There is practically no person who at least once in his life would have no back pain in the lower back.With this, we pay for our uprising and our home habits.
In addition to damage that can affect the spine, its muscles, nerves and ligaments, it should be borne in mind that sometimes the back in the area of lower support hurts with internal disease - kidney disease, gastrointestinal tract and female genitals.
Symptoms of pain in the lower back may vary from stupid to sharp.Pain can occur independently or go to chronic (symptoms are present for more than three months).
Dangerous!
Take a doctor immediately if:
- Pain in the lumbar region arose significantly after a marked back damage;
- The temperature increased significantly, has autonomous disorders, loss of consciousness, sweating, difficulty breathing;
- The involuntary intestinal and bladder gap occurs;
- Numbness feels in the groin;
- There was a weakness of the lower extremities, their paresis or their paralysis, the damaged sensitivity;
- Pain is given to the stomach and intensifies sharply with coughing or sneezing;
- Symptoms appeared against the backdrop of sharp weight loss, long -term use of steroids, immunity;
- In the family history, there were cases of cancer, inflammatory or degenerative bone-cellar tissue disease.
Why does the back hurt at the bottom of the back?
Myopic
Muscle alignment or spasm can gradually develop or occur suddenly.With a high load, damage is affected not only by muscle fibers but also by a ligament and fascia.
Lining muscle aches appear after:
- lifting heavy weights or excess load during work or sport;
- Sport occasionally.The muscles are especially vulnerable, if you are inactive during the work week, and then spend the clock in the gym on the weekend;
- A sharp increase in their body weight, after which the muscles do not have time to grow;
- sitting long or standing in an unpleasant position;
- Daily wearing a bag in one of the hands or on the shoulder;
- Disordishes of sample.The back best performs its support and protective function when you do not turn on.The muscles at the bottom of the back experience the smallest load when sitting with good support under the lower back, and in the position stand evenly distribute the weight on both legs.
If the back is ill after a bruising, a fracture, stretch, hypothermia, an infectious disease or installed helminthic invasion, then the myosite (inflammation) of the lower back muscles may be suspected.Severe pain is constantly present due to inflammation of the muscle fibers, "joints" feel in muscle spasm.Inflammation can be acute or take a chronic form.With a long course of illness, the pain is unstable, intensified with prolonged or sedentary extension, closer to the evening or to change the weather.Muscle touch causes a feeling of pain and disturbance, the lower back muscles are in constant tension, forms of inflammatory edema, the temperature rises in place and at the level of the whole organism.
In the case of muscle spasm, the roots of the spinal nerves are violated, so attacks often resemble a appearance of Ishias or radiculitis - the burning of severe pain in the back of the thigh and lower leg, the limbs are numbered, and lose sensitivity.A pronounced muscle tone for myositis makes the patient take a forced position, he walks and extends by distorting, moving on the legs half luck.
How to treat spinal muscles pain?To eliminate inflammation and pain, non -inflammatory drugs are used and analgesics.Medications can be taken in the form of tablets, ointments, injections, transdermal plaster with a gradual release of active substances.An irritating oil and heater are also used, which reflectively increase the blood flow to the lower back muscles.A larger volume of flowing blood helps flow products and tissue decay.
Injection corticosteroids and vasodotonizing drugs contribute to a decrease in inflammatory edema.
If the cause of myosite is an infection or poisoning of the body with worm toxins, then the therapy is initially performed with antibiotics or anthelmintic agents.In this case, it is impossible to use ointments or heat compresses.
Crest diseases that include nerve endings
In the lumbar section, the beads are separated by elastic cartilage discs that protect the ridge from damage, but they themselves undergo clothing and aging.
Normally, the disk is a pulpic nucleus -similar to jelly surrounded by a denser layer of a fibrous ring.The elasticity of the nucleus is due to its ability to connect and maintain water: when the load increases, it accumulates water and increases elasticity, when the pressure decreases, the essence gives water and becomes softer.
Osteochondrosis in the spinal department develops in the event of a violation of food discs ("drying") or with excess local load.Most often, lower back pain is due to the fact that the lower rods of its intervertebral discs carry the largest load during the seat when lifting weights before itself.At the same time, tears, displacements form on discs, vertebral ligaments are damaged, persistent pain and pulse pain occur.
Pain in the back has several development mechanisms:
- Violation of microcirulation in the tissues surrounding the spine and, in particular, in the cerebrospinal canal, blockage and edema formation.Such conditions develop against the background of hypothermia, overheating, inflammatory processes.
- Degenerative processes in the fixing ligaments of the spine.An increase in the mobility of the vertebrae leads to their slight displacement and not physiological compression, which causes nerve violations, blood vessels and hernia formation.
- The axial compression of the vertebrae when lifting weights or damage them with excess rotation (rotation).
- Aseptic inflammation.Destruction of the nucleus leads to the output to the cerebrospinal channel of sensitizing factors.An irritation of the nerve endings occurs, which causes a muscle spasm that violates neighboring vertebrae - higher and under hernia.Gradually, the reaction covers the whole lumbar and leads to the fact that every movement causes a feeling of pain.
The weakened disk can be shattered by the formation of the prolongation, extension or prolapse of the nucleus, and as a result - a hernia.The appearance of a hernia exerts pressure on the spinal cord and roots of the spinal nerves.In such conditions, the pulsating back pain appears severely, which changes along the violated nerve.The most famous cases of sciatica compression (Ishias) are manifested by sharp pain in the posterior surface of the thigh and lower leg, the numbness of the limbs by the hernia, muscle weakness, unfinished legs.
