back pain sleeping
Introduction
Introduction Sometimes accompanied by lower limbs induced pain or radiation pain. Most of the low back pain is manifested in the lower lumbar spine and lumbosacral and ankle. The disease is more common in young adults aged 30 to 40 years old. It is the most serious disease affecting people's production and labor, and is caused by the compression of cervical spondylosis. Back pain is mainly caused by pain in the back, lumbosacral and ankle, and there is simple low back pain and low back pain associated with lower limb induction pain or radiation pain. The nature of pain is mostly dull pain, dull pain, tingling, local tenderness or radiation pain, unfavorable activities, inconvenient pitching, inability to hold weight, difficulty walking, fatigue and limb fatigue, and even the functions of lumbar flexion, extension, and lateral bending. Obstruction, severe cases of spinal deformity.
Cause
Cause
Back pain is mainly caused by pain in the back, lumbosacral and ankle, and there is simple low back pain and low back pain associated with lower limb induction pain or radiation pain. The nature of pain is mostly dull pain, dull pain, tingling, local tenderness or radiation pain, unfavorable activities, inconvenient pitching, inability to hold weight, difficulty walking, fatigue and limb fatigue, and even the functions of lumbar flexion, extension, and lateral bending. Obstruction, severe cases of spinal deformity.
Examine
an examination
Related inspection
Spinal MRI examination of spinal examination
diagnosis:
The symptoms of cervical spondylosis are very rich, diverse and complex. Most patients begin to have milder symptoms, which gradually worsen later, and some of them have more severe symptoms. This is related to the type of cervical spondylosis, but often the type is simple, with one type as the main cum and one to several types mixed together, called mixed cervical spondylosis, so the symptoms are very rich and diverse. complicated.
Its main symptoms are sore head, neck, shoulders, back, arms, neck and neck, and limited mobility. Neck and shoulder pain can be radiated to the head and upper parts of the head, some with dizziness, house rotation, severe with nausea and vomiting, bedridden, a few can have dizziness, tripping. Some of the face is hot, and sometimes sweating is abnormal. The shoulders and back are heavy, the upper limbs are weak, the fingers are numb, the skin of the limbs is weakened, the grip is weak, and sometimes the unconscious grip falls. Other patients have weak limbs, unstable walking, numb feet, and feeling like walking cotton when walking. When cervical spondylosis involves sympathetic nerves, dizziness, headache, blurred vision, dilated eyes, dry hair, open eyes, tinnitus, ear plugs, balance disorders, tachycardia, palpitation, chest tightness, There are even symptoms such as flatulence. A small number of people have large, urinary out of control, sexual dysfunction, and even quadriplegia. Also have difficulty swallowing, dysphonia and other symptoms. These symptoms have a certain relationship with the degree of onset, the length of onset, and the physical condition of the individual. Most of them are light and not taken seriously by people. Most of them can recover on their own, and they are light and heavy. Only when the symptoms continue to increase and cannot be reversed, it will only attract attention when it affects work and life. If the disease is cured for a long time, it will cause psychological damage, resulting in insomnia, irritability, anger, anxiety, depression and other symptoms.
The clinical symptoms of cervical spondylosis are more complicated. Mainly neck pain, upper limb weakness, finger numbness, lower limb weakness, difficulty walking, dizziness, nausea, vomiting, and even blurred vision, tachycardia and difficulty swallowing. The clinical symptoms of cervical spondylosis are related to the location of lesions, the degree of tissue involvement and individual differences.
Diagnosis
Differential diagnosis
Differential diagnosis:
1, neck type: 1 main complaints head, neck, shoulder pain and other abnormal feelings, accompanied by corresponding tender points. The 2X line upper cervical vertebra showed changes in curvature or intervertebral joint instability. 3 should exclude other diseases of the neck (shoulder, periarthritis, rheumatoid myofasthenia, neurasthenia and other non-intervertebral disc degeneration caused by shoulder and neck pain).
2, nerve root type: 1 has more typical root symptoms (numbness, pain), and the range is consistent with the area dominated by the cervical spinal nerve. 2 Indenter test or brachial plexus pull test is positive. 3 The findings of imaging are consistent with clinical manifestations. 4 pain point closure is not effective (can not be diagnosed if the diagnosis is clear). 5 Excluding cervical extra-vertebral lesions (thoracic outlet syndrome, tennis elbow, carpal tunnel syndrome, cubital tunnel syndrome, frozen shoulder, biceps tenosynovitis, etc.) caused by upper extremity pain.
3, spinal cord type: 1 clinical manifestations of strong cervical ridge damage. 2X-ray showed the posterior marginal vertebral hyperplasia and spinal stenosis. Imagery confirms the presence of spinal cord compression. 3 Excluding muscle atrophic spinal cord scoring, spinal cord tumor, spinal cord injury, secondary adhesive arachnoiditis, multiple peripheral neuritis.
4, vertebral artery type: the diagnosis of vertebral artery type cervical spondylosis is a problem to be studied. 1 had a stumble attack. And accompanied by cervical vertigo. 2 The neck test was positive. 3X line shows segmental instability or bone hyperplasia of the joint. More than 4 with sympathetic symptoms. 5 Excluding eye-derived, otogenic vertigo. 6 Excluding the vertebral artery segment I (the vertebral artery segment before entering the neck 6 transverse process) and the vertebral artery segment III (the cervical vertebrae entering the intracranial vertebral artery segment) under pressure caused by basilar artery insufficiency. 7 vertebral angiography or digital subtraction vertebral artery angiography (DSA) is required before surgery.
5, sympathetic type: clinical manifestations of dizziness, vertigo, tinnitus, hand numbness, tachycardia, pain in the precordial area and other sympathetic symptoms, x-ray film instability or degeneration. Vertebral angiography negative.
6, other types: cervical vertebral body anterior ovary-like hyperplasia oppression caused by dysphagia (via esophageal sputum examination confirmed) and so on.
