Why is my waist sore, swollen and painful?

Soreness, swelling and pain in the waist may be caused by lumbar muscle strain, lumbar disc herniation, urinary system infection, gynecological inflammation or kidney deficiency, etc. It can be relieved by hot compress physiotherapy, drug treatment, rehabilitation training, traditional Chinese medicine conditioning or surgical intervention.

1. Lumbar muscle strain:

Long-term sitting, poor posture, or excessive weight-bearing can easily lead to chronic damage to the waist muscles. It manifests as persistent soreness and pain in the waist, which worsens after activity and can be relieved by rest. It is recommended to avoid sitting and standing for long periods of time, get up and move around for 5 minutes every hour, and use local heat compress or infrared physiotherapy to promote blood circulation. In the acute stage, bed rest is required, and muscle relaxants such as eperisone hydrochloride tablets are used if necessary.

2. Lumbar disc herniation:

Disc degeneration or trauma may cause the nucleus pulposus to herniate and compress the nerve root. Typical symptoms are low back pain with radiating pain in the lower limbs, which is aggravated by coughing and may be accompanied by numbness in the lower limbs. Mild herniation can be treated conservatively through traction, massage, etc. In severe cases, transforaminal endoscopic surgery should be considered. The onset is related to long-term bending work, obesity and other factors, and it is necessary to strengthen the waist and back muscle exercises.

3. Urinary system infection:

Urinary tract infections such as pyelonephritis or cystitis often cause dull pain in the waist, often accompanied by symptoms such as frequent urination, urgency, and fever. It may be related to habits such as insufficient drinking water and holding urine. Routine urine examination is required to confirm the diagnosis. Commonly used drugs include antibiotics such as levofloxacin. During treatment, the daily water intake should be more than 2000 ml.

4. Gynecological inflammation:

Gynecological diseases such as pelvic inflammatory disease and adnexitis in women can radiate to the waist, manifesting as lower abdominal distension and lumbosacral soreness, which worsens during menstruation. A gynecological examination is required for a clear diagnosis, and chronic inflammation can be treated with traditional Chinese medicine enema. Pay attention to keeping your abdomen warm every day, avoid raw or cold food, and avoid bathing in the bath during menstruation.

5. Kidney deficiency syndrome:

Traditional Chinese medicine believes that low back pain caused by kidney deficiency is mostly dull pain and fatigue, which is obvious after exertion and may be accompanied by tinnitus and weak knees. People with kidney yang deficiency are afraid of cold and have cold limbs. They can eat warm tonic foods such as mutton and walnuts. ； For those with kidney yin deficiency and heat in the hands, feet and heart, it is recommended to take Liuwei Dihuang Pills. Avoid staying up late and overworking in the house, and properly practice Baduanjin movements of climbing feet and strengthening the kidneys and waist with both hands.

It is recommended to maintain 30 minutes of aerobic exercise every day, such as swimming and brisk walking, to strengthen the core muscles.； Choose a hard bed for sleep. When lying on your side, put a pillow between your legs to reduce the pressure on your lumbar spine. ； Eat more calcium-rich dairy products and dark green vegetables. If the pain lasts for more than two weeks, wakes up at night, or is accompanied by weight loss, hematuria and other symptoms, serious diseases such as tumors and tuberculosis need to be diagnosed promptly. Patients with chronic low back pain can regularly undergo traditional Chinese medicine cupping or moxibustion treatments, paying attention to avoid damaged areas of the skin during the operation.