Pain in the lumbar spine intensifies in a sitting position and standing, with curves, trends.Often there is a protective muscle reaction - a painful contraction of the muscles (rollers) on both sides of the spine, which isolates the department from excess movement.Osteochondrosis then leads to the appearance of lumbosacral radiculitis (inflammation of the spinal nerve roots).
The spine syndrome is dangerous with violation of the lower back nerves responsible for intriguing the internal organs (horse tail roots).At the same time, the pain is given to the stomach, the bladder and intestinal function is damaged, problems with men and gynecological diseases in women appear.
Many patients, due to the fact that the lower back hurts a lot, take analgesic poses-refuse the body to the left if the right side hurts;Lies on the right side if the hernia is on the left.The appearance of severe pain when pressed in a hernia in the intervertebral interval (the symptom of call) is also characteristic.
Than to treat if the spine hurts with osteochondrosis:
- During the pain attack, you can get an anesthesia - lie on your back and place the roller under your knees.It is also recommended to sleep on a difficult surface;
- From analgesic medicines, you can get NSAIDs inside or in the form of injections on both sides of the spine in the lumbar hotel;
- Use local growth agents such as attractive therapy - mustard plaster, iodine mesh, peppers and ointments;
- Eliminate mytic spasm by manual therapy, acupuncture, vacuum massage, reflexology, gymnastics;
- When you diminish the acute period, you can use mud treatment, ozokerite, heat.
Pain treatment with radical syndrome includes:
- providing the bed regime, withdrawal of the lumbar region (dry or under water);
- the use of analgesic blockade at the site of violation, reception of NSAIDs or weak opiums;
- Physiotherapy - stimulation of microcurrees, analgesic electrophoresis.
Indications for surgery are constant acute pain, as well as violation of the function of the internal organs, the development of limb paralysis, the seizure of a hernia in the spinal canal.
Degenerative-inflammatory lesions
Spondillartrosis (inflammation of the arched joints of the vertebrae) occurs during degeneration, a decrease in height and volume of intervertebral discs.Lower spine pains appear from the capsule overload and increase the pressure on the surface of the intervertebral joints.The pain makes the patient bend more to the lower back, thereby increasing the overload of the intervertebral joints.Particularly discomfort at the bottom of the back improves by wearing shoes on the heel, walking long, lowering slopes, position when the body goes back, for example, when it comes to something over the head.
In patients with such a morning diagnosis, stiffness in the lower back is observed, the pain increases during the day or after load.It has a shed character and it is difficult to clearly show the boundaries: discomfort is defined in the gluteal muscles, inguinal region, lower abdomen, scrotum in men.This spondillartrosis differs from the radical syndrome when you can show a source of pain.
What should you do to relieve pain?Usually, the approval of the situation on the back helps, by bending the legs to the hip and knee joints.
From medication, preference is given to non -inflammatory drugs non -steroidal and non -narcotic analgesics.With acute back pain, an intramuscular presentation of NSAIDs gives an intramuscular effect.
Also added musodes, as they relieve muscle tension and improve spinal mobility.
Psychotherapy has a positive effect, as chronic pain introduces the patient to depression.
Spondylosis, unlike osteochondrosis, more affects the fibrous ring of the intervertebral disc and front longitudinal ligaments.With this disease, composite structures - is used with the formation along the edge of the growth beads - osteophytes.These formations cause a violation of the microcirulation near the nerve roots and lead to the fact that the back at the bottom of the back hurts, and the mobility of this department is limited.
Treatment is usually conservative, using anti -inflammatory drugs, analgesics, vitamins.A good effect gives electrophoresis, manual therapy, physiotherapy (amplululin, laser installation, shock wave therapy to destroy compacted elements and increase spine mobility).
Pay attention!
In an advanced stage, osteophytes are not absorbed.While their dimensions are small, treatment is aimed at eliminating inflammation, pain, improvement of metabolism.If the back does not hurt much, then nothing is done.If osteophytes cause persistent pain or have large sizes, then they can be removed during surgery.
Diseases of the nature of the tumor
Low pain can occur from compression of the spinal cord with an external tumor (extramedullary formations) and internally (intramedullar, originating from the spinal substance itself).
Cells of different tissue can grow pathologically:
- Lipoma is formed;
- Nerve roots - neurioma;
- Spinal cord vessel - hemangioma;
- auxiliary fabric - glioma;
- bone tissue - osteosarcoma;
- Cartilage fabric - condrosarcoma.
The tumor process, especially malignant, is characterized by pain, which resembles radiculitis (may have a unilateral and bilateral nature), a general deterioration in the patient's condition, exhaustion.
If the pathology affects the lumbar vertebrae I - IV, then the burning pain is felt forward and on the sides of the upper thigh, incomplete paralysis of this area.
In the event of damage to the area of lumbar -sacral segments of IV, numbness of the region paradise, damaged motor and sensitive gluteal muscle intrigue, rear parts of the thigh, calf and non -restraint of the feces and urine.
A pronounced violation in the work of the pelvic organs occurs during the neoplasm in the area of sacral vertebrae V - III.The patient suffers from sexual powerlessness or violation of menstruation, constipation or failure to feces and urine.
Tumor treatment is specific, painkillers and antitumor medicines are a prescription.
As you can see, back pain is usually caused by muscle pathologies.They can be diagnosed with clinical signs and study data, the main task of which is to accurately determine the nature of the disease and not confuse it with cancer, diseases of the internal organs or injuries.If back pain appears, we always recommend looking for a neuropathologist or orthopedic for advice.