Many people are familiar with is a symptom such as "sore lower back". Usually the discomfort associated with various diseases of the spine, but in practice often it turns out that the reason in other. Often the pain in the lower back occurs in women towards the end of pregnancy, as well as spine after experiencing the biggest weight than usual.
The cause can also be various diseases in the internal organs, degenerative-dystrophic changes in the bone-cartilaginous machine lower back etc Quiet way of life, intense working conditions, professional sport, obesity can cause pain in the lower part of the spine.
Back pain doctors call the condition "infertility". It is common phenomenon, which is characterized by a sudden appearance and disappearance of the pain. Some patients undergo a short course of treatment and do not experience the discomfort, others need to be treated for months, even years. To define the exact cause of the pain in the lower back, should pass the examination first, the therapist, and then from industry to services – the experts.
Causes
Often the pain in the lower back is a symptom of various diseases of the musculoskeletal system. Often unpleasant sensations disturb the people who spend a lot of time on the computer, in the car, engaged in heavy physical work, the loads yourself to the gym. In the high risk group included pregnant women or women who recently gave birth.
Diseases, accompanied by pain in the lower back
Pain in the back down may indicate diseases such as back pain or spondylolisthesis. This is called the primary cause of the pain, associated with functional and morphological changes of the spine.
Among secondary causes of back pain secrete:
- cancer processes in the vertebrae, the spinal cord?
- injury of the spine?
- infectious process of the intervertebral disc and vertebra?
- metabolic disorders in the bones (osteoporosis, osteomalacia);
- inflammatory diseases of non-infectious etiology (rheumatoid arthritis, spondylitis);
- acute hemodynamics (for example, when a stroke);
- diseases associated with reduced growth?
- gastro-intestinal diseases (atypical the course of acute appendicitis, intestinal obstruction);
- renal disease (urolithiasis pain at the back of the blind, often with the right-hand side);
- disease of the pelvis.
Thus, the cause of the pain is not always hiding in the lesions of the musculoskeletal system. If the pain is caused by the reduced function of internal organs, has been irradiating character. In addition, the men hurts your back at the bottom of the spine, when chronic prostatitis, cancer of the breast, although this symptom is not always mandatory.
The pain may appear after a long walk, what it suggests for narrowing of the spinal channel. The disease manifests as a syndrome of intermittent claudication. The man, beyond that, complaining about cramps and pains in the muscles during walking. In the elderly this situation, as medicine polimialgia. First presented reasonable of pain, then a sense of stiffness in the arms or legs.
The most common cause of pain below the waist, right side, left side or in the centre, is osteochondrosis. Instrumental methods of research allow, when it revealed various degenerative-dystrophic changes in the spine. When the gap between the discs of the spine gradually reduced, with the result that it develops an imbalance in the structure as soon as spine.
This leads to pain from the lower part of the backrest, located to the left or right, or to go on the road of the ridge.
Another source of back pain – the presence of a herniated intervertebral. During the breach, compressed nerve roots is quite strong, sharp pain, to deal with which in the initial stages help steroidal and non-steroidal anti-inflammatory drugs.
A sign for an adverse outcome is the infertility, which is manifested range of a variety of symptoms. Pain in the way a nervous root can give to the buttocks and legs. The discomfort appears when gradients (even when the head is tilted down), laugh, cough, etc. Pain syndrome is enhanced when lifting lying on your back straight leg.
How to manifest pain in the back
Symptoms of pain in the back is wearing a versatile character and depends on the existing pathology. Strength the pain manifests itself in the form of convulsions, the movement, when this is limited. Syndrome pain radiates to the buttocks, the back of the thighs. The patient is difficult to bend over, to do turns body. When damaged roots pain give the lower part of the body, may be in violation of the sensitivity, numbness.
When osteochondrosis. the symptoms increase gradually. First, it bothers the pain on the one side, the character is not strong. With the development of the pathological process pain become stronger, more difficult to cease painkillers, affect the wider region. After a long stay in the same position, pain is pain nature.
With the defeat of kidney pain occurs in the lower back, approximately at the level of the 12 pairs of ribs. However, when the renal colic syndrome of pain radiating down the path of the ureter, gives the inguinal area. Pain at this unbearable, very strong, painkillers don't help. A typical sign – blind detection.
