Siddiq Md Abu B, Rahim Mohammad A, Khan Md Tariqul I, Shikder Ahm Zakir H
Physical Medicine and Rehabilitation, Brahmanbaria Medical College, Brahmanbaria, BGD.
Physical Medicine and Rehabilitation, Cox's Bazar Medical College, Chittagong, BGD.
Cureus. 2019 Jan 25;11(1):e3958. doi: 10.7759/cureus.3958.
Low back pain (LBP) is a frequent complaint in the working milieu of pain physicians. Common LBP generators are the lumbar spine, soft tissues around the spine, and intra-abdominal viscera; however, in recent times, lumbar spine ligament (LL) degeneration is increasingly getting more coverage as an important LBP source. Among various LLs, interspinous and supraspinatus ligaments' sprain-degeneration can perpetuate localized central LBP as described in the present case study. Localized LL sprain-degeneration in association with radiating LBP from prolapsed lumbar intervertebral disc (PLID) compressing adjacent nerve roots might further impair a patient's quality of life. In the present report, we describe both LL sprain-degeneration and PLID (a dual source of LBP) in a 26-year-old Bangladeshi woman; physicians often fail to notice this combination in their regular clinical practice.
下腰痛（LBP）是疼痛科医生工作环境中常见的主诉。常见的下腰痛病因包括腰椎、脊柱周围软组织和腹腔内脏器；然而，近年来，腰椎韧带（LL）退变作为下腰痛的一个重要来源越来越受到关注。在各种腰椎韧带中，棘间韧带和棘上韧带的扭伤退变可导致局部中央性下腰痛，如本病例研究所述。局部腰椎韧带扭伤退变与腰椎间盘突出症（PLID）压迫相邻神经根导致的放射性下腰痛相关，可能会进一步损害患者的生活质量。在本报告中，我们描述了一名26岁孟加拉国女性的腰椎韧带扭伤退变和腰椎间盘突出症（下腰痛的双重来源）；医生在常规临床实践中常常未能注意到这种组合情况。
