Pain in the lower back is one of the most common reasons for the patient to seek the help of a neuropathologist or therapist.The pain in the lumbosacral spine can violate the ability to work for a long time, making it impossible to move and serve yourself.Acute lower back pain affects both men and women are the same.
Meetings with greater frequency in the middle and old, lower back pain can often be seen in adolescents and young people.This is due to rapid growth, lower fragile muscle weakness, injury.Therefore, back pain in the back lumbosacral is an immediate problem that everyone can find.
Low pain with lumbar osteochondrosis
Lower back pain with osteochondrosis can be enhanced with cough and sneezing, with any movement, especially with the body tile forward.Along with back pain, lumbar osteochondrosis can be created by violating the sensitivity of individual areas of the skin or lower muscles of the body and feet, weakness or loss of tendon.
- As a rule, with osteochondrosis, lumbar spine curvature is observed.Depending on the plane where the curvature occurs, the scoliosis is distinguished (the curvature to the right or left), the lordoses (curved forward) and the kyphosis (smooth the lumbar area or even the curvature).If with osteochondrosis, spinal cord pinching occurs, urine or discharge is observed, as well as infringement of the sensitivity of the bladder or organs.
- However, the most common lumbar osteochondrosis is indicated by radicular pain - that is developing as a result of pinching the nerve root of the spinal cord at one or the other.Therefore, one of the known lumbar syndrome - Lumbago.It occurs during physical tension or in an awkward body position, and sometimes without any visible reasons.Suddenly, for a few minutes or hours, a sharp shot appeared ("shot"), usually it burned and broken ("as if the importance was stuck to the lower back").
The patient freezes in an uncomfortable position, cannot straighten if the attack arises at the time of lifting.Attempts to get out of bed, coughing or bending feet are accompanied by a sudden increase in back pain and sacrum.If the patient is asked to stand on your feet, a sharp immobility is detected by the entire lumbar region due to muscle tension.
Lumbosacral osteochondrosis test
This test is used as a way to conduct an initial diagnosis, they are named by the names of the doctors who offer it.
| Dezherin's symptoms | If you press the stomach and hear the bottom, the pain will become stronger.In this case, there is a high probability that the patient has osteochondrosis. |
| Neri symptoms | If, with sharp tilt forward, the head before touching the chest is pain in the lower back, this also shows a problem with the spine. |
| Symptoms of Lacega | This can be felt after the following action: lying on your back, then you need to raise each foot.If it breaks down the lower back, and the pain will be given along the sciatic nerves in the legs, this is evidence of spinal pathology. |
| Lerrey symptoms | If the pain shows himself in a person along the sciatic nerves, after he goes forward, without bending his knees, from the position lying down, we talk about the manifestation of chondrosis. |
Intervertebral disc hernia
Intervertebral disc hernia is a rare cause, clinical manifestations of back pain in the back lumbosacral.Intervertebral disc (internal pulpoose core) with long traumatic effects, as well as loss of elastic properties and elasticity with age.
With persistent effects (weight gain, injury, progressive osteoporosis), disc fibrous ring becomes thinner, defects formed.Through the weaknesses shown in the fibrous rings, the pulpoose discount of the disc can switch and even stick.
The cause of lower back pain
Back pain is a non -specific symptom that can be caused by many different reasons.From how strong it is, the back of the pain is at the bottom, it remains periodically, primary or secondary, there may be a cause for it:
Chronic pain:
- Osteomyelitis;
- Ankylosing spondylitis;
- Deformation of spondylosis;
- Growth disease - scoliosis;
- Intervertebral and vertebral disc contagious lesions (epidural abscesses, spinal tuberculosis, brucellosis);
- Bone metabolic disease - osteomulation, osteoporosis;
- Main tumor and metastatic tumor spinal cord, vertebra, retroperitoneal space;
- Endless inflammation - rheumatoid arthritis, reitera syndrome, ankylosing spondylitis;
- Kidney tumor;
- Atherosclerosis of the abdominal part of the aorta and its branches.
Acute pain:
- Spondylo arthritis;
- Hip joint pathology;
- Spinal epidritis;
- The highlight of the intervertebral disc on the lower back;
- Spinal osteochondrosis;
- Acute intervertebral hernia;
- Intestinal obstruction, atypical courses of acute appendicitis;
- Urolithiasis;
- Acute stretch, spinal fracture;
- Lumbago, Ishias;
- Acute spinal blood circulation disorders - stroke;
- Acute pyelonephritis.
Emits pain in some internal organ diseases:
- Pelvic organ disease.In women, inflammation in the uterus, endometriosis, uterine cancer, ovarian cancer, STD (chlamydia, ureapaplasmosis, gonorrhea, trichomoniasis, and others) in men - prostatitis, prostate cancer;
- Stomach disease, pancreas, duodenum, gall bladder;
- Intestinal disease - inflammation of the diverticulum, non -specific ulcerative colitis, intestinal tumors;
- Kidney disease - renal colis, kidney stone;
- Issue aortic aneurysm.
