Why does suppurative spondylitis cause pain on both sides of the waist?
Disease description:
I have been diagnosed with pyogenic spondylitis. Recently, both sides of my lower back have been hurting severely. I also have symptoms such as fever and fatigue. I am very worried that my condition might worsen. Why does pyogenic spondylitis cause such intense pain on both sides of the lower back?
Doctor's answer (1)
Dr. Chen Jian
Pyogenic spondylitis is a spinal inflammation caused by bacterial infection, characterized primarily by destruction of vertebral bone, abscess formation, and inflammation of the intervertebral space. When this disease occurs, patients may experience severe lower back pain. This pain typically is not localized to the exact midline of the spine, but rather may radiate to both sides of the waist and even affect the lower limbs. Below are some reasons for this type of pain:
1. Correlation between infected sites and symptoms: Pyogenic spondylitis is an inflammatory condition caused by bacterial infection, and inflammatory factors can stimulate local tissues and nerves. The lumbar and back regions are common sites for pyogenic spondylitis; therefore, direct inflammation may lead to persistent dull pain in the lower back.
2. Inflammation spread: When pyogenic spondylitis involves the soft tissues surrounding the joints, it can cause muscle spasms and joint stiffness. This not only limits the range of motion, but may also affect both sides of the waist due to the spread and worsening of the inflammation, resulting in pain.
3. Bone destruction and instability: Bacterial infection can lead to destruction of the vertebral bodies or intervertebral discs. This not only reduces spinal support, but may also cause instability in the spinal structure, further compressing the nerve roots and causing pain.
