Aurora-Lee The occurrence of back pain from original uterine fibroids may be related to reasons such as enlargement of fibroids and compression of nerves, pelvic inflammatory disease, lumbar degeneration, urinary system stones or endometriosis. Low back pain usually manifests as dull pain or soreness in the lower waist, which may radiate to the buttocks or lower limbs in severe cases. It is recommended to seek medical treatment promptly to complete gynecological ultrasound and lumbar spine imaging examinations to rule out other organic diseases.
1. Fibroids enlarge and compress nerves
The growth of uterine fibroids may form mechanical compression on the pelvic nerve plexus. It is common when submucosal fibroids protrude into the uterine cavity or when the diameter of intramural fibroids exceeds 5 cm. This type of low back pain is often accompanied by worsening menstruation and a feeling of bloating in the lower abdomen. Symptoms can be relieved with Chinese patent medicines such as Guizhi Fuling Capsules and Sanjie Analgesic Capsules. If necessary, uterine myomectomy or hysterectomy is required.
2. Pelvic inflammatory disease
Chronic pelvic inflammation can lead to pelvic tissue adhesions, causing persistent dull pain in the lumbosacral region, often accompanied by abnormal leucorrhea and painful sexual intercourse. Pelvic inflammatory disease is often related to a history of past infection. Anti-inflammatory treatment can be done with Fuke Qianjin Tablets, Jingangteng Capsules combined with Metronidazole Tablets. In severe cases, intravenous ceftriaxone sodium is required.
3. Lumbar degeneration
Lumbar disc herniation or bone hyperplasia caused by aging may cause low back pain independently of uterine fibroids. The pain is characterized by worsening after sitting for a long time and relieving after activity. It needs to be confirmed by lumbar spine MRI. You can try celecoxib capsules to relieve pain, and methylcobalamin tablets to nourish the nerves. Physical therapy such as traction and acupuncture also have certain effects.
4. Urinary system stones
Renal pelvis or ureteral stones can cause sudden cramping pain that radiates to the waist, and can easily be confused with uterine fibroids when they coexist. Typical symptoms include hematuria and difficulty urinating. It is recommended to use UroShitong Pills to promote stone excretion. When the pain is severe, diclofenac sodium sustained-release tablets can be temporarily taken, and extracorporeal shock wave lithotripsy can be performed if necessary.
5. Endometriosis
When endometriosis lesions invade the sacral ligaments, periodic lumbosacral pain often aggravates before menstruation. The disease may coexist with uterine fibroids, and laparoscopy is required for diagnosis. Dienogest tablets can be used to inhibit intimal growth. Severe cases require lesion resection combined with leuprolide injection.
Patients should avoid staying in the same position for a long time. Sleeping on a hard bed can help reduce the load on the lumbar spine. You can try applying hot compresses to your waist to relieve muscle spasms on a daily basis, but the temperature should not exceed 50 degrees Celsius to avoid burns. Pay attention to supplementing calcium and vitamin D in the diet, and reduce the intake of high-fat foods to prevent fluctuations in estrogen levels from stimulating the growth of fibroids. It is recommended to review changes in the size of uterine fibroids every 3-6 months. If alarm symptoms such as difficulty urinating, numbness in the lower limbs, or pain that worsens at night occur, you should seek medical attention immediately.
