性肾盂肾炎所致者为多,表现为腰部胀痛、严重者沿输尿管放射至会阴部。除泌尿系统感染外,泌尿系结石、结核等疾患,亦会引起腰痛。
生殖器官疾病
女性的生殖器官在一生中要行经四百次左右,还负担着怀孕、分娩等使命;有的妇女还经历流产、节育手术等。故生殖器官炎症的发病率较高,如输卵管炎、盆腔炎等。这些炎症容易并发腰痛,子宫后倾、后屈,也是女性腰痛的原因之一,子宫肌瘤、子宫颈癌、卵巢囊肿等严重生殖器官疾患,都会引起压迫性牵连性腰痛。
受凉、风湿等
这种妇女,多因在月经期、分娩和产后受风、湿、寒的侵袭,导致脊椎长骨刺而诱发腰痛。若腰部曾扭伤,可能发展为椎间盘脱出,出现较重的腰痛,甚至影响脊椎的屈伸和转动。
孕期及产褥期劳累
怀孕期间,随着胎儿逐渐长大,孕妇腰骶及盆腔各关节韧带松弛,同时子宫重量亦随着胎龄的增长而增加,致使身体重心前移。为了保持身体平衡,腰部多向前挺起,若不注意休息,则易引起腰痛。妊娠期间,胎儿发育需要充足的钙、磷等营养物质,若膳食中摄入量不足,可造成孕妇骨质软化脱钙,亦会引起腰痛。产褥期出血过多,或劳动过早、过累以及受凉等,也可造成腰痛。
很多孕妇在产后坐月子虽然坐得很好,但是还是会出现腰痛现象,这就是孕妇最常见的产后腰痛现象了,产后腰痛现象如果不能治理好,以后可能会对妇女的健康带来危害。一般是以下原因导致的:
1、缺乏运动:产后总是躺或坐在床上,易导致盆腔淤血。而体重增加则会加重腰肌负荷。
2、休息不当:产后还要经常弯腰照料小宝贝,如洗澡、穿衣服、换尿布等劳累过度,腰部肌肉不堪重负,很容易造成腰肌劳损而疼痛。
3、旧患:产前已有骨骼、肾脏、妇科等方面的疾病所致腰痛者,产后可能会加重。
4、过早地穿高跟鞋:使身体重心前移,除了引起足部疼痛等不适外,也可通过反射涉及到腰部,产生酸痛感。
5、哺乳姿势不当:经常采取不当或不放松的姿势给宝贝喂奶,如侧身、弯腰等姿势,或者束腰过紧,使腰部肌肉总处于不放松的状态中,造成腰肌劳损而腰痛。[1]
请来我们中心做检查和治疗或把您的医疗报告寄给本中心, 我们会总结中心的特效草药有效配方和
把草药寄到府上。您可email 我们或来电给我们。
黄氏医疗中心/新希望医疗中心
WONG MEDICAL CENTRE
14 & 16, Jalan Lapangan Siber 1,
Bandar Cyber,
31350 Ipoh
Perak Malaysia
Tel: 012-4520077
网上购药