There is practically no person who would have no pain in the back in the back at least once in his life.We pay for the uprising and our budget habits.
In addition to damage that can affect the spine, its muscles, nerves and ligaments should be taken into account that sometimes the back in the lower background area with internal diseases - kidney diseases, stomach -intestine tracts and female genital organs - hurts.
Pain symptoms in the lower back can vary from stupid to sharply.The pain can take place independently or go into chronic (the symptom is longer than three months).
Dangerous!
Take a doctor immediately if:
- After an obvious back injury, pain occurred sharply in the lumbar region;
- The temperature rose sharply, there are autonomous disorders, loss of consciousness, sweating, breathing difficulties;
- Insparious emptying of the intestine and the bladder occurs;
- Dustiness can be felt in the groin area;
- There was a weakness of the lower extremities, their paresis or paralysis, impaired sensitivity;
- The stomach is given pain and is sharply reinforced with cough or sneezing.
- The symptoms occurred against the background of a sharp weight loss, the long -term use of steroids, immune deficiency;
- In the family history there were cases of cancer, inflammatory or degenerative diseases of bone cerry tissue.
Why does the back hurt in the lower back?
Miofascial pain
Muscary stretching or cramp can gradually develop or suddenly occur.With a high load, damage is influenced not only by muscle fibers, but also by a band apparatus and a fascia.
To after:
- Increasing heavy weights or excessive load during work or sport;
- Sport from time to time.The muscles are particularly susceptible if they are inactive in the working week and then spend the clock in the gym at the weekend.
- A strong increase in the weight of your own body, behind which the muscles have no time to grow;
- long sitting or in an unpleasant position;
- Wear a bag in one of the hands or shoulder every day;
- Moster disorders.The spine best performs its supporting and protective function if you don't bend down.The muscles in the lower back have the smallest load when they sit under the lower back with good support and spread the weight evenly in the position on both legs.
If the back is sick after a bruise, a fracture, a stretch, hypothermic, an infectious disease or the installed helminthian invasion, myositis (inflammation) of the lower back muscles can be suspected.There are constant pain due to the inflammation of the muscle fibers, "nodules" can be felt in muscle pasmeal.Inflammation can be acute or take a chronic form.With a long course of the disease, the pain is unstable, reinforces with longer lies or sitting, closer to the evening or to change the weather.Touching the muscles causes a feeling of pain and symptoms, the lower back muscles are in constant tension, inflammatory edema, the temperature rises locally and on the level of the entire organism.
In the event of a muscle cramp, the roots of the vertebral nerves are violated, so that the attacks often resemble an image of Ishias or radiculitis.The combustion of severe pain on the back of the thigh and lower legs are noted, the limbs are deaf and lose sensitivity.A pronounced muscle tone for myositis makes the patient take a forced position, it goes and lies twisted and moves on semi -bound legs.
How do you treat muscle pain in the spine?In order to eliminate inflammation and pain, non -steroid inflammatory medication and analgesics are used.Medications can be taken in the form of tablets, ointments, injections, transdermal paving with a gradual release of active substances.Another irritating and heated ointments are also used, which reflexively increases blood flow to the muscles of the lower back.A larger volume of flowing blood helps to read products of inflammation and the expiry of tissues.
Injections of corticosteroids and vasodotonizing drugs contribute to the decrease in inflammatory edema.
If the cause of MySOSITE is infection or poisoning of the body with wormstoxins, the therapy is initially carried out with antibiotics or anhelmine active ingredients.In this case, it is impossible to use heat ointments or compresses.
Diseases of the comb with nerve endings
In the lumbar section, the vertebrae are separated by elastic cartilage slices that protect the comb from injuries, but wear and aged themselves.
Usually the disc is a jelly -like pulp core, which is surrounded by a denser layer of a fiber ring.The elasticity of the core is due to its ability to bind and keep water: If the load increases, it gains water and elasticity increases.When the pressure is reduced, the core gives water and becomes flatter.
Osteochondrosis in the spine department develops in the event of a violation of the food discs (their "drying") or with excessive local load.Most often, the pain in the lower back is due to the fact that the lower poles of its intervertebral discs carry the greatest load during the seat when they raise the weights in front of themselves.At the same time, tears, shifts in the panes are formed, vertebral bands are damaged, constant painful pain and pulsation occur.
The pain in the spine has several development mechanisms:
- Violation of microcirculation in the tissues that surround the spine, and especially in the Cerebrospinal Canal, the formation of traffic jams and edema.Such conditions develop against the background of hypothermia, overheating and inflammatory processes.
- Degenerative processes in the spine's fixing tapes.An increase in mobility of the vertebrae leads to its slight shift and not to physiological compression that causes violations of nerves, blood vessels and the formation of hernia.
- The axial compression of the vertebrae when lifting weights or their damage by excessive rotation (rotation).
- Aseptic inflammation.The destruction of the core leads to the outcome in the cerebrospinal channel of sensitizing factors.An irritation of the nerve end occurs, causing a muscle cramp that violates the neighboring vertebrae - higher and below the hernia.Gradually, the reaction covers the entire lumbar spine and means that movements cause a feeling of pain.
The weakened disc can be torn apart with the formation of lead, lead or prolapse of the core and as a result - a hernia.The appearance of a hernia exerts pressure on the spinal cord and the roots of the spine nerves.Under such conditions, pulsating pain in the lower back appears strong, which deviates along the injured nerve.The most famous cases of compression of the sciatic nerve (Ishias) show up by sharp pain on the rear surface of the thigh and lower leg, the numbness of the limbs from the side of the hernia, the muscle weakness, the involuntary legs.
