The pain in the lower back is one of the most common reasons that force the patient to seek help from a neuropathologist or therapist.Lumbosacra column pain can violate the ability to work for a long time, which makes it impossible to move and self -service.Acute lower back pain affects both men and women with the same frequency.
When meeting with greater frequency in the middle and the elderly, lumbar pain can often be seen in adolescents and young people.This is due to rapid growth, weakness in the fragile muscles of the lower back, injuries.Therefore, the pain in the lumbosacro 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 movement, especially with the body's tiles forward.Together with low back pain, lumbar osteochondrosis can manifest itself by a violation of the sensitivity of individual skin areas or muscles of the lower half of the body and legs, weakening or disappearing from the tendon's legs.
- As a general rule, with osteochondrosis, the curvature of the lumbar column is observed.Depending on the plane in which the curvature occurs, the scoliosis is distinguished (curvature to the right or left), lithosis (curved forward) and kyphosis (smoothing the lumbar region or even its curvature).In the event that with the osteochondrosis, there is a pinch of the spinal cord, urine or defecation is observed, as well as a violation of the sensitivity of the bladder or the genital organs.
- However, the most common lumbar osteochondrosis is manifested by root pains, that is, to develop as a result of the pinch of nerve roots that extend from the spinal cord to a level.Then, one of the widely known lumbar syndromes: Lumbago.It occurs at the time of physical tension or in an awkward position of the body, and sometimes without a visible reason.Suddenly, for several minutes or hours, an acute pain appears ("shots"), it is often burning and exploding ("as if the stake was stuck in the lower back").
The patient freezes in an awkward position, cannot straighten if the attack arose when raising gravity.Attempts to get out of bed, cough or fold the leg are accompanied by a strong increase in low back pain and sacrum.If the patient is asked to stop on his feet, the entire lumbar region detects acute immobility due to muscle tension.
Lumbosacra osteochondrosis tests
These tests are used as a way of making a preliminary diagnosis, they are named with the names of those doctors who offered them.
| Dezherin's symptom | If the abdominal press hangs and listens to the back, then the pain will become stronger.In this case, there is a high probability that the patient has osteochondrosis. |
| Neri symptom | If, with an acute inclination 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 need to lift each leg.If after that he breaks his back down, and the pain will occur along the sciatic nerve in the leg, this is evidence of the pathology of the spine. |
| Lerrey symptom | If the pain manifests in a person along the sciatic nerve, after he gets out, without bending his knees, from a liar position, we are talking about condrosis manifestations. |
An intervertebral album hernia
The hernia of the intervertebral disc is an equally rare reason, whose clinical manifestation is the pain in the lumbosacro of the back.The intervertebral disc (internal octopus nucleus) with a long traumatic effect, and also loses its elastic properties and elastic capacity with age.
With a continuous effect (overweight, injuries, progressive osteoporosis), the fibrous ring of the disc becomes thinner, defects are formed in it.Through the weaknesses indicated in the fibrous ring, the disc discount of the disc can change and even excel.
The causes of lumbar pain
Back pain is such 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 that cause it:
Chronic pain:
- Osteomyelitis;
- Ankylosing spondyl artis;
- Deforming spondyosis;
- Growth diseases: scoliosis;
- Infectious lesions of intervertebral discs and vertebrae (epidural abscess, spinal tuberculosis, brucellosis);
- Metabolic diseases of bones - osteomulation, osteoporosis;
- Primary tumors and metastatic tumors of the spinal cord, vertebrae, retroperitoneal space;
- Non -infectious inflammatory diseases: rheumatoid arthritis, reiterate syndrome, ankylosing spondylitis;
- Kidney tumors;
- Atherosclerosis of the abdominal part of the aorta and its branches.
Acute pain:
- Spondylo arthritis;
- Hip joint pathology;
- Spinal epidritis;
- Protuberance 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 spinal blood circulation disorders: stroke;
- Acute pyelonephritis.
Pain radiator in some diseases of internal organs:
- Pelvic organ diseases.In women, inflammatory processes in the appendices of the uterus, endometriosis, uterine cancer, ovarian cancer, ETS (clamidia, oreopaplasmosis, gonorrhea, trichomoniasis, etc.) in men: prostatitis, prostate cancer;
- Stomach diseases, pancreas, duodenum, gallbladder;
- Intestinal diseases: inflammation of the diverticulus, non -specific ulcerative colitis, intestinal tumors;
- Kidney diseases: renal colic, kidney stones;
- Relating the aorta aneurysm.
