Everyone had a problem at least once in their life when their back hurts in the lower back.Such a symptom often occurs with a longer seat in an unpleasant position.Pain is safe for health and fit after a good break.
The treatment can only be prescribed after the cause and type of disease.Without a doctor, no measures can take place independently of one another.
A large number of reasons
The most common causes that lead to pain: osteochondrosis, scoliosis, hernia of the intervertebral discs.Tumors and infectious gems are much less common.
Depending on the disease, the pain manifests itself in different ways.If the cause of the pain is kidney colic or stomach ulcer, the sensations are constant regardless of the type of activity (one person lies or employed with active activity).
If there is osteochondrosis in the chest region, the pain gives the heart, then the patient wrongly believes that he has angina pectoris.
When the lower back does in a lying position
If the pain appears and the person does not know what to do with it, he prefers to pull himself in the hope that the discomfort will happen.However, if the pain intensifies in the position of lying down, there is most likely a disease of the musculoskeletal system, which is referred to as the disease of Bekhterev.
The disease affects young men, changes occur in the vertebrae and they grow up, the flexibility of the spine is reduced.
Due to the fact that the spine cannot take a natural position, a person feels in a lying position.
Bekhterev's disease is inherited, the impetus for development is awarded by chronic infectious diseases.The pain exacerbates when they lead a seated lifestyle.
The first sign is the feeling of stiffness in the spine, and when lying down in the lower back is reinforced.The early diagnosis enables you to heal the disease completely.
Primary pain syndrome
Doctors share primary and secondary pain syndromes when it comes to back pain and the lower back.
The primary lumbar pain syndrome contains morphof -functional changes in the muscle skeleton.
This includes the most common causes, which is why pain occurs:
- Osteochondrosis (lesion of bones and cartilage, intermediate tastling disk);
- Spondyloprose (damage to the gang that influence the mobility of the spine).
Secondary pain syndrome
The secondary syndrome contains a large number of diseases, which hurts the back in the lower back:
- Scoliosis (curvature of the spine);
- reflected pain;
- Osteoporosis and osteomulation (lesion of the Costeen fabric);
- Bekhterev disease (inflammation of non -infectious nature);
- Rheumatoid arthritis;
- Isolated tumor or educated metastases;
- Tuberculosis, epidural abscess, brucellosis (infectious diseases);
- a stroke disease that leads to a violation of the cerebrospinal cycle;
- Gastrointestinal diseases (especially appendix or intestinal diseases);
- Diseases in the pelvic area (kidney colic, sexually transmitted diseases);
- Fracture of the dorsal vertebrae (the most dangerous and most serious reason).
Acute pain
The pain in the lower back is also divided into acute and chronically.Each of them shows for certain reasons.
The muscle stretch is not old but painful manifestation of acute pain.It occurs due to the formation of cramps in long muscles.
Most of the time, athletes and people suffer from specialties from a problem.The pain is located in the lower back, but in other parts of the body it can be clearly felt, human mobility is limited and is lying down.
Pounding the spine also leads to acute pain.The most dangerous injury is the spine fracture.
A fracture can be caused by a fall and can occur entirely, for example if a person in the pedget disease, osteoporosis, hyperparathyroidism or he has a tumor.
The shifts of the intervertebral discs in the lumbar area are also led to pain.In this case, human mobility will be very limited.
The pain itself is caused by compression of the nerve roots.Additional symptoms:
- Impairment of sensitivity;
- Reduction or complete absence of Achilles and knee reflexes;
- Radio pain.
The shift of the vertebrae can go to the pathology of the nearby one, which was healthy until the last time.Violations of the lower vertebrae lead to diseases of the bladder and intestine.
Another reason why acute pain occurs is the simple syndrome.The intervertebral disc is not affected at the same time, only the compression of the spine occurs, which comes from the spine canal.The bandwriter hole is narrowed due to the narrowing of the band shit hole.
A serious illness as an epidural abscess can lead to pain.What to do in this case?
The disease cannot be delayed because this can lead to tragic consequences.It is necessary to take all measures immediately to eliminate the compression of the spinal cord, sometimes surgical intervention is required.
In the area from the lower back, which ends with knees, pain caused by diseases of the hip joint can be.
Chronic pain
If the back in the lower back is sick and the pain is constantly present, it hurts or pulls to other diseases than in acute pain.
The first reason is the deformation of the spondyloses.The vertebrae of the lumbar region are subjected to dystrophic changes, the ligaments weaken, bone growth begins.
As a result, bone failures begin to put pressure on the nerve roots and painful pain occurs.Symptoms can be added to deafness and weakness in the legs.
Chronic pain in the lower back can be caused by cancer or impaired metabolic processes.
In this case, you have to carry out an antitumor therapy, change the regime of the day and the diet to eliminate the basic cause, everything else will be ineffective.
Another reason is osteomyelitis if the infection penetrates the bones and causes inflammatory processes.
Disease that leads to pain in the lower back
Other diseases that cause pain in the lumbar region
- Facetal arthropathy;
- Stenosis of the spine canal;
- Discover hernia;
- Myogenic pain;
- Break of a fiber ring.
In women, pain caused by pelvic diseases such as endometriosis, uterine carcinoma and ovaries can be provoked.In men - prostatitis or prostate cancer.
The path of the buds, a tumor in the stomach, duodenum can also add to the lower back.Pain occurs in ulcerative colitis, tumors of the colon, diverticulitis.
If the pain applies not only to the lumbar vertebrae, but also to the Brustr region, it is important to rule out the likelihood of an Aorta stratification.
For harmful causes, there can be physiological changes, for example a postpartum time or a sharp amount of mass, the influence of epidural anesthesia.
The treatment of such pain is not carried out, the patient cannot do anything, the pain will pass after a certain time.
Treatment of the lumbar region
You must make a diagnosis correctly before the start of treatment.First, the doctor carries out a clinical examination of the patient and then relies on the results of ultrasound and MRI examinations.
Based on the diagnosis, a therapeutic program is already selected, with different methods being combined.
First, the treatment aims to eliminate pain syndrome in order to give the patient a comfortable life.After all, the complete healing of the disease (if possible) can take years.
If a bruise became the cause of the disease, a traumatologist is treated.Depending on the cause of the pain that the therapist/family doctor should reveal, the further history of the disease can lead an orthopedic surgeon, nephrologist, urologist, proctologist, gynecologist, cardiologist, gastroenterologist, lungologist, infectious media.
Previously, the treatment of pain in the lower back was carried out exclusively with antibiotics.Now there are so many treatment methods that only an experienced doctor contributes to receiving the right selection.
In order to facilitate the patient's condition, it is recommended to change the mattress in orthopedic.The pain eliminate pain relievers warming ointments and gels that also contain anti -inflammatory components.
It is also advisable to use non -steroid anti -inflammatory drugs.Muscle cramps are removed by muscle relaxants.Swelling of the nervous spine eliminates diuretic and vascular products.
If the patient can return to a normal lifestyle, treatment with physiotherapy, massage and therapeutic exercises continues.
Treatment takes place with the following non -drug methods:
- Vacuum therapy;
- Acupuncture;
- Laser therapy;
- manual therapy;
- dry traction;
- Pharmaceutical function;
- Electrical stimulation;
- Magnetic function.
Such treatment provides a quick removal of pain and also eliminates the cause itself and thus ensures a long -term result.