Back pain is familiar to almost every. Such diseases as sciatica, low back pain, very common causes of temporary incapacity, particularly in individuals employed in physical work. Often the pain in the back associated with changes in the lumbosacral part of the spine, which should be taken very seriously. Although back pain can be a consequence of congenital anomalies of the spine and the ligaments of the device, acute and chronic infection, poisoning or even the volume.
Lower back pain, sometimes very strong, and sometimes the person who takes them easily enough. The point is that the reaction to pain is individual, affect mental and age-related factors. In advanced age the pain when the sciatica is very strong, although usually the perception of pain in older people is weakened. And in patients with mental illness, sensitivity to pain is significantly reduced, including lumbosacral radiculitis.
Pain is a complex adaptive mechanism, sometimes referred to as a "guard dog" of health. It is caused by external influences, or malfunction in the body, this marks the risk. Having pain signal, the body contains mechanisms to protect from its negative effects. Thanks to pain a series of pathological processes discover yourself sooner than what is presented to some of the external symptoms of the disease. So, the pain play a positive role: they give to know about what had to be done. If you have any lower back pain and the sacrum, the don't delay contact your doctor. Remember the eastern wisdom: "Treat disease easy, to not have to deal with the heavy".
One-third of patients with lumbar pain caused dystrophic changes in the spine, which bear the general name of "back pain". Back pain - the changes of the bones and ligaments of the spine due to degeneration intervertebral disc. In addition, when osteochondrosis. the spine can be formed from bone προεκβολών - osteophytes, which irritate the nerve roots and the sensitive nerve endings of the spinal column and ligaments, causing stupid pain pain in the back.
Intervertebral discs account for lenticular lenses in the form of a suitable small grooves on the surface of the vertebrae. With age, discs lose moisture, dry out, appear in those cracks, gaps and crevices. As a result the vertebra is mobile and can slide off of the disk, which will lead to a stenosis of intervertebral holes and pressings that here chamber stop root. The vertebrae of the lumbar spine more flexible, and together with those who experience the maximum load when lifting weights. Therefore, the discs between the most subject to deformation.
Suffering lumbar osteochondrosis. experiencing intense pain, and the cause is not only a mechanical irritation of the nerve roots: when rupture of the membrane and partitions intervertebral disc released substances, irritating pain receptors.
At a more advanced stage of the disease discs bulges, forming the so-called mezhpozvonkovuyu hernia, which usually occurs in people middle-aged and older. Most commonly affects the discs of the lumbar spine, as intervertebral holes between IV and V οσφυϊκήυ of the vertebrae and between the V lumbar vertebra and the sacrum - narrow, and passing the nerve roots - the most massive. mezhpozvonkovaya hernia is very dangerous. And it's not just the fact that it will block the nerve roots, causing pain by type of sciatica. Massive herniated disc presses on the spinal cord, which can lead to loss of sensitivity or even paralysis of the legs, as well as on disorders of urination.
For the lumbar herniated disc is characterized by the following symptoms: "housing" - the patient to be lifted is forced to draw the hands on the knee or a chair, to reduce the load on the affected drive? "pillows" - the inability to lie down on the stomach, I tucked it under the pillow? "landing" - the patient, trying to pick up something from the floor, not leaning, and bending down.
One of the main reasons for degenerative disc disease of the spine - a violation of fat and salt exchanges of substances. Sometimes, osteochondrosis arises as a result of abnormalities of intervertebral disc, their innate inferiority. External factors, causes the development and aggravation of lumbar degenerative disc disease, are: high humidity, sudden temperature fluctuations, plans? a significant and prolonged tension of the muscles and bones, ligaments, heat the area of the sacral part of the spine? the mechanical injury, and chronic infections.
The most frequent diagnosis with strong back pains - sciatica. It was long thought that the disease has an infectious origin. However, the practice shows that patients usually do not increases the body's temperature, increases the number of white blood cells in the blood and the cerebrospinal fluid. Sciatica almost don't get sick kids. It means, in most cases it is unlikely to cause sciatica can be a infection.
Really, sciatica - one of the most common manifestations of degenerative disc disease. Pain in the lumbosacral area in this disease can be acute, and stupid. It's usually one-sided, gives the rear, the rear surface of the thigh and the outer surface of the tibia. Pain in the sciatica can be enhanced with a change in body position, walking, coughing, sneezing, straining. Sometimes it is combined with sensations of numbness, burning sensation, tingling, burning sensation, itching. Increases the sensitivity of the skin, painful muscles in the lower back, buttocks, calves.
The symptoms of sciatica quite intense. The patient's changing walking, standing, displayed characteristic movements and postures. The walking will lean the trunk forward and to the healthy leg. In the upright position, the sick leg is bent, which reduces the intensity of the nerve trunks. The movement of the body in the lumbar spine are limited. On the sick side back muscles in tension. When sciatica is often twisted spine. The patient sits in a healthy hip, throwing the torso back with a tilt to the healthy leg. If you need to lift an object from the floor, bends down, or leans the torso forward, by bending at the same time the injured leg. In the prone position, the sick leg is usually bent.
