Lumbodynia called collective term used to describe the occurrence of lower back pain. At the same causes of pain can be both vertebral and non-related to the spine of origin.
Many doctors believe that back pain is a kind of payback for the possibility of walking in upright and ignore doctors' advice about maintaining proper posture and exercise back muscles.
Also back pain is due to the fact that a person exceeds the maximum load itself - raises gravity moves large mass objects, gaining too much weight, moving a little. Back pain characteristic of people after 30-40 years, although they can occur in adolescence or even childhood, usually wearing a traumatic or associated with the spine character.
Causes
Reasons lumbalgia can be divided into two groups: low back pain, which are associated with the spine (vertebral), pain associated with other causes.
vertebrogenic lumbalgia
Vertebrogenic lumbalgia factors considered pains that are caused by:
- osteochondrosis spine,
- scoliosis spine,
- degenerative changes of the vertebrae, intervertebral discs,
- degenerative changes in ligaments and muscles,
- arthrosis of the intervertebral joints,
- hernias and disc protrusion,
- myofascial syndrome,
- instability of the vertebral-motor segment,
- spinal canal stenosis.
The result is a compression of the nerve roots with the formation of symptoms.
Provoked Vertebrogenic lumbodynia in a waist excessive exercise, heavy lifting, sudden awkward movement, prolonged static loads, hypothermia and around the waist body.
Nevertebrogennye lumbalgia
They are usually associated with osteoporosisWhich causes brittle bones, with a back injury, kidney disease, genital men and women with bowel disease and blood vessels, with oncology, inflammatory, infectious diseases (herpes zoster, Myositis).
Provoking lumbalgia for eating disorders are obesity, lack of exercise, sedentary work, stress, and chronic sleep deprivation, wearing tight shoes, flat feet, feet injuries.
For the duration of the course and stood out in particular:
- acute and intense pain (lumbago or lumbago),
- long-term pain in the sacrum and lower back - lumbalgia,
- pain radiating to the leg - sciatica.
symptoms lumbalgia
Generally pain occurs immediately after a trauma or a raising of gravity, although it may occur after a couple of days. The main manifestation lumbalgia is pain that:
- dominated on the one hand,
- may increase when bending, prolonged standing or sitting,
- Patients taking supine or forced position, usually helps lying on the healthy side, or on the patient, it all depends on the cause,
- difficult to unbend from a bent position to facilitate hand reflexively put on the waist to create a lever,
- difficult to manipulate in a static position with a slight slope (washing, ironing, washing) - there are sharp pains,
- because of the pain often is a change of position, especially sitting on a chair - loin tires easily,
- sharply limited range of motion, especially tilts forward and to the sides,
- pain can be triggered by familiar things - coughing, sneezing, straining, becoming permanent,
- in the field of pain arises protective muscle spasm and seal tissue with limited mobility,
- Pain peak in 4-5 hours, and then it begins to weaken, in compliance with bed rest becomes easier due to muscle relaxation.
If you have any hernias can join sensory disturbances and decreased reflexes in one or both legs, movement disorders, numbness or coldness of feet.
Diagnostics
The basis of diagnosis lumbalgia are patient complaints, as well as detailed questioning about the moment of pain and her character.
A detailed examination of the lumbar vertebral region with probing zone and the muscular system in the projection area of the sacrum nerve roots. In order to avoid non-vertebral problems held:
- general analysis of blood and urine tests, blood chemistry, blood for antibodies to infections,
- X-rays of the lumbosacral spine,
- MRI or CT of the spine in the lumbar region in order to clarify the anatomical defects and condition of the intervertebral discs,
- Ultrasonography of the abdomen and genitalia,
- consult additional specialists (internist, infectious disease specialist, a gynecologist or urologist).
lumbodynia treatment
Lumbodynia treatment depending on the cause are engaged therapists, neurologists and orthopedists. First of all, you need pain relief using
- manual techniques,
- analgesics and protivovspalitelnyh means (ketorol Nurofen, diclofenac inwardly and topically in ointments and gels)
- acupuncture,
- nerve blocks,
- transcutaneous electrical stimulation,
- antispasmodics for the purpose of relaxing the muscles and relieving compression of the spine.
As the pain subsided apply physiotherapy, osteopathic techniques, massage and other methods.
When treating lumbalgia parallel with the main therapy is conducted marked limitation of physical labor, unloading of the spine, it is prohibited heavy lifting and tilting.
In chronic course of treatment will be lengthy and complex - apply all methods of treatment discussed previously in conjunction with wearing special orthopedic structures, and methods of physical simulators rehabilitation.
Forecast
Forecast for lumbodynia depends on the causes of pain in acute process and proper treatment, prognosis favorable in the case of organic lesions, trauma and spine structure violations forecast adverse. Damage can progress.
