Lower back pain is one of the most common causes forcing the patient to seek help from a neuropathologist or therapist.Pain in the lumbosacral spine can disrupt the ability to work for a long time, which makes it impossible to move self -care.Acute lower back pain affects both men and women equally often.
Meeting at a greater frequency in the middle and the elderly, 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, injuries.In this way, pain in the lumbosacral part of the back is an emergency problem that anyone 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 tiles of the body forward.Along with lower back pain, lumbar osteochondrosis can be manifested by impaired sensitivity of the individual areas of the skin or muscles of the lower half of the body and legs, weight loss or disappearance of the tendon legs.
- As a rule, osteochondrosis is observed curvature of the lumbar spine.Depending on the plane in which the curvature occurs, scoliosis (curvature to the right or left), lordzy (curved forward) and kyphosis (smoothing the lumbar region or even the back of its curvat) is distinguished.If osteochondrosis is observed pinching of the spinal cord, urination or bowel movement is observed, as well as a disorder of the sensitivity of the organs of the bladder or genitals.
- However, the most common lumbar osteochondrosis is manifested by radicular pain - ie.Development resulting from the pinching of nerve roots extending from the spinal cord at one level or another.So, one of the widely known lumbar syndromes - Lumbago.It happens at the moment of physical tension or in the uncomfortable position of the body, and sometimes for no apparent reason.Suddenly, for a few minutes or hours, sharp pain in the shot ("Photos") occurs, often burns and bursts ("as if the bet is stuck in the lower back").
The patient freezes in an awkward position, cannot stand up if the attack has occurred at the time of lifting.Attempts to get out of bed, cough or leg bending are accompanied by a sharp increase in pain in the lower back and sacrum.If the patient is asked to stand on your feet, then acute immobility is found from 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 indicated by the names of those doctors who offered them.
| The symptom of dezerin | If you strain your abdominal press and listen to the lower back, then the pain will become more severe.In this case, the patient is likely to have osteochondrosis. |
| Neri symptom | If with a sharp slope forward before touching the breast is pain in the lower back, it also shows problems with the spine. |
| Lacega symptom | This can be felt after the following actions: you have to lift each leg on your back.If it then breaks the lower back and the pain will be applied to the sciatic nerve in the leg, this is evidence of the pathology of the spine. |
| Symptom of Lerrey | If the pain manifests itself in a person along the sciatic nerve after rising forward without bending their knees from a lying position, we are talking about manifestations of chondrosis. |
Hernia on the intervertebral disc
The hernia of the intervertebral disc is an equally rare cause, the clinical manifestation of which is pain in the lumbosacral on the back.The intervertebral disc (internal pulpal core) with a long traumatic effect, and also loses its elastic properties and elastic ability with age.
With a continued effect (overweight, injuries, progressive osteoporosis), the fibrous ring of the disc becomes smaller, defects form in it.Through these weaknesses in the fibrous ring, discount from the disk pulp can be displaced and even pull out.
The causes of lower back pain
Back pain is such a non -specific symptom that can be caused by many different causes.From how intense it hurts the back 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;
- Deformation of spondylosis;
- Growth Diseases - Scoliosis;
- Infectious lesions of the intervertebral discs and vertebrae (epidural abscess, spinal tuberculosis, brucellosis);
- Metabolic diseases of the 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;
- Kidney tumors;
- Atherosclerosis of the abdominal part of the aorta and its branches.
Acute pain:
- Spondilo arthritis;
- Pathology of the hip joint;
- Spinal epicrit;
- Protruding to the intervertebral discs in the lower back;
- Spinal osteochondrosis;
- Acute intervertebral hernia;
- Intestinal obstruction, atypical course of acute appendicitis;
- Urolithiasis;
- Sharp stretching, vertebrae fractures;
- Lumbago, isshias;
- Acute disorders of spinal circulation - stroke;
- Acute pyelonephritis.
Expicable pain in some diseases of the internal organs:
- Diseases of the pelvic organs.In women, inflammatory processes in uterine appendages, endometriosis, uterine cancer, ovarian cancer, STD (chlamydia, uraaplasmosis, gonorrhea, trichomoniasis, etc.) in men - prostatitis, prostate cancer;
- Diseases of the stomach, pancreas, duodenum, gall bladder;
- Intestinal diseases - inflammation of the diverticulum, non -specific ulcerative colitis, intestinal tumors;
- Kidney disease - kidney colic, kidney stones;
- Connection of the aorta aneurysm.
Physiological reasons
Low pain can occur if you:
- Suffer with overweight;
- Additional risk for women;
- You have been pregnant or have been born recently;
- Spend a lot of time to drive a car or computer;
- You mainly stuck (office workers) or standing (sellers, waiters, street advertising, surgeons) lifestyle;
- Participate in dynamic physical labor with a sharp change in body position (especially if your specialty is associated with heavy physical activity);
- Excessively load in the gym or fitness club.Be extremely careful if you have started training recently;
- Are fond of the country's work;
- They have achieved postmenopause, which is in the development of osteoporosis.
