The pain in the lower back is one of the most common reasons forcing the patient to seek help from a neuropathologist or therapist.Pain in the lumbosacral spine can violate the ability to work for a long time, making it impossible to move and self-service.Acute lower back pain affects both men and women equally often.
Meeting with a greater frequency in middle and elderly, the lower back pain can often be observed in adolescents and young people.This is due to rapid growth, weakness in the fragile muscles of the lower back, injuries.Thus, the pain in the lumbosacral of the back is an urgent problem that everyone can encounter.
Low's pain with lumbar osteochondrosis
The lower back pain with osteochondrosis can be enhanced with coughing and sneezing, with any movements, especially with the tiles of the body forward.Along with lower back pain, lumbar osteochondrosis can be manifested by a 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 tendon legs.
- As a rule, with osteochondrosis, curvature of the lumbar spine is observed.Depending on the plane in which curvature occurs, scoliosis is distinguished (curvature to the right or left), lordoses (curved forward) and kyphosis (smoothing out the lumbar region or even his curvature back).In the event that with osteochondrosis, a pinching of the spinal cord occurs, urination or defecation is observed, as well as a violation of the sensitivity of the bladder or genital organs.
- However, the most common lumbar osteochondrosis is manifested by radicular pains - i.e.developing as a result of pinching of nerve roots extending from the spinal cord at one or another level.So, 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, a sharp shot pain appears (“shots”), often it is burning and bursting (“as if the stake was stuck into the lower back”).
The patient freezes in an uncomfortable position, cannot straighten if the attack arose at the time of lifting severity.Attempts to get out of bed, cough or bend the leg are accompanied by a sharp increase in lower back pain and sacrum.If the patient is asked to stand on your feet, then a sharp immobility is detected by the entire lumbar region due to muscle tension.
Tests of lumbosacral osteochondrosis
These tests are used as a way to conduct preliminary diagnosis, they are named with the names of those doctors who offered them.
| The symptom of Dezherin | If you strain 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 has osteochondrosis. |
| Neri's symptom | If, with a sharp tilt forward, the head before touching the chest is pain in the lower back, this also indicates problems with the spine. |
| Symptom Lacega | This can be felt after the following actions: lying on your back, in turn you need to raise each leg.If after that it breaks the lower back, and the pain will be given along the sciatic nerve in the leg, this is evidence of the pathology of the spine. |
| Symptom of Lerrey | If pain manifests itself in a person along the sciatic nerve, after he rises forward, without bending his knees, from a lying position, we are talking about manifestations of chondrosis. |
A hernia of the intervertebral disc
The hernia of the intervertebral disc is an equally rare reason, the clinical manifestation of which is pain in the lumbosacral of the back.The intervertebral disk (internal pulpoose core) with a long traumatic effect, and also loses its elastic properties and elastic ability with age.
With an ongoing effect (overweight, injuries, progressive osteoporosis), the fibrous ring of the disc becomes thinner, defects are formed in it.Through the indicated weaknesses in the fibrous ring, the pulpoose discount of the disk can shift and even stick out.
The causes of lower back pain
Back pain is such a nonspecific symptom that can be caused by a lot of different causes.From how intensely, the back hurts in the lower back, it is constant either periodic, primary or secondary, there may be the reasons that cause it:
Chronic pain:
- Osteomyelitis;
- Ankylosing spondylitis;
- Deforming spondylosis;
- Growth diseases - scoliosis;
- Infectious lesions of the intervertebral discs and vertebrae (epidural abscess, spinal tuberculosis, brucellosis);
- Metabolic diseases of the bones - osteomulation, osteoporosis;
- Primary tumors and metastatic tumors of the spinal cord, vertebrae, retroperitoneal space;
- Non -infectious inflammatory diseases - rheumatoid arthritis, reitera syndrome, ankylosing spondylitis;
- Kidney tumors;
- Atherosclerosis of the abdominal part of the aorta and its branches.
Acute pain:
- Spondylo arthritis;
- Pathology of the hip joint;
- Spinal epidritis;
- Protrusion of the 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.
Radiating pain in some diseases of internal organs:
- Diseases of the pelvic organs.In women, inflammatory processes in the appendages of the uterus, endometriosis, uterine cancer, ovarian cancer, STD (chlamydia, ureapaplasmosis, gonorrhea, trichomoniasis, etc.) in men - prostatitis, prostate cancer;
- Diseases of the stomach, pancreas, duodenum, gall bladder;
- Intestinal diseases - inflammation of the diverticulum, non -specific ulcerative colitis, intestinal tumors;
- Kidney diseases - renal colic, kidney stones;
- Relacing the aneurysm of the aorta.
Physiological causes
Low's pain can occur if you:
- Suffer overweight;
- Additional risk for women;
- You are pregnant or gave birth recently;
- Spend a lot of time driving a car or computer;
- You mainly sedentary (office workers) or standing (sellers, waiters, street advertising, surgeons) lifestyle;
- Engage in dynamic physical labor with a sharp change in body position (especially if your specialty is associated with severe physical activity);
- Excessively load yourself in the gym or fitness club.Be extremely careful if you started training recently;
- Are fond of country work;
- They achieved postmenopause, which is located in the development of osteoporosis.
