In fact, no one at least once in a lifetime will not have pain in the lower back.In this way, we pay for the uprising and our family habits.
In addition to damage can affect the spine, muscles, nerves and its ligament, remember that sometimes the back in the lower back pain with internal diseases - kidney disease, gastrointestinal tract and female genitalia.
Symptoms of lower back pain may vary from stupid to sharp.The pain may take place independently or go into chronic (symptoms present for longer than three months).
Danger!
Take the doctor immediately if:
- Pain in the lumbar region arises strongly after a clear back injury;
- The temperature increases sharply, there are autonomous disorders, loss of consciousness, sweating, shortness of breath;
- Do not voluntarily cause intestinal drums and bladder;
- paralysis is felt in the groin;
- There is a weakness of the lower limbs, paresis or their paralysis, impaired sensitivity;
- The pain is given to the stomach and strongly strengthened with cough or sneezing;
- Symptoms appear on the basis of strong weight loss, long -term use of steroids, immunodeficiency;
- In family history, there are cases of cancer, inflammation or degeneration of bone tissue.
Why back pain in the lower back?
Miofascial pain
Prolonging muscles or spasms may grow gradually or occur suddenly.With high loads, damage is not only affected by muscle fibers, but also by a ligament and fascia.
The following muscle pain layer appears:
- Increase heavy weight or excessive load during work or sports;
- Sports over time.The muscles are particularly vulnerable, if you do not work during the week of work, and then spend clock in the gym at the weekend;
- A strong increase in the weight of their own body, behind the muscles there is no time to develop;
- Sit for a long time or stand in an uncomfortable position;
- Every day wearing a bag on one hand or shoulder;
- Most dysfunction.The spine best performs its support and protection function when you do not bend.The lower back muscles of the smallest load experience when you sit with good support under the lower back, and in the standing position all distribute weight to both legs.
If the back is sick after bruising, fracture, prolonged, lower body, infectious disease or Helminthic invasion, it is possible to suspect muscle inflammation (inflammation) of the lower back muscles.Perfect pain constantly appears due to muscle fiber inflammation, the nodules are perceived in the muscles.Inflammation may be acute or chronic.With a long process of the disease, the pain is unstable, enhanced when lying prolonged or sitting, closer to the evening or to change the weather.Touching the muscles causes pain and discomfort, the lower back muscles are stressful, edema, local temperature and at the level of the entire organism.
In the case of muscle spasm, the roots of the spinal nerves are violated, so attacks are often similar to a picture of Ishias or radioactive inflammation - burning intense pain in the back of the thighs and lower legs are recorded, the limbs are numb and loss of sensitivity.A distinct muscle tone for muscle inflammation caused the patient to have a mandatory position, he walked and lied, moving on half of his leg.
How to treat muscle pain of the spine?To eliminate inflammation and pain, anti -inflammatory drugs and painkillers are not used.The drug can be used in the form of tablets, ointments, injections, plasters Transdermal with gradually releasing the active substances.An uncomfortable and heated ointment is also used, increasing blood flow to the lower back muscles.A larger volume of bleeding helps filter inflammatory products and decay tissue.
Inject corticosteroids and vasoconstrictor drugs contribute to inflammation.
If the cause of infection or body poisoning with worm toxins, then the treatment is originally done with antibiotics or artery drugs.In this case, it is not possible to use warm or compressed ointment.
The disease of the ridge is related to the end of the nerve
In the waist, the vertebrae are separated by elastic cartilage disks that protect the mountain slopes from trauma, but they themselves have to wear and aging themselves.
Typically, a disc is a jelly core that is surrounded by a thicker layer of a ring.The elasticity of the nucleus is due to its ability to link and retain its water: when the load increases, it accumulates water and elasticity increases, as the pressure decreases, the core for water and become flattering.
Osteochondrosis in the spinalage develops in case of violations of their food plates ("drying" or with excessive local load.Typically, the lower back pain is due to the fact that the lower the lower of its discs carry the largest load in the chair, when lifting the weight in front of them.At the same time, tears and displacement are formed in damaged ligaments, ligaments, constant pain and pulse occurs.
The pain in the spine has a number of development mechanisms:
- Violation of circulation in tissues around the spine and especially, in brain channel, congestion formation and edema.Such conditions develop on the basis of lower body heat, overheating, inflammation.
- The degeneration process in the fixed ligament of the spine.The increase in the mobility of the vertebrae leads to their easy and non -compressive movement, causing violations of nerves, blood vessels and hernia formation.
- The vertical compression of the vertebra when increasing their weight or damage by overeating (rotation).
- Aseptic inflammation.The destruction of the nucleus leads to the exit in the brain channel of sensitive factors.A stimulation of nerve ends occurs, causing a muscular spasm that violates nearby vertebra - higher and under hernia.Gradually, the reaction covers the entire belt and leads to the fact that any movement causes pain.
Weak disk may be torn with protruding, protruding or proliferation of the nucleus, and the result is - hernia.The appearance of hernia puts pressure on the spinal cord and roots of the spinal nerves.In such conditions, lower back pain appears strongly, moving along the infringed nerve.The most famous cases of sciatica compression (Ishias) are manifested by a strong pain on the back of the thigh and lower leg, paralysis from the side of hernia, muscle weakness, vacuum voluntarily opened.
