The pain in the lower back is one of the most common reasons to force 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, which makes it impossible to move and look after yourself.Acute pain in the lower back affects both men and women.
Meeting with a greater frequency in medium and older people can often be observed in the lower back pain in adolescents and young people.This is due to quick growth, the weakness of the fragile muscles of the lower back, due to injuries.Therefore, the pain in the lumbosacral of the back is an urgent problem that everyone can encounter.
Lows pain with lumbar osteochondrosis
The pain in the lower back with osteochondrosis can be improved by coughing and sneezing with all movements, especially with the tiles of the body forward.Together with pain in the lower back, the lumbar osteochondrosis can be manifested by violating the sensitivity of individual areas of the skin or muscles of the lower half of the body and legs, whereby or disappearing or disappearing of tendon legs.
- As a rule, an curvature of the lumbar spine is observed with osteochondrosis.Depending on the level, in the curvature occurs, scoliosis (curvature to the right or left), lord boxes (curved forward) and kyphosis (smoothing of the lumbar area or even its curvature) is differentiated.In the event that osteochondrosis occurs in the spinal cord in the case of osteochondrosis, urine or stool and violation of the sensitivity of the bladder or genital organs are observed.
- However, the most common lumbar osteochondrosis manifests itself through radicular pain.H. by developing nerve roots that extend from the spinal cord on one or the other level.So one of the widely known lumbar syndromes - Lumbago.It occurs at the time of physical tension or in an unpleasant position of the body and sometimes for no visible reason.Suddenly a sharp pain pain occurs for a few minutes or hours ("shots"), often it burns and bursts ("as if the use is in the lower back").
The patient freezes an unpleasant position and cannot straighten if the attack occurred at the time of lifting the severity.Attempts to get out of bed, cough or bend the leg are accompanied by a severe increase in pain in the lower back and the sacrum.If the patient is asked to stand on the feet, the entire lumbar industry determines a sharp immobility due to muscle tension.
Tests of the lumbosacral osteochondrosis
These tests are used to carry out a preliminary diagnosis.They are named with the names of those doctors they offered.
| The symptom of Germany | When you strain the abdominal press and listen to the lower back, the pain becomes stronger.In this case, there is a high probability that the patient has osteochondrosis. |
| Neris symptom | If with a sharp tendency to the front, the head is pain in the lower back before touching the chest, this also indicates problems with the spine. |
| Symptom Laceega | This can be felt after the following actions: lie on the back and you have to increase every leg.If it breaks the lower back and the pain is given along the sciatic nerve in the leg, this is proof of the pathology of the spine. |
| Symptom of Lerrey | If the pain is manifested in one person along the sciatic nerve when he rises forward without bending the knees from a lying position, we talk 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 disc (internal pulpoose core) with a long traumatic effect and also loses its elastic properties and its elastic ability with age.
With an ongoing effect (overweight, injuries, progressive osteoporosis), the fibrous ring of the pane is thinner, defects are formed in it.Due to the specified weaknesses in the fibrous ring, the pulpo discount can shift and even remove it.
The causes of pain in the lower back
Back pain is such a non -specific symptom that can be caused by many different causes.It is constant, either periodically, primary or secondary, of the intensive one that hurts the back in the lower back.There can be the reasons that cause it:
Chronic pain:
- Osteomyelitis;
- Spondylitis Ankylosans;
- Deforming spondylosis;
- Growth diseases - scoliosis;
- Infectious lesions of intervertebral slices and vertebrae (epidural abscess, vertebral sala 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, Reirera syndrome, ankylosinus spondylitis;
- Kidney tumors;
- Atherosclerosis of the abdominal part of the aorta and its branches.
Acute pain:
- Spondylo arthritis;
- Pathology of the hip joint;
- Spine epidritis;
- Leadership of the intervertebral discs in the lower back;
- Spine osteochondrosis;
- Acute swing hernia;
- Intestinal construction, atypical course of acute appendicitis;
- Urolithiasis;
- Acute stretching, vertebral fractures;
- Lumbago, Ishias;
- Acute spine bleeding disorders - stroke;
- Acute pyelonephritis.
Radiation pain for some diseases of internal organs:
- Diseases of the pelvic organs.In women, inflammatory processes in the attachments of uterus, endometriosis, uterine cancer, ovarian cancer, std (chlamydia, ueapaplasmosis, gonorrhea, trichomoniasis, etc.) in men - prostatitis, prostate cancer;
- Gastric diseases, pancreas, duodenum, gallbladder;
- Colon diseases - inflammation of the diverticulum, non -specific ulcerative colitis, intestinal tumors;
- Renal diseases - kidney colic, kidney stones;
- Give the aneurysm of the aorta.
Physiological causes
Lows pain can occur if you:
- Suffer overweight;
- Additional risk for women;
- You are pregnant or have been born lately.
- Spend a lot of time by car or computer.
