Every person at least once in his life faced a problem when the spine hurts in the back.Such a symptom often appears with an extended place in an unpleasant position.Pain is safe for health and goes after a good break.
Treatment can only be prescribed after complete diagnosis and determination of the cause and nature of the disease.No action can be done independently without examining a doctor.
A variety of reasons
The most common causes that lead to pain: osteochondrosis, scoliosis, hernia of the intervertebral discs.Tumors and infectious tissue lesions are much less common.
Depending on the disease, the pain manifests itself in different ways.If the cause of the pain is renal abdominal ulcer or stomach, then the sensations are constant regardless of the nature of the activity (a person is lying or busy with active activity).
If there is osteochondrosis in the chest region, then the pain gives the heart, then the patient mistakenly believes he has pectoris angina.
If the lower back hurts in a lying position
When the pain appears and the person does not know what to do with him, he prefers to lie down, hoping that the embarrassment will pass.But if the pain intensifies in the stretch position, then it is most likely that there is a disease of the muscular system, which is called a bachterev disease.
The disease affects young men, changes occur in the beads and they are increasing, the flexibility of the spine decreases.
Due to the fact that the spine cannot take a natural position, a person in a lie lie feels pain.
Bekhterev's disease is inherited, the impetus for development is given by chronic infectious diseases.Pain intensifies if you run a sedentary lifestyle.
The first sign is the feeling of stiffness on the back, as well as as if it extends to the bottom of the back.Early diagnosis allows you to fully cure the disease.
The main pain syndrome
Doctors share primary and secondary pain syndromes when it comes to back pain and lower back.
The primary lumbar pain syndrome contains muscle-seller changes that are morphofunctional.
This includes the most common causes, which is why the pain arises:
- osteochondrosis (bone and cartilage lesion, intervertebral disc);
- Spondyloprrrosis (damage to the intervertebral joints affecting the movement of the spine).
Secondary pain syndrome
Secondary syndrome involves a greater variety of diseases, due to which the back hurts at the lower back:
- Scoliosis (curvature of the spine);
- reflected pain;
- osteoporosis and osteomulation (costeen tissue lesion);
- Bakhterev disease (inflammation of a non -infectious nature);
- rheumatoid arthritis;
- insulated tumor or formed metastases;
- tuberculosis, epidural abscess, brucellosis (infectious diseases);
- a state of shock leading to a violation of cerebrospinal circulation;
- gastrointestinal diseases (in particular, appendicitis or intestinal disease);
- diseases in the pelvic area (renal abdominal pain, sexually transmitted disease);
- Fracture of dorsal beads (the most dangerous and serious reason).
Acute pain
Lower back pain is also divided into acute and chronic.Each of them indicates for several reasons.
The non -painful but painful manifestation of acute pain is the extension of the muscles.Occurs due to the formation of cramps in the long muscles.
Most often, athletes and people of work specialties suffer from a problem.The pain is located in the lower back, but it is clearly felt in other parts of the body, human mobility is limited, stretched out.
Tap the spine also leads to acute pain.The most dangerous injury is the spinal fracture.
A fracture can be caused by a decrease, and can occur completely, for example, if a person suffers from pedget, osteoporosis, hyperparathyroidism, or he has a tumor.
The displacements of the intervertebral discs in the lumbar region also lead to pain.In this case, human mobility will be very limited.
Pain itself is caused by compression of the nerve roots.Additional symptoms:
- impaired sensitivity;
- Achilles' s decretion or lack of knee reflexes;
- Radio pain.
The relocation of the vertebrae can lead to nearby pathology, which were healthy until the last.Lower vertebrae violations lead to bladder and intestinal diseases.
Another reason why acute pain occurs is facial syndrome.The intervertebral disc is not affected at the same time, only the compression of the spine, which comes out of the spinal canal.The intervertebral hole is narrowed due to the narrowing of the intervertebral hole.
A serious illness as an epidural abscess can lead to pain.What in this case do we do?
The disease cannot be delayed, as it can lead to tragic consequences.It is necessary to immediately take all measures to eliminate the compression of the spinal cord, sometimes surgical intervention is required.
In the area, starting from the lower back, ending with the knees, can give pain caused by diseases of the hip joint.
Chronic pain
If the back is sick at the lower back and the pain is constantly present, it is hurting or pulling, then it indicates other diseases than in acute pain.
The first reason is deformity of spondylosis.The vertebrae of the lumbar region undergo dystrophic changes, the ligaments weaken, bone growth begins.
As a result, bone results begin to exert pressure on the nerve roots and pain appears.Symptoms can be added to numbness and weakness in the legs.
Chronic lower back pain can be caused by cancer or damaged metabolism processes.
In this case, you need to do antitumor therapy, change the day's regimen and nutrition to eliminate the root cause, everything else will be ineffective.
Another reason is osteomyelitis when the infection penetrates the bone and causes inflammatory processes.
The disease leading to back pain
Other diseases that cause pain in the lumbar region
- Facetal arthropathy;
- spinal canal stenosis;
- Disc herniation;
- myogenic pain;
- Rupture of a fibrous ring.
In women, pain can be provoked by pelvic diseases, such as endometriosis, uterine carcinoma and ovaries.In men - prostate or prostate carcinoma.
The path of the buds, a tumor in the stomach, the duodenum can also give the lower back.Pain occurs with ulcerative colitis, colon tumors, diverticulitis.
If the pain applies not only to the lumbar but also to the chest region, then it is important to exclude the probability of aortic stratification.
For harmful reasons, there may be physiological changes, for example, a postnatal period or a sharp set of mass, the impact of epidural anesthesia.
Treatment of such pain is not performed, the patient can do nothing, the pain will go after a certain time.
Treatment of the Lumbar region
Before starting treatment, you should make a diagnosis correctly.First, the doctor performs a clinical examination of the patient, then relies on the results of ultrasound and MRI examinations.
Based on the diagnosis, a therapeutic program has already been selected, combining different methods.
First of all, treatment is aimed at eliminating pain syndrome in order to return the patient a comfortable life.After all, complete cure of the disease (if possible) can last years.
If a bruise became the cause of the disease, then a traumatologist would be treated.Depending on the cause of the pain that the family therapist/doctor should detect, further history of the disease may lead an orthopedic, nephrologist, urologist, proctologist, gynecologist, cardiologist, gastroenterologist, pulmonologist, infectious media.
Previously, the treatment of pain in the lower back was performed exclusively with antibiotics.Now there are so many methods for treatment that only an experienced doctor will help to choose the right one.
To relieve the patient's condition, it is recommended to change the mattress in the orthopedic.The pain will eliminate the pain of heat sedatives and gel, which also contain anti -inflammatory ingredients.
It is also advisable to use non -steroidal anti -inflammatory drugs.Muscle jumps will be removed from muscle relaxants, swelling of the nerve spine will eliminate diuretic and vascular products.
When the patient can return to a normal lifestyle, treatment continues with physiotherapy, massage and therapeutic exercises.
Treatment is performed using the following Methods NO -DRrug:
- vacuum therapy;
- acupuncture;
- Laser therapy;
- manual therapy;
- dry traction;
- pharmacopuncture;
- electrical stimulation;
- Magnetopuncture.
Such treatment ensures rapid removal of pain, and also eliminates the cause itself, thus providing a long -term result.