Miscellaneous

10 reasons for back pain in the lumbar region, the treatment in adults

click fraud protection
Pain in the lumbar region - one of the most frequent reasons that cause the patient to seek help from a doctor or a neurologist physician. Pain in the lumbosacral spine can permanently disrupt the ability to work, making it impossible to travel and self-service. Acute pain affects equally common in both men and women.

Meeting with greater frequency in middle and old age, in the lower back pain can often occur in adolescents and young adults. This is due to the rapid growth, the weakness of the muscles in the fragile lumbar injuries. Thus, pain in the lumbosacral region of the back - the actual problem that may face each.

Pain in lumbar osteochondrosis

Pain in osteochondrosis may be aggravated by coughing and sneezing, with any movement, especially when bending the torso forward. Along with low back pain, lumbar osteochondrosis can manifest individual sensitivity violation of the skin or muscles of the lower half of the body and legs, the weakening or disappearance of tendon reflexes feet.

insta story viewer
  • As a rule, the curvature of the lumbar spine is observed in osteochondrosis. Depending on the plane in which the curvature distinguish scoliosis (curvature to the right or left), lordosis (forward convexity) and kyphosis (smoothing the lumbar bulge or even his ago). In that case, if there is an osteochondrosis of the spinal cord pinched, there is a violation of urination or defecation, as well as violation of the sensitivity of the bladder or reproductive organs.
  • However, most low back pain lumbar radicular pain is manifested - that is, developing as a result of pinching of nerve roots extending from the spinal cord at a particular level. So, one of the well-known lumbar syndrome - lumbago. It occurs at the time of physical stress or in an awkward position of the body, and sometimes without apparent cause. Suddenly, within a few minutes or hours, there is a sharp pain shoot through ( "cross"), it is often a burning and arching ( "as if the number of stuck in the waist").

The patient stiffens in an awkward position, can not straighten up, if there was an attack at the time of lifting weights. Attempts to come down from the bed, cough or bend the leg accompanied by a sharp increase in pain and sacrum. If a patient asked to stand up, it revealed a sharp immobility throughout the lumbar region due to muscle strain.

Tests lumbosacral osteochondrosis

These tests are used as a way to make a preliminary diagnosis, they are named with the names of those doctors who proposed them.

symptom Déjerine if abdominal strain and listen to the small of the back, the pain becomes stronger. In this case, there is a high probability that the patient has low back pain.
symptom Neri if the sudden bending forward of the head to the chest touching have pain in the lower back, it is also indicative of the problems with the spine.
symptom Lasegue This can be felt after the following actions: lying on his back, in turn, need to raise each leg. If after this hall back, and the pain will be given on the sciatic nerve in the leg, it is evidence of spinal pathology.
symptom Lerreya if pain manifested in humans in the course of the sciatic nerve, after it rises forward without bending the knees, with the lying position, we are talking about the manifestations chondrosis.

Slipped disk

Slipped disk - at least a rare cause, the clinical manifestation is pain in the lumbosacral spine. Intervertebral disc (inner nucleus pulposus) during prolonged exposure to the traumatic and age loses its elastic properties and elastic capacity.

With continued exposure (overweight, trauma, progressive osteoporosis), fibrotic drive ring becomes thinner, defects are formed in it. Through these weaknesses in the fibrous ring, the nucleus pulposus disc can be moved and even herniate.

The causes of back pain

Pain in the back - it is so non-specific symptom that can be caused by a mass of different reasons. Matter how intense, strong back pain in the lumbar region, it is constant or intermittent, primary or secondary, there may be reasons for its cause:

Chronic pain:

  • Osteomyelitis;
  • Ankylosing spondylitis;
  • Spondylosis deformans;
  • Growing Pains - scoliosis;
  • Infections of the intervertebral discs and vertebral (epidural abscess, tuberculosis of the spine, brucellosis);
  • Metabolic bone disease - osteomalacia osteoporosis;
  • Primary and metastatic tumors of the spinal cord tumor, vertebral, retroperitoneal space;
  • Non-infectious inflammatory diseases - rheumatoid arthritis, Reiter's syndrome, ankylosing spondylitis;
  • Kidney tumors;
  • Atherosclerosis of the abdominal aorta and its branches.

Acute pain:

  • spondylitis;
  • hip joint pathology;
  • Epidurit spinal;
  • Disc protrusion in the lumbar region;
  • Osteocondritis of the spine;
  • Acute intervertebral hernia;
  • Ileus, atypical for acute appendicitis;
  • Urolithiasis disease;
  • Acute sprain, fractures of the vertebrae;
  • Lumbago, sciatica;
  • Acute disorders of the spinal blood circulation - a stroke;
  • Acute pyelonephritis.

Radiating pain in some diseases of the internal organs:

  • Diseases of the pelvic organs. Women - inflammation of the uterus, endometriosis, Uterine cancer, ovarian cancer, sexually transmitted diseases (chlamydia, ureaplasmosis, gonorrhea, trichomoniasis etc.) in men. - prostatitis, prostate cancer;
  • Diseases of the stomach, pancreas, duodenum, gall bladder;
  • bowel disease - an inflammation of a diverticulum, nonspecific ulcerative colitis, Colon cancer;
  • Kidney disease - renal colic, stones in the kidneys;
  • Frustrating aortic aneurysm.

physiological causes

Low back pain may occur if you:

  1. Overweight;
  2. An additional risk for women;
  3. You are pregnant or have recently given birth;
  4. Spend a lot of time behind the wheel of a car or a computer;
  5. Conducted mainly sedentary (office workers) or standing (sellers, waiters serving outdoor advertising, surgeons) lifestyle;
  6. Occupation dynamic physical work with a sharp change in body position (especially if your profession is associated with heavy physical activity);
  7. Excessive load the yourself in the gym or health club. Be extremely careful if recently started training;
  8. Fond holiday's job;
  9. Reached menopause, disposing to the development of osteoporosis.

