There is practically no person who at least once in his life does not have back pain in the lower back.With this, we pay the lifting and our domestic habits.
In addition to the damage that the spine, its muscles, nerves and ligaments can affect, it should be taken into account that sometimes the back in the lower back area hurts with internal diseases: renal disease, gastrointestinal tract and female genital organs.
Lower back pain symptoms can vary from stupid to acute.The pain can take place independently or in chronicle (the symptom is present more than three months).
Dangerous!
Take a doctor immediately if:
- The pain in the lumbar region arose sharply after an obvious back injury;
- The temperature increased sharply, there are autonomous disorders, loss of consciousness, sweating, difficulty breathing;
- The involuntary emptying of intestines and bladder is produced;
- The numbness is felt in the groin;
- There was a weakness of the lower extremities, its paresis or paralysis, altered sensitivity;
- The pain is given to the stomach and intensifies abruptly with cough or sneezing;
- The symptoms appeared at the acute weight loss fund, long -term use of steroids, immunodeficiency;
- In family history, there were cases of cancer, inflammatory or degenerative diseases of the bone cherry tissue.
Why does the back hurt in the lower back?
Mafastcial pain
Muscle stretching or spasm can gradually develop or occur suddenly.With a high load, the damage is affected not only by muscle fibers, but also by a ligament and fascia device.
The coating of muscle pain appears after:
- Raise heavy weights or excessive load during work or sports;
- Sports from time to time.The muscles are especially vulnerable, if you are inactive during the work week and then pass the clock in the gym on the weekend;
- a strong increase in the weight of their own body, behind which the muscles do not have time to grow;
- long sitting or standing in an awkward position;
- Use a bag every day in one of the hands or on the shoulder;
- Moster disorders.The spine better performs its support and protective function when it does not bend down.The muscles in the lower back experience the smaller load when you feel with a good support under the lower back, and in the position you can distribute the weight to both legs.
If the back is sick after a hematoma, a fracture, stretching, hypothermia, an infectious disease or the installed heline invasion, then myositis (inflammation) of the lower back muscles can be suspected.Severe pain is constantly present due to the inflammation of muscle fibers, "nodules" feel in the spasm of the muscles.Inflammation can be acute or take a chronic form.With a long course of the disease, pain is unstable, intensifies with prolonged or sitting lies, closer to the night or to change the climate.Touching the muscles causes a sensation of pain and discomfort, the lower back muscles are in constant tension, inflammatory edema forms, the temperature increases locally and at the level of the entire organism.
In the case of muscle spasm, the roots of the spinal nerves are infringed, so the attacks are often resembled to an image of ishias or radicalis, burning severe pain on the back of the thigh and the lower part of the leg, the limbs are numb and lose sensitivity.A pronounced muscle tone for myositis causes the patient to take a forced position, walk and lie, move on the half -legs Bevent.
How to treat the muscle pain of the column?To eliminate inflammation and pain, anti -inflammatory medications and non -steroidal analgesics are used.You can take medications in the form of tablets, ointments, injections, transdermal plasters with a gradual release of active substances.Irritant and heatent ointments are also used, which reflectively increase the blood flow to the muscles of the lower back.A higher volume of blood that flows helps to leaching inflammation products and tissue decomposition.
Corticosteroid injections and vastodonizing medications contribute to a decrease in inflammatory edema.
If the cause of myospones is an infection or poisoning of the body with worm toxins, then the therapy is initially carried out with antibiotics or antibiotic agents.In this case, it is impossible to use ointments or heating compresses.
Crest diseases involving nerve endings
In the lumbar section, the vertebrae are separated by elastic cartilaginous discs that protect the lesions, but are subject to wear and aging.
Normally, the disc is a pulpal nucleus similar to a gelatin surrounded by a dense layer of a fibrous ring.The elasticity of the nucleus is due to its ability to join and maintain water: when the load increases, accumulates water and increases elasticity, when the pressure is reduced, the nucleus gives water and becomes flatter.
Osteochondrosis in the department of Espinal develops in case of rape of food discs (their "drying") or with excessive local load.Most of the time, back pains are due to the fact that the lower posts of their intervertebral discs transport the largest load during the seat, by lifting the weights in front of themselves.At the same time, tears, displacements are formed on discs, vertebral ligaments are damaged, constant painful pain and pulsation occur.
The pain in the column has several development mechanisms:
- Violation of the microcirculation in the tissues that surround the spine and, in particular, in the Cephalorrachide channel, the formation of congestion and edema.Such conditions are developed in the context 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 easy displacement and not to physiological compression, which causes nerve infraction, blood vessels and the formation of hernias.
- Axial compression of the vertebrae when lifting weights or their damage with excessive rotation (rotation).
- Aseptic inflammation.The destruction of the nucleus leads to the exit in the Cephalorraquido channel of the sensitizing factors.There is an irritation of nerve endings, which causes a spasm of the muscles that the neighboring neighboring, higher and under the hernia violates.Little by little, the reaction covers all the lumbar and leads to the fact that any movement causes a feeling of pain.
The weakened album can be done with the formation of bump, protuberance or prolapse of the nucleus, and as a result, a hernia.The appearance of a hernia exerts pressure on the spinal cord and the roots of the spinal nerves.Under such conditions, the lumbar pain of the pulsating back appears abruptly, which diverges along the infringed nerve.The most famous compression cases of the sciatic nerve (Ishias) are manifested by acute pain on the posterior surface of the thigh and the lower part of the leg, numbness of the limb from the side of the hernia, muscle weakness, which develops the involuntary legs.
