Pain in the lower back is one of the most common reasons to force the patient to ask for the help of a neuropathologist or a therapist.Pain in the Lombo-Sacred spine can violate the ability to work for a long time, which makes displacement and self-service impossible.Acute lower back pain affects men and women also often.
Bringing together with a greater frequency in means and the elderly, lower back pain can often be observed in adolescents and young people.This is due to rapid growth, weakness of the fragile muscles of the lower back, injuries.Thus, pain in back lumbosacral is an urgent problem that everyone can encounter.
Low pain with lumbar osteochondrosis
The lower back pain in osteochondrosis can be improved with cough and sneezing, with all movements, in particular with the tiles of the body forward.In addition to lower back pain, lumbar osteochondosis can manifest itself by violation of the sensitivity of individual areas of the skin or muscles of the lower half of the body and legs, weakening or disappearance of the tendon legs.
- As a rule, with osteochondrosis, the curvature of the lumbar column is observed.Depending on the plane in which the curvature occurs, scoliosis is distinguished (curvature on the right or left), lords (curves forward) and a cyphosis (smoothing of the lumbar region or even its back of curvature).In the event that with osteochondrosis, a pinch of the spinal cord occurs, a urination or a defecation is observed, as well as a violation of the sensitivity of the bladder or the genitals.
- However, the most common lumbar osteochondosis manifests itself by radicular pain-that is to say developing following the pinch of the nerve roots extending from the spinal cord to one level or another level.Thus, one of the largely known lumbar syndromes - Lumbago.It occurs at the time of physical tension or in an awkward position of the body, and sometimes without visible reason.Suddenly, for several minutes or hours, acute pain appears ("blows"), it often burns and bursts ("as if the stake was stuck in the lower back").
The patient freezes in an uncomfortable position, cannot straighten up if the attack appeared when raising the gravity.Attempts to get out of bed, cough or fold the leg are accompanied by a strong increase in lower back pain and sacrum.If the patient is invited to stand, net immobility is detected by the whole lumbar region due to muscle tension.
Lombo-Sacrée osteochondosis tests
These tests are used as a means of conducting a preliminary diagnosis, they are appointed with the names of the doctors who offered them.
| The symptom of Dezherin | If you wipe the 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 suffers from osteochondosis. |
| Neri symptom | If, with a strong tilt 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, in turn, you have to raise each leg.If, after that, it breaks the lower back and the pain will be given along the sciatic nerve of the leg, it is proof of the pathology of the spine. |
| Lerrey symptom | If the pain manifests in one person along the sciatic nerve, after he gets up, without folding his knees, from a lie position, we are talking about chondose manifestations. |
An herniated of the intervertebral disc
The hernia of the intervertebral disc is an equally rare reason, the clinical manifestation of which is pain in the back of the back.The intervertebral disc (internal pulpoose core) with a long traumatic effect, and also loses its elastic properties and its elastic capacity with age.
With a continuous effect (overweight, injuries, progressive osteoporosis), the fibrous ring of the disc becomes thinner, defects have been formed.Thanks to the weaknesses indicated in the fibrous ring, the discount to pulpose of the disc can move and even go out.
Causes of lower back pain
Back pain is such a non -specific symptom that can be caused by many different causes.According to the way intensely, the back hurts in the lower back, it is constant periodic, primary or secondary, there may be the reasons that cause it:
Chronic pain:
- Osteomyelitis;
- Ankylosing spondylarthrite;
- Deformation of spondylosis;
- Growth diseases - scoliosis;
- Infectious lesions of intervertebral discs and vertebrae (epidural abscess, vertebral tuberculosis, brucellosis);
- Metabolic bone diseases - osteomulation, osteoporosis;
- Primary tumors and metastatic tumors of spinal cord, vertebrae, retroperitoneal space;
- Non -infectious inflammatory diseases - rheumatoid arthritis, Reitera syndrome, ankylosing spondylitis;
- Renal tumors;
- Atherosclerosis of the abdominal part of the aorta and its branches.
Acute pain:
- Spondylo arthritis;
- Pathology of hip joint;
- Vertebral epiderite;
- Projection of the intervertebral discs in the lower back;
- Vertebral osteochondrosis;
- Acute intervertebral hernia;
- Intestinal obstruction, atypical course of acute appendicitis;
- Urolithiasis;
- Acute stretch, vertebral fractures;
- Lumbago, Ishias;
- Disorders of acute vertebral blood circulation - stroke;
- Acute pyelonephritis.
Radiant pain in certain internal organ diseases:
- Pelvic organ diseases.In women, the inflammatory processes in the appendices of the uterus, endometriosis, uterine cancer, ovary cancer, MST (chlamydia, urapaplasmosis, gonorrhea, trichomoniase, etc.) in men - prostatitis, prostate cancer;
- Stomach diseases, pancreas, duodenum, gallbladder;
- Intestinal diseases - inflammation of diverticulum, non -specific ulcerative colitis, intestinal tumors;
- Kidney diseases - kidney colic, kidney stones;
- Relatives the aorta aneurysm.
