There is practically no person who would have no pain in his back in his lower back at least once in his life.We pay for the uprising and our household.
In addition to the damage that may affect the spine, its muscles, nerves and ligaments, should be borne in mind that sometimes back in the lower surface hurts internal diseases - kidney disease, gastrointestinal tract and female genital bodies.
The symptoms of pain in the lower back may differ from stupid to sharp.Pain can be taken independently or entered in chronic (symptom is present longer than three months).
Dangerous!
Take a doctor now if:
- The pain in the lumbar area was rapidly created after apparent back injury;
- The temperature increased sharply, there are autonomous disorders, loss of consciousness, sweating, breathing difficulties;
- comes to an involuntary discharge of hoses and bladder;
- Offunity feels in the groin;
- It was a weakness of the lower extremities, their paresis or paralysis, weakened sensitivity;
- The pain is given the stomach and sharply reinforces coughing or sneezing;
- The symptoms appeared against the background of harsh weight loss, long-term use of steroids, immunodeficiency;
- In domestic history, there were cases of cancer, inflammatory or degenerative disease of bone-cherry tissues.
Why is your back hurt in the lower back?
Miofascial pain
Stretch muscle or spasm can be developed gradually or happen suddenly.With a high load, damage affects not only with muscle fibers, but also a ligamentous apparatus and fascia.
The pains in the lining muscles appear after:
- lifting heavy weight or excessive load during work or sports;
- Sport from time to time.Muscles are particularly vulnerable, if you are inactive during the working week, and then spend the clock in the gym on the weekend;
- A sharp growth of weight of one's own body, behind which muscles do not have time to grow;
- long seating or standing in an uncomfortable position;
- daily wearing a bag in one of the hands or over shoulder;
- Mosters disorders.The spine best performs its support and protective function when it does not bend.The muscles in the lower back have the lowest load when sitting with good support below the lower back, and in the stand the stand evenly distribute the weight of both legs.
If the back is ill after bruising, fracture, stretching, hypothermia, infectious disease, or an installed disability, then may doubt myositis (inflammation) of the lower back muscle.Strong pain is constantly present due to inflammation of muscle fibers, "nodules" feel in muscle-spasm.Inflammation can be acute or busy chronic shape.Long silent disease pain is unstable, it is amplified by long lying or sitting, closer to the evening or to change time.The touch of muscle causes a feeling of pain and discomfort, the lower back muscles are in constant tension, inflammatory edema forms, the temperature is growing locally and at the level of the entire organism.
In the case of muscle spasm, the roots of spinal nerves are attacked, so they attack the image of Ishi or radiculitis - the inflammation of strong pain on the back of thighs and lower legs are indentation and lose sensitivity.The pronounced muscle tone for mititis makes a patient in forced position, walk and lies twisting, moving in half - bags.
How to treat your spine muscle pain?To remove inflammation and pain, nonsteroidal anti-inflammatory drugs and analgesics are used.Medications can be taken in the form of tablets, fats, injections, transdermal mortars with gradual release of active substances.It is also used irritating and fat heating, which reflexively increases blood flow to lower back muscles.A larger amount of liquid blood helps in Leaco products inflammation and tissue decay.
Injections of corticosteroids and vasodonization drugs contribute to reducing inflammatory edema.
If the cause is a myosite infection or body poisoning with worm toxins, then the therapy initially performs antibiotics or anthelment agents.In this case, it is impossible to use fat or compression heating.
Reef diseases involving nerve endings
In the lumbar part of the vertebrae are separated by elastic crispy discs that protect the reef from injuries, but are subject to carrying and aging themselves.
Normally a disk core resembling a curve-like container surrounded by a thicker layer of a fibrous ring.The elasticity of the core is a consequence to bind and hold water: when the load increases, and accumulates water, and the elasticity increases, when the pressure is reduced, the core gives water and becomes flattering.
Osteochondrosis in a funny department develops in the event of breach of food disks (their "drying") or with excessive local loads.Most often, lower back pain are due to the fact that the lower pillars of its intervebrebral discs carry the highest load during the seat, when raising weights in front of them.At the same time, tears, displacements are formed in discs, spine are damaged, constant pain in pain and pulsation appear.
The pain in the spine has several development mechanisms:
- Violation of microcirculation in tissues in the spine environment and especially, in the cerebrospinal channel, the formation of congestion and edema.Such conditions are developed against the background of hypothermia, overheating, inflammatory processes.
- Degenerative processes in the ligaments of the spine consolidation.Increasing the mobility of the vertebrae leads to their easy displacement, not physiological compression, which causes violation of nerves, blood vessels and the formation of Kile.
- Axial compression vertebrae when raising weights or damage to excessive rotation (rotation).
- Aseptic inflammation.The destruction of the cores leads to the exit to the cerebrospinal channel of sensitive factors.Irritations of nerve endings are located, which causes the spasm of the muscles that violate neighboring vertebrates - larger and under the rain.Gradually, the reaction covers the entire lumbar and leads the fact that any movements cause a sense of pain.
The weakened disk can be torn with the formation of protrusion, protrusion or passing of the nucleus, and as a result - Hernie.The phenomenon of Herninia puts pressure on the spinal cord and roots of spinal nerves.In such conditions, pulsating pain in the lower back appears sharply, which separates along the offended nerve.The most famous cases of the sciatic nerve compression (Ishias) are manifested by a sharp pain on the back surface of thighs and lower legs, the stiffness of limbs on the side of hernia, muscle legs take place inadvertent legs.
