What's wrong with back pain after forcefully moving things

Lower back pain after forcefully moving things may be related to factors such as muscle strains, lumbar disc herniation, lumbar muscle strain, osteoporosis, and lumbar facet joint disorders. Usually manifested as local pain, limited mobility, muscle spasms, and other symptoms, which can be relieved through rest therapy, medication, rehabilitation training, and other methods.

1. Muscle Strain

Excessive contraction of the waist muscles during heavy lifting may lead to fiber tearing. During the acute phase, there may be pain and swelling. Ice compress can be used within 48 hours to reduce inflammation, and in the later stage, infrared irradiation or massage techniques can be used to release adhesions. When the pain is obvious, non steroidal anti-inflammatory drugs such as diclofenac sodium sustained-release tablets and celecoxib capsules can be used according to the doctor's advice.

2. Lumbar disc herniation

Sudden weight-bearing may cause the nucleus pulposus to protrude from the ruptured annulus fibrosus and compress nerve roots. The typical symptoms are radiation numbness in the lower limbs and exacerbation of lower back pain during coughing. Need to rest in bed for 1-2 weeks. In the acute phase, intravenous infusion of mannitol injection can be used for dehydration and decompression, combined with methylcobalamin tablets for nerve nutrition. Severe cases may require consideration of intervertebral foramen endoscopic nucleus pulposus removal surgery.

3. Lumbar muscle strain

Long term repeated bending and labor can easily cause chronic damage to the erector spinae muscles. Manifested as stiffness and soreness in the morning, relieved after hot compress. It is recommended to use a far-infrared therapy device to irradiate for 20 minutes daily, or apply Musk Bone Strengthening Cream externally to promote blood circulation. Daily exercise should strengthen the five point support method to enhance the core muscle group.

4. Osteoporosis [SEP]: When the bone mass of the vertebral body decreases, a slight external force can cause microfracture. Middle aged and elderly patients often experience height reduction and nocturnal dull pain, and require bone density testing. Basic treatment includes the combination of calcium carbonate D3 tablets and alendronate sodium tablets, and short-term use of Loxoprofen sodium tablets can be taken when the pain is severe. It is necessary to prevent falls and increase sunlight exposure.

5. Lumbar facet joint disorder

Sudden twisting movements may lead to dislocation of facet joints. The characteristic is sudden severe pain accompanied by movement lag when in a specific position, which can be reduced by oblique manipulation. In acute stage, flurbiprofen gel plaster was used for local analgesia, and microwave physiotherapy was used once a day. Suspension training is necessary during the chronic phase to improve joint stability.

Within 3 months after the relief of lower back pain, it is recommended to avoid lifting heavy objects weighing more than 5 kilograms. When using lumbar support, do not exceed 4 hours per day to prevent muscle atrophy. Choose a hard bed for sleep and place a pillow under your knees, while maintaining a forward curvature of the lumbar spine while sitting. Engage in 2-3 swimming or eight dan jin exercises per week, and consume high calcium foods such as milk and shrimp. If the pain persists for more than 72 hours or if there is dysfunction in urination and defecation, seek medical attention immediately.