Pain in the lumbar spine increases in sitting and standing position, with turns and tendencies.Often there is a protective muscle reaction - a muscle spasm (roller) on both sides of the spine, isolating part from excess movement.Osteochondrosis then leads to the appearance of Lumbosacral radioactive infection (rootitis of spinal nerves).
The spinal syndrome is very dangerous for violating lower back nerves responsible for the conservation of internal organs (ponytail).At the same time, the pain is given to the stomach, the function of the bladder and the intestine is weakened, the problems with the potential in men and gynecological diseases in women arise.
Many patients, due to the fact that the lower back is greatly damaged, use an analgesic posture-from the left body if the right is painful;Located on the right if the hernia is left.The appearance of severe pain when a hernia during the interverteller period is also characteristic.
More to treat if back pain with osteoarthritis:
- In the attack of pain, you may have anesthetic posture - lying on your back and placing rollers under your knee.It is also recommended to sleep on a hard surface;
- From painkillers, you can put NSAID inside or in the form of injection on both sides of the spine in the lumbar hotel;
- Using local development agents such as concentrated losses - Mustard plasters, iodine, chili and ointment;
- Eliminate mytical spasm by manual treatment, acupuncture, vacuum massage, acupressure, gymnastics;
- When the time fades time, you can use mud, ozokerite, heat up.
Treatment of pain with X -ray syndrome includes:
- ensure the bed mode, traction of the waist area (dry or underwater);
- The use of painfulness at the violation, receiving NSAID or opium is weak;
- Physical therapy - stimulating micro, electrophoresis with painkillers.
The indications for activity are continuous acute pain, as well as violating the function of internal organs, the development of paralysis, the isolation of hernia in the spinal cord.
Inflammatory degenerative damage
Spondylarthrosis (arthritis of the vertebrae) occurs during degeneration, reducing the height and volume of the discs.The lower back pain appears from the excess of the capsule and increases the pressure on the surface of the joints.Pain causes the patient to bend more on the lower back, thus increasing the overload of intervertebral joints.Especially uncomfortable on the lower back is enhanced by wearing shoes, walking long, lowering slopes, position when the body leaves, for example, when considering something above the head.
In patients with such diagnosis in the morning, the stiffness on the lower back is recorded, the pain increases during the day or after the load.It has a feature that is collapsed and it is difficult to clearly show the boundaries: discomfort is determined in gluteal muscles, groin, lower abdomen, in scrotum in men.This vital joint disease is different from X -ray syndrome, when you can point out a source of pain clearly.
What to do to relieve pain?Usually, the application of the situation on the back helps, bend the legs in the hip and knee joints.
Among the drugs, the priority is given to anti -inflammatory drugs that are not free from infection and non -Viaric painkillers.With acute back pain, the introduction of intramuscular NSAIDs brings intramuscular effects.
The facilities are also added, because they reduce muscle tension and improve the movement of the spine.
Psychotherapy has a positive effect, because chronic pain takes patients into depression.
Spine disease, unlike osteoarthritis, more affecting the fibrous ring of the intervertellebral disc and the front vertical ligament.With this disease, composite structures -Tissue are used with the formation along the edge of the vertebrae of growth - osteoporosis.These formations cause a violation of the circulating near the roots of the nerve and lead to the fact that the back of the lower back pain, and the mobility of this part is limited.
Treatment is often conservative, using anti -inflammatory drugs, painkillers, vitamins.A good effect for electrophoresis, manual therapy, physiotherapy (amplitude, laser installation, shockwave therapy to destroy compressive elements and increase the mobility of the spine).
Pay attention!
In the advanced period, bone cells are not absorbed.While their size is small, the treatment is for the purpose of eliminating inflammation, pain, improving metabolism.If the back is not very painful, then nothing is done with growth.If bone cells cause painless or large size, they can be removed during surgery.
Natural tumor disease
The pain of low can occur from the compression of the spinal cord with an external tumor (formed) and from the inside (intramedullar, derived from the spine itself).
Cells of different tissues can develop pathology:
- Fat - lipoma is formed;
- Neurological roots - neuropathy;
- The spinal vessel - Hemangioma;
- Auxiliary fabric - Glioma;
- Bone tissue - Osteosarcoma;
- Cartilage - Chondrosarcoma.
The tumor process, especially malignant, is characterized by pain, like radioactive inflammation (may have a person and bilateral in nature), a general decline in patient state, exhaustion.
If the pathology affects the lumbar vertebra I - IV, the burn pain is perceived in the front and on the sides of the upper thigh, the paralysis of the area is incomplete.
In the case of damage in the area of the waist IV, the paraghenic numbness, weakened exercise and the sensitive conservation of the gluteal muscles, the back of the thigh, calves and the non -control of feces and urine are noticed.
A clear violation in the work of pelvic organs occurs in the new birth area in the area of the vertebra of V - III.Patients with helplessness or menstrual violations, constipation or incontinence of feces and urine.
The treatment of tumors is specific, analgesic and anti -cancer drugs are prescription.
As you can see, lower back pain is often caused by musculoskeletal diseases.They can be diagnosed with clinical signs and data of the study, the main task is to determine the exact nature of the disease and are not confused with cancer, internal organs or trauma.If the lower back pain appears, we always recommend that you look for a neurolog or orthopedic expert for advice.