There is practically no one who at least once in his life would have no pain in the back in the lower back.By that, we pay the uprising and our household habits.
In addition to damage that can affect the spine, muscles, nerves and ligaments, it should be kept in mind that sometimes the back in the lower support area hurts internal diseases - kidney disease, gastrointestinal tract and female genitals.
Symptoms of pain in the lower back may vary from stupid to sharpness.Pain can take place independently or enter chronic (the symptom is present for more than three months).
Dangerous!
Take a doctor immediately if:
- Pain in the lumbar region appeared strongly after an obvious back injury;
- The temperature has increased sharply, there are autonomous disorders, loss of consciousness, perspiration, respiratory difficulty;
- The involuntary emptying of the intestines and the bladder occurs;
- The numbness is felt in the groin;
- There was a weakness of the lower limbs, their paresis or their paralysis, an altered sensitivity;
- The pain is given to the stomach and intensifies strongly with cough or sneezing;
- Symptoms appeared in the context of strong weight loss, long -term use of steroids, immunodeficiency;
- In the family history, there were cases of cancer, inflammatory or degenerative diseases of the fabric of that of that of bone.
Why does the back hurts in the lower back?
Mifascial pain
Stretching muscles or spasms can develop gradually or suddenly occur.With a high load, damage is affected not only by muscle fibers, but also by a ligament apparatus and a fascia.
The lining of muscle pain appears after:
- increase heavy goods vehicles or excessive load during work or sports;
- Sports from time to time.The muscles are particularly vulnerable, if you are inactive during the work week, then spend the clock at the gymnasium on weekends;
- A strong increase in the weight of their own body, behind which the muscles do not have time to grow;
- long base or standing in an uncomfortable position;
- carrying a bag every day in one of the hands or on the shoulder;
- Moster troubles.The spine best fulfills its support and protection function when you do not look.The lower back muscles experience the smallest load when you sit with good support under the lower back, and in position, uniformly distribute the weight on both legs.
If the back is sick after bruising, fracture, stretching, hypothermia, infectious disease or the Helminthic invasion installed, then myositis (inflammation) of the lower back muscles can be suspected.Intense pain is constantly present due to the inflammation of muscle fibers, "nodules" are felt in muscle spasm.Inflammation can be acute or take a chronic form.With a long course in the disease, the pain is unstable, intensifies with a lie or a prolonged seat, closer to the evening or to change the weather.Touching the muscles causes a feeling of pain and discomfort, the muscles of the lower back are in constant tension, the forms of inflammatory edema, the temperature increases locally and at the level of the whole organism.
In the event of muscle spasm, the roots of vertebral nerves are raped, so that attacks often resemble a table of Ishias or radiculitis - burnish pain on the back of the thigh and the lower leg are noted, the limbs are numb and lose sensitivity.A pronounced muscle tone for myositis means that the patient took a forced position, he walks and lying, moves on the legs half.
How to treat muscle pain in the spine?To eliminate inflammation and pain, non-steroidal anti-inflammatory drugs and analgesics are used.Drugs can be taken in the form of tablets, ointments, injections, transdermal plaster with a progressive release of active substances.Irritant and warming ointments are also used, which increase the blood flow reflexively to the lower back muscles.A larger volume of flowing blood helps to leaccate the products of inflammation and the decrease in tissues.
The injections of corticosteroids and vasodotonizing drugs contribute to a decrease in inflammatory edema.
If the cause of myositis is an infection or a body poisoning with verse toxins, therapy is initially carried out with antibiotics or Anthelminthes agents.In this case, it is impossible to use warming ointments or compresses.
Crest diseases involving nerve endings
In the lumbar section, the vertebrae are separated by elastic cartilaginous discs which protect the crest of wounds, but themselves are subject to wear and aging.
Normally, the disc is a luscious core of jelly type surrounded by a denser layer of a fibrous ring.The elasticity of the nucleus is due to its ability to bind and maintain water: when the load increases, it accumulates water and elasticity increases, when the pressure is reduced, the nucleus gives water and becomes flatter.
Osteochondrosis in the vertebral column service develops in the event of a violation of food disks (their "drying") or with an excessive local charge.Most often, lower back pain is due to the fact that the lower poles of its intervertebral discs carry the largest load of the seat, during the lifting of the weights in front of themselves.At the same time, tears, displacements are formed on the discs, vertebral ligaments are damaged, constant painful pain and pulsation occur.
Pain in the spine has several development mechanisms:
- Violation of microcirculation in the tissues surrounding the spine and, in particular, in the cerebrospinal canal, the formation of congestion and edema.Such conditions develop in the context of hypothermia, overheat inflammatory processes.
- Degenerative process in the fixing ligaments of the spine.An increase in the mobility of the vertebrae leads to their easy movement and not to their physiological compression, which causes a violation of the nerves, the blood vessels and the formation of the hernias.
- The axial compression of the vertebrae when lifting the weights or their damage with excessive rotation (rotation).
- Aseptic inflammation.The destruction of the nucleus leads to the exit in the cerebrospinal canal of awareness factors.An irritation of the nerve endings occurs, which causes a spasm of muscles which harm the neighboring vertebrae - higher and below the hernia.Gradually, the reaction covers the whole lumbar and leads to the fact that any movement causes a feeling of pain.
The weakened disc can be torn with the formation of projections, projection or prolapse of the nucleus, and therefore - a hernia.The appearance of an hernia exerts pressure on the spinal cord and the roots of the spinal nerves.Under such conditions, pulsed pain from the lower back appear strongly, which diverges along the violated nerve.The most famous cases of compression of the sciatic nerve (ISHIAS) manifest themselves in acute pain on the posterior surface of the thigh and the lower leg, numbness of the member on the side of hernia, muscle weakness, involuntary legs.
Pain in the lumbar spine intensifies in a sitting and standing position, with turns, inclinations.Often there is a protective muscular reaction - a painful contraction of the muscles (rollers) on both sides of the spine, which isolates the department of excessive movement.Osteochondrosis subsequently leads to the appearance of a lombo-sacular radiculitis (inflammation of the roots of the vertebral nerves).
The spine syndrome is dangerous with the offense of the lower back nerves responsible for the innervation of the internal organs (ponytail roots).At the same time, pain is given to the stomach, the function of the bladder and the intestines is altered, the problems of power in men and gynecological diseases in women arise.
Many patients, due to the fact that the lower back hurts a lot, take analgesic poses - reject the body on the left if the right side hurts;Lying on the right side if the hernia is on the left.The appearance of intense pain when he is pressed on an hernia in the interval interval (call symptom) is also characteristic.
What to treat if the back hurts osteochondrosis:
- During the pain attack, you can take an anesthetic pose - lie on your back and put the roller under your knees.It is also recommended to sleep on a hard surface;
- According to analgesic drugs, you can take NSAIDs inside or in the form of injections on both sides of the spine of the lumbar hotel;
- Use local culture agents such as distracting therapy - mustard plaster, iodine mesh, peppers and ointments;
- Eliminate mystic spasms using manual therapy, acupuncture, vacuum massage, reflexology, gymnastics;
- During the discoloration of the acute period, you can use mud treatment, ozokerite, warming.
Pain treatment with radicular syndrome includes:
- Ensure the bed regime, traction of the lumbar region (dry or underwater);
- the use of analgesic blocking instead of counterfeiting, reception of NSAIDs or weak opiates;
- Physiotherapy - stimulation of microcurrents, electrophoresis with pain relievers.
The indications of the operation are constant acute pain, as well as a violation of the function of the internal organs, the development of the paralysis of the limbs, the sequestration of a hernia in the vertebral canal.
Degenerative-inflammatory lesions
Spondyllarthrosis (inflammation of the vaulted joints of the vertebrae) occurs during degeneration, a decrease in the height and the volume of the intervertebral discs.The lower back pain appears by the on the capsule and increases the pressure on the surface of the intervertebral joints.The pain makes the patient more in the lower back, thus increasing the overload of the intervertebral joints.Particularly discomfort in the lower back is improved by wearing heels, long running shoes, lowering the slopes, the position where the body resumes, for example, when you consider something above the head.
In patients with such a diagnosis in the morning, stiffness in the lower back is noted, the pain increases during the day or after load.It has a reversed character and is difficult to clearly show the limits: discomfort is determined in the gluteal muscles, the inguinal region, the bottom of the abdomen, in scrotum in men.This spondylrosis differs from the radicular syndrome, when you can indicate a source of pain.
What to do to relieve pain?Usually, adopting the situation on the back helps, folding the legs in the hip and knee joints.
Among drugs, preference is given to non-steroidal anti-inflammatory drugs and non-narcotic pain relievers.With acute back pain, an intramuscular introduction of NSAIDs gives an intramuscular effect.
The music is also added because they relieve muscle tension and improve the mobility of the spine.
Psychotherapy has a positive effect, because chronic pain introduces the patient into a state of depression.
Spondylosis, unlike osteochondrosis, more affects the fibrous ring of the intervertebral disc and longitudinal front ligaments.With this disease, composite tissue structures are used with the formation along the edge of the vertebrae of growth - osteophytes.These training courses cause a violation of microcirculation near the roots of the nerves and lead to the fact that the back in the lower back hurts and that the mobility of this department is limited.
The treatment is generally conservative, using anti-inflammatory drugs, pain relievers, vitamins.A good effect gives electrophoresis, manual therapy, physiotherapy (amplipulse, laser installation, shock wave therapy to destroy compacted elements and increase the mobility of the spine).
Be careful!
At an advanced stage, osteophytes are not absorbed.Although their dimensions are low, the treatment aims to eliminate inflammation, pain, improvement of metabolism.If the back is not much, then nothing is done with growth.If osteophytes cause constant pain or have large sizes, they can be removed during the operation.
Tumor diseases
Low pain can occur from the compression of the spinal cord with an exterior tumor (extramedullary formations) and the interior (intramedullar, coming from the vertebral substance itself).
Cells of various tissues can develop pathologically:
- Fat - lipoma is formed;
- Nerve roots - nériom;
- Vessels of the spinal cord - hemangioma;
- Auxiliary fabric - glioma;
- Bone tissue - osteosarcoma;
- Cartilage fabric - chondrosarcoma.
The tumor process, especially clever, is characterized by pain, which resembles a radiculitis (can have a factor of nature and bilateral nature), a general deterioration of the patient's state, exhaustion.
If the pathology affects the lumbar vertebrae I - IV, then the burning pain is felt in front and on the sides of the height of the top, an incomplete paralysis of this area.
In the event of damage in the Lumbar IV segments area, numbness, numbness of the paraghenic region, altered engine and sensitive innervation of glude muscles, the back of the thigh, calf and incontinence of excrement and urine are noted.
A violation pronounced in the work of the pelvic organs occurs during the neoplasm in the area of the sacred vertebrae V - III.The patient suffers from sexual helplessness or violation of menstruation, constipation or incontinence of excrement and urine.
Treatment of tumors is specific, pain relievers and antitumoral drugs are a prescription.
As you can see, lower back pain is generally caused by musculoskeletal pathologies.They can be diagnosed by clinical signs and study data, the main task of which is to properly determine the nature of the disease and not to confuse it with cancer, internal organ diseases or injuries.If lower back pain appear, we always recommend that you ask for a neuropathologist or orthopedist to get advice.