Physiological causes
Low's pain can happen if:
- Suffer overweight;
- Additional risk for women;
- You are pregnant or gave birth recently;
- Spend a lot of time driving a car or a computer;
- You mainly sedentary (office workers) or standing (sellers, waiters, street advertising, surgeons) of lifestyle;
- Participate in dynamic physical work with an abrupt change in body position (especially if your specialty is associated with severe physical activity);
- Excessively laughed at the gym or fitness club.Be very careful if you started training recently;
- They are fans of the country's work;
- They achieved postmenopause, which is in the development of osteoporosis.
Low pain and pregnancy
Pregnancy exacerbates the manifestations of existing diseases in the mother's body.Due to the change in the hormonal background and the increase in pathology loads, they manifest especially in the second half of pregnancy.In addition to the pain that accompanies the threat of premature delivery, low back pain can be:
- intervertebral album hernia;
- Radiculitis;
- pancreatitis;
- Pyelonephritis;
- Urolina disease (renal).
Why does the back hurt under the lower back?
When the back hurts under the lower back, except for obvious diseases of the column (Ishias, Lumbago, intervertebral hernias, ankylosing spondylitis, etc.), the possible causes are periodic pain during menstruation in women, female genital diseases, such as the inflammation of the uterus, the Sulpinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhopinhop(adnexitis), as well as diseases).Pelvic peritoneum, intestines, inflammation of the appendix (process of conversational intestines), 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 change in liver hepatitis, liver failure and toxic medications.The pain is often located in the right hypochondrium.
If the pain feels right or left just above the lower back, it is very possible that the reason is in acute kidney diseases.Many chronic renal diseases, such as polycystic and malignant neoplasms of the kidneys, chronic pyelonephritis are accompanied by small symptoms, since the renal capsule is gradually stretched.
When to see a doctor?
- If back pain is radiates in the lower back, and is a little higher (in the chest area).The pain is accompanied by sweating, episodes of vomiting and nausea, lack of breath.
- Pain radiates the peritoneum, the chest, the neck, the jaw.
- The patient is dizzy, a confusing consciousness occurs.
- Tachicardia 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 what disease caused lumbar pain, it is necessary to undergo a comprehensive diagnostic exam.
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 back treatment approach depends completely on the symptoms of the disease, the diagnosis of the disease raised by the doctor.A comprehensive approach is generally used, which includes several treatment methods.
Anesthetic medications.The ointment helps relieve inflammation, stretching, has a heating effect if the low back is cold.
The following ointments are distinguished:
- Combined medications (used for sprains and injuries, together with anti -inflammatory and analgesic effects, have a healing effect due to their substances);
- Anti -inflammatory analgesics (include medicinal substances of cooling effects that relieve irritation: mentality, lavender and analgesic medications);
- Condroprotectors (one of the active components of such drugs is a substance used for pathological processes in the cartilage, which contributes to the active restoration of the cartilage surfaces of the joints);
- irritating drugs (the effect is based on the expansion of blood vessels and blood flow to the pain source).
Using therapeutic exercises, the patient can reduce pain, strengthen muscles, increasing the distance between vertebrae.They will help release the stifled roots of the nerves, normalize blood flow in the affected area and improve metabolic processes.
For such gymnastics to deal, and not paralyzed, it is necessary to follow all the recommendations of the attending physician.
- The movements are made slowly and gently without acute turns;
- The room must be ventilated before training;
- The patient should wear clothes other than a shameful movement;
- The exercises are performed when the patient inhales, and in the exhalation he needs to return to the original position;
- The load increases gradually.First, the number of approaches is approximately 10, and then increase;
- During the gymnastics, you must monitor your well.If acute pain has begun, then you must stop your classes.
In addition, massage helps perfectly get rid of pain in the lumbar column.The positive therapeutic effects of massage include the following:
- Improvement of the blood supply to the sick part of the body;
- kneading the muscles, which makes their ligaments more flexible and elastic;
- elimination of acute pain;
- get rid of accumulated toxins in the muscles and subcutaneous tissue;
- Pleasant sensations when stimulating the nerve endings of the skin;
- Positive emotions.
You can trust a specialist at the clinic or carry out at home, in any case, the benefits of it will be invaluable.
What doctor do you contact with?
In case of back pain, whose cause is not known, in the first place it is necessary to contact the therapist.It will help determine the disease by all the symptoms.
If the reason is obvious: the pain was preceded by an injury, the pain occurred in the context of pregnancy, the menstrual cycle or chronic disease, it makes sense to immediately contact a narrower specialist.
The car -medical is permissible only in cases where the cause of pain is known precisely.