Many people are familiar so symptom, such as "I hurt the lower part of the back". Usually the discomfort bundled with a variety of diseases of the vertebral column, but in practice it often turns out that the reason is another. Often the pain in the lower back occurs in women towards the end of pregnancy, as well as the spine is experiencing a larger load than usual.
The cause can also be a variety of diseases of the internal organs, degenerative-dystrophic changes in the bone-cartilaginous machine the lower part of the back, etc Inactive life-style, intense working conditions, professional sport, obesity – all this can cause pain in the lower part of the spinal column.
Low-back pain the doctors call it, the term "low back pain". This is a very widespread phenomenon, which is characterized by the sudden appearance and disappearance of the pain. Some patients undergo a short course of treatment and most do not experience the discomfort, others need to be treated for months and even years. To determine the exact cause of pain in the low back, it is necessary to pass an exam before a therapist, and then for his direction – not specialists.
Causes
Often the back pain is a symptom of various diseases of the musculoskeletal system. Often unpleasant sensation of discomfort in people who spend a lot of time on the computer, in the car, are engaged in a heavy physical work load in the gym. At risk are pregnant women or women who have recently given birth.
Disease, accompanied by pain in the lower back
The pain in the back in the bottom can indicate diseases such as back pain or spondiloartrosi. This is the so-called primary causes of pain associated with functional and morphological alterations of the vertebral column.
Among the secondary causes of back pain are:
- cancer processes in the vertebrae, spinal cord;
- lesions of the vertebrae;
- the infectious process in the intervertebral discs and the vertebrae;
- the rates of irregularities in the bones (osteoporosis, osteomalacia);
- inflammatory bowel disease etiology infectious (rheumatoid arthritis, ankylosing spondylitis);
- sharp violation of hemodynamics (for example, when the blows);
- diseases associated with growth disorder;
- gastrointestinal diseases (atypical for acute appendicitis, intestinal obstruction);
- kidney disease (kidney stones pain in the back and unilateral, often with the right hand);
- diseases of the pelvic organs.
In this way, the cause of the pain is not always in the lesions of the musculoskeletal system. If the pain is caused by insufficiency of internal organs, irradiating the forecast. In addition, the men of back pain in the lower spine in the case of chronic prostatitis, prostate cancer, even though this symptom is not always required.
The pain may appear after a long journey, that makes one think of a stenosis of the spinal canal. The disease manifests itself in the form of a syndrome of intermittent claudication. The man, in addition to this, she complains of cramps and muscle pain when you walk. In the elderly develops this condition, such as polymyalgia rheumatica. Before you experience moderate pains, and the sensation of stiffness in the hands or feet.
The most common cause of lower back pain lower, right, left, or center, is low back pain. Instrumental techniques of research can help you identify the various degenerative-dystrophic changes in the vertebral column. During the period between the discs in the spine gradually decreases, causing develops an imbalance in the structure of the entire spine.
This leads to pain in your lower back, that are localized to the right or to the left, or go on a business trip to crest.
Another source of back pain – the presence of intervertebral hernias. When their violation, the crushing of the nerve roots occurs quite strong, a lot of pain, manage with that in the initial stages help steroidal and non-steroidal anti-inflammatory drugs.
A symptom of an unfavorable outcome is low back pain, which is manifested range of variety of symptoms. Pain moving the nerve root can give to the buttocks and feet. The discomfort appears when you fold (even when you tilt the head down), the laughter, cough, etc syndrome the Pain intensifies when lifting lying on back straight leg.
As evidenced by back pain
Symptoms back pain brings versatile character, and vary depending on the pathology. When you extend the pain manifests itself in the form of spasms, movement when this is limited. Syndrome the pain radiates to the buttocks, the back of your thighs. The patient difficult to bend over, to make shots of the case. In the case of damage to the roots causing pain in the lower part of the body, may be a violation of sensitivity, numbness.
Osteochondrosis symptoms are worse gradually. The first pain worries to one side, its is not expressed. For the development of a pathological process pain more and more strong, more difficult stopped the painkillers, affect a wide area. After a long stay in one position the pain aching in nature.
With the defeat of the renal the pain seems to lumbo-sacral, and about the 12th pair of ribs. However, when renal colic syndrome, pain radiates down, in the course of the ureter, it gives the groin. The pain when it is unbearable, it is very strong, painkillers do not help. A characteristic sign – unilateral localisation.