Mild forms of sciatica almost does not restrict the patient on the move. If the disease progresses, the tone of the muscle is reduced, displayed muscle weakness, patients worried about itching, the sensation of "crawling". Lying in bed, suffering hours can't find a comfortable position. They often feel cold, dryness or, on the contrary, moisture stop. The skin of the feet, pale or acquires a bluish tint and thinner. But if you see these symptoms you won't have to put yourself hasty diagnosis of "sciatica". A similar picture give pannikulez - inflammation of the subcutaneous fat in ground disturbances of metabolism in adipose tissue, as well as lesions of the joints of the feet.
Apart from recurrent sciatica widespread this acute form of the disease lumbar spine, such as back pain, or back pain. When back pain become irritated the nerve roots and a sharp pain. It is more likely to occur in individuals employed heavy physical work, as a result of the wave of the lumbar muscles, and often when hypothermia. But sometimes a crisis of back pain, can cause acute and chronic infections, also, can be one of the manifestations of sciatica. Pain, usually stop after a few days, but sometimes last two to three weeks. Until the crisis will not let go, the patient better comply with bed rest.
A special form of low back pain develops, when after heavy physical exertion is going on tearing muscle bundles, tendons, or bleeding in the muscles. This kind of οσφυαλγίαα manifests itself pain in the back throughout the length of the spine and the feeling of total muscle fatigue.
Should particularly be stressed: if you have sick fish fillets, this does not mean that amazed by the vertebral column. The cause of lumbar pain can be a myositis (inflammation) of the lumbar muscles. The disease lasts for a very long time. Muscle pain is not so strong, as with the back pain, but stupid, aching. When you do this, the muscles compressed, painful to the feeling and stretching. In patients with chronic infections and metabolic disorders myositis of the lumbar muscles may be combined with pain in the joints.
Pain in the back is so strong, that without treatment I can do. Regardless of the cause of the episode, during the first few days you'll have to remain in bed. In the next few days, as it calms the pain, the patient is allowed to walk, and at first, preferably on crutches to unload the spine. The bed should be tight - thin layer, that the wooden shield.
For the local heating of a greater area of pain is used χρίσματα, as well as the mustard or the pepper spray patch. Bring relief warm woolen shawl, an electric warmer, a pouch filled with hot sand, leeches. A good scrubbing as anti-inflammatory and painkillers. When myositis help hot packs.
Analgesic action have elektroprotsedury: percutaneous elektroanal'geziya, sinusoidal-modulated currents, diadynamic currents, electrophoresis with novocaine and other. For the same purpose used reflexology (acupuncture, moxibustion, electroacupuncture, laser therapy), and novocaine blockade. During the sciatica, caused by displacement of intervertebral disc, is used traktsionnuyu therapy - resistance of the body in the bed or under the water. These procedures should be carried out in a hospital. Effective balneotherapy - chloride, sodium, radon, sulfide, turpentine, bromine baths, Naftalan, mud application low temperatures.
One of the actively developing of the kinds of therapeutic action, when back pain has become the method of "biofeedback". The principle document excellent interior physiologist. E. K. Anokhin still in the 30s of the last century. The method includes the education management functions of the organization. Here's how it looks using the for the treatment of back pain. Before ill placed your work the more relax the muscles of the back. The patient sees his own elektromiogrammu, shows the intensity of the muscle, on the screen, and when it is very tense, he hears a beep. The relaxation amplitude of emg is reduced, the sound disappears. As a result, the patient formed a motive for reduction of pathological muscle tension. Usually, the results are not achieved instantly. Can the patient learn to relax and manage tone of muscle, you will need to spend five or six sessions. In the future, patients are able to manage the relaxation of the muscles of the back on your own.
Of particular importance for the treatment of pain and prevention of attacks has been wearing external support κου'φωμάτων - orthoses: corset, posture corrector body? reklinatora (special corset, resolves slope), a mainstay, as well as bands: elastic, belt weightlifter, or a more convenient. All warn deformation of the spine, improves venous and lymphatic flow, giving the impression of harmony. Well, if the composition of the material from which is made of the zone that includes wool.
The only thing that should be borne in mind, that if you don't comply with medical advice, then the regular placement of the stand may cause damage. First of all, wear over the underwear, to avoid worn-out shoes. Very tight clamping of the stand makes it difficult to breathing, digestion and blood circulation in the lower half of the body. If you don't break up with them, nor day, nor night, can atrophy of the muscles of the lumbar spine. Orthoses useful in long sitting at the table, intense physical exercise, driving in public transport. Otherwise, it's better to do without them - the muscles have to work. Perfect medicine against pain in the back were, and still are courses in therapeutic exercise. The own muscle "corset" artificial "brace" for the spine unnecessary.
Sometimes, to relieve the pain of a heart attack, patients have to resort to taking anti-inflammatories and painkillers. With very severe pain are more effective as intramuscular injection. Usually prescribe analgesics and non-steroidal anti-inflammatory drugs . Anti-inflammatory non-steroids through abuse too, not worth it. Contra-indications for their application is the gastric ulcer and 12 duodenal ulcer in the phase of deterioration, expressed human liver. To avoid complications, you need to take only a drug of short duration, for 5-7 days, pre-selected on the basis of the individual characteristics of the body.
In the elderly (older 65 years) when arterial hypertension, cardiac insufficiency or ulcer, non-steroidal medicines it is better to replace the so-called inhibitors of cyclooxygenase-2. These drugs almost does not irritate the gastrointestinal tract and does not have other side effects. Well to pass the course injection of vitamins, particularly B complex