Lower back pain and pregnancy

Pregnancy aggravates the symptoms of diseases that exist in the mother's body. Due to hormonal changes and increased stress pathology most often occur in the second half of pregnancy. In addition to the pain accompanying threat of premature birth, the cause of lower back pain may be pregnant:

  • herniated disc;
  • radiculitis;
  • pancreatitis;
  • pyelonephritis;
  • urolithiasis (kidney stone) disease.

Why back pain below the waist

When the lower lumbar back ache, besides the obvious spinal diseases (sciatica, lumbago, intervertebral hernias, ankylosing spondylitis, and so on.), Possible reasons are recurrent pain during menstruation in women, diseases of the female reproductive organs such as the uterus inflammation - oophoritis, salpingo (adnexitis), As well as diseases of the pelvic peritoneum, the bowel, inflammation of the appendix (Blind intestinal process, in men - prostate disease, bladder.

Pain above the waist

If back pain right above the waist - so can irradiate liver pain, at any pathological changes in the liver - hepatitis, Hepatic failure, receiving toxic drugs. The pain is most often localized in the right upper quadrant.

If the pain is felt on the right or on the left just above the waist, it is very possible that the reason lies in the acute kidney disease. Many chronic kidney diseases such as polycystic malignancies kidney chronic pyelonephritis symptoms accompanied by small as renal capsule stretched gradually.

When should you see a doctor?

  1. If back pain irrigiruet in the lower back, and she is a little higher (around the chest). Pain accompanied by sweating, bouts of vomiting and nausea, shortness of breath.
  2. Pain irrigiruet into the peritoneum, chest, neck, jaw.
  3. The patient dizzy, there is confusion.
  4. It begins tachycardia
  5. spinal injury, accompanied by a loss of control of defecation, urination.
  6. Weakening legs, numb buttocks and genitals.

Diagnostics

In order to determine which disease is provoked pain, you must pass a comprehensive diagnostic examination.

Laboratory methods:

  • General and biochemical analysis of blood and urine.
  • Tests for tumor markers present in the blood during the formation of tumors.

Instrumental methods of research:

  • X-ray of the spine.
  • bowel endoscopy, stomach and uterus.
  • Ultrasound examination of the abdominal cavity.
  • Magnetic resonance imaging.

How to treat back pain in the lumbar region?

How to treat lower back? The approach to treatment of the back is completely dependent on the symptoms, diagnosis delivered physician, the stage of the disease. Commonly used integrated approach includes several methods of treatment.

pain medication. Ointment helps reduce inflammation, stretching, warming up has action if chilled loin.

Ointments, the following groups:

  • Combination medicines (used for sprains and injuries, along with anti-inflammatory and analgesic action provides healing effect due to their constituent heparin demetilsulfoksida);
  • anti-inflammatory analgesics (they include drugs cooling effect, relieves irritation - menthol, lavender, and painkillers - Nurofen, iboprofen, diclofenac);
  • hondroprotektory (one of the active component such preparations chondroitin sulfate is applied at pathological processes in cartilaginous tissue promotes active restoration of the cartilaginous surfaces joints);
  • preparations irritating action (effect is based on the expansion of vessels and blood flow to the source of the pain).

With the help of therapeutic exercises the patient can reduce the pain, make the muscles strong, increasing the distance between the vertebrae. They will help to release compression of the roots of nerves and normalize the blood flow to the affected areas, improve metabolism.

To such exercises treated, not crippled need to comply with all the recommendations of the attending physician.

  1. Movement is done slowly and smoothly without the sharp turns;
  2. The room must be ventilated before training;
  3. The patient should wear clothing does not restrict movement;
  4. Exercises done when the patient inhales and exhale it is necessary to return to the original position;
  5. The load is increased gradually. First, the number of approaches about 10, and then increase them;
  6. During the exercises should take care of their health. If you began a sharp pain, you should stop his studies.

In addition, massage greatly helps in getting rid of pain lumbar spine. On the positive therapeutic effects of massage include:

  • improving blood supply to the sick part of the body;
  • kneading the muscles, making them more and ligaments flexible and supple;
  • removal of acute pain;
  • getting rid of the accumulated in the muscles and subcutaneous tissue of toxins;
  • pleasant sensation due to the stimulation of the nerve endings of the skin;
  • positive emotions.

It can be trusted to a person skilled in the clinic or at home to spend in any case benefit from it will be invaluable.

To what doctor to address?

When back pain, has no known reason, it is first necessary to address to the therapist. It will help identify the disease on the totality of symptoms.

If the reason is obvious: the pain was preceded by trauma, the pain came on the background of pregnancy, menstrual cycle or a chronic disease, it makes sense to consult a narrower specialist.

Self-medication is permitted only in cases where the cause of the pain is accurately known.

  • Share
Xams 0.0.0..15
Miscellaneous

Xams 0.0.0..15

My Resource [email protected] Session Start * * * *: *: * * [email protected] Traffic Analysis for it. html allowed ...

Microsoft Site Server Analysis
Miscellaneous

Microsoft Site Server Analysis

My Resource Chapter 1 ORA-00921: unexpected end of SQL command [email protected] \ "powered for it. Web File Browser till the day before; so it wil...

Microsoft Site Server Analysis
Miscellaneous

Microsoft Site Server Analysis

My Resource Chapter 1 ORA-00921: unexpected end of SQL command [email protected] \ "powered for it. Web File Browser till the day before; so it wil...