The cause of physiological
Low pain can occur if you:
- Excessive weight loss;
- Additional risks for women;
- You are pregnant or give birth to this new;
- Spent a lot of time driving a car or computer;
- You are mainly inactive (office workers) or stand (seller, server, street advertising, surgeon) lifestyle;
- Engaging in dynamic physical labor with sudden changes in body position (especially if your expertise is associated with severe physical activity);
- Excessively in the gym or fitness club.Be careful if you start this new training;
- Likes the country's work;
- They reach the postmenopause, located in the development of osteoporosis.
Low pain and pregnancy
Pregnancy exacerbates the manifestation of the disease in the mother's body.Due to changes in the hormone background and the increase in many pathologies are often shown 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 (kidneys).
Why is the back pain under the lower back
When the back pain under the lower back, except for a clear disease from the spine (ishias, lumbago, intervertebral hernia, ankylosing spondylitis, etc. -other), the causes of possible periods of menstrual pain, diseases.Pelvic peritoneum, intestines, inflammation of the attachment (intestinal process), in men - prostate gland disease, bladder.
The pain is on the lower back
If the back hurts on the right back, heartache can emit, with any pathological changes in the liver-hepatitis, liver failure, and toxic drugs.Pain is most commonly localized in the right hypochondria.
If the pain is felt on the right or left on the lower back, it is very possible that the cause is located in acute kidney disease.Many chronic kidney diseases, such as polycystic neoplasms, renal malignant, chronic pyelonephritis are accompanied by small symptoms, as the kidney capsule is stretched gradually.
When to see a doctor?
- If back pain radiates to the lower back, and it itself is slightly higher (in the chest area).Pain is accompanied by sweating, vomiting and nausea, shortness of breath.
- Pain emits peritoneum, chest, neck, jaw.
- Dizziness, confused awareness occurs.
- Tachycardia begins.
- Spinal trauma, accompanied by loss of control over water removal, urination.
- Weak feet, buttocks, genitals become numb.
Diagnostics
To determine the disease that causes back pain, it is necessary to undergo a comprehensive diagnostic examination.
Laboratory method:
- General tests and biochemistry of urine and blood.
- Analysis for cancer markers is present in the blood when a tumor is formed.
Instrumental research method:
- X -ray spine.
- Intestinal, stomach and uterus endoscopy.
- Ultrasound examination of abdominal cavity.
- Magnetic resonance tomography.
How to treat back pain at the bottom?
How to treat your lower back?The approach to the back treatment depends entirely on the symptoms of the disease, the diagnosis of the disease caused by the doctor.Comprehensive approaches are commonly used, including several methods of treatment.
Anesthetic.Ointment helps relieve inflammation, stretch, has a heating effect if the lower back is cold.
The following ointment is distinguished:
- Combined drugs (used for sprains and injuries, along with anti -inflammatory and analgesic effects, have healing effects due to their substances);
- Anti -Anti -Anti -Anti -Anti -Anti -Analues (They include drugs -Cooling effects that relieve irritation -bulbs, lavender, and analgesic drugs);
- Chondroprotectors (one of the active components of the drug is a substance used for pathological processes in the cartilage, which contributes to the active recovery of the cartilage of the cartilage);
- Obvious drugs (the effect is based on the development of blood vessels and blood flow to the source of pain).
Using therapeutic exercises, patients will be able to reduce pain, make muscles strong, increase the distance between vertebrae.They will help release the nerve root, normalize blood flow to the affected area, and improve the metabolic process.
In order for such gymnastics to treat, and not be paralyzed, it is necessary to follow all the recommendations of the attending physician.
- Movement is slowly and smooth without sharp turn;
- Room must be ventilated before training;
- Patients should wear clothing that is not a shame of movement;
- Training is done when the patient inhales, and in his breath he needs to return to his original position;
- The burden increases gradually.First, the number of approaches is about 10, and then they increase;
- During gymnastics, you should monitor your well -being.If sharp pain has begun, then you need to stop your class.
In addition, massage helps perfectly in eliminating pain in the lumbar spine.The positive therapeutic effects of the massage include the following:
- increased blood supply to diseased parts;
- muscles knead, which makes their ligaments more flexible and elastic;
- the removal of acute pain;
- Eliminate toxins accumulated in the muscles and subcutaneous tissues;
- A pleasant sensation by stimulating the skin's nerve endings;
- Positive emotions.
It is reliable with experts at the clinic or running at home, in any case, the benefits will be invaluable.
Which doctor to contact?
In the case of back pain, the unknown cause, first should contact the therapist.It will help determine the disease with the whole symptom.
If the cause is obvious: the pain is preceded by injury, the pain occurs in the background of the pregnancy, the menstrual cycle or the chronic illness, it makes sense to contact a narrow specialist immediately.
Self is only allowed in cases where the cause of pain is properly known.