Lumbar pain is one of the most common reasons, forcing the patient to seek help from a neuropathologist or therapist.Lombossacra spine pain can violate the ability to work for a long time, making it impossible to move and self -service.Acute pain in the lower back affects men and women equally frequently.
Finding a higher frequency in the middle and elderly, lower back pain can be observed in adolescents and young people.This is due to rapid growth, weakness in the fragile muscles of the lower back, injuries.Thus, pain in the back of the back is an urgent problem that everyone can find.
Low pain with lumbar osteochondrosis
Lumbar pain with osteochondrosis can be improved with cough and sneezing, with any movements, especially with the tiles of the body forward.Along with lumbar pain, lumbar osteochondrosis can manifest itself by a violation of the sensitivity of individual areas of the skin or muscles of the lower half of the body and legs, weakening or disappearing the tendon's legs.
- As a rule, with osteochondrosis, it is observed curvature of the lumbar spine.Depending on the plane in which the curvature occurs, scoliosis is distinguished (right or left curvature), lordosis (curved to the front) and kyphosis (softening the lower back or even its curvature back).In the event that, with osteochondrosis, there is a pinch of the spinal cord, urination or defecation is observed, as well as a violation of bladder sensitivity or genitals.
- However, the most common lumbar osteochondrosis is manifested by root pain - that is, developing as a result of the pinch of nerve roots that extend from the spinal cord at one level or another.Thus, one of the widely known lumbar syndromes - Lumbago.It occurs at the time of physical tension or in a clumsy position of the body, and sometimes without a visible reason.Suddenly, for several minutes or hours, a sharp pain appears (“shots”), is usually burning and popping (“as if the stake was stuck in the lower back”).
The patient freezes in an uncomfortable position, cannot straighten whether the attack arises at the time of gravity lifting.Attempts to get out of bed, cough or bend the leg are accompanied by a strong increase in lumbar and sacred pain.If the patient is asked to stand, a marked immobility will be detected throughout the lower back due to muscle tension.
Osteochondrosis tests lumbosacra
These tests are used as a way of making preliminary diagnosis, they are named with the names of the doctors who offered them.
| The symptom of Dezherina | If you force the abdominal press and hear the lower back, the pain will be stronger.In this case, there is a high probability that the patient has osteochondrosis. |
| Neri's symptom | If, with a sharp slope forward, the head before touching the chest is pain in the lower back, it also indicates problems with the spine. |
| Lacega symptom | This can be felt after the following actions: lying on your back;In turn, you need to lift each leg.If, after that, break the lower back, and the pain will be given along the sciatic nerve in the leg, this is evidence of the spine pathology. |
| Symptom of Lrerey | If the pain manifests itself in a person along the sciatic nerve, after he gets up, without bending his knees, from a lying position, we are talking about manifestations of condrosis. |
A hernia of the intervertebral disc
The hernia of the intervertebral disc is an equally rare reason, whose clinical manifestation is pain in the back of the back.The intervertebral disc (inner nucleus of pulseose) with a long traumatic effect and also loses its elastic properties and elastic skill with age.
With a continuous effect (overweight, lesions, progressive osteoporosis), the fibrous ring of the disc becomes thinner, the defects are formed in it.Through the weaknesses indicated in the fibrous ring, the disc discount of the disc can change and even stand out.
The causes of lower back pain
Back pain is an nonspecific symptom that can be caused by many different causes.How intensely the back hurts in the lower back, it is constant periodic, primary or secondary, there may be the reasons they cause:
Chronic pain:
- Osteomyelitis;
- Ankylosing spondylitis;
- Deforming spondylosis;
- Growth Diseases - Scoliosis;
- Infectious lesions of intervertebral discs and vertebrae (peridural abscess, spinal tuberculosis, brucellosis);
- Bone Metabolic Diseases - Osteomulation, Osteoporosis;
- Primary tumors and metastatic tumors of the spinal cord, vertebrae, retroperitoneal space;
- Non -infectious inflammatory diseases - rheumatoid arthritis, reiteration syndrome, ankylosing spondylitis;
- Kidney tumors;
- Atherosclerosis of the abdominal part of the aorta and its branches.
Acute pain:
- Spondelated arthritis;
- Hip joint pathology;
- Spinal epidritis;
- Protrusion of intervertebral discs in the lower back;
- Spinal osteochondrosis;
- Acute intervertebral hernia;
- Intestinal obstruction, atypical course of acute appendicitis;
- Urolithiasis;
- Acute stretching, vertebral fractures;
- Lumbago, Ishias;
- Acute disorders of the spinal blood circulation - stroke;
- Acute pyelonephritis.
Radiating pain in some diseases of internal organs:
- Diseases of the pelvic organs.In women, inflammatory processes in the uterus appendages, endometriosis, uterine cancer, ovary cancer, STD (chlamydia, ureaplaplaplasmosis, gonorrhea, trichomoniasis, etc.) in men - prostatitis, prosteed cancer;
- Stomach diseases, pancreas, duodenum, gallbladder;
- Intestinal Diseases - Inflammation of Diverticultura, Non -Specific Ulcerous Colitis, Intestinal Tumors;
- Renal Diseases - Renal Colic, Kidney Stones;
- Relating the aorta aneurysm.
