Stand up, my waist hurts and I can't stand up straight

Standing up can cause lower back pain and inability to straighten up, which may be due to lumbar muscle strain, lumbar disc herniation, osteoporosis, and other reasons. It usually manifests as lower back pain, limited mobility, and other symptoms. It is recommended to seek medical attention promptly, clarify the cause, and follow the doctor's advice for treatment.

1. Lumbar muscle strain

Lumbar muscle strain is often caused by long-term bending, sitting for a long time, or catching a cold in the waist, mainly manifested as lower back pain and stiffness, which worsens after activity. Symptoms can be relieved through hot compress and massage. It is necessary to avoid prolonged sitting and standing in daily life and strengthen waist and back muscle exercise. During the acute phase, medication such as diclofenac sodium sustained-release tablets and celecoxib capsules can be used as prescribed for anti-inflammatory and analgesic purposes.

2. Lumbar disc herniation

When a lumbar disc herniation compresses nerve roots, symptoms such as increased back pain and lower limb radiating pain may occur while standing. It needs to be confirmed by lumbar CT. The mild cases can be treated by traction and acupuncture and moxibustion, and the severe cases may require endoscopic surgery. In daily life, one should sleep on a hard bed, avoid lifting heavy objects, and follow the doctor's advice to take methylcobalamin tablets to nourish the nerves.

3. Osteoporosis [SEP]: Middle aged and elderly people may experience vertebral compression and significant pain when standing up due to bone loss. Suggest testing bone density, supplementing with calcium supplements and vitamin D, such as calcium carbonate D3 tablets. Low intensity exercises such as Tai Chi can be performed regularly, and attention should be paid to preventing falls. In severe pain, Alendronate Sodium Tablets can be used for a short period of time to inhibit bone resorption.

4. Ankylosing spondylitis

Early symptoms of this disease include morning stiffness and difficulty getting up, which require HLA-B27 gene testing and imaging diagnosis. The treatment mainly uses biological agents such as recombinant human type II tumor necrosis factor receptor antibody fusion protein for injection, combined with traditional Chinese medicine therapies such as moxibustion and medicinal baths. Maintain correct sitting posture in daily life to avoid spinal deformities.

5. Kidney deficiency and lower back pain

Traditional Chinese medicine believes that kidney deficiency can lead to soreness and weakness in the waist and knees, as well as weakness when standing up, which can be divided into kidney yang deficiency and kidney yin deficiency. You can take Jinkui Shenqi Pill or Liuwei Dihuang Pill for conditioning, together with Tonic Diet such as Eucommia ulmoides Oliv and Lycium barbarum. Avoid overexertion, pay attention to keeping your waist warm in winter, and practice the "Two handed Climbing Foot Strengthening Kidney and Waist" movement in the Eight Section Brocade appropriately.

Daily attention should be paid to maintaining the correct posture, avoiding prolonged sitting and standing, and choosing a mattress with moderate hardness for sleep. During the acute pain period, local hot or cold compress can be applied. If the pain persists or is accompanied by numbness in the lower limbs, timely medical attention should be sought. It is recommended to exercise three times a week, such as swimming and flying small swallows, to enhance the strength of the lower back muscles, and to consume calcium rich foods such as milk and black sesame in the diet. It is recommended that middle-aged and elderly patients undergo bone density testing annually.