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Ms. Lee originally had a lumbar disc herniation problem, and in the past two months, she had back pain, and she thought it was an old problem, so she went straight to the massage parlor to do massage therapy, but after weeks of pressing the lumbar pain did not improve, but also began to hurt on the legs. </p
In a state of unbearable pain, Ms. Li, accompanied by her family, went to the hospital for a checkup.
The doctor combined Ms. Li's symptoms and past medical condition and prescribed a PET-CT examination, which revealed that the fourth vertebra of her lumbar spine was completely destroyed by the tumor, and finally confirmed the diagnosis of ovarian cancer bone metastasis.
Fortunately, there was only one metastasis, which could be cured with timely surgery, and today Ms. Li has her tumor removed and her life is back to normal.

I. Is the frequent back pain a herniated disc?

According to incomplete statistics, the prevalence of low back pain in the global population is 13.1%-20.3%, and the former prevalence of low back pain in adults in China is 7.21%-39%, and the real-time prevalence is 6.11%-28.5%.
Low back pain is characterized by high recurrence, high prevalence, and high disability, and is a major cause of disability and incapacity in the population.
Mentioning low back pain, many people may directly associate it with herniated lumbar discs, which are composed of upper and lower cartilage plates, surrounding fibrous rings, and central nucleus pulposus tissue together. When the surrounding fibrous rings rupture and the central nucleus pulposus tissue protrudes, it may compress the nerve roots and trigger symptoms of low back pain.
Lumbar disc aging, injury, heredity, and congenital abnormalities of the lumbosacral spine can all lead to lumbar disc herniation. And sudden weight-bearing, sudden increase in abdominal pressure, lumbar trauma or occupational factors that require a long period of sitting in a bumpy position may trigger a lumbar disc herniation attack.
80% of herniated lumbar discs can be satisfactorily treated conservatively, but cannot be cured.
Because conservative treatment only relieves some of the symptoms that appear, it does not mean that the herniated nucleus pulposus is gone, the outer fibrous ring is still broken, and improper use of the lumbar area can also lead to recurrence of lumbar disc herniation.
Likewise surgical treatment is not curative, whether it is minimally invasive surgery to remove just the nucleus pulposus or open surgery to cut away the diseased tissue together, the way the mechanics of the spine are transmitted is affected, and if the lumbar area is damaged, then the lumbar disc will still herniate.
But with some methods, 80% of lumbar herniations can be effectively controlled!
Massage combined with heat: If the lumbar herniation causes muscle pain or spasm, massage combined with heat can be used to relieve muscle tension, although massage should only be done after an MRI diagnosis;
Lying down to rest: The force on the lumbar spine is minimal in a lying down position, and more lying down to rest can help relieve the symptoms of lumbar pain, and it is generally recommended to lie down in bed for 3 weeks and avoid bending for 3 months
Traction therapy: Appropriate traction therapy can increase the vertebral space, expand the capacity of the spinal canal, and reduce the compression of nerve roots, thus relieving the symptoms;
Therapy with medication: Physical therapy can also be done with medication under the guidance of a doctor, not blindly.

There are 3 characteristics of low back pain that may be a cancer "warning."

Not only can a herniated disc cause low back pain, but low back pain can be a warning of cancer.
In addition to lumbar herniation, there are many other causes of low back pain. If it is low back pain that can be felt and has pressure pain, it may be due to lumbar muscle strain; if it is low back pain that is accompanied by radiating pain in the lower extremities, it may be due to nerve involvement and needs to be investigated as soon as possible.
There is another type of low back pain that you should be aware of that may be a sign of cancer!
The bone site is a common metastatic site for most solid tumors. According to statistics, 40-80% of patients with advanced cancer will develop bone metastases, and 70-80% of them will have severe pain symptoms.
Bone metastases from tumors can lead to a decrease in bone density and may induce osteolytic destruction. Once cancer cells metastasize to a vertebral body, it may lead to a decrease in the weight-bearing capacity of that part of the vertebral body, and even turning over, coughing, sneezing, etc. may trigger a fracture and a feeling of severe back pain.
When cancer cells metastasize to the bone, the back pain caused has the following 3 main characteristics!
1. Low back pain starts from the middle and keeps spreading
2. Low back pain mostly occurs in the second half of the night or at night
Ordinary low back pain is not fixed in time, while low back pain caused by cancer cell metastasis mostly occurs in the second half of the night, once it occurs, it is best to seek medical attention as soon as possible to prevent deterioration.
3. Accompanied by certain symptoms
Ordinary low back pain is usually not accompanied by other symptoms. If the low back pain is obvious at night and accompanied by unexplained weakness and unexplained weight loss, it may be a sign of cancer.

3. 3 actions are "torture" to the lumbar spine, change as soon as possible

Some of the symptoms of low back pain are likely to be caused by some back injury behaviors, usually try to avoid these back injury behaviors.
Gueyou lie posture, the waist more in a suspended state, the cervical vertebrae and forward flexion, the lumbar spine and cervical spine are not conducive. Often Gueyou lie, is likely to lead to lumbar muscle strain or lumbar disc protrusion. It is recommended to either sit or lie down, and of course the lying position is best for the lumbar region.
Single-handed carry heavy objects, the uneven distribution of weight between the two hands will lead to uneven force on the spine, and it is easy to injure the intervertebral disc. It is recommended that you should normally carry heavy objects with both hands and not overly violent posture when switching.
Bending over to do housework or lift heavy objects often puts a lot of pressure on the lower back, and bending over to lift heavy objects adds five times the weight of the weight to the lumbar spine. It is recommended to bend your legs without bending your waist when you normally carry heavy objects, and to replace your feet one after the other when doing housework.
To share with you an action to test yourself for lumbar protrusion if you feel discomfort in your lower back - the straight leg raise test.
How to do the test: Lie on your back and straighten your legs, while another person holds the patient's knee with their hand, keeping the knee straight and slowly elevating it, and recording the angle of the lower extremity to the bed when the patient has leg pain.
If there is no discomfort at 60-70 degrees, then there is probably no lumbar protrusion present; if the sciatic nerve is painful at 60 degrees or less, then most lumbar protrusions are at work.
Many people think of low back pain as being due to a herniated lumbar disc, but it can actually be a sign of certain cancers, especially low back pain that occurs more often at night and is accompanied by other symptoms, so be on the lookout for cancer bone metastases. It is important to protect the lower back and avoid some back-injuring behaviors. You can also self-test whether you have a lumbar herniation with the straight leg raise test.
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