Pain in the lumbar region

With a sore back sign almost all. These disorders such as sciatica, lumbago, are very frequent causes of temporary disability, especially in people involved with the physical work. Often the back pain associated with changes in the spine, lumbosacral, which needs to be taken very seriously. Even if the pain in the lumbar region may be the consequence of congenital anomalies of the spine and its apparatus, acute and chronic infection, poisoning or even cancer.

Back pain sometimes are very strong and, at times, a person carrying them is quite easy. The fact is that the reaction to the pain of the individual, the impact on the mental and the factors of age. In advanced age the sciatica pain is very strong, although usually the perception of pain in people of advanced age lying. And in patients with mental illness, sensitivity to pain is greatly reduced, even when lumbosacral radicolite.

The pain - complex mechanism adaptable, sometimes called the "guardian dog" of health. Caused by external exposure or problems in the body, it indicates a danger. Received the pain signal, the body consists of the protection mechanisms against the adverse effects. Thanks to the pain of a series of pathological processes unveil themselves before you experience the external symptoms of the disease. So that the sensation of pain have a positive role: they know that it is the time to act. If you have lower back pain and lower back, not to delay the appeal to the doctor. Remember the eastern wisdom: "the Care easy disease, for not having to care for a serious".

A third of patients with lumbar pain are caused by degenerative changes in the spine, which bear the common name of "sore back". Back pain - the complex of changes in the bones and ligaments of the vertebral column, due to the degeneration of the intervertebral disc. In addition, osteochondrosis of the spine can develop bone cytoplasmic - osteophytes, which irritate nerve roots and the sensitive nerve endings of the spinal column and its ligaments, causing stupid pain in the back pain.

The intervertebral discs are a dual-convex lens shape, installed a small grooves on the surface of the vertebrae. With age the disks lose moisture, dries out, cracks, breaks, and cracks. As A result of a vertebra is mobile and can slide out from the disk, which leads to a narrowing of the hole in the intervertebral and crushing passes here the nerve root of the spinal. The lumbar spine is more mobile and yet experience the maximum load during the lifting weights. Then the discs between them more subject to deformation.

sore-of-back

Suffering from the lumbar osteochondrosis are experiencing severe pain, and the blame of this is not only irritation of the nerve roots: when the rupture of the membranes and walls, the intervertebral disc are exempt irritants pain receptors.

In the more advanced stage of the disease, disc bulges, which form the so-called mezhpozvonkovuyu a hernia, which usually occurs in middle-aged people and the elderly. It affects more often the discs of the lumbar spine, because the holes in the intervertebral between the IV and V lumbar vertebra, vertebrae, and between the V lumbar vertebra and sacrum - the most narrow, and passing in they the nerve roots - the most massive. mezhpozvonkovaya hernia is very dangerous. And it is not just the fact that she squeezes the nerve roots, causing pain in the type of lumbosacral sciatica. Massive herniated disc presses on the spinal cord, which can lead to loss of sensation or even paralysis of the legs, but also to disorders of urination.

For lumbar disc herniation, characterized by the following symptoms: "struts" - sick when he wakes up forced to place the hands on the knees or on a chair, to reduce the load on the affected area on the disc; "cushion" - the inability to lie down on the belly, not tucked under a pillow; "landing" - the sick, trying to pick something up from the floor, not couched, he lay down on the heels.

One of the main causes of degenerative disc disease of the spine - violation of the fats, and salt the exchanges of substances. Sometimes the back pain occurs as a consequence of development abnormalities of the intervertebral disc, their congenital inferiority. To external factors, causing the development and aggravation of degenerative disc disease of the lumbar, refer to: high humidity, as the temperature changes, air currents; a significant and prolonged tension in the muscles and the bones and ligaments of the instep of the foot of the machine, the lumbosacral spine; the mechanical injury, and chronic infections.

This files most often makes the diagnosis in the case of strong back pain sciatica. For a long time it was thought that this disease has an infectious origin. However, the practice shows that patients usually does not increase the temperature of the body, does not increase the number of white blood cells in the blood and in the cerebrospinal fluid. Sciatica almost didn't get children. So, in most cases, it is unlikely that the cause of sciatica may be an infection.

In fact, the sciatica is one of the most common manifestations of degenerative disc disease. The low-back pain in this disease can be serious and silly. Usually one-sided, giving in the buttock, the posterior surface of the thighs, and the outer surface of the tibia. The pain from sciatica can increase with the change of body position, walking, coughing, sneezing, straining. Sometimes it is combined with sensations of numbness, tingling, crawling, burning, itching. Increases the sensitivity of the skin, painful muscle of the back, buttocks, legs.

The symptoms of sciatica is expressed. The patient's changing gait, posture, and appear to be characteristic of the movement, and posture. When you walk you tilt the torso forward and toward the healthy side of the foot. In the standing position with the leg bent, which reduces the tension of the nerves. The movement of the body in the lumbar area of the spine are limited. On the sore back muscles are tense. For sciatica is often twisted spine. The patient sits on a healthy buttock, knocking the bust to the back, with an inclination towards the sound leg. If you need to lift an object from the floor, squat on the heels, or tilts the torso forward, by bending when the diseased leg. In supine position, the diseased leg is usually folded.

