Each person at least once in his life faced a problem when his back hurts in the lower back.This symptom usually appears with an extended seat in an uncomfortable position.The pain is safe for health and passes after a good rest.
Treatment can be prescribed only after complete diagnosis and determination of the cause and nature of the disease.No action can be performed independently without examining a doctor.
A variety of reasons
The most common causes that lead to pain: osteochondrosis, scoliosis, hernia of intervertebral discs.Tumors and infectious tissue lesions are much less common.
Depending on the disease, the pain manifests itself in different ways.If the cause of pain is renal colic or stomach ulcer, sensations are constant, regardless of the nature of the activity (a person is located or occupied with active activity).
If there is osteochondrosis of the thoracic region, the pain gives the heart, then the patient mistakenly believes that he has an angina chest.
If the lumbar region hurts in a lying position
When the pain appears and the person does not know what to do with him, he prefers to lie down, waiting for discomfort to pass.But if the pain intensifies in the position of bedtime, there is probably a disease of the musculoskeletal system, which is called Bekhterev's disease.
The disease affects young men, changes occur in vertebrae and are growing, spine flexibility is reduced.
Due to the fact that the spine cannot assume a natural position, a person in a lying position feels pain.
Bekhterev's disease is inherited, the impetus for development is given by chronic infectious diseases.Pain intensifies if you carry a sedentary lifestyle.
The first sign is the feeling of rigidity in the spine, as well as bedtime in the lower back.Early diagnosis allows you to completely cure the disease.
Primary pain syndrome
Doctors share primary and secondary pain syndromes when it comes to back pain and lumbar.
Primary lumbar pain syndrome contains muscle-e-skeletal changes that are morphofunctional.
This includes the most common causes, which is why pain arises:
- osteochondrosis (bone and cartilage injury, intervertebral disc);
- Spondyloprystosis (damage to intervertebral joints that affect spine mobility).
Secondary pain syndrome
Secondary syndrome includes a greater variety of diseases, due to which the back hurts in the lower back:
- Scoliosis (curvature of the spine);
- reflected pain;
- osteoporosis and osteomulation (back tissue injury);
- Bekhterev's disease (inflammation of a non -infectious nature);
- Rheumatoid arthritis;
- isolated tumor or formed metastases;
- tuberculosis, epidural abscess, brucellosis (infectious diseases);
- a stroke condition that leads to a violation of cephalorean circulation;
- gastrointestinal diseases (in particular, appendicitis or intestinal disease);
- diseases in the pelvic area (renal colic, sexually transmitted diseases);
- Fracture of the dorsal vertebrae (the most dangerous and serious reason).
Acute pain
Lumbar pain is also divided into sharp and chronic.Each of them shows for certain reasons.
The non -hollow but painful manifestation of acute pain is muscle stretching.It occurs due to the formation of cramps in long muscles.
Most of the time, athletes and people of job specialties suffer from a problem.The pain is located in the lower back, but is clearly felt in other parts of the body, human mobility is limited, lying down.
The spine also leads to acute pain.The most dangerous lesion is the fracture of the spine.
A fracture may be caused by a fall and may occur completely, for example, if a person suffers from Pedget disease, osteoporosis, hyperparathyroidism, or has a tumor.
The displacements of intervertebral discs in the lower back are also brought to pain.In this case, human mobility will be very limited.
The pain itself is caused by compression of nerve roots.Additional symptoms:
- impaired sensitivity;
- decrease or complete absence of aquiles and knee reflexes;
- Radio pain.
The displacement of the vertebrae can lead to the pathology of the next, which were healthy to the last.Violations of the lower vertebrae lead to bladder and intestine diseases.
Another reason why acute pain occurs is the easy syndrome.The intervertebral disc is not affected at the same time, only the compression of the spine, which comes out of the spinal canal.The intervertebral orifice is reduced due to the narrowing of the intervertebral orifice.
A severe disease as an epidural abscess can lead to pain.What in this case do?
With the disease cannot be delayed as it can lead to tragic consequences.It is necessary to immediately take all measures to eliminate compression of the spinal cord, sometimes surgical intervention is necessary.
In the area, from the lower back, ending with knees, can give pain caused by hip joint diseases.
Chronic pain
If the back are sick in the lower back and the pain is constantly present, it is hurting or pulling, then it indicates other diseases than in acute pain.
The first reason is to deform spondylosis.Lumbar vertebrae undergo dystrophic changes, ligaments weaken, bone growth begins.
As a result, bone outbreaks occur to exert pressure on nerve roots and pain pain.Symptoms can be added to numbness and weakness in the legs.
Chronic lumbar pain can be caused by cancer or harmed metabolism processes.
In this case, you need to do antitumor therapy, change the day regime and nutrition to eliminate the root cause, everything else will be ineffective.
Another reason is osteomyelitis when the infection penetrates the bone and causes inflammatory processes.
Sickness
Other diseases that cause pain in the lower back
- Factal arthropathy;
- spinal canal stenosis;
- disc herniated;
- myogenic pain;
- Rupture of a fibrous ring.
In women, pain can be caused by pelvic diseases such as endometriosis, uterine carcinoma and ovaries.In men - prostatitis or prostate carcinoma.
Path of the shoots, a tumor in the stomach, the duodenum can also give the lower back.Pain occurs with ulcer colitis, colon tumors, diverticulitis.
If the pain applies not only to lumbar but also to the thoracic region, it is important to exclude the likelihood of aortic stratification.
For harmful causes, there may be physiological changes, for example, a postpartum period or a clear set of mass, the influence of epidural anesthesia.
Treatment of this pain is not performed, the patient can do nothing, the pain will pass after a while.
Lumbar region treatment
Before you start treatment, you need to make a diagnosis correctly.First, the doctor performs a clinical examination of the patient and then has the results of ultrasound and magnetic resonance exams.
Based on diagnosis, a therapeutic program is already selected, combining various methods.
First of all, treatment aims to eliminate pain syndrome in order to return the patient a comfortable life.After all, complete cure of the disease (if possible) can last years.
If a bruise becomes the cause of the disease, a traumatologist will be treated.Depending on the cause of the pain/family doctor should reveal, the additional history of the disease can lead an orthopedist, nephrologist, urologist, proctologist, gynecologist, cardiologist, gastroenterologist, lung, infectious media.
Previously, the treatment of pain in the lower back was performed exclusively with antibiotics.Now there are so many methods for treatment that only an experienced doctor will help choose the right one.
To facilitate the patient's condition, it is recommended to change the mattress to orthopedic.The pain will eliminate ointments and gels that heat the painkillers, which also contain anti -inflammatory components.
It is also advisable to use non -esteroid anti -inflammatory drugs.Muscle cramps will be removed by muscle relaxants, nervous spine swelling will eliminate diuretic and vascular products.
When the patient can return to a normal lifestyle, treatment continues with physiotherapy, massage and therapeutic exercises.
The treatment is performed using the following non -Drug methods:
- vacuum therapy;
- acupuncture;
- laser therapy;
- Manual therapy;
- Dry traction;
- Pharmacopuncture;
- Electrical stimulation;
- Magnetopuncture.
This treatment provides rapid pain removal and also eliminates the cause itself, thus ensures a long long term result.