There is virtually no person who has no pain in the back part at least once in their lives.This will pay for the uprisings and our household habits.
In addition to affecting the spine, muscles, nerves and league, it should be borne in mind that the back of the lower background is sometimes with internal diseases - kidney disease, stomach -intestine tract and female genitalia.
In the lower back, the symptoms of pain may change stupidly.The pain occurs independently or can become chronic (the symptom is displayed for more than three months).
Dangerous!
Take your doctor immediately if:
- In the lumbar region, the pain suddenly occurred after an obvious back injury;
- The temperature is sharply increased, there are autonomic disorders, awareness loss, sweating, breathing difficulties;
- Involuntary emptying of the intestine and bladder;
- The numbness can be felt in the groin;
- The weakness of the lower limbs, their paresis or paralysis, was impaired;
- Pain is given to the stomach and suddenly increased by coughing or sneezing;
- Symptoms have been due to sharp weight loss, long -term use of steroids, and immune deficiency;
- In family history, tissues were cancerous, inflammatory or degenerative bones.
Why does the back hurt in the lower back?
Miofascial pain
Muscle stretching can either develop or suddenly develop.Damage is affected not only by muscle fibers, but also by a league device and fascia.
Appears after the muscle pain of the liner:
- Heavy weights or overload increasing during work or sport;
- Sport from time to time.Muscles are particularly vulnerable if you spend the lesson on the day and then at the gym on the weekend;
- A sudden increase in the weight of their body, behind which the muscles do not have time to grow;
- long seat or uncomfortable position;
- We wear a bag in one hand or above the shoulder each day;
- Mostly disorders.The spine best performs its support and protective function if it does not stop.The muscles in the lower part experience the smallest load when you sit with good support under the lower back and the weight is evenly distributed to both legs.
If the back is a bruising, fracture, stretching, hypothermia, infectious disease or installed hallow invasion, then the lower muscles are suspected of myositis (inflammation).As a result of inflammation of the muscle fibers, there is a constant pain, and the "lumps" can be felt in the muscle cramps.Inflammation can be in acute or chronic form.In the event of a long course of the disease, the pain is unstable, increased with increased position or seat, closer in the evening, or to change the weather.Touching the muscles causes pain and discomfort, the lower back muscles are constantly tension, inflammatory edema forms, temperature locally and at the entire body level.
In the case of muscle spasms, the roots of the spine are violated, so the attacks are often similar to the image of isias or radiculitis - the thigh and the back of the lower leg are severe pain, the limbs are numb and lose sensitivity.Muscle tone for myositis makes the patient in a forced position, walks and lies, and moves on the semi -bent legs.
How to treat the muscle pain of the spine?Non -steroid anti -inflammatory drugs and analgesics are used to eliminate inflammation and pain.Medicines can be taken in the form of tablets, ointments, injections, transdermal plasters, with the gradual release of active substances.Irritant and heating ointments are also used, which reflect the bloodstream to the lower back muscles.Larger flow blood promotes the washing of inflammation and tissues.
Injections of corticosteroids and vasodotonizing drugs contribute to the reduction of inflammatory edema.
If myosite is caused by body infection or poisoning worms with toxins, therapy is initially performed with antibiotics or antibiotics.In this case, it is impossible to use heating ointment or compression.
Diseases of spine with nerve endings
In the lumbar stages, the vertebrae are separated by elastic cartilage plates that protect the spine from injuries, but we themselves wear and aged.
Usually, the plate is a pulpic core similar to a jelly surrounded by a denser layer of a fibrous ring.The elasticity of the core is due to its ability to connect and hold water: when the load increases, the water accumulates, and the elasticity increases when the pressure decreases, the seed gives water and becomes flatter.
Osteochondrosis in the spinal category develops in the case of food plates ("drying") or excessive local load.Most often, the lower back pain is due to the fact that the lower poles of the intervertebral discs carry the highest load during the seat when the weights are mentioned in front of them.At the same time, tears, displacements are formed in the plates, the spinal strips are damaged, constant pain and pulsation occur.
There are many development mechanisms for spinal pain:
- In the tissues surrounding the spine and especially in the cerebrospinal channel, microcirculation violation of congestion and edema formation.Such conditions develop in the background of hypothermia, overheating, and inflammatory processes.
- Degenerative processes in the spinal fastening tapes.Increasing the mobility of the vertebrae leads to easy displacement and non -physiological compression, which causes nerves, blood vessels and hernia.
- The axial compression of the vertebrae when lifting or damaging weights with excessive rotation (rotation).
- Aseptic inflammation.The destruction of the core leads to the exit of the Cerebrospinal channel of sensitizing factors.Irritation of nerve endings occurs, which causes muscles cramps that violate adjacent vertebrae - higher and during hernia.Gradually, the reaction covers the entire groin and leads to the fact that all movement causes pain.
The weakened disc can be interrupted with the protrusion, rise or prolapse of the core, and as a result - hernia.The appearance of the hernia exerts pressure on the spinal cord and its roots.Under these circumstances, the pulsating lower back pain appears sharply, which differs along the offended nerve.The most famous cases of sciatic nerve (Ishias) are sharp pain on the back surface of the thigh and the lower leg, the limb numbness from the side of the hernia, develops muscle weakness and involuntary legs.