- They mainly sitting (office worker) or stand (seller, waiter, street advertising, surgeon) lifestyle;
- Dynamic physical work with a strong change in the body position (especially if your specialty is associated with severe physical activity);
- Download excessively in the gym or the fitness club.Be extremely careful when you start training recently.
- Love land work;
- They reached the postmenopause in the development of osteoporosis.
Lows pain and pregnancy
Pregnancy exacerbates the manifestations of diseases that exist in the mother's body.Due to the change in the hormonal background and an increased load of pathology, there are particularly often in the second half of pregnancy.In addition to the pain that accompany the risk of premature births, the pain in the lower back pain can be:
- Hernia of the intervertebral disc;
- Radiculitis;
- Pancreatitis;
- Pyelonephritis;
- Urolin (kidney) 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, Search as Inflammation of the Uterus -Sulpinhophores (adnexitis), as well as diseases), as well as diseases).Beckenperitoneum, intestine, inflammation of the appendix (process of the talkative intestine) in men - diseases of the prostate bladder.
The pain lies above the lower back
If the back hurts to the right of the lower back, liver pain can radiate with pathological changes in liver hepatitis, liver failure and toxic medication.The pain is most often localized in the right hypochondrium.
If the pain can be felt on the right or left directly above the lower back, it is very possible that the reason is in acute kidney disease.Many chronic kidney diseases such as polycystic, malignant neoplasms of the kidneys and chronic pyelonephritis are accompanied by small symptoms, since the kidney capsule is gradually stretched.
When visits a doctor?
- When the back pain shines on the lower back and it is a little higher (in the chest area).The pain is accompanied by sweating, vomiting and nausea, shortness of breath.
- The pain radiates on peritoneum, chest, neck, jaw.
- The patient is dizzy, confused awareness occurs.
- Tachycardia begins.
- Trauma of the spine, accompanied by loss of control via defecation, urination.
- The legs weaken, the buttocks, the genitals become deaf.
Diagnosis
In order to determine which disease triggered the pain in the lower back area, a comprehensive diagnostic examination must be carried out.
Laboratory methods:
- General and biochemical tests of urine and blood.
- Analyzes for cancer markers in the blood when tumors are formed.
Instrumental research methods:
- X -Ray of the spine.
- Endoscopy of the intestine, stomach and uterus.
- Ultrasound examination of the abdominal cavity.
- Magnetic resonance imaging.
How do you treat back pain in the lower back?
How do I treat your lower back?The approach to treating the back completely depends on the symptoms of the disease, the diagnosis of the illness provided by the doctor.As a rule, a comprehensive approach is used, which includes several treatment methods.
Anesthetics.The ointment helps to relieve inflammation, stretch, a heating effect when the lower back is cold.
The following ointments are differentiated:
- Combined medicines (used for sprains and injuries as well as anti -inflammatory and analgesic effects have a healing effect due to their substances);
- anti -inflammatory analgesics (they include medical substances of cooling effects that relieve irritation - menthol, lavender and analgesics);
- Chondroprotectors (one of the active components of such drugs is a substance used for pathological processes in the cartilage, which contributes to the activity of cartilage surfaces of the joints);
- Local medication (the effect is based on the expansion of blood vessels and blood flow on the pain source).
With therapeutic exercises, the patient can reduce pain, make the muscles strong and increase the distance between the vertebrae.You will help to free the oppressed roots of the nerves, to normalize blood flow on the affected area and to improve the metabolic processes.
In order for such gymnastics to be treated and not crippled, all recommendations from the treating doctor must follow.
- Movements are carried out slowly and smoothly without sharp curves;
- The room must be ventilated before training;
- The patient should wear clothes that is not an embarrassing movement.
- Exercises are carried out when the patient is inhaling, and when exhaling, he has to return to the original position.
- The load gradually increases.First the number of approaches is approximately 10 and then they are increased;
- You should monitor your fountain during gymnastics.When a sharp pain has started, you have to stop your classes.
In addition, the massage helps perfectly to get rid of the pain in the lumbar spine.The positive therapeutic effects of the massage include the following:
- Improvement of blood supply to the diseased part of the body;
- Knead muscles, which makes their ligaments more flexible and elastic;
- Distance of acute pain;
- To get rid of the toxins accumulated in the muscles and subcutaneous tissue;
- pleasant sensations by stimulating the nerve end of the skin;
- Positive emotions.
It can be familiar with a specialist in the clinic or carried out at home.In any case, the advantages of him are invaluable.
Which doctor should you contact?
In the case of back pain, the cause of which is not known, it is initially necessary to contact the therapist.It will help to determine the disease by the entirety of the symptoms.
If the reason is obvious: an injury was assumed before pain, the pain occurred against the background of pregnancy, menstrual cycle or chronic illness.It makes sense to contact a closer specialist immediately.
Self -medication is only permitted in cases where the cause of the pain is well known.