Adolescent lower back pain when lying down may be related to factors such as lumbar muscle strain, lumbar disc herniation, scoliosis, urinary system diseases, and rapid growth and development. It is recommended to seek medical examination in a timely manner, clarify the cause, and receive targeted treatment.
1. Lumbar muscle strain
Long term poor posture or excessive exercise may lead to chronic damage to the lumbar muscles. Manifested as soreness and pain in the lower back when lying flat, which may worsen after exercise. Symptoms can be alleviated by hot compress and massage. In serious cases, traditional Chinese patent medicines and simple preparations, such as Yaotongning Capsule, should be used according to the doctor's advice.
2. Lumbar disc herniation
intervertebral disc degeneration or trauma may lead to nucleus pulposus protrusion and compression of nerves. When lying flat, lower back pain may radiate to the lower limbs, accompanied by numbness. Diagnosis should be made through CT or MRI, and in the acute phase, bed rest is required. Mecobalamin tablets can be used to nourish the nerves according to medical advice.
3. Scoliosis
Congenital developmental abnormalities or improper posture may cause three-dimensional deformities of the spine. When lying flat, uneven pressure on the waist may cause pain, which may be accompanied by uneven shoulder height. Mild cases can be improved through corrective gymnastics, while severe cases require wearing braces or surgical correction.
4. Urinary system diseases
Kidney stones, nephritis and other urinary system lesions may cause lower back radiation pain. Pain is often persistent and may be accompanied by symptoms such as frequent urination and urgency. Urine routine and ultrasound examination are required, and treatment for the primary disease is necessary after diagnosis.
5. Rapid growth and development
During puberty, when bones grow rapidly, relatively delayed development of muscle ligaments may cause lower back traction pain. It is mostly temporary discomfort. It is recommended to supplement calcium and avoid vigorous exercise. Symptoms can be relieved through low impact exercises such as swimming. Teenagers who experience back pain when lying down should pay attention to maintaining correct sitting posture and avoiding prolonged sitting and standing. Choose a mattress with moderate hardness for sleep, and engage in daily waist exercises such as Xiaoyanfei to enhance muscle strength. If the pain persists or is accompanied by other symptoms, parents should promptly take their children to orthopedics or pediatrics for treatment, complete relevant examinations to rule out organic diseases. During the growth and development period, it is necessary to ensure sufficient intake of calcium and vitamin D, and avoid heavy labor and excessive exercise.
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