Physiological causes
Low pain can occur if you:
- Suffer overweight;
- Additional risk for women;
- You are pregnant or gave birth recently;
- Spend a lot of time driving a car or computer;
- You mainly sedentary (office workers) or standing (salespeople, waiters, street advertising, surgeon's lifestyle);
- Involve in dynamic physical work with a clear change in body position (especially if your specialty is associated with severe physical activity);
- Excessively carry the gym or fitness club.Be extremely careful if you start training recently;
- They like work in the country;
- They achieved post -menopausal, located in the development of osteoporosis.
Low's pain and pregnancy
Pregnancy exacerbates manifestations of diseases in the mother's body.Due to change in hormonal background and increased pathology loads, they usually manifest themselves in the second half of pregnancy.In addition to the pain that accompanies the threat of premature birth, lower back pain can be:
- intervertebral disc hernia;
- radiculitis;
- pancreatitis;
- pyelonephritis;
- Uroline disease (renal).
Why the back hurts below the lower back
When the back hurts below the lower back, except for obvious dissees of the spine (Ishias, lumbago, intervertebral hernias, ankylosing spondylitis, etc.), Possible causes are periodic pain during menstruation in women, dissees of the female genital organs, Such the fiery of theUterus - Sulpinophores (adnexitis), the wells the disasheses), the wells).Pelvic peritoneum, intestines, inflammation of the appendix (indispensable intestine process), in men - diseases of the prostate gland, bladder.
The pain is above the lower back
If the back hurts to the right of the lower back, liver pain can radiate, with any pathological changes in liver hepatitis, liver failure and toxic medicines.Pain is more often located in the right hypochondrium.
If the pain is felt on the right or left just above the lower back, it is very possible that the reason is in acute kidney diseases.Many chronic kidney diseases, such as polycystic and malignant neoplasms of the kidneys, chronic pyelonephritis are accompanied by small symptoms, as renal capsule is gradually stretched.
When to see a doctor?
- If back pain radiates to the lower back, and it is located a little higher (in the chest area).The pain is accompanied by sweat, vomiting seizures and nausea, shortness of breath.
- The pain radiates to the peritoneum, chest, neck, jaw.
- The patient is dizzy, confusing consciousness occurs.
- Tachycardia begins.
- Trauma of the spine, accompanied by loss of control over defecation, urination.
- The legs are weakening, the buttocks, the genitals are numb.
Diagnosis
To determine which disease caused lower back pain, it is necessary to undergo a comprehensive diagnostic examination.
Laboratory methods:
- General and biochemical tests of urine and blood.
- Analyzes for cancer markers in the blood when tumors are formed.
Instrumental Research Methods:
- X -Mar of the spine.
- Intestine, stomach and uterus 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?The approach to back treatment depends completely on symptoms of the disease, the diagnosis of the disease represented by the doctor.A comprehensive approach is generally used, including various treatment methods.
Anesthetic medicines.Ointment helps relieve inflammation, stretching, has a heating effect if the lower back is cold.
The following ointments are distinguished:
- Combined medications (used for sprains and injury, along with anti -inflammatory and painkillers, have a healing effect due to their substances);
- Anti -inflammatory painkillers (they include medicinal substances of cooling effects that relieve irritation - menthol, lavender and analgesic medications);
- CondoProtectors (one of the active components of such medications is a substance used for pathological processes in cartilage, which contributes to the active restoration of joint cartilage surfaces);
- Irritating drugs (the effect is based on the expansion of blood vessels and 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 release the stifled roots from the nerves, will normalize blood flow in the affected area and improve metabolic processes.
For this gymnastics to treat, not crippled, it is necessary to follow all the recommendations of the attending physician.
- The movements are made slowly and gently without sharp curves;
- The room should be ventilated before training;
- The patient should wear clothes that are not embarrassing movements;
- The exercises are done when the patient inhales and, in expiration, he must return to the original position;
- The load increases gradually.First, the number of approaches is about 10 and then increase;
- During the gymnastics, you should monitor your well.If acute pain started, you need to stop your classes.
In addition, massage perfectly helps to get rid of pain in the lumbar spine.The positive therapeutic effects of massage include the following:
- Improvement of blood supply to the sick part of the body;
- knead the muscles, which makes their ligaments more flexible and elastic;
- Removal of acute pain;
- It is free of the toxins accumulated in the muscles and subcutaneous tissue;
- pleasant sensations, stimulating the nerve endings of the skin;
- Positive emotions.
It can be reliable with a clinic specialist or home driven, in any case, its benefits will be invaluable.
Which doctor gets in touch?
In case of back pain, whose cause is not known, first and foremost, it is necessary to contact the therapist.This will help determine the disease by all symptoms.
If the reason is obvious: the pain was preceded by injury, the pain occurred against pregnancy antecedents, menstrual cycle or chronic disease, it makes sense to get in touch immediately with a narrower expert.
Self -mate is allowed only in cases where the cause of pain is accurately known.