The pain in the lower back is one of the most common reasons that force the patient to ask for help from a neuropathologist or therapist.Pain in the lumbosacral column can violate the ability to work for a long time, making it impossible to move and self-service.Acute back pain affects men and women equally often.
Meeting greater frequency in the middle and the elderly, back pain can often be observed in teenagers and young people.This is due to the rapid growth, the weakness of the fragile muscles of the lower back, injuries.Therefore, the pain in the lumbosacral of the back is an urgent problem that everyone can meet.
Low pain with lumbar osteochondosis
Back pain with osteochondrosis can be improved with cough and sneezing, with any movements, in particular with the body tiles forward.Together with back pain, lumbar osteochondrosis can manifest itself with a violation of the sensitivity of the individual areas of the skin or muscles of the lower half of the body and legs, weakening or disappearance of the tendon legs.
- As a rule, with osteochondrosis, the curvature of the lumbar column is observed.Depending on the plan in which the curvature occurs, scoliosis stands out (curvature on the right or left), lordosis (curves forward) and cifosi (smoothing the lumbar region or even its curvature back).In the event that a pinch of the spinal cord occurs with osteochondrosis, a urination or defecation is observed, as well as a violation of the sensitivity of the bladder or genital organs.
- However, the most common lumbar osteochondrosis occurs from root pains, that is, developing due to the pinch of nerve roots that extend from the spinal cord to a level.So, one of the widely known lumbar syndromes - Lumbago.It occurs at the time of physical tension or in an embarrassing position of the body, and sometimes without a visible reason.Suddenly, for several minutes or hours, strong pain in shooting ("blows") appears, is often burning and bursting ("as if the pole was blocked in the lower back").
The patient blocks in an uncomfortable position, cannot be straightened if the attack occurred at the time of lifting gravity.The attempts to get up from the bed, the cough or the fold of the leg are accompanied by a strong increase in back pain and the sacred.If the patient is asked to stand, then a strong immobility is detected by the entire lumbar region due to muscle tension.
Test of lumbosacral osteochondosis
These tests are used as a way to conduct a preliminary diagnosis, they are appointed with the names of those doctors who offered them.
| The symptom of Dezherin | If you strive the abdominal press and listen to the lower back, the pain will become stronger.In this case, there is a high probability that the patient has osteochondrosis. |
| The symptom of blacks | If, with an inclination sharp forward, the head before touching the chest is pain in the lower back, this also indicates problems with the spine. |
| Lacega symptom | This can be heard after the following actions: lying on the back, in turn you have to lift each leg.If subsequently breaks the lower back and the pain will be given along the sciatic nerve in the leg, this is the proof of the pathology of the spine. |
| Symptom of lerrey | If the pain manifests itself in a person along the sciatic nerve, after going on, without bending the knees, from a liar position, we are talking about demonstrations. |
A hernia of the intervertebral disc
The hernia of the intervertebral disc is an equally rare reason, whose clinical manifestation is the pain in the lumbosacral of the back.The intervertebral disc (internal octopus nucleus) with a long traumatic effect and also loses its elastic properties and elastic skills with age.
With a continuous effect (overweight, lesions, progressive osteoporosis), the fibrous ring of the disc becomes more subtle, defects are formed.Through the weaknesses indicated in the fibrous ring, the octopous discount of the disk can move and even protrude.
The causes of back pain
Back pain is such a non -specific symptom that can be caused by many different causes.As far as intensely, the back hurts in the lower back, it is constant or periodic, primary or secondary, there may be the reasons that cause it:
Chronic pain:
- Osteomyelitis;
- Ankylosing spondylitis;
- Deform spondylosis;
- Growth diseases - scoliosis;
- Infectious lesions of intervertebral discs and vertebrae (epidural abscess, spinal tuberculosis, brucellosis);
- Metabolic diseases of bones - osteomulation, osteoporosis;
- Primary tumors and metastatic tumors of the spinal cord, vertebrae, retroperitoneal space;
- Non -infectious inflammatory diseases - rheumatoid arthritis, reitera syndrome, ankylosing spondylitis;
- Renal tumors;
- Atherosclerosis of the abdominal part of the aorta and its branches.
Acute pain:
- Spondelo arthritis;
- Hip joint pathology;
- Spinal epidrite;
- Protrusion of the intervertebral discs in the lower back;
- Spinal osteochondrosis;
- Acute intervertebral hernia;
- Intestinal obstruction, atypical course of acute appendicitis;
- Urolithiasis;
- Acute lengthening, vertebral fractures;
- Lumbago, Isias;
- Uneak spinal blood circulation disorders - stroke;
- Acute pyelonefrite.
Radiant pain in some diseases of the internal organs:
- Pelvic organs diseases.In women, inflammatory processes in the appendages of the uterus, endometriosis, uterine cancer, ovarian carcinoma, MST (clamidia, ureapaplasmosis, gonorrhea, tricomoniasis, etc.) in men - prostatitis, prostate carcinoma;
- Stomach diseases, pancreas, duodenum, gallbladder;
- Intestinal diseases - inflammation of the diverticulum, non -specific ulcerative colitis, intestinal tumors;
- Kidney disease - kidney colic, kidney stones;
- Reflecting the aneurism of the aorta.
