What doctor should women see for back pain?

With the fast pace of real life, many people are prone to physical illnesses due to long-term physical fatigue. Back pain in women is also a relatively common disease. There are many reasons for back pain in women. This may be a symptom caused by fascia injury. Fascia injury needs to be checked and treated in time, and you need to pay more attention to rest.

What department should women go to for back pain?

Frequent back pain may be related to back fascia injury and inflammation. You can go to the local regular hospital for orthopedic examination to clarify. If necessary, you can take X-rays and other imaging examinations, local massage and physical therapy, and use analgesics and anti-inflammatory drugs. Suggestions: It is recommended to eat a light diet and strengthen nutrition, pay attention to rest, and apply local hot compresses, massage and physical therapy.

Pathophysiology

Muscles and ligaments are the driving force for various human activities. The end devices are where the muscles are attached to the bones. They are the power transmission hub that drives the bones and joints, and are also the site where stress concentrates and converges. Therefore, they are extremely easy to be damaged. Repeated injury to local muscles may leave scars or adhesions after the injury heals. Scar tissue can reduce the number of local blood vessels or make them smaller in diameter, resulting in a decrease in the ability to regulate local microcirculation blood flow, which can easily lead to insufficient blood supply to the muscles and loss of anaerobic work capacity. Because local muscle ischemia causes peripheral nerve stimulation and pain, patients cannot tolerate prolonged physical activity or even sedentary activities. For example, long-term incorrect posture or psychological depression can cause physiological contracture at the local myotome level. Long-term repeated muscle spasms can cause muscle ischemia, aseptic exudation, and scar formation. The local myofascia often bears postural loads and is extremely tense and fatigued, causing postural injuries. Repeated fatigue can cause tiny muscle tears, and pain-causing substances appear around the myofascial microvascular reaction area. Rheumatoid myositis, ankylosing spondylitis or viral myositis causes compression of peripheral nerves due to muscle swelling, which may form pain-sensitive points or painful muscle nodules over a long period of time. After a complex and intertwined reaction process of long-term local stimulation, inflammation, healing, hyperplasia or scarring, local tissues will experience pain, and inflammatory exudates will deposit and calcify, and develop into muscle contracture. Hypoxia or lack of energy metabolism may be secondary to a decrease in local blood flow, which is an important mechanism of CMPS pain and can cause muscle dysfunction and tissue damage. Therefore, any means of improving muscle and nerve microcirculation, even local massage or walking, can relieve the pain symptoms of CMPS.

Pathological characteristics of painful nodules: ① A bundle of muscle fibers in a muscle is surrounded by the fascia of aseptic inflammation and is relatively hard. ②Lesioned cutaneous nerves. ③The proliferative inflammatory adipose connective tissue is closely connected with the deep fascia. ④The site where motor nerves enter muscles. Painful nodules often occur in the supraspinal ligaments, interspinal ligaments, posterior lamina muscles, supratransverse muscles, intertransverse muscles, occipital annular fascia, levator scapulae, trapezius, rhomboids, psoas, sacrospinalis, etc.