The pain in the lumbar column intensifies in a sitting and standing position, with turns, inclinations.There is often a protective muscle reaction: a painful contraction of the muscles (rollers) on both sides of the spine, which isolates the department of excess movement.Subsequently, osteochondrosis leads to the appearance of lumbosacral radiculitis (inflammation of the spinal nerve roots).
The column syndrome is dangerous with the infringement of the lower back nerves responsible for the innervation of the internal organs (roots of the horse tail).At the same time, the stomach is given pain, the function of the bladder and the intestine is affected, problems with the power in men and gynecological diseases in women arise.
Many patients, due to the fact that the lower back hurts a lot, take analgesic postures: the body reacts the body to the left if the right side hurts;Lying 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 (call symptom) is also characteristic.
What to deal with if the back hurts with the osteochondrosis:
- During the pain attack, you can take a pose of anesthesia: go back face and put the roller under your knees.It is also recommended to sleep on a hard surface;
- From analgesic drugs, you can take NSAIDs in or in the form of injections on both sides of the spine at the Lumbar Hotel;
- Use local growth agents such as distraction therapy: mustard plaster, iodine mesh, peppers and ointments;
- Eliminate mythical spasm through manual therapy, acupuncture, vacuum massage, reflexology, gymnastics;
- By fading the acute period, you can use mud treatment, ozokerita, warming.
Pain treatment with root syndrome includes:
- ensure the bed regime, the traction of the lumbar region (dry or under water);
- the use of analgesic blocking in the place of infraction, NSAID reception or weak opioids;
- Physiotherapy: Microcurrent stimulation, electrophoresis with analgesics.
The indications for the operation are constant acute pain, as well as a violation of the function of the internal organs, the development of the paralysis of the extremities, the kidnapping of a hernia in the spinal channel.
Inflammatory degenerative injuries
Spondilartrosis (inflammation of the arched joints of the vertebrae) occurs during degeneration, a decrease in the height and volume of intervertebral discs.The lower back pain appear from the excess of the capsule and increase the pressure on the surface of the intervertebral joints.The pain causes the patient to bend more in the lower back, which increases the overload of the intervertebral joints.Particularly the discomfort in the lower back is improved when wearing heels, walking long, lowering the clues, the position when the body leaves behind, for example, considering something above the head.
In patients with such a diagnosis in the morning, stiffness in the lower back is observed, pain increases during the day or after loading.It has a spilled character and it is difficult to clearly show the limits: discomfort is determined in the gluteal muscles, the inguinal region, the lower abdomen, in the scrotum of men.This spondilartrosis differs from root syndrome, when you can indicate a source of pain.
What to do to relieve pain?In general, the adoption of the situation in the back helps, bending the legs in the joint and knee joints.
From medications, preference is given to non -steroidal anti -inflammatory medications and non -narcotic analgesics.With acute back pain, an intramuscular introduction of NSAIDs gives an intramuscular effect.
Musodias are also added, since they relieve muscle tension and improve the mobility of the spine.
Psychotherapy has a positive effect, since chronic pain introduces the patient in a state of depression.
Spondylosis, unlike osteochondrosis, more affects the fibrous ring of the intervertebral disc and the front longitudinal ligaments.With this disease, the structures composed of titles are used with the formation along the edge of the vertebrae of the growth - osteophytes.These formations cause a violation of the microcirculation near the roots of the nerves and lead to the fact that the back in the lower back hurts, and the mobility of this department is limited.
The treatment is usually conservative, using anti -inflammatory drugs, analgesics, vitamins.A good effect provides electrophoresis, manual therapy, physiotherapy (ampulse, laser installation, shock wave therapy to destroy compacted elements and increase the mobility of the spine).
Pay attention!
In an advanced stage, osteophytes are not absorbed.While its dimensions are small, the treatment aims to eliminate inflammation, pain, improve metabolism.If the back does not hurt much, then nothing is done with the growth.If osteophytes cause constant pain or have large sizes, then they can be removed during operation.
Tumor Nature Diseases
Low's pain can occur due to the compression of the spinal cord with a tumor from the outside (extramedular formations) and from the inside (intramedular, which originates in the spinal substance itself).
Various tissue cells can grow pathologically:
- Fat forms - lipoma;
- nerve roots - neurioma;
- Spinal cord vessels: hemangioma;
- auxiliary fabric - glioma;
- bone tissue - osteosarcoma;
- Cartilage manufacture - Condrosarcoma.
The tumor process, especially malignant, is characterized by pain, which resembles radiculitis (it can have a bilateral 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 feels in the front and the sides of the upper part of the thigh, incomplete paralysis of this area.
In the case of damage to the area of the intravenous lumbar segments IV, the numbness of the Paragynic region, the deteriorated engine and the sensitive innervation of the buttocks, the back of the thigh, the calf and the incontinence of the feces and the urine are observed.
A pronounced violation in the work of pelvic organs occurs during neoplasm in the area of Sacred Vértebra V - III.The patient suffers from sexual impotence or violation of menstruation, constipation or incontinence of feces and urine.
Tumor treatment is specific, analgesics and antitumor medications are prescribed.
As you can see, lumbar pain is generally caused by musculoskeletal pathologies.They can be diagnosed by clinical signs and study data, whose main task is to correctly determine the nature of the disease and not confuse it with cancer, internal organ diseases or injuries.If low back pain appears, we always recommend that you look for a neuropathologist or orthopedist to obtain advice.