What causes lower back pain due to spina bifida occulta, and what should be done about it?
Apr 28, 2024
Source: Cainiu Health
Dr. Jiang Chenggang
Introduction
Low back pain caused by occult spinal dysraphism may be due to physiological factors, ankylosing spondylitis, lumbar disc herniation, lumbar spinal stenosis, osteoporosis, and other factors. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician, such as general management and medication. Patients can engage in appropriate physical exercise and drink plenty of warm water.
Lumbar pain associated with occult spinal dysraphism may be caused by physiological factors, ankylosing spondylitis, lumbar disc herniation, lumbar spinal stenosis, osteoporosis, and other factors. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician, such as general management and medication. Specific analyses are as follows:
1. Prolonged sitting or standing: This can easily lead to overstretching of muscles and ligaments surrounding the spine, possibly resulting in minor occult spinal fissures and causing lower back pain. It is recommended to maintain proper sitting and standing postures, avoid maintaining the same position for extended periods, and regularly perform stretching exercises for the lower back to help alleviate discomfort.
2. Ankylosing spondylitis: This is a chronic inflammatory disease, potentially related to genetic factors or living in excessively damp environments. The condition commonly affects the spine and sacroiliac joints and may lead to occult spinal fissures, resulting in symptoms such as lower back pain and stiffness. Patients are advised to follow medical instructions and use medications such as celecoxib capsules, sulfasalazine enteric-coated tablets, and tripterygium glycosides tablets for treatment.
3. Lumbar disc herniation: Occult spinal fissures may be associated with degenerative changes in the intervertebral discs or trauma. Herniation of the nucleus pulposus may compress nerve roots, leading to pain. Typical symptoms include lower back pain, often accompanied by radiating pain in the lower limbs. Patients are advised to follow medical guidance and use medications such as Gentongping granules, Yaotongning capsules, and Duhuo Jisheng pills.
4. Lumbar spinal stenosis: This may be related to congenital developmental abnormalities or degenerative changes. The condition may result in occult spinal fissures and compression of the cauda equina, causing symptoms such as lower back pain and spinal deformity. Patients should use medications such as loxoprofen sodium tablets, mecobalamin tablets, and eperisone hydrochloride tablets under medical supervision to improve symptoms.
5. Osteoporosis: This is generally caused by malnutrition, prolonged lack of physical activity, and other factors. Reduced bone mass and disruption of bone microarchitecture may lead to symptoms such as lower back pain and spinal deformity. Patients are advised to strictly follow medical instructions and use medications such as elcatonin injection, calcium citrate tablets, and zoledronic acid for injection to relieve symptoms.
In daily life, patients are encouraged to engage in appropriate physical activity, drink plenty of warm water, maintain local warmth, and consume calcium-rich foods such as milk and soy milk, which may benefit recovery.