Physiological causes
Low pain can occur if you:
- Suffer overweight;
- Additional risk for women;
- You are pregnant or give birth recently;
- Spend a lot of time driving a car or a computer;
- You are mainly sedentary (office employees) or standing (sellers, servers, street advertising, surgeons);
- Engage in dynamic physical work with a net change in body position (especially if your specialty is associated with severe physical activity);
- Load excessively in the gymnasium or the fitness club.Be extremely careful if you have started to train recently;
- Love campaign work;
- They have reached the postmenopause, which is located in the development of osteoporosis.
Low's pain and pregnancy
Pregnancy exacerbates the manifestations of illnesses existing in the mother's body.Due to the change in the hormonal context and the increase in pathology charges are particularly often manifested in the second half of pregnancy.In addition to the pain accompanying the threat of premature birth, the lower back pain can be:
- hernia of the intervertebral disc;
- radiculitis;
- pancreatitis;
- pyelonephritis;
- Uroline disease (renal).
Why does the back hurts under the lower back
When the back hurts below the lower back, with the exception of the obvious diseases of the spine (Ishias, Lombago, intervertebral hernies, ankylosing spondylitis, etc.), possible causes are periodic pain during menstruation in women, diseases of female genitals, such as inflammation of the Uerus - Sulpinhophore(Adnexites), as well as diseases), as well as asseases).Pelvic peritoneum, intestines, inflammation of the annex (talkative intestines process), in men -diseases of the prostatic 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 change in hepatic hepatitis, hepatic insufficiency and toxic drugs.Pain is most often located in the right hypochondrium.
If the pain is felt right or left just above the lower back, it is very possible that reason is in acute kidney disease.Many chronic kidney diseases, such as polycystic and malignant neoplasms of the kidneys, chronic pyelonephritis are accompanied by small symptoms, because the kidney capsule is gradually stretched.
When to see a doctor?
- If back pain radiates downwards, and it is itself located a little higher (in the chest).Pain is accompanied by perspiration, seizures of vomiting and nausea, shortness of breath.
- Pain radiates peritoneum, chest, neck, jaw.
- The patient is dizzy and a confused consciousness occurs.
- Tachycardia begins.
- Trauma of the spine, accompanied by a loss of control over defecation, of the urination.
- The legs weaken, the buttocks, the genitals are numb.
Diagnosis
In order to determine which disease has caused the lower back pain, it is necessary to undergo a complete diagnostic examination.
Laboratory methods:
- General and biochemical tests of urine and blood.
- Analysis of cancer markers present in the blood when tumors are formed.
Instrumental research methods:
- X-ray of the spine.
- Endoscopy of intestines, stomach and uterus.
- 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 of back treatment completely depends on the symptoms of the disease, the diagnosis of the disease made by the doctor.A complete approach is generally used, which includes several treatment methods.
Anesthetic drugs.The ointment helps relieve inflammation, stretching, has a heating effect if the lower back is cold.
The following ointments are distinguished:
- Combined drugs (used for sprains and injuries, as well as anti-inflammatory and analgesic effects, have a healing effect because of their substances);
- Anti -inflammatory pain relievers (they include medicinal substances cooling effects that relieve irritation - menthol, lavender and analgesic drugs);
- Chondroprotectors (one of the active components of these drugs is a substance used for pathological processes in cartilage, which contributes to the active restoration of the surfaces of joint cartilage);
- Irritating drugs (the effect is based on the expansion of blood vessels and blood flow towards the source of pain).
Using therapeutic exercises, the patient will be able to reduce pain, make muscles strong, increasing the distance between the vertebrae.They will help release the muffled roots from the nerves, normalize blood flow in the affected area and improve metabolic processes.
For such a gymnastics to be treated and not paralyzed, it is necessary to follow all the recommendations of the attending physician.
- The movements are made slowly and gently without sharp turns;
- The room must be ventilated before training;
- The patient must wear clothes that are not embarrassing movements;
- The exercises are performed when the patient inhales and, at the expiration, it must return to the original position;
- The load gradually increases.First of all, the number of approaches is around 10, then they are increased;
- During gymnastics, you should monitor your well.If acute pain has started, you should stop your lessons.
In addition, massage perfectly helps get rid of pain in the lumbar column.The positive therapeutic effects of the massage include the following elements:
- Improvement of blood supply to the sick part of the body;
- Hang muscles, which makes their ligaments more flexible and elastic;
- elimination of acute pain;
- Get rid of toxins accumulated in subcutaneous muscles and tissues;
- pleasant sensations by stimulating the nerve endings of the skin;
- Positive emotions.
You can trust a specialist in the clinic or led at home, in any case, the advantages of him will be invaluable.
Which doctor contact?
In the event of back pain, the cause of which is not known, it is first of all necessary to contact the therapist.It will help determine the disease by all symptoms.
If the reason is obvious: the pain has been preceded by an injury, the pain occurred in the context of pregnancy, the menstrual cycle or chronic disease, it is logical to immediately contact a narrower specialist.
Self-medication is only authorized in cases where the cause of pain is precisely known.