I have severe back pain and can't straighten my waist

Severe back pain and inability to straighten the waist may be caused by acute lumbar sprain, lumbar disc herniation, lumbar muscle strain, and other diseases. It is recommended to seek medical examination in a timely manner, clarify the cause, and receive targeted treatment to avoid delaying the condition. Acute lumbar sprains are often caused by improper handling of heavy objects or posture, resulting in acute injuries to the muscles and ligaments in the lower back. Pain often occurs suddenly, with significant limitations in movement, and worsens when coughing or sneezing. It can be relieved by bed rest and local hot compress. Doctors may recommend using drugs such as diclofenac sodium sustained-release tablets and celecoxib capsules for pain relief and anti-inflammatory purposes. Lumbar disc herniation is common in long-term bending workers, where the nucleus pulposus compresses the nerve roots and causes severe back pain accompanied by lower limb radiating pain. CT or MRI can confirm the diagnosis, and mild symptoms can be improved by traction and acupuncture and moxibustion. In serious cases, the nucleus pulposus can be removed by endoscope. During the acute phase, absolute bed rest is required and methylcobalamin tablets should be used to nourish the nerves.

Chronic lumbar muscle strain is characterized by recurrent acid swelling and pain, which worsens after prolonged sitting and standing. Related to long-term muscle overload, traditional Chinese medicine external treatment methods such as massage and moxibustion have better effects, combined with compound chlorzoxazone tablets to relax muscles. Daily exercise of the waist and back muscles should be strengthened to avoid unilateral weight-bearing. Osteoporotic compression fractures are more common in the elderly, and slight external forces can cause vertebral deformation. The pain is persistent, with relief when lying flat and worsening when standing. Calcium carbonate D3 tablets and calcitriol soft capsules need to be supplemented. Severe fractures require vertebral augmentation surgery. It is recommended that middle-aged and elderly individuals undergo regular bone density testing. Ankylosing spondylitis belongs to autoimmune diseases, with obvious morning stiffness and relief after activity. Early misdiagnosis as common lower back pain requires diagnosis through HLA-B27 gene testing. Biological agents such as recombinant human type II tumor necrosis factor receptor antibody fusion protein for injection can control disease progression.

During the onset of lower back pain, one should sleep on a hard bed and use a soft pillow under the knees when lying down to reduce pressure on the lumbar spine. Avoid lifting heavy objects, sudden turns, and other movements, and pay attention to keeping your waist warm in winter. You can practice the Eight Section Brocade "Two Hand Climbing Foot Strengthening Kidney and Waist" movement to enhance the strength of the waist muscles, and consume more kidney tonifying ingredients such as black beans and walnuts in your diet. If the pain persists for more than 3 days or is accompanied by numbness in the lower limbs or incontinence, immediate emergency treatment is required.