Pain in the lumbar spine intensifies in a seated position and, with curves and tendencies.Often there is a protective muscle reaction - a painful contraction of the muscles (rollers) on both sides of the spine, which isolates the department of excess movements.Osteochondrosis then leads to the occurrence of lumbosacral radiculitis (inflammation of the roots of the spine nerves).
The spine syndrome is dangerous if the nerves under the lower back reserves are responsible for the innovation of the internal organs (ponytail roots).At the same time, the stomach pain, the function of the bladder and the intestine is affected, problems with the effectiveness of men and gynecological diseases in women are caused.
Many patients who, due to the fact that the lower back hurts very much, analgesic posing rejection absorbs the body to the left when the right side hurts.Lie on the right when the hernia is left.The occurrence of severe pain when pressure on a hernia in intervertebral interval (call symptom) is also characteristic.
Than to treat when the back with osteochondrosis hurts:
- During the pain attack you can take an anesthesia pose - lie on your back and put the roll under your knees.It is also recommended to sleep on a hard surface.
- From analgesics you can take NSAIDs internally or in the form of injections on both sides of the spine in the lumbar hotel.
- Use local growth as a distracting therapy - mustard pavement, iodine network, peppers and ointments;
- Eliminate the mytic cramp through manual therapy, acupuncture, vacuum massage, reflex zone massage, gymnastics;
- If you fade the acute time, you can use mud treatment, ozokerites and warming.
The treatment of pain with radicular syndrome includes:
- Ensuring the bed regime, the traction of the lumbar spine (dry or under water);
- the use of analgesic blockade at the location of the violation, the reception of NSAIDS or weak opiates;
- Physiotherapy - stimulation of microsturia, electrophoresis with analgesics.
Indications for the company are constant acute pain and a violation of the function of internal organs, the development of paralysis of the limbs, the sequestration of a hernia in the vertebral canal.
Degenerative anti -inflammatory lesions
During the degeneration, spondylarthrosis (inflammation of the curved joints of the vertebrae) occurs, a decrease in the height and volume of the intervertebral discs.The pain of the lower back occurs out of the capsule of the capsule and increase the pressure on the surface of the intervertebral disc joints.Pain makes the patient bend more in the lower back, which increases the overload of the band fire joints.Complaints in the lower back are particularly improved by wearing shoes in paragraphs, long, lowering the slopes, the position that the body leaves behind, for example when looking at a little over the head.
In patients with such a diagnosis in the morning, the stiffness in the lower back is noted, the pain increases during the day or after the stress.It has a buried character and it is difficult to show the boundaries clearly: discomfort is determined in the gluten muscles, in the inguinal areas, in the lower abdomen, in the scrotum in men.This spondylarthrosis differs from the radicular syndrome if you can specify a source of pain points.
What to do to relieve pain?Usually the introduction of the situation on your back helps and bends your legs into the hip and kneeenges.
The drugs are not preferred to steroidal anti -inflammatory drugs and non -narcotic analgesics.In the case of acute back pain, an intramuscular introduction of NSAIDS results in an intramuscular effect.
Musodies are also added because they relieve muscle tension and improve the mobility of the spine.
Psychotherapy has a positive effect because chronic pain introduces the patient into a state of depression.
In contrast to the osteochondrosis, spondyloses more influenced the fibrous ring of the intervertebral disc and the front longitudinal strips.In this disease, composite structures are used with the formation of the vertebrae of the growth osteophytes.These formations cause a violation of the microcirculation near the roots of the nerves and cause the back in the lower back and the mobility of this department is limited.
Treatment is usually conservative and using anti -inflammatory medicines, analgesics, vitamins.A good effect gives electrophoresis, manual therapy, physiotherapy (amplipular, laserinstallation, shock wave therapy, to destroy compacted elements and increase the mobility of the spine).
Pay attention!
Osteophytes are not absorbed in an advanced stage.While their dimensions are low, the treatment aims to eliminate inflammation, pain and improvement in metabolism.If the back does not hurt very much, nothing is done with growth.If osteophytes cause constant pain or have large sizes, they can be removed during the operation.
Diseases of tumor nature
Low's pain can occur by compression of the spinal cord with an outside tumor (extramedullary formations) and from the inside (intramedullar, come from the spine itself).
Cells of different fabrics can grow pathologically:
- Fat - lipom is formed;
- Nerve roots - neuriom;
- Spinal cord vessels - hemangioma;
- Aid fabric - gliom;
- Bone tissue - osteosarcoma;
- Cartilage - chondrosarcoma.
The tumor process, especially malignant, is characterized by pain that resembles radiculitis (can of nature and bilateral nature), a general deterioration in the patient's condition.
If the pathology influences the I - IV lende vertebrae, the front and the sides of the upper thigh, incomplete paralysis of this area, will be felt.
In the event of damage in the area of the IV lumbar segments, the deafness of the paraghenic region, the impairment of the motor and sensitive innovation of the gluteal muscles, the back of the thigh, veal and incontinence of feces and urine is determined.
During the neoplasm in the area of the V - III sacral vertebra, the work of the pelvic organs is pronounced.The patient suffers from sexual impotence or violation of menstruation, constipation or incontinence of feces and urine.
Treatment of tumors is specific, pain relievers and antitum medication are prescription.
As you can see, the pain in the lower back is usually caused by musculoskeletal pathologies.They can be diagnosed by clinical signs and data from the study, whereby the main task is to correctly determine the type of disease and not to confuse them with cancer, diseases of the internal organs or an injury.If the pain of the lower backrest appears, we always recommend looking for a neuropathologist or orthopedic surgeon for advice.