Low's pain and pregnancy
Pregnancy exacerbates the manifestations of diseases existing in the mother’s body.Due to the change in the hormonal background and increased loads of pathology are especially often manifested in the second half of pregnancy.In addition to pain accompanying the threat of premature birth, the lower back pain can be:
- hernia of the intervertebral disc;
- radiculitis;
- pancreatitis;
- pyelonephritis;
- Uroline (renal) disease.
Why does the back hurt below the lower back
When the back hurts below the lower back, except for obvious diseases of the spine (Ishias, lumbago, intervertebral hernias, ankylosing spondylitis, etc.), possible causes are periodic pain during menstruation in women, diseases of the female genital organs, such as inflammation of the uterus - sulpinhophores (adnexitis), as well as diseases), as well as diseases).pelvic peritoneum, intestines, inflammation of the appendix (process of chatty intestines), in men - diseases of the prostate gland, bladder.
The pain is above the lower back
If the back hurts on the right of the lower back, the liver pain can radiate, with any pathological changes in the liver-hepatitis, liver failure, and toxic drugs.The pain is most often localized in the right hypochondrium.
If the pain is felt on the right or left just above the lower back, it is very possible that the reason lies in acute kidney diseases.Many chronic kidney diseases, such as polycystic, malignant neoplasms of the kidneys, chronic pyelonephritis are accompanied by small symptoms, since the renal capsule is stretched gradually.
When to see a doctor?
- If the back pain radiates to the lower back, and it itself is located a little higher (in the chest area).The pain is accompanied by sweating, bouts of vomiting and nausea, shortness of breath.
- The pain radiates to the peritoneum, chest, neck, jaw.
- The patient is dizzy, confused consciousness occurs.
- Tachycardia begins.
- Trauma of the spine, accompanied by loss of control over defecation, urination.
- The legs are weakening, the buttocks, the genitals go numb.
Diagnostics
In order to determine what disease provoked the lower back pain, it is necessary to undergo a comprehensive diagnostic examination.
Laboratory methods:
- General and biochemical tests of urine and blood.
- Analyzes for cancer markers present in the blood when tumors are formed.
Instrumental research methods:
- X -ray of the spine.
- Endoscopy of the 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 to the treatment of the back is completely dependent on the symptoms of the disease, the diagnosis of the disease posed by the doctor.A comprehensive approach is usually used, which includes several treatment methods.
Anesthetic medicines.The ointment helps relieve inflammation, stretching, has a heating effect if the lower back is cold.
The following ointments are distinguished:
- combined medicines (used for sprains and injuries, along with anti -inflammatory and analgesic effects, have a healing effect due to their substances);
- anti -inflammatory analgesics (they include medicinal substances of cooling effects that relieve irritation - menthol, lavender, and analgesic drugs);
- chondroprotectors (one of the active components of such drugs is a substance used for pathological processes in cartilage, which contributes to the active restoration of cartilage surfaces of the joints);
- irritating drugs (the effect is based on the expansion of blood vessels and blood flow to the source of pain).
Using therapeutic exercises, the patient will be able to reduce pain, make the muscles strong, increasing the distance between the vertebrae.They will help to free the stifled roots of the nerves, normalize the blood flow on the affected area, and improve metabolic processes.
In order for such gymnastics to treat, and not crippled, it is necessary to follow all the recommendations of the attending physician.
- Movements are made slowly and smoothly without sharp turns;
- The room must be ventilated before training;
- The patient should wear clothes that are not embarrassing movement;
- Exercises are done when the patient inhales, and on exhalation he needs to return to the original position;
- The load increases gradually.First, the number of approaches is about 10, and then they are increased;
- During gymnastics, you should monitor your well -being.If a sharp pain has begun, then you need to stop your classes.
In addition, massage helps perfectly in getting rid of pain in the lumbar spine.The positive therapeutic effects of massage include the following:
- improvement of blood supply to the diseased part of the body;
- kneading muscles, which makes their ligaments more flexible and elastic;
- removal of acute pain;
- getting rid of the toxins accumulated in the muscles and subcutaneous tissue;
- pleasant sensations by stimulating the nerve endings of the skin;
- Positive emotions.
It can be trusted with a specialist in the clinic or conducted at home, in any case, the benefits of him will be invaluable.
Which doctor to contact?
In case of back pain, the cause of which is not known, first of all it is necessary to contact the therapist.It will help to determine the disease by the totality of symptoms.
If the reason is obvious: the pain was preceded by injury, the pain occurred against the background of pregnancy, menstrual cycle or chronic disease, it makes sense to immediately contact a narrower specialist.
Self -medication is permissible only in cases where the cause of the pain is accurately known.