CLINICAL APPROACH

There are many causes of lower back pain, but those who are prone to it have a common tendency. Working on the spot while standing is prone to low back pain due to muscle fatigue and poor posture, which puts a strain on the intervertebral discs. It can be said that it is easy to get back pain. Mild low back pain and low back pain of unknown cause are collectively called "back pain". A condition in which your lower back suddenly hurts and you cannot move, such as when you hold a heavy object on your lower back, is generally called a "tight waist."

One of the causes of chronic low back pain is that the muscles shrink, become stiff and thick, and press on the blood vessels. Thick and stiff muscles compress blood vessels and impair blood flow. When blood flow is blocked, the amount of oxygen carried is reduced, resulting in oxygen deficiency. When the body becomes deficient in oxygen, a painful substance called "bradykinin" is released to signal a crisis. This is the mechanism of "chronic pain". When you take a bath and your body warms up and your blood flow improves, oxygen deficiency is temporarily eliminated, bradykinin production is suppressed and pain is relieved, but the muscle itself is not softened, so when you return to the original body temperature The pain begins to appear again. When the muscles contract, they do not stretch short and may put a strain on the lumbar spine. When the muscles on the front side of the spine are tightly locked and bent while "short" and "not stretched", the spine and the spine are crushed and the lower back feels pain.

First of all, by taking an approach to muscle stiffness, the client will be easier. Since the muscles of the lower back are large, it is necessary to take a strong and deep approach, considering that stiffness is blocking blood flow. Power presses using elbows and knees are effective because it is often difficult to do with fingers and hands.

Back pain can also be caused by a disease of the internal organs. If it hurts whether you are at rest or sleeping, or if it hurts regardless of your movements, you may want to suspect a visceral disorder.

◎ List of diseases of internal organs that cause back pain

(Cardiovascular disease)
Obstructive arteriosclerosis, abdominal aortic aneurysm, abdominal aortic dissection

(Urinary disease)
Kidney / urinary stones, cystitis, pyelonephritis, benign prostatic hyperplasia, urinary cancer

(Digestive illness)
Gastric ulcer / duodenal ulcer, pancreatitis, gallstones, gallbladder / cholangitis, hepatitis, gastrointestinal cancer

(Gynecological illness)
Dysmenorrhea, uterine fibroids, ovarian inflammation, ovarian abscess, uterine and ovarian cancer

(others)
Shingles, flu, cold

However, in reality, there are many unexplained back pains that cannot be explained by themselves. Back pain that many people, from young to middle-aged, suffer from, regardless of gender. It is said that more than 80% of the cases cannot be identified as the cause of pain even if they are examined at the hospital. Although the cause is not clear, there are many people who have prolonged back pain. About 80% of people are said to be depressed, and for the past few years, psychogenic low back pain has been the focus of attention. "A little thing makes me angry and frustrated. I feel sad and depressed. I suddenly want to cry and cry. I feel more lonely. I have no appetite. I can't sleep at night." If you have symptoms such as, there is a high possibility of psychogenic low back pain. The shortcut is to relax your lower back muscles while relaxing.

By the way, how does Oriental medicine (= Yin-Yang theory) understand the cause of low back pain? From the perspective of oriental medicine, the cause is still related to stress.

The stagnation is called stagnation. Qi is positive, so it has the property of moving around, but it stagnates. In other words, think of it as a stalemate in the ability to go round and round. Poor circulation appears as a symptom at the weak point. If that weak point is the lower back, back pain will occur. Stress is the most common cause of stagnation. Next is lack of exercise. In rare cases, excessive exercise may cause stagnation.

Qi can be called tension. Tension is both mental and physical tension. When categorizing low back pain by severity, low back pain due to stasis is a relatively mild stage. So sometimes I feel strong and sometimes I don't feel anything. It gets worse with stress, and it gets easier with exercise. In such cases, an adjustment method (lagoon method) to remove the stagnation is performed and treated. Many use acupoints that are associated with the liver. Liver, Gotani, Gokei, Hyakukai, line spacing, etc.

When the level of stagnation is high, blood clots. The blood is muddy. Stress and lack of exercise cause stagnation and lead to a virtuous cycle of producing "blood". This will not relieve your tiredness and will not cure your back pain. It takes time to get rid of "blood". You need to go to the hospital many times.

Shenkui also needs to be considered. Shenkui is the "weakness below." When the lower part of the body (lower body = shade) is weakened, the power to make you feel weak is weakened, so symptoms are more likely to appear on the lower back, which is the core of the lower body. The entire waist is dull, and in severe cases, the legs and hips are not stressed. You may also have cold feet or hot flashes. The causes of weakening of the lower part are aging, weakness by nature, excessive sex, and excessive force.

In traditional medicine, we will improve our constitution by taking an approach to the kidneys at the same time. We will focus on kidneys, yin valleys, recovery, Terumi, and ceilings.

The approach to low back pain in Thai traditional treatment is considered in total in this way. Since each person has a different situation, it is possible not only to relieve back pain but also to lead to total health by assuming multiple causes and approaching them over time.