Physiological causes
Low pain can occur if you:
- Suffer from overweight;
- Additional risk for women;
- You are pregnant or birth recently;
- Spend a lot of time driving a car or computer;
- Mainly sedentary (employees) or standing (sellers, waiters, street advertising, surgeons) lifestyle;
- Engage in dynamic physical work with a strong change in the position of the body (especially if the specialty is associated with serious physical activity);
- Excessively loaded in the gym or fitness club.You are extremely careful if you started training recently;
- They love the country work;
- They have reached Postmenopause, which is found in the development of osteoporosis.
The pain and pregnancy of Low
Pregnancy aggravates the manifestations of existing diseases in the mother's body.Due to the change in the hormonal background and an increase in the loading loads of pathology, they occur mainly in the second half of pregnancy.In addition to the pain that accompanies the threat of premature birth, back pain can be:
- Ernia of the intervertebral disc;
- roots;
- pancreatitis;
- Pyelonefrite;
- Urolina (kidney) disease.
Because the back hurts under the lower back of the back
When the back hurts under the lower back of the back, with the exception of obvious diseases of the spine (ISHIAS, Lumbago, intervertebral hernias, ankylosing spondylitis, etc.), the possible causes are periodic pain during menstruation in women, genile diseases, such as diseases) and diseases) and pelvic peritoneum, intestine, inflammation of the appendix (process of appendix (process.of talkative intestine), in men - diseases of the prostate gland, bladder.
The pain is above the lower back of the back
If the back hurts to the right of the lower back, liver pain can radiate, with any pathological changes in liver hepathetic, liver failure and toxic drugs.Pain is often located in the right hypocondry.
If the pain is warned to the right or left just above the lower back, it is very likely that the reason is acute renal diseases.Many chronic kidney diseases, such as polycystic and evil neoplasms of the kidneys, chronic pyelonephritis are accompanied by small symptoms, since the renal capsule is gradually elongated.
When to see a doctor?
- If back pain radiates on the lower back and is located a little higher (in the chest area).The pain is accompanied by sweating, vomiting attacks and nausea, lack of breath.
- The pain radiates to the peritoneum, the chest, neck, jaw.
- The patient is dizziness, a confused consciousness occurs.
- Tachycardia begins.
- Spine trauma, accompanied by the loss of control over defecation, in urination.
- The legs weaken, the buttocks, the genitals become insensitive.
Diagnostics
In order to determine which illness caused back pain, it is necessary to undergo a global diagnostic examination.
Laboratory methods:
- General and biochemical tests of urine and blood.
- Analysis for cancer markers present in the blood when form tumors.
Instrumental research methods:
- X -Reggio of the spine.
- Endoscopy of the intestine, stomach and uterus.
- Ultrasound examination of the abdominal cavity.
- Magnetic resonance imaging tomography.
How to treat back pain in the lower back?
How to treat the lower back?The approach to the treatment of the back depends completely on the symptoms of the disease, on the diagnosis of the disease placed by the doctor.A global approach is generally used, which includes different treatment methods.
Anesthetic medicines.The ointment helps to relieve inflammation, stretching, has a heating effect if the lower back of the back is cold.
The following numbers are distinguished:
- Combined medicines (used for distortions and injuries, together with anti -inflammatory and analgesic effects, have a healing effect due to their substances);
- Anti -inflammatory analgesics (they include medicinal substances of the cooling effects that relieve irritation - menthol, lavender and analgesic drugs);
- Condroprotectors (one of the active components of these drugs is a substance used for pathological processes in the cartilage, which contributes to the active restoration of the surfaces of the cartilage of the joints);
- irritating drugs (the effect is based on the expansion of the blood vessels and on the blood flow to the source of pain).
Using therapeutic exercises, the patient will be able to reduce pain, make the muscles strong, increasing the distance between the vertebrae.They will help to free the suffocated roots of the nerves, normalize the blood flow on the affected area and improve metabolic processes.
In order for this gymnastics to take away and not paralyzed, it is necessary to follow all the recommendations of the attending physician.
- The movements are slowly made and fluid without sharp curves;
- The room must be ventilated before training;
- The patient should wear clothes that are not an embarrassing movement;
- The exercises are performed when the patient inal and on exhalation must return to the original position;
- The load gradually increases.First of all, the number of approaches is about 10 and then increased;
- During gymnastics, you should monitor your well -being.If acute pain has started, then you have to stop the lessons.
In addition, the massage perfectly helps to get rid of pain in the lumbar column.The positive therapeutic effects of the massage include the following:
- Improvement of the flow of blood to the sick part of the body;
- Set up the muscles, which makes their ligaments more flexible and elastic;
- removal of acute pain;
- get rid of the toxins accumulated in the muscles and in the subcutaneous tissue;
- Pleasant sensations by stimulating the nerve ending of the skin;
- Positive emotions.
You can trust a specialist in the clinic or conducted at home, in any case, the benefits of him will be precious.
Which doctor to contact?
In case of back pain, whose cause is not known, first of all it is necessary to contact the therapist.It will help determine the disease with the totality of symptoms.
If the reason is obvious: the pain was preceded by injuries, the pain occurred against the background of pregnancy, the menstrual cycle or chronic disease, it makes sense to immediately contact a more narrow specialist.
The car -mediation is allowed only in cases where the cause of pain is carefully known.