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.The pain is safe for health and passes after a good rest.
The treatment can be prescribed only after the complete diagnosis and the determination of the cause and nature of the disease.No action can be performed independently without examining a doctor.
A series of reasons
The most common causes that lead to pain: osteochondosis, scoliosis, hernia of intervertebral discs.The tumors and lesions of the infectious fabrics are much less common.
Depending on the disease, pain manifests itself in different ways.If the cause of the pain is renal colic or stomach ulcer, sensations are constant regardless of the nature of the activity (a person is lying or committed with active activity).
If there is osteochondosis of the thoracic region, then the pain gives the heart, then the patient erroneously believes that he has Angina pectis.
If the lower back of the back hurts in a liar position
When pain appears and the person does not know what to do with it, he prefers to lie down, hoping that the discomfort will pass.But if the pain intensifies in the position of lying down, then most likely there is a disease of the musculoskeletal system, which is called Bekhterev disease.
The disease affects young people, the changes occur in the vertebrae and are growing, the flexibility of the spine is reduced.
Due to the fact that the spine cannot take on a natural position, a person in a liar position feels pain.
Bekhterev's disease is inherited, the impetus for development is given by chronic infectious diseases.Pain intensifies if you lead a sedentary lifestyle.
The first sign is the feeling of rigidity in the spine, as well as if lying on the lower back has improved.Early diagnosis allows you to completely treat the disease.
Primary pain syndrome
Doctors share primary and secondary pain syndromes when it comes to back pain and lower back.
Primary lumbar pain syndrome contains muscle-scanning changes that are morphofunctional.
This includes the most common causes, which is why the pain arises:
- osteochondrosis (bone injury and cartilage, intervertebral disc);
- Spondiloptrosis (damage to the intervertebral joints that influence the mobility of the spine).
Secondary pain syndrome
Secondary syndrome includes a greater variety of diseases, due to which the rear part hurts in the lower back:
- Scoliosis (curvature of the spine);
- Pain reflected;
- osteoporosis and osteomulation (cost injury);
- Bekhterev disease (inflammation of a non -infectious nature);
- rheumatoid arthritis;
- isolated tumor or formed metastases;
- tuberculosis, epidural abscess, brucellosis (infectious diseases);
- a condition of stroke that leads to a violation of cerebrospinal circulation;
- gastrointestinal diseases (in particular, appendicitis or intestinal disease);
- diseases in the pelvic area (kidney colic, sexual transmission diseases);
- Fracture of the dorsal vertebrae (the most dangerous and serious reason).
Acute pain
Back pain is also divided into acute and chronic.Each of them shows for certain reasons.
The not stable but painful event of acute pain is muscle stretching.It occurs due to the formation of cramps in the long muscles.
Very often, athletes and people of specialty who work suffer from a problem.The pain is located in the lower part of the back, but is clearly felt in other parts of the body, human mobility is limited, lying lying down.
The vertebral column also leads to acute pain.The most dangerous injury is the spinal fracture.
A fracture can be caused by a fall and can fully occur, for example, if a person suffers from pedgetic disease, osteoporosis, hyperparathyroidism or has a tumor.
The movements of the intervertebral discs in the lumbar region are also brought to pain.In this case, human mobility will be very limited.
The pain itself is caused by the compression of the nerve roots.Further symptoms:
- compromised sensitivity;
- decrease or complete absence of Achilles and knee reflections;
- Radio pain.
The movement of the vertebrae can lead to the pathology of the neighbors, which were healthy until the last.The violations of the lower vertebrae lead to diseases of the bladder and intestine.
Another reason why acute pain occurs is easy syndrome.The intervertebral disc is not influenced at the same time, only the compression of the spine, which leaves the spinal canal occurs.The intervertebral hole is reduced due to the narrowing of the intervertebral hole.
A serious disease as an epidural abscess can cause pain.What to do in this case?
With the disease it cannot be delayed, as it can lead to tragic consequences.It is necessary to immediately take all the measures to eliminate the compression of the spinal cord, sometimes surgery is required.
In the area, starting from the lower back, ends with the knees, it can give pain caused by the diseases of the hip joint.
Chronic pain
If the rear is sick in the lower back and the pain is constantly present, it hurts or pulls, this indicates other diseases than in acute pain.
The first reason is to deform spondylosis.The vertebrae of the lumbar region undergo dystrophic changes, the ligaments weaken, bone growth begins.
Consequently, the growth of the bones begin to exert the pressure on the nerve roots and painful pain occur.Symptoms can be added to the numbness and weakness of the legs.
Chronic back pain can be caused by cancer or altered metabolism processes.
In this case, it is necessary to make anticancer therapy, change the day and nutrition regime to eliminate the main cause, everything else will be ineffective.
Another reason is osteomyelitis when the infection penetrates the bone and causes inflammatory processes.
Disease leads to back pain
Other diseases that cause pain in the lumbar region
- fabric arthropathy;
- Spinal canal stenosis;
- Ernia disc;
- myogenic pain;
- Breakage of a fibrous ring.
In women, pain can be caused by pelvic diseases, such as endometriosis, uterine cancer and ovaries.In men - prostatitis or prostate cancer.
The path of the gems, a tumor in the stomach, the duodenum can also give the lower back.Pain occurs with ulcerative colitis, colon tumors, diverticulitis.
If the pain applies not only to the lumbar, but also to the thoracic region, it is important to exclude the probability of stratification of the aorta.
For harmful causes, there may be physiological changes, for example a postpartum period or a clear mass series, the influence of epidural anesthesia.
The treatment of this pain is not performed, the patient cannot do anything, the pain will spend after a certain time.
Treatment of the lumbar region
Before starting the treatment, it is necessary to correctly diagnose.First of all, the doctor leads a patient's clinical examination, then it is based on the results of the ultrasound exams and magnetic resonance imaging.
On the basis of the diagnosis, a therapeutic program is already selected, combining various methods.
First of all, the treatment aims to eliminate pain syndrome to return the patient a comfortable life.After all, the complete care of the disease (if possible) can last years.
If a bruise has become the cause of the disease, a traumologist will be treated.Depending on the cause of the pain that the therapist/family doctor should reveal, the further history of the disease can guide an orthopedist, nephrologist, urologist, proctologist, gynecologist, cardiologist, gastroenterologist, lung, infectious media.
Previously, the treatment of pain in the lower back had been carried out exclusively with antibiotics.Now there are so many methods for treatment that only an expert doctor will help to choose the right one.
To facilitate the patient's condition, it is recommended to change the mattress in orthopedist.The pain will eliminate painkillers that heat ointments and gel, which also contain anti -inflammatory components.
It is also advisable to use non -steering anti -inflammatory drugs.The muscle cramps will be removed from muscle relaxants, the swelling of the nervous column will eliminate diuretic and vascular products.
When the patient can return to a normal lifestyle, the treatment continues with physiotherapy, massage and therapeutic exercises.
The treatment is carried out using the following non -drug methods:
- emptiness therapy;
- acupuncture;
- laser therapy;
- manual therapy;
- dry traction;
- pharmacopuncture;
- electrical stimulation;
- magnetopuncture.
This treatment provides rapid removal of pain and also eliminates the cause itself, thus guarantees a long -term result.