Symptomatology increases during patient movement, sneezing, walking, coughing, physical load, switches to posteroexternal surface of the legs and buttocks. Such patients are always in a forced position due to the stress of the back muscles and the inability to fully straighten. The duration of the pain is different, it can be like 5-15 minutes and 2-3 hours, sometimes delayed for several days.
Often appears as a result of degenerative disc disease of the spine and intervertebral hernia. Lumbago common among men aged 28-38 years. Often, this pathology is difficult to distinguish from sciatica. In some cases there is sciatica - the combination of lumbago with sciatica. The character of the pain is aggravated by penetrating deep into the muscles, bones, ligaments as lumbago, ripple, puncture.
What it is?
Lumbago - is a collective concept that brings together a group of pathological conditions characterized by dystrophic and degenerative processes in the spine.
One of the most common types of dorsopathies - osteochondrosis is accompanied by deterioration of intervertebral discs in the form of a reduction of their elasticity and height. This process is long and extends not accompanied lumbago. In an extreme case, there lumbodynia - aching pain. But lumbago - is a consequence of the typical complications of osteochondrosis - disc herniation.
Causes
Effective treatment of lumbago impossible without establishing a primary diagnosis. Remove sharp pain - a first-aid measure to the patient. If the pathology that caused the symptoms of lumbago, will not be eliminated, relapses in the future is inevitable.
Among the main causes of lumbago are:
- Curvature of the spine (scoliosis, pathological lordosis).
- Injury. When excessive physical effort possible ligament tears, bulging or slipped disk.
- Osteochondrosis. After prolonged course of the disease occurs vertebrae offset relative to each other, appear osteophytes (bony outgrowths) develops a deformation and damage to ligaments, intervertebral drives.
- Anomalies of the spine structure. At risk - up to 30% of the total population. Among congenital abnormalities occur: extra and missing vertebrae in the lumbar and sacral, irregular shape, location, and connection of the vertebrae and their parts, splitting arches.
- Spondylitis. Tissue of the vertebral bodies are damaged as a result of the inflammatory nature of the infectious process.
- Tumors. The spine, as well as other organs may be affected by the tumor. A devastating effect on the vertebrae have benign tumors of bone (osteoma, osteoblastoma), vascular hemangioma, malignant osteosarcoma, metastatic lesions.
- Spondylitis. Inflammation caused by non-infectious pathologies - Ankylosing spondylitis, psoriasis and other diseases of rheumatologic profile.
symptoms of lumbago
Symptomatology lumbago (in a national "chamber") occur for the following reasons:
- Pinching the nerve fibers in muscle thicker at overcooling and weightlifting;
- Change in mobility of the intervertebral segments. Through the intervertebral discs are nerve trunks that can be infringed when herniation, osteochondrosis, spondylosis;
- With long-term position of a man on his stomach while sleeping with toned legs.
Lumbago symptoms occur most often after hypothermia or weight lifting. At the slightest rotation, tilt movements committing a person has painful sensations that impede straighten the lumbar spine.
Clinical signs are formed depending on the cause of the disease:
- Spastic muscle contraction - spilled back pain;
- When osteochondrosis - a local spinal pain syndrome;
- When intervertebral hernia - pain radiating to the buttocks and lower extremities;
- When hyperlordosis - periodic aching pain in 1-2 days.
Physicians and neuroscientists know that the diagnosis of lumbago can be installed when a person complains of backache after he stood under water. Discomfort the patient feels after exiting the bathroom and forced to pose there in a few minutes - so begins lumbago.
The disease lasts 1-2 days (osteochondrosis) or months (with intervertebral hernia).
Diagnostics
When the patient has a sore lower back, a clinical examination for diagnosis becomes small. Require the use of additional methods of research, the results of which confirmed the assumption reliably doctor. Given the diversity of the causes of lumbago, the diagnostic value may be such procedures:
- X-ray of the spine.
- Imaging (computed or magnetic resonance).
- Densitometry (determination of bone mineral density).
- Biochemical analysis of blood (Revmoproby, inflammation indicators, calcium, immunogram, tumor markers).
The survey should include an examination of specialized professionals: vertebrologist, traumatology, rheumatology or oncologist. These results make a final conclusion about the cause of lumbago patient.
Than to treat lumbago?
In complex therapy includes various methods of treatment of lumbago - medication, physiotherapy and alternative. Treatment is carried out in stages. In the first stage at home cropped pain symptoms, then begins the complex therapy to eliminate the causative factor.
