Pain in the lower back is one of the most common reasons that forces the patient to seek help from a neuropathologist or therapist.Pain in the lumbosacral spine 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 evenly often.
Meeting a greater frequency between the elderly, the lower back pain can often be observed in adolescents and young people.This is due to rapid growth, weakness in the fragile muscles of the lower back, damage.Thus, pain in the back lumbosacral is an urgent problem that everyone can encounter.
Low pain with lumbar osteochondrosis
Lower back pain with osteochondrosis can be improved with coughing and sneezing, with any movement, especially with the body's plaques forward.Along with back pain, lumbar osteochondrosis can be manifested by 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 extinction of the tendon legs.
- As a rule, with osteochondrosis, the bending of the lumbar spine is observed.Depending on the plane in which bending occurs, scoliosis (bending to the right or left) is distinguished, lordosa (curved forward) and kyfosis (softening the lumbar region or even its curvature back).If with osteochondrosis, a tip of the spinal cord occurs, urinating or defecation is observed, as well as violation of the bladder or genitals.
- However, the most common lumbar osteochondrosis is manifested by radicular pain - ie.developing as a result of the peak of the nerve roots extending from the spinal cord to one or another.So one of the widely known Lumbari syndromes - lumbago.Occurs at the time of physical tension or in a difficult body position, and sometimes without a noticeable reason.Suddenly, for a few minutes or hours, a sharp shot ("shots") appears, often it is burning and exploding ("as if the stake was stuck in the lower back").
The patient freezes in an unpleasant position, cannot be directed if the attack was born at the time of severity.Attempts to get out of bed, cough or flexion of the foot are associated with a sharp increase in back pain and sacrum.If the patient is required to stand up, then a sharp immobility is detected by the entire lumbar region due to muscle tension.
Lumbosacral osteochondrosis tests
These tests are used as a way to make a preliminary diagnosis, they are named after the names of those doctors offered to them.
| Symptoms of dezher | If you strain your abdominal press and listen to the lower back, then the pain will become stronger.In this case, there is a high probability that the patient has osteochondrosis. |
| Neri symptom | If, with a sharp slope 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 felt after the following actions: lying on your back, on the other hand you need to raise each leg.If after that it disrupts the lower back, and the pain will be given along the sciatica in the leg, this is evidence of spinal pathology. |
| Lerrey's symptom | If the pain manifests itself in a person along the sciatica, after rising forward, without bending the knees, from a liar position, we are talking about manifestations of the chief. |
A hernia of the intervertebral disc
The intervertebral disc hernia is an equally rare reason, whose clinical manifestation is pain in the back lumbosacral.Intervertebral disk (inner pulposa essence) with a long traumatic effect, and also loses its elastic properties and elastic ability with age.
With a continuous effect (overweight, damage, progressive osteoporosis), the fibrous ring of the disk becomes thinner, defects are formed in it.Through the weaknesses indicated in the fibrous ring, the discilation of the disc pulpos can be moved and even glued.
Causes of lower back pain
Back pain is such an nonspecific symptom that can be caused by many different causes.From the intensely, the back hurts at the bottom of the back, it is constant whether periodic, primary or secondary, may have the reasons that cause it:
Chronic pain:
- Osteomyelitis;
- Ankylosing spondylitis;
- Deformation of spondylosis;
- Growth diseases - scoliosis;
- Infectious lesions of intervertebral discs and vertebrae (epidural abscess, spinal tuberculosis, brucellosis);
- Metabolic bone diseases - osteomulation, osteoporosis;
- Primary tumors and metastatic spinal cord tumors, vertebrae, retroperitoneal space;
- Non -infectious inflammatory diseases - rheumatoid arthritis, reitera syndrome, ankylosing spondylitis;
- Kidney tumors;
- Atherosclerosis of the abdominal part of the aorta and its branches.
Acute pain:
- Spondylo arthritis;
- The pathology of the hip union;
- Spinal epidritis;
- Extension of intervertebral discs at the bottom of the back;
- Spinal osteochondrosis;
- Acute intervertebral hernia;
- Intestinal obstruction, the atypical course of acute appendicitis;
- Urolithiasis;
- Acute, vertebral stretch fractures;
- Lumbago, Ishias;
- Acute spinal blood circulation disorders - stroke;
- Acute pyelonephritis.
Radiation of pain in some diseases of the internal organs:
- Diseases of the pelvic organs.In women, inflammatory processes in uterine supplements, endometriosis, uterine cancer, ovarian cancer, STD (chlamydia, ureapaplasmosis, gonorrhea, trichomoniasis, etc.) in men - prostate, prostate cancer;
- Stomach diseases, pancreas, duodenum, gall bladder;
- Intestinal diseases - inflammation of diverticula, non -specific ulcerative colitis, intestinal tumors;
- Kidney disease - renal colic, kidney stones;
- Relationship of aortic aneurysm.