The pain of the lumbar spine increases in a sedentary position and in a standing position, with turns and tendencies.Often there is a protective muscle reaction - a painful contraction of the muscles (rollers) on both sides of the spine, which separates the class from excessive movement.Osteocondrosis then leads to the appearance of lumbosacral radiculitis (roots of the spine nerves).
Spinal syndrome is dangerous to violation of the lower back nerves (horse tail) responsible for innervation of internal organs.At the same time, they give pain to the stomach, the function of the bladder and intestines is impaired, the problems of men's efficiency and women's gynecological diseases occur.
Many patients, since the lower back hurts very much, the painkiller poses and rejects the body when the right side hurts;It is lying on the right if the hernia is on the left.The appearance of severe pain, when the intervertebral interval (call symptom) is tightened to hernia.
As treated when the back hurts with osteochondrosis:
- You can take an anesthetic pose when attacking the pain - lie on your back and put the roller on your knees.We recommend that you sleep on a hard surface;
- From analgesic drugs, you can take NSAIDs inward or injections on both sides of the spine at the lumbar hotel;
- Use local growing agents as disturbing therapies - mustard spots, iodine net, peppers and ointment;
- Remove mytical cramp with manual therapy, acupuncture, vacuum massage, reflexology, gymnastics;
- You can use mud treatment, ozokerite, and warming when the acute period is faded.
Treatment of pain with radicular syndrome includes the following:
- ensures the bed system, the adhesion of the lumbar region (dry or underwater);
- Using analgesic blockade instead of receiving violations, NSAIDs or weak opiates;
- Physiotherapy - Stimulation of micro -core, electrophoresis with analgesics.
Signs of the operation are the violation of constant acute pain and the function of the internal organs, the development of the development of the paralysis of the limbs and the separation of the hernia in the spinal canal.
Degenerative inflammatory injuries
Spondylarthrosis (inflammation of the curved joints of the vertebrae) occurs during degeneration, a decrease in the height and volume of intervertebral discs.The lower rear pains appear from the capsule overvoltage and increase pressure on the surface of the intervertebral joints.Because of the pain, the patient bends better in the lower back, thereby increasing the overload of intervertebral joints.Especially at the bottom of the back, the discomfort is enhanced when shoes have shoes, long walks, lowering the slopes, the situation where the body retreats, for example, when weighing something above the head.
Patients with such a diagnosis are stiffness in the lower back, and the pain increases during the day or after the load.It has a spilled character and is difficult to clearly show the boundaries: the discomfort is determined in the gluteal muscles, the inguinal region, the lower abdomen, and the scrotum of men.This spondylarthrosis is different from the radicular syndrome when it can indicate the source of pain.
What to do to relieve pain?Usually, accepting the back position helps to bow to the hip and knee joints.
Among the drugs, non -steroid anti -inflammatory drugs and non -Narcotic analgesics are preferred.In the case of acute back pain, the intramuscular introduction of NSAIDs has an intramuscular effect.
Musodias are also added as they relieve muscle tension and improve spine mobility.
Psychotherapy has a positive effect because chronic pain introduces the patient to depression.
Unlike osteochondrosis, spondylosis, it rather affects the fibrous ring of the intervertebral disc and the first longitudinal ligaments.With this disease, composite structures are used on the edge of growth vertebrae - osteophytes.These formations near the roots of the nerves violate microcirculation and lead to the fact that the lower back of the back hurts and the mobility of the class is limited.
The treatment is usually conservative, anti -inflammatory drugs, analgesics, vitamins.Good effect is electrophoresis, manual therapy, physiotherapy (amplipulse, laser installation, shock wave therapy to destroy compacted elements and increase spine mobility).
Listen!
In an advanced stage, it is not absorbed by the osteophytes.Although their dimensions are small, the purpose of the treatment is to improve inflammation, pain and metabolism.If the back does not hurt much, then nothing has to be done with the growth.If the osteophytes cause constant pain or large in size, they can be removed during surgery.
Diseases of the nature of the tumor
Low pain can be derived from the compression of the spinal cord, which externally (extramedullary formations) and inside (intramedullar, which comes from the spine itself).
Cells of different tissues may increase pathologically:
- fat - lipoma is formed;
- Nerve roots - neurioma;
- spinal vessels - hemangioma;
- Supplementary material - glioma;
- Bone tissue - osteosarcoma;
- cartilage tissue - chondrosarcoma.
The tumor process, especially the malignancy, is characterized by pain that resembles radiculitis (one -one and bilateral), which is a general deterioration and fatigue of the patient's condition.
If the pathology affects the lumbar vertebrae I - IV, the burning pain is felt on the top and side of the thigh, the incomplete paralysis of this area.
The IV.In the case of damage to the area of lumbar segments, numbness of the paragagen region, sensitive innervation of the impaired engine and gluteal muscles, the back of the thigh, calf and stool and urine incontinence.
A special violation of the work of the pelvic organs is carried out during tumors in the V - III sacred vertebrae.The patient suffers from sexual impotence or menstruation, constipation or stool and urine incontinence.
Treatment for tumors is specific, painkillers and anticancer drugs are prescription.
As you can see, lower back pain is usually caused by muscle pathologies.They can be diagnosed with clinical signs and data, the main task of which is to determine the nature of the disease and do not mislead it with cancer, internal diseases or injuries.When the lower back pain appears, we always recommend that you seek advice on a neuropathologist or orthopedic.