In the acute phase is usually administered to the patient:
- Antispasmodics. Such as Baralgin, papaverine. These drugs can reduce the painful muscle spasm.
- Analgesics - nonsteroidal anti-inflammatory drugs that have pronounced analgesic efficacy. For example, diclofenac, Ketonal, Ibuprofen, Deksalgin. Many of these medicines are manufactured in forms for topical application that allows the combination treatment.
- Diuretics to reduce swelling of tissues in the lumbar region. The most frequently prescribed Furosemide. To prevent the development of potassium deficiency, which leaches from the body under the action of diuretic drugs, patients are discharged parallel Panangin.
- Special bandage for fixing the affected portion of the spine.
At the end of the acute period patients prescribed physiotherapy, massage, reflexology, and physical therapy sessions. These therapeutic measures help to finally eliminate muscle spasm and restore the normal mobility of the lower back.
If during the examination of the patient some spine pathology was found, after the elimination of pain it is imperative to treat it. In the case of intervertebral hernia and vertebrae displacement may even require surgery.
Diet
During treatment, the patient is required lumbago dieting. The diet is made based on these products:
- lean beef or chicken;
- fish low-fat varieties;
- low-fat dairy products;
- various cereals;
- vegetables and fresh herbs;
- fruits, berries, natural juices.
It should completely abandon the greasy and irritating foods: smoked meat, pickles, pickles, spices, fatty meat or fat. Flour and sweet dishes can be eaten in moderation. Alcohol is completely eliminated.
Massage and physiotherapy
Gentle massage with an attack of lumbago development improves local blood circulation, normalization of lymph current, eliminating pain, swelling and inflammation. At the same time acceptable to use only soft techniques in the lumbar region. These include rubbing, stroking, kneading. From serious impacts during the exacerbation should be abandoned.
During an attack of lumbago, any physical exertion contraindicated. However, this does not mean that you should lie motionless. Physiotherapy may include exercises such as foot rotation, flexion of the fingers, raising and lowering the arms and legs. You can also perform breathing exercises.
With 3-4 days of disease permissible movement list can be extended. lumbago exercises may include the following:
- lifting of the pelvis from a prone position;
- Dilution laterally bent knees;
- pulling to stop the buttocks;
- lifts the head with a voltage of the press;
- Rounding back and relax.
A week later, you can perform a slow kick their feet, standing on his hands and knees. It is also permitted to raise the shoulder belt, lying on his back with legs bent. Through the systematic implementation of useful exercises manage to activate blood circulation, normalize the mobility of the waist, stretch the muscle and spine.
Lumbago with sciatica, what it is and how to treat?
Lumbago - intense sharp pain in the lower back, suddenly appearing when bending, lifting, coughing, sneezing. Lumbago leads to a drastic restriction of movement.
The patient can not straighten up, and sometimes even deep breathing causes severe pain. If the pain is localized in a small area at the back, it's lumbago. If discomfort at the same time apply to the buttocks, thigh, lower leg and toes, then it lumbago with sciatica.
Symptoms of lumbago with sciatica:
- Acute low back pain;
- Burning or tingling of the sciatic nerve;
- Shortness of motion of the foot or feet;
- Numbness in the buttock and leg;
- Change of gait;
- Permanent aching pain in the buttock, Femur, popliteal fossa, legs, feet;
- Severe shooting pain when standing up and changing position.
The pain is worse when seated somewhat weakened when walking or lying down. Almost always affects only one leg.
Treatment of lumbago with sciatica aims to reduce inflammation in the nerve roots. Is used as described in the main part of the paper non-steroidal anti-inflammatory drugs, muscle relaxants and vitamins of group B.
prevention
To prevent the occurrence of acute low back pain, you must:
- To protect against drafts.
- Strengthen the back muscles, this should do exercises.
- No smoking.
- Go swimming.
- Avoid a long stay in one position.
- Giving yourself sparing exercise.
- When wearing cargo distribute the weight on both hands.
- Or sleep on a semi-rigid orthopedic mattress.
- Make sure that the diet was balanced.
- If there is a disease of low back pain in a timely manner to treat it.
- Lifting weights with a straight spine. If necessary at this bend at the knees.
When lumbago arose from the negligence, and in the spine no serious violations, following the doctor's orders and bed rest, the patient to recover within two weeks. It is necessary to find out the reasons that led to the disease and carry out treatment to eliminate them.