The physiological causes
Low pain can occur if you:
- Suffer overweight;
- Additional risk to women;
- You are pregnant or recently born;
- Spend a lot of time driving a car or computer;
- You mainly sedentary (office employees) or standing (sellers, waiters, street advertising, surgeons) lifestyle;
- Engage in dynamic physical work with a sharp change in body position (especially if your specialty is accompanied by severe physical activity);
- Upload it too much to the gym or fitness club.Be extremely careful if you have started training recently;
- They are loved for the work of the country;
- They arrived after menopause, which is in the development of osteoporosis.
Pain and low pregnancy
Pregnancy exacerbates the manifestations of diseases that exist in the mother's body.Due to the change in the hormonal background and increased pathology loads often manifest in the second half of pregnancy.In addition to the pain that accompanies the threat of premature birth, back pain may be:
- Intervertebral disc hernia;
- radiculite;
- pancreatitis;
- pyelonephritis;
- Urolin (renal) disease.
Why does the back hurt down the lower back
When the back hurts below the lower back, in addition to the visible diseases of the spine (Ishias, lumbago, intervertebral hernia, ankylosing spondylitis, etc.), the possible causes are periodic pain during menstruation in women, diseases of the genitals, such as uterine inflammation (adnexitis).Pelvic peritoneum, intestines, inflammation of the appendix (black intestine process), in men - prostate gland diseases, bladder.
The pain is over the lower back of the back
If the back hurts to the right of the lower back, liver pain can radiate, with any pathological change in liver hepatitis, liver failure and toxic medicines.The pain is most often located in the right hypochondrium.
If the pain feels to the right or left slightly above the lower back, it is very possible for the reason to stay in acute kidney disease.Many chronic kidney diseases, such as polycistic neoplasms, malignant kidney, chronic pyelonephritis are associated with minor symptoms, as the renal capsule gradually extends.
When do you see a doctor?
- If the back pain radiates to the lower back, and it itself is slightly higher (in the chest area).Pain is associated with sweating, periods of vomiting and nausea, shortness of breath.
- Pain radiates to the peritoneum, chest, neck, jaw.
- The patient is brave, confused consciousness occurs.
- Tachycardia begins.
- Spinal trauma, accompanied by the loss of control over defecation, urination.
- The legs are weakening, the buttocks, the genitals go numb.
Troubleshooting
To determine what disease provoked back pain, it is necessary to undergo a comprehensive diagnostic examination.
Laboratory methods:
- General and biochemical tests of urine and blood.
- Analysis for cancer markers present in the blood when tumors are formed.
Instrumental research methods:
- X -Ray of distribution.
- Intestinal, stomach and uterine endoscopy.
- Ultrasound examination of the abdominal cavity.
- Magnetic resonance tomography.
How to treat back pain in the lower back?
How to treat your lower back?Access to back treatment depends entirely on the symptoms of the disease, the diagnosis of the disease presented by the doctor.A comprehensive approach is usually used, which includes several methods of treatment.
Anesthetic drug.Ointment helps relieve inflammation, stretch, has a heating effect if the bottom spine is cold.
The following ointments are distinguished:
- Combined medicines (used for sprains and damage, along with anti -inflammatory and analgesic effects, have a healing effect due to their substances);
- Anti -inflammatory analgesics (they include medicinal substances of cooling effects that relieve irritation - menthol, lavender and analgesic medicines);
- Chondroprotectors (one of the active ingredients of such medicines is a substance used for pathological processes in the cartilage, which contributes to the active restoration of the cartilage surfaces of the joints);
- Irritative of the medication (the effect is based on enlargement of blood vessels and blood flow to the source of pain).
Using therapeutic exercises, the patient will be able to reduce the pain, make the muscles strong, increasing the distance between the beads.They will help to relieve embedded nerve roots, normalize blood flow to the affected area and improve metabolic processes.
In order for such gymnastics to treat, not crippled, it is necessary to follow all the recommendations of the attending physician.
- Movements are made slowly and without problems without sharp turns;
- The room must be ventilated before exercise;
- The patient should wear clothes that are not embarrassing movements;
- Exercises are done when the patient inhales and in extrusion he must return to the original position;
- The load increases gradually.First, the number of approaches is about 10, and then they have increased;
- During gymnastics, you need to monitor your well -being.If a sharp pain has started, then you should stop your classes.
In addition, massage helps perfectly in removing pain in the lumbar spine.Positive therapeutic effects of massage include the following:
- improving blood supply in the diseased part of the body;
- Adjacent muscles, which makes their ligaments more flexible and resilient;
- removal of acute pain;
- getting rid of the accumulated toxins in the muscles and subcutaneous tissue;
- pleasant sensations by stimulating the nerve endings of the skin;
- Positive emotions.
It can be trusted with a specialist in the clinic or developed at home, in any case, its benefits will be invaluable.
Which doctor to contact with?
In case of back pain, the cause of which is not known, first of all it is necessary to contact the therapist.It will help determine the disease by the totality of symptoms.
If the reason is clear: the pain was preceded by damage, the pain occurred against the background of pregnancy, menstrual cycle or chronic illness, it makes sense to contact a closer specialist immediately.
Self -medication is only permissible in cases where the cause of the pain is accurately known.