Diagnostics
Because it hurts the lower part of the back, you can install only the doctor. In any case, you must not do self-diagnosis and self-medicate. The diagnosis is made on the basis of complaints of the patient, the clinical manifestations, from the anamnestic data, results of instrumental methods of research. The patient is prescribed x-rays, myelography, magnetic RESONANCE imaging, CT scans and other types of surveys.
Computerized tomography is effective and highly informative way to identify the different structural changes of the spine caused by trauma, infectious process, tumor formation, osteoporosis and other diseases. On the basis of myelography is application contrasting substances. The method is applied with a suspicion of stenosis of the vertebral canal, hernia, tumors and other pathological processes in the spine.
Treatment
What to do if your back is sore, can say only the qualified personnel. Tactics of treatment depends on the underlying cause of pain. It shouldn't just take painkillers, as well as only give a temporary effect (and, in some diseases, it does help), "smeared" the clinical picture and aggravate the pathological process of the fact that man is constantly take away the pain, see a doctor's visit.
Important to the principle of the therapy – a treatment not pain as such, and its causes. So, when osteochondrosis requires a series of measures. Non-steroidal anti-inflammatory drugs in this disease is used as a symptomatic therapy during the climax. These medications include Diclofenac, Nimesulide, etc., however, have a number of contraindications (eg, gastric ulceration).
It can also be applied non-steroidal anti-inflammatory ointments. In some cases, are required-steroidal anti-inflammatory drugs. The main activities take place in periods outside of the aggravation and consist of classes of medical gymnastics, massage course therapeutic, the organization, the correct mode of the day and power.
Are also assigned physiotherapy, acupuncture, chiropractic, etc Outside of aggravation, and doctors recommend to do physiotherapy. This is the best way to strengthen your back, relieve tension and muscle spasm. Medical and sports, the complex of exercises (PHYSIOTHERAPY) necessarily included in the program of prevention of back pain.
Courses best to do it under the supervision of an instructor, but some simple exercises you can do at home:
- Lie on your back, pull the arms along the body, legs slightly bent at the knee joints. The legs turn to the right, the body and the head turn a bit to the left (the main thing – do not overdo it). After five seconds and return to starting position, repeat the same thing with the opposite side. Just ten repetitions.
- Getting up on his knees, hands leaning on a chair. Arch your back upwards, then more bending over. Do ten repetitions.
- Lie on your back with legs straighten. Lift the right leg, 20 cm from the floor, hold up to the onset of fatigue. The same is done with the left foot. Do five repetitions for each leg.
Good effect give massage and chiropractic. These procedures are performed only by qualified personnel. An incorrect execution, the violation of technical can cause considerable damage. During a session of manual therapy of the hands of one specialist go through the whole back, which affects the different layers (fascia, bone structure, etc.).
Particular focus is placed on the neural level. The specialist has a direct effect on neurons through palpatory manipulation. Chiropractor is able to slow down or speed up the neural chain. Lately, the growing popularity of acupuncture. The course consists of several treatments and aims to reduce the pain and improves muscle relaxation.
If you have excess of weight should establish the power mode. Preference should be given vegetable, low-calorie food. Proteins represent one-third of the daily diet. You can eat low-fat fish, poultry, meat, eggs. Also the protein contained in legumes, buckwheat, mushrooms, nuts (with their it is important not to overdo it). Fats should consume unsaturated (lamb, white fish, nuts, vegetable oils).
For diseases of the osteo-articular system, play an important role vitamins a and D. the Vitamin E contained in green onions, vegetables, yellow and orange cod liver oil, liver, egg yolk. Vitamin D is synthesized under the influence of solar best. You can also get small amounts of milk, butter, egg yolks, cod liver oil, and eggs. For the health of your bones, you should consume sufficient quantities of phosphorus (wheat bran, salad, cabbage, cheese, fish) and calcium (liver, cheese, eggs, nuts, cabbage).
In the presence of back pain it is best to consult a therapist, that on the basis of the data collected determined with further tactics. In the case of diseases of internal organs, the patient undergoes a series of further studies and directs it towards the neck of the specialists. The main rule, that they have to learn all the patients – not to self-medicate, and in all the manifestations of painful promptly contact a specialist.