Diagnosis
Because it hurts the lower back, can be put only by the doctor. In no case should not self-diagnose and self-medicate. The diagnosis is made on the basis of the complaints of the patient, clinical manifestations, anamnestic data, results of instrumental technical studies. The patient is prescribed x-rays, myelography, MAGNETIC resonance imaging, COMPUTED tomography, and other types of research.
The ct scan is an effective and a highly informative way to identify the various structural changes in the spine caused by injury, infectious process, neoplastic formations, osteoporosis and other diseases. On the basis of mielografii is application of contrasting substances. The method is applied with suspected spinal stenosis, hernia, tumors and other pathological processes in the spine.
Treatment
What should I do if my back hurts, it can be said only by a qualified technician. Regular treatment depends on the underlying cause of the pain. You should not take pain relievers, as they give only a temporary effect (and, in some diseases don't help at all), "lubricate" clinical picture and aggravate the pathological process of the fact that the man constantly putting the pain that gives birth to the visit to the doctor.
Basic principle of treatment – the treatment of pain as such, but the cause of it. So, when osteochondrosis. what is required is a series of measures. Non-steroidal anti-inflammatory drugs in this disease that is used as a symptomatic treatment during the height. Include Diclofenac, Nimesulide etc., however, they have a number of contraindications (e. g., ulcers disease stomach).
Also can be applied to non-steroidal anti-inflammatory ointment. In some cases, required-steroidal anti-inflammatory drugs. The main activities carried out outside of the decline and lessons therapeutic exercises, pass the course, therapeutic massage, organization of the correct mode of the day and nutrition.
In addition, appointed physiotherapy, acupuncture, manual therapy, etc. Except for the degradation doctors recommend treatment therapeutic exercises. It is the best way to strengthen your back, relieve anxiety and muscle spasm. Therapeutic and physical exercise (PHYSIOTHERAPY) necessarily included in the programme for the prevention of back pain.
Courses better to be under the supervision of an instructor, but a few simple exercises are enough you can do at home:
- Lie on your back, your hands pull along the body, legs slightly bend the knee joints. The legs discharge into the right side, to the body and head turn a little to the left (the main thing – do not overdo it). In five seconds and return to starting position, repeat the same from the opposite side. Just ten repetitions.
- To get up on your knees, with your hands to lean on the chair. Build it back up, and then, the maximum bend. Do ten repetitions.
- Lie on your back, legs straighten. Raise your right leg, 20 cm from the floor, hold until fatigue. I do the same thing with the left foot. Do five repetitions for each leg.
Nice effect give massage and manual therapy. These procedures are carried out only by qualified personnel. Poor performance, violation of technology of participation can cause significant damage. During the session therapy hands of a special pass across the area of the back, it affects different levels (fascia, bone structure, etc.).
Special attention is given to neural level. The expert has a direct effect on neurons through palpatory manipulations. The chiropractor can brake or accelerate neural chains. The last time increase the popularity of acupuncture. The course consists of multiple processes and aims to reduce pain and.
If you have excess weight, you need to repair the power mode. Priority should be given to vegetables, low-calorie foods. Proteins are a third of the day diet. There may be lean fish, poultry, meat, eggs. Also, the protein contained in legumes, buckwheat, mushrooms, nuts (with them it is important not to overdo it). The fats you need to consume unsaturated (lamb, white fish, nuts, vegetable oils).
Diseases of bone-joint system important role is played by vitamins A and D. Vitamin A is contained in the green onion, vegetables, orange and yellow color, fish oil, liver, egg yolks. Vitamin D is synthesized under the influence of the solar better. Also you can get it in small quantities of milk, butter, egg yolks, cod liver oil, caviar. For bone health you need to consume adequate amounts of phosphorus (bran, lettuce, cabbage, cheese, fish) and calcium (liver, cheese, eggs, nuts, cabbage).
If you have back pain it is best to contact first with the doctor, on the basis of the data collected to decide on further tactics. If you have diseases of the internal organs, the patient undergoes a series of additional research and is directed to specialists. Basic rule, you need to understand all patients are not to self-medicate, and in any painful events in a timely manner to contact a qualified technician.