Lightweight and form of sciatica almost not restrict patient movement. If the disease progresses, it reduces muscle tone, muscle weakness, sick, discomfort, itching, sensation of "crawling". Lying in bed, victims of hours can't find a comfortable position. They often feel cold, dryness or, on the contrary, the humidity stop. The skin on the feet vanishes or becomes cyanotic shadow and thin. But these symptoms not worth to put a hasty diagnosis of "sciatica". Similar framework damage pannikulez - inflammation of subcutaneous adipose tissue on the ground of violation of the share in the adipose tissue, but also affect the joints of the legs.

In addition the applicant sciatica widespread this form of acute disease of the lumbar spine, such as low back pain or back pain. When low back pain irritated nerve roots and displays a strong sharp pain. It occurs most often in people engaged in heavy work, as the result of overvoltage of the lumbar muscles, and often with hypothermia. But sometimes an attack of low back pain can cause acute and chronic disorders of the infection, it can also be one of the manifestations of sciatica. The pain will usually stop for a couple of days, but sometimes lasting two-three weeks. While the attack does not let go, the patient is best to comply with bed rest.

A particular form of low back pain develops when, after a hard physical exercise occurs, the anguish, muscle, tendon, or bleeding in the muscles. This type of low back pain is manifested by pain in the back for the entire length of the spine and a general sense of muscle fatigue.

You should note: if you are sick of loin, this does not mean that hit the spine. The cause of lower back pain can be myositis (inflammatory process) of the lumbar muscles. The disease lasts a long time. Muscle pain is not so strong as when low back pain, dull, aching. When the muscles are sealed, and are painful with sensitivity and traction. In patients with chronic infections and metabolic disorders myositis of the lumbar muscles can be combined with joint pain.

Back pain: what to do?

The back pain are so strong, that in the absence of treatment, can not do without. Regardless of the reason that caused the heart attack, in the early days, you need to stay in bed. In the following days, while the pain subsides, the patient is allowed to go, and in a first time, preferably with crutches, to download the vertebral column. The b & b should be rigid - thin mattress, resting on a floor of the shield.

For the local heating in the area of the most pain apply irritating ointment, and also the mustard or patch to the chili. Bring relief to the warm shawl of wool, warm and electric, bag with heated sand, leeches. Helps rub comfort anti-inflammatory drugs and painkillers. With myositis help hot packs.

The analgesic effect have elektroprotsedury: percutaneous elektroanal'geziya, sine-modulated currents, diadynamic currents, electrophoresis with novocaine and other. With the same purpose are used in reflexology (acupuncture, moxibustion, electroacupuncture, laser therapy) and novocaine block. Radicolite, called the offset of the intervertebral disc, apply traktsionnuyu therapy - traction of the torso on the bed or under the water. These procedures should be performed in a hospital environment. Effective in balneotherapy of sodium chloride, radon, sulfide, turpentine, bathrooms, bromine, naphthalan, mud and low temperatures.

One of the actively emerging types of therapeutic effects for back pain has become a method of "biofeedback". Its principle is justified exceptional national physiologist P. K. Declared that during the years ' 30 of last century. The method provides for the formation of handle the functions of his body. Here's how it presents its application for the treatment of back pain. Before ill put a task to relax the muscles of the back. The patient sees their elektromiogrammu, reflects the muscle tension, the screen of the monitor, and, when the thesis is strong, he hears the acoustic signal. The relaxation amplitude emg decreases, the sound disappears. Therefore, the patient has formed the motivation for the pathological reduction of muscle tension. As a general rule, the results achieved, not once. For the patient has learned to relax and manage your muscle tone, you need to keep five-six sessions. In the future, the mentally ill are able to manage the relaxation of the muscles of the back independently.

Of great importance to eliminate the pain and to prevent heart attacks has to wear external support lamps - orthoses: corset, correction of posture; reklinatora (special corset, which allows for the tilt), the grill, and also times: the elastic belt lifter or the installer. Everybody feels the deformation of the spine, improves the venous return and lymphatic outflow, give the figure of slenderness. Well, if the composition of the material of the belt, is made of wool.

You must only take into account that if you do not comply with medical advice, to adjust to wearing the orthosis may cause damage. In the first place, wear them in need of the above underwear to avoid chafing. Too tight the tightening of the orthotic makes it difficult to breathing, digestion and circulation of blood in the lower half of the body. If you are not in symbiosis with them, nor day, nor night, can atrophy the muscles of the lumbar spine. The orthotic useful in the long-term sitting at the table, intense physical activity, the guide to the public transport. The rest of the time it is better to do without them - the muscles have to work. The remedy against back pain, have been and remain therapeutic exercise. It is precisely the "corset" is artificial "support" for the spine unnecessary.

Sometimes, in order to remove the attack of pain, patients need to rely on the acquisition of anti-inflammatory drugs and painkillers. When the pain is very strong, they are the most effective in the form of intramuscular injections. Usually prescribe analgesics and anti-inflammatory drugs . Anti-inflammatory non-steroidal means to abuse it too much, it's not worth it. The contraindications to their use are gastric ulcer and duodenal ulcer 12 in the acute phase, expressions of the liver. To avoid complications, it is necessary to take only one drug short courses of 5-7 days, pre-harvesting his taking into account the individual characteristics of the body.

At an advanced age (over 65 years) with arterial hypertension, heart failure, or peptic ulcer disease non-steroidal better to replace the so-called inhibitors of cyclooxygenase-2. These drugs almost does not irritate the gastrointestinal tract and does not have other side effects. Nice to get injections of vitamins, especially of group B.