Lowe's pain and pregnancy
Pregnancy exacerbates the manifestations of diseases existing in the mother's body.Due to the change in the hormonal background and increased workloads of the pathology, they are especially common during the second half of pregnancy.In addition to the pain accompanying the threat of premature birth, the pain in the lower back can be:
- hernia on the intervertebral disc;
- radiculitis;
- pancreatitis;
- pyelonephritis;
- Uroline (kidney) disease.
Why does the back hurt under the lower back
When the back hurts under the lower back, with the exception of obvious diseases of the spine (Ishii, lumbago, intervertebral hernias, ankylosing spondylitis, etc.), the possible causes are periodic pain during menstruation, diseases of the female genital organs, as inflammation)Pelvic peritoneum, intestines, inflammation of the appendix (process of chat -prostate), in men - prostate diseases, bladder.
The pain is over the lower back
If the back hurts to the right of the lower back, liver pain can emit with any pathological changes in liver hepatitis, liver failure and toxic drugs.The pain is most often localized in the correct hypochondrium.
If the pain is felt on the right or left just above the lower back, it is very possible that the reason is hidden in acute kidney diseases.Many chronic kidney diseases, such as polycystic, malignant neoplasms of the kidneys, chronic pyelonephritis are accompanied by small symptoms as the renal capsule stretches gradually.
When to see a doctor?
- If the back pain is radiated in the lower back and it itself is slightly higher (in the chest area).The pain is accompanied by sweating, attacks of vomiting and nausea, shortness of breath.
- The pain is radiated to the peritoneum, chest, neck, jaw.
- The patient is dizzy, a confused consciousness occurs.
- Tachycardia begins.
- Spinal trauma, accompanied by loss of control over bowel movements, urination.
- The legs weaken, the ass, the genitals numb.
Diagnostics
In order to determine what disease has provoked the pain in the lower back, it is necessary to undergo a comprehensive diagnostic examination.
Laboratory methods:
- General and biochemical tests of urine and blood.
- Analyzes for cancer markers present in the blood when tumors are formed.
Instrumental methods of research:
- X -rot of the spine.
- Endoscopy of the intestines, stomach and uterus.
- Ultrasound examination of the abdominal cavity.
- Magnetic resonance imaging.
How to treat back pain in the lower back?
How to treat your lower back?The approach to back treatment is completely dependent on the symptoms of the disease, the diagnosis of the disease made by the doctor.Usually a complete approach is used, which includes several methods of treatment.
Anesthetic drugsSThe ointment helps relieve inflammation, stretching, has a heating effect if the lower back is cold.
The following ointments are distinguished:
- Combined medicines (used for sprains and injuries, together with anti -inflammatory and analgesic effects, have a healing effect due to their substances);
- anti -inflammatory analgesics (they include the healing substances of the cooling effects that relieve irritation - menthol, lavender and analgesic drugs);
- Chondroprotectors (one of the active components of such drugs is a substance used for pathological processes in cartilage, which contributes to the active restoration of cartilage surfaces of the joints);
- irritating drugs (the effect is based on the enlargement 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 to release the suffocated nerve roots, normalize blood flow to the affected area and improve metabolic processes.
In order to treat such gymnastics rather than crippled, it is necessary to follow all the recommendations of the attending physician.
- The movements are made slowly and smoothly without sharp turns;
- The room must be ventilated before training;
- The patient should wear clothes that are not disturbing movement;
- Exercises are done when the patient inhales and, when exhaled, he or she must return to the original position;
- The load increases gradually.First, the number of approaches is about 10 and then they increase;
- During gymnastics, you should watch your sieve well.If acute pain has begun, then you should stop your hours.
In addition, massage helps to get rid of the pain in the lumbar spine perfectly.The positive therapeutic effects of the massage include the following:
- improving the blood supply to the diseased body;
- Mix the muscles, which makes their ties fascinating and elastic;
- elimination of acute pain;
- get rid of toxins accumulated in the muscles and subcutaneous tissue;
- pleasant sensations by stimulating the nerve endings of the skin;
- Positive emotions.
A specialist at the clinic or at home can be trusted, in any case the benefits of it will be invaluable.
Which doctor to contact?
In the case of back pain, the cause of which is not known, first of all, you need to contact the therapist.This will help to determine the disease through the set of symptoms.
If the cause is obvious: the pain was preceded by injury, the pain has occurred in the background of pregnancy, the menstrual cycle or a chronic illness, it makes sense to contact a more specialist immediately.
Suicide is only permissible when the cause of the pain is exactly known.