Back pain - symptoms and treatment.

The back pain is the symptom of disease, often, the back muscles and spine. In this article, we will cover, because the back pain.

The problem is in the lower back can be the result of diseases of the bone tissue of the vertebral column, the lumbar discs between the vertebrae, ligaments around the discs of the spinal column, the spinal cord and nerves, muscles of the low back, internal pelvic and abdominal, as well as the skin that covers the lumbar region. The upper part of the back may hurt as a consequence of disease of the aorta, cancer of the breast or inflammation of the spinal column.

Suddenly arising short back pain is also called as low back pain, and gradually developed chronic low back pain. If it hurts the lower back (the coccyx) is kokcigodiniâ.

The causes of back pain

In the majority of cases the backache due to musculo-skeletal disorders (microdamages ligaments and joints of the spine after heavy loads on them, tension or muscle spasm). More less likely to cause aches and pains become more pronounced changes from the side of the vertebral column, such as a hernia of the intervertebral disc or the displacement of the vertebrae (spondylolisthesis). Finally, in rare cases, the back pain can be linked to serious illnesses (cancers and inflammation of the spine and spinal cord, diseases of internal organs — kidneys, heart, pancreas, pelvic organs, etc.).

Possible causes of back pain

• Muscle spasms;
• Traction (injury to ligaments );
• Muscle problem;
• Pregnancy;
• Scoliosis;
• Bleeding in the pelvis;
• Dissection of the aorta;
• Infections of the vertebral column and the pelvis;
• Lumbar canal stenosis;
• Metastases in the spine (the cancer that has spread to the spine from other organs);
• Viral infections, including the flu.

Diseases in which the back pain

• Low back pain;
• Aneurysm of the abdominal aorta;
• Ankylosing spondylitis;
• The cancer to the bones;
• Kokcigodiniâ;
• Degenerative diseases of the vertebral disks;
• Hyperostosis skeletal idiopathic diffuse;
• The endometriosis;
• Fibromyalgia;
• Fracture;
• Kidney stones;
• Osteoarthritis;
• Paget's disease;
• Pancreatitis, pancreatic cancer (along with pain);
• The psoriatic arthritis;
• Reactive arthritis;
• The sciatica;
• Herpes zoster (pain and medium-sized rashes).

How dangerous is the back pain

As a general rule, back pain are permanent, and are enriched with movement and exercise, and are a limitation of the mobility of the spine and a sense of stiffness in the back. In most cases, it is typical relapsing, in which the episodes of exacerbations, usually the result of intense physical activity, prolonged be in an awkward position or hypothermia, alternate, more or less long periods, during which the pain is missing, or are expressed as a minimum.

In most cases, the back pain does not represent a direct threat to the life and health of man and go, often alone (without treatment). However, at times the back pain can be caused severe disease of the spinal column or internal organs.

The following are the characteristics of the back pain, which may be associated with serious pathology. If you have any of these symptoms, you must consult your doctor immediately and in any case not to self-medicate.

• The back pain is constant and localized in a single place.
• The back pain does not decrease in the supine position, or occurs during the night.
• The back pain is accompanied by an increase of body temperature.
• Back pain accompanied by muscular tension of the limbs, or paired with a long stiffness in the morning.

The diagnosis of back pain

• Inspection neurologist to assess the state of the nervous system, of the muscles of the spine.
• Common analysis of blood and urine to rule out an inflammatory process in the kidneys.
• X-ray of the spine for the elimination of osteomyelitis, fractures and other diseases. For more identified in the x-ray changes doctor can also give computerized or magnetic resonance imaging of the spine (the first allows to evaluate in detail the state of the bony structures, the second on the spinal cord and the intervertebral disc).

Very often, when these studies reveal degenerative changes of the intervertebral discs and the vertebral bodies and the diagnosis of "back pain". You need to remember that the low back pain itself is not a disease, and reflects the age-related changes of the spine. These or other changes on the part of the intervertebral disc (including hernia) reveal almost all people of mature age, between which you have never experienced the pain in the back. In other words, the detection of signs of degenerative disc disease with x-ray or disc herniation with magnetic resonance imaging does not give reason to believe that the pain in the back are connected with them (such a decision can lead only to a doctor on the basis of the results of a clinical examination).

The treatment of back pain

Fully heal from back pain often fails, however, it is possible to reduce to a minimum the frequency of exacerbations with the help of a proper lifestyle and drug therapy. The treatment of back pain depends on the cause that has provoked the appearance of them. Choose the treatment suitable for You, only a doctor can.

The curative effect of activity can manifest itself not once, so you need a little patience, and shutter speed. The main goal of the treatment is to not only remove the acute pain, but also to prevent the aggravation of the disease in the future.

How to relieve back pain

The bed rest can promote the transition of acute back pain that's chronic. With this in mind, when moderate pain there is no need of bed rest, and with intense pain, it should be possible to limit its duration (1-3 days).

If the back pain, it is necessary to limit at this point, the physical activity, in particular avoid lifting of weights and a longer stay in the same position; it is important to do the movement, not to increase the load on the spine.

The drain of the spinal column and ensure that the state of rest, it is advisable to use a belt or corset.

Drugs for back pain

The treatment depends on the cause of the back pain, and assigns to his doctor after the examination.

To relieve the pain, use nonsteroidal anti-inflammatory drugs, which are available in the form of tablets, ampoule, injection molds, creams and gels, and pain medications or combination of medications. Medicines of both the groups is prescribed a short course (usually no more than 3-5 days). In addition, to relieve the pain, apply compresses with solutions of local anesthetics and drugs that block (which can lead only to a doctor).

For the aches and pains associated with muscle tension, using medicines, thus eliminating the muscle spasm (muscle relaxants centrally acting — for 1-2 weeks). Taking these drugs is possible only on doctor's prescription.

Currently, for the treatment of back pain, associated with degenerative changes in the spine (osteochondrosis), suggest use special drugs — drugs that stimulate the production of key components of cartilage tissue, and then slow down its destruction. The effectiveness of these drugs for the diseases of the spine is not demonstrated, the same can be said of the many widely publicized food additives (usually containing medicinal plants, organic products, vitamins, etc.) and homeopathic media. Despite the fact that all vehicles have sold in a pharmacy without a prescription, is not to be taken without prior consultation with the doctor.

Physiotherapy and THERAPY for back pain

To reduce the severity of the pain you can apply heat to dry (but not deep heating) and other physiotherapy treatments, but only after consultation with the doctor.

After the acute period, useful in the course of therapy special complex (to strengthen the muscles of the back, abdomen) and massage.

Chiropractic for back pain

Reiki can only assign a doctor after an x-ray examination and/or magnetic resonance imaging, that allow to objectively evaluate the status of the spine and its tissues. If performed correctly, the manual therapy (impact on the joints of the spine, ligaments and muscles) enables you to adjust many local violation (e.g., muscle tension, subluxations in the joints), that sometimes allows you to quickly and effectively back pