Lower back pain, unable to straighten up and walk, hunched over

Lower back pain and inability to walk straight may be related to factors such as lumbar muscle strain, lumbar disc herniation, ankylosing spondylitis, osteoporosis, kidney deficiency, etc. It is recommended to seek medical examination in a timely manner, identify the cause, and follow medical advice for treatment.

1. Lumbar muscle strain

Long term poor posture or excessive fatigue may lead to lumbar muscle and ligament damage. Manifested as lower back pain and weakness, aggravated after activity, relieved after rest. Traditional Chinese patent medicines and simple preparations such as Yaotongning Capsule, Shujinjianyao Pill, Zhuangyaojianshen Pill can be used for conditioning according to the doctor's advice, and physical therapy such as massage and hot compress can be used to improve local blood circulation.

2. Lumbar disc herniation

intervertebral disc degeneration or trauma may lead to nucleus pulposus protrusion and compression of nerve roots. The typical symptoms are severe pain in the lower back accompanied by radiating pain in the lower limbs, which worsens with coughing. During the acute phase, bed rest is required. Medications such as Yaobitong Capsules, Gentongping Granules, and Danlutongdu Tablets can be used according to medical advice. In severe cases, intervertebral foramen endoscopy surgery may be considered. Ankylosing spondylitis

is a chronic inflammatory joint disease characterized by morning stiffness and nighttime back pain in the early stages, which subsides after physical activity. As the condition progresses, spinal rigidity may occur. Follow the doctor's advice to use anti rheumatic drugs such as sulfasalazine enteric coated tablets, celecoxib capsules, and Tripterygium wilfordii Hook. f. polysaccharide tablets, combined with functional exercise to delay the condition. 4. Osteoporosis: Calcium loss in middle-aged and elderly people may lead to vertebral compression deformation, causing persistent back pain and hunchback. It is recommended to test bone density and follow medical advice to supplement with anti osteoporosis drugs such as calcium carbonate D3 tablets and alendronate sodium tablets. Daily exposure to sunlight and intake of high calcium foods are also recommended.

5. Kidney deficiency and lower back pain

Traditional Chinese medicine believes that the kidneys govern the bones and produce marrow, and insufficient kidney qi can cause soreness, weakness, and increased fatigue in the lower back. Individuals with kidney yang deficiency accompanied by chills and cold limbs can take Jin Kui Shen Qi Wan; Patients with kidney yin deficiency accompanied by five heart restlessness and heat should use Liuwei Dihuang Pills. Moxibustion at acupoints such as Mingmen and Shenshu can also help improve symptoms.

Daily attention should be paid to maintaining correct sitting posture, avoiding prolonged sitting and standing, and choosing a hard bed for sleep. When the acute pain is severe, temporary waist support can be worn, but it is not suitable for long-term use. It is recommended to engage in soothing exercises such as swimming and Eight Section Brocade to enhance the strength of the lower back muscles. The diet should be supplemented with kidney tonifying and bone strengthening ingredients such as milk, black sesame seeds, and walnuts. If the pain persists or severe symptoms such as numbness in the lower limbs and difficulty urinating occur, immediate medical attention should be sought to investigate the cause.