The back pain

the back pain

Back pain in English-language sources call it pain in the lower back (low back pain). The pain often promotes tension in the lumbar spine, limitation of motion, and antalgic scoliosis. The back pain can last from a few days to several weeks.

Causes, the frequency and risk factors of the onset of back pain

The back pain you encounter almost every person at least once in your life. It should be noted that the pain can be in any part of Your back, but, however, the pain in the lumbar area of the spine that occurs most often. This is due to the fact that the lumbar spine has a maximum load weight of Your body.

The back pain in second place for number of visits to the doctor, immediately after viral infections.
You can feel the pain in the back after the lifting of gravity, a sudden movement, after having for a long time in the same location or after a trauma of the spine.

Strong pain in the lumbar area of the spine is often caused the displacement intervertebral disc, and spinal cord injury.

The causes of lower back pain:

  • Osteochondrosis of the lumbar spine
  • Intervertebral hernia, and protrusion of the intervertebral disc
  • Spondiloartrosi
  • Spondylosis
  • Spondylolisthesis
  • Compression fracture due to osteoporosis, multiple myeloma disease, hemangioma spine
  • The tumor in the lumen of the spinal canal
  • Fracture of the vertebral column after injury
  • Along the muscular tension
  • Anatomically narrow spinal canal
  • The curvature of the spine (scoliosis, kyphosis, kyphoscoliosis, disease Chairman Mau)
  • Aneurysm of the aorta
  • Rheumatoid arthritis, psoriatic arthritis, osteoarthritis
  • Infections of the spine - osteomyelitis, discitis, tuberculosis of the spine
  • Pyelonephritis, urolithiasis
  • Complicated during pregnancy
  • Gynaecological diseases (endometriosis, ovarian cysts, cancer of the ovary, etc.,)
causes

The symptoms of back pain (pain in the lower back)

The pain can be diverse: acute, obtuse, pulled , burning, and may be accompanied by itching and goose bumps, numbness.

The intensity of back pain can greatly vary from mild to severe pain, prevent you from making even a small movement. The pain can be combined with the hip pain, calf pain, foot pain.

The diagnosis of back pain

The first thing You need to see a doctor-neurologist. The doctor will ask You questions about the nature of Your pain, its frequency of repetition. The doctor will try to determine the cause of the pain and begin the treatment of simple methods (ice, mild painkillers, physical therapy and exercises essential).

In most cases, these treatment methods tend to reduce the back pain. During the exam, the doctor will determine the exact location of the pain, its radiation, neurological reflexes. Most people with pain in the lumbar part of the vertebral column to recover within 4-6 weeks.

The diagnosis includes magnetic resonance imaging (engl. MRI) of the lumbar spinal column, ct-lumbosacral spine x-ray of the spine.

Since the most common cause of back pain is Intervertebral hernia in the lumbar-sacral spine, in the first place, it Is necessary to do an mri of the lumbar spine. This research will also help you to eliminate most of the causes of pain, such as a tumor in the lumen of the spinal canal, tuberculosis of vertebral column, fracture of the spine, myeloma disease, anatomically narrow spinal canal, spondylolisthesis, various forms of curvature of the spine, spondylosis and spondiloartrosi. If The neurologist has not given you an mri, do it yourself. The power of a unit of magnetic RESONANCE imaging should be 1 Tesla and more.

diagnostics

Not worth starting a diagnostic x-ray and computerized tomography, these methods are not safe. Their you can do it in the first place, only in the case of a suspected fracture of the vertebral column.

Here are some tips on what to do when the back pain:

  • Reduce physical activity in the first two days after the beginning of the attack. This will help to reduce the symptoms of the disease and swelling in the area of the pain.
  • Do not sit with a forward tilt until the pain does not subside.
  • Take painkillers only in case of unbearable pain. Better to do a intramuscular injection, to drink an anesthetic drug. This protects the stomach wall from direct contact with an anti-inflammatory agent. Try to avoid excessive intake of drugs. Do not use for hormonal treatment funds, if the back pain is not associated with the autoimmune disease.
  • He sleeps in a fetal position, put a pillow between the legs. If You usually sleep on your back, put a pillow under the knees
  • A common misconception is the idea that it Is necessary to limit physical activities for a long time. The bed rest is not recommended!!! If you do not Have to increase in temperature, weight loss, involuntary urination and defecation, then You need to stay active as much as possible, resist. It is possible to reduce their activity only in the first two days after the onset of pain. Start doing easy aerobic exercises. Walking on the simulator, swimming help to improve the flow of blood to the muscles of the back. Talk with your doctor for the selection of exercises, so as not to cause the gain of the pain.

Prediction:

Most people feel a lot better already after the first week of treatment. After 4-6 weeks, a significant part of the patients the pain completely disappears.

trip to the doctor

In such cases it is necessary to consult a doctor immediately:

  1. The back pain combined with a pain in the leg and pain in foot
  2. The pain not only allows you to serve
  3. The pain blends with urinary incontinence and fecal
  4. The combination of pain in the low back with numbness in the buttock, thigh, leg, foot, groin
  5. If You have already had a sore back before
  6. If the pain lasts more than 3 days
  7. If You take hormones
  8. If the back pain occurred after the injury
  9. In the past he has been diagnosed with cancer
  10. If you've slimmed down lately for reasons that are not clear