Each person at least once in his life faced a problem when his back hurts in the lower back.Such a symptom often appears with a prolonged seat in an uncomfortable position.Pain is safe for health and goes after a good break.
The treatment can only be prescribed after the complete diagnosis and the determination of the cause and nature of the disease.You cannot perform any action 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, pain manifests in different ways.If the cause of pain is renal colic or stomach ulcer, then the 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, then pain gives the heart, then the patient erroneously believes that he has angina pectoris.
If the lower back hurts in a liar position
When pain appears and the person does not know what to do with him, he prefers to go to bed, hoping that discomfort will pass.But if the pain intensifies in the position of bedtime, it is most likely that there is a disease of the musculoskeletal system, which is called Bekhterev's disease.
The disease affects young men, changes occur in vertebrae and are growing, the flexibility of the spine is reduced.
Due to the fact that the column cannot take a natural position, a person in a liar position feels pain.
Bekhterev's disease is inherited, the development impetus is given by chronic infectious diseases.The pain intensifies if you lead a sedentary lifestyle.
The first signal is the sensation of rigidity in the spine, as well as if the lower part of the back is improved.Early diagnosis allows you to completely cure the disease.
Primary pain syndrome
Doctors share primary and secondary pain syndromes when it comes to back and lower back pain.
Primary low back pain syndrome contains muscle-skeletal changes that are morphofunctional.
This includes the most common causes, so pain arises:
- osteochondrosis (bone and cartilage injury, intervertebral disc);
- Spondyloprosis (damage to the intervertebral joints that affect the mobility of the column).
Secondary pain syndrome
Secondary syndrome includes a greater variety of diseases, because the back hurts in the lower back:
- Scoliosis (spine curvature);
- reflected pain;
- osteoporosis and osteomulation (costeen tissue injury);
- Bekhterev's disease (inflammation of a non -infectious nature);
- rheumatoid arthritis;
- isolated tumor or metastasis formed;
- tuberculosis, epidural abscess, brucellosis (infectious diseases);
- a stroke condition that leads to a violation of cerebrospinal 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 acute and chronic.Each of them shows for certain reasons.
The manifestation does not but painful of acute pain is muscle stretching.It occurs due to the formation of cramps in long muscles.
Most of the time, athletes and work specialties suffer from a problem.The pain is located in the lower back, but it clearly feels in other parts of the body, human mobility is limited, lying down.
The spine also leads to acute pain.The most dangerous lesion is spinal fracture.
A fracture can be caused by a fall, and can happen completely, for example, if a person suffers from pedget disease, osteoporosis, hyperparathyroidism or has a tumor.
The displacements of the intervertebral discs in the lumbar region are also taken to pain.In this case, human mobility will be very limited.
The pain itself is caused by the compression of nerve roots.Additional symptoms:
- altered sensitivity;
- decrease or complete absence of Achilles and knee reflexes;
- Radio pain.
The displacement of the vertebrae can lead to the pathology of the nearby, which were healthy until the end.The violations of the lower vertebrae lead to bladder diseases and intestines.
Another reason why acute pain is easy syndrome.The intervertebral disc is not affected at the same time, only the compression of the column is produced, which leaves the spinal channel.The intervertebral hole is reduced due to the narrowing of the intervertebral hole.
A serious disease as epidural abscess can cause pain.What in this case do?
With the disease it cannot be delayed, since it can cause tragic consequences.It is necessary to immediately take all measures to eliminate compression of the spinal cord, sometimes surgical intervention is required.
In the area, starting from the lower back, which ends with the knees, can give pain caused by hip joint diseases.
Chronic pain
If the back is sick in the lower back and the pain is constantly present, it is hurting or pulling, then this indicates other diseases that in acute pain.
The first reason is to deform spondylosis.The vertebrae of the lumbar region suffer from distributing changes, the ligaments weaken, bone growth begins.
As a result, bone growth begins to exert pressure on nerve roots and painful pain occurs.Symptoms can be added to numbness and leg weakness.
Chronic lower back pain can be caused by cancer or deteriorated metabolism processes.
In this case, you must do antitumoral therapy, change the regime of the day and nutrition to eliminate the root cause, everything else will be ineffective.
Another reason is osteomyelitis when infection penetrates bone and causes inflammatory processes.
Disease that leads to low back pain
Other diseases that cause pain in the lumbar region
- Facetal arthropathy;
- Espinal channel stenosis;
- disc hernia;
- 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: prostate prostatitis or carcinoma.
Road of the outbreaks, a stomach tumor, the duodenum can also turn the back.Pain occurs with ulcerative colitis, colon tumors, diverticulitis.
If the pain applies not only to lumbar, but also to the thoracic region, then it is important to exclude the probability of aorta stratification.
For harmful causes, there may be physiological changes, for example, a postpartum period or an acute mass set, the influence of epidural anesthesia.
The treatment of such pain is not carried out, the patient cannot do anything, the pain will happen after a certain time.
Lumbar region treatment
Before starting treatment, you must make a diagnosis correctly.First, the doctor performs a patient clinical examination, then is based on the results of ultrasound and magnetic resonance exams.
According to the diagnosis, a therapeutic program is already selected, combining several methods.
First, the treatment aims to eliminate pain syndrome to return a comfortable life to the patient.After all, the complete cure of the disease (if possible) can last for years.
If a hematoma became the cause of the disease, then a traumatologist will be treated.Depending on the cause of the pain that the therapist/family doctor should reveal, the additional history of the disease can lead to an orthopedist, nephrologist, urologist, proctologist, gynecologist, cardiologist, gastroenterologist, pulmonologist, infectious media.
Previously, the treatment of pain in the lower back was carried out exclusively with antibiotics.Now there are so many methods for treatment that only an experienced doctor will help choose the correct one.
To facilitate the patient's condition, it is recommended to change the mattress to orthopedic.The pain will eliminate analgesics that heat ointments and gels, which also contain anti -inflammatory components.
It is also advisable to use non -steroidal anti -inflammatory medications.Muscle cramps will be eliminated by muscle relaxants, the swelling of the nerve column will eliminate diuretic and vascular products.
When the patient can return to a normal lifestyle, treatment continues with physiotherapy, massages and therapeutic exercises.
The treatment is carried out using the following methods that are not fragments:
- vacuum therapy;
- acupuncture;
- laser therapy;
- manual therapy;
- dry traction;
- pharmacopuntura;
- electrical stimulation;
- Magnetopuntura.
This treatment provides rapid pain elimination and also eliminates the cause itself, so it guarantees a long -term result.