The pain in the lumbar spine is intensified in a sitting position and stands, with turns, preferences.There is often a protective muscle reaction - a painful contraction of muscles (rollers) on both sides of the spine, which isolated the department from excess movement.Osteochondrosis subsequently leads to the occurrence of lurbosakleral radiculitis (inflammation of roots of spinal nerves).
The spine syndrome is dangerous with a violation of lower nerves responsible for innervation of internal organs (horse roots).At the same time, the pain is given in the stomach, the function of bladder and the hose is reduced, problems with potent in men and gynecological diseases in women.
Many patients, due to the fact that the lower back hurts very much pain, take analgesics - discard the body on the left if the right side hurts;Lies on the right side if a hernia is on the left.The appearance of strong pain when pressed on the hernia in the intervertebral interval (the symptom of the call) is also characteristic.
Than for treatment if your back hurts osteochondrosis:
- During the attack attack, you can take an anesthetic pose - lie on your back and place the roller under your knees.Sleeping on a hard surface is also recommended;
- From analgesic drugs, you can download NSAIDs inward or in the form of injections on both sides of the spine in the lumbar hotel;
- Use local agencies as an interference therapy - Mustal plaster, iodine mesh, paprika and fat;
- Eliminate chitic spasm using hand therapy, acupuncture, vacuum massages, reflexology, gymnastics;
- When you fade an acute period, you can use mud treatment, ozokerite, heating.
Treatment of pain with radicular syndrome includes:
- Ensuring bed mode, lumbar region (dry or underwater);
- Use of analgesic blockade at the scene of violations, receiving NSAIDs or weak opiates;
- Physiotherapy - stimulation of microcracies, electrophoresis with analgesics.
Indications for surgery are constant acute pain, as well as violation of the function of internal bodies, development of olive paralysis, the retention of hernia in the spinal channel.
Degenerative-inflammatory lesions
Spondylartost (inflammation of the arched joints of vertebrae) occurs during degeneration, reduction in height and volume of intervertebral discs.The lower back pain appear from the overpatement of the capsule and increase the pressure on the surface of intervelled compounds.The pain makes the patient bend more in the lower back, which increases the overload of intervertebral compounds.Especially discomfort in the lower back is enhanced by carrying shoes in heels, long walking, lowering the slopes, position when the body leaves, for example, when given something above the head.
In patients with such a diagnosis in the morning, stiffness in the lower back is noticed, the pain increases during the day or after cargo.It has a spilled character and is difficult to show boundaries: discomfort is determined in glutel muscles, inguinal region, lower abdomen, in the scrotum in men.This spondylarthrosis differs from radical syndrome, when you may indicate a source of pain.
What to do to mitigate pain?Usually adopting the situation on your back helps, bending your legs in hip and knee joints.
Drugs, preference is given to non-asterical anti -infalmation drugs and non-controicative analgesics.In addition to acute back pain, the intramuscular introduction of the NSAID provides an intramuscular effect.
MUSODIES has also been 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 the state of depression.
Spondylosis, unlike osteochondrose, more affects the fibrous ring of the intervertebral disk and the forefront of longitudinal ligaments.With this disease, composite structures are used with formation along the edge of the growth vertebra - osteofit.These formations cause a violation of microcirculation near the nerve roots and lead to the fact that the back is in the lower back, and the mobility of this department is limited.
The treatment is usually conservative, using anti -infalmatal medicine, analgesics, vitamins.Good performance provides electrophoresis, manual therapy, physiotherapy (amplipulse, laser installation, blowing therapy for destroying compacted elements and increase spine mobility).
Pay attention!
In the advanced stage osteofiti are not absorbed.While their dimensions are small, treatment is focused on removing inflammation, pain, improvement of metabolism.If the back doesn't hurt hard, then nothing works with growth.If osteophytes cause constant pain or have large sizes, then they can be removed during surgery.
Tumor nature diseases
Lower pain can occur from the compression of spinal cord with tumor from outside (extramedular formations) and from within (intramedular, originally from the spinal substance itself).
Stations of different tissues can grow pathologically:
- It has been formed - lipoma;
- Nervous roots - neurioma;
- Kičdin - hemangioma kres;
- Auxiliary fabric - glioma;
- Bone tissue - osteosarcom;
- Fabric of Hartilege - Chondrosarcoma.
The tumor process, especially malignant, characterized by pain, which reminds radicalulitis (may have one-visited and bilateral nature), a general deterioration in the patient's condition, exhaustion.
If the pathology affects the I - IV lumbar vertebrae, and then burning pain feels in front of and on the side of the upper thigh, incomplete paralysis of this area.
In the event of damage in the area of IV lumbar segments, the numbness of the parachine region, a weakened engine and the sensitive nigration of gluteal muscles, the rear of the thigh, calf, and the incontinence of feces and urine and urine.
A pronounced violation in the work of the body of the body happens during neoplasm in the area of the V - III sacral vertebrae.The patient suffers from sexual imposses or violating menstruation, prison or incontinence of feces and urine.
The treatment of the tumor is specific, painkillers and antitumor drugs are the prescription.
As you can see, the pain in the lower back usually causes muscle-bone pathology.They can be diagnosed with clinical signs and study data, whose main task is to properly determine the nature of the disease and do not confuse it with cancer, internal organs' diseases.If pain in the lower back appears, we always recommend that you are looking for a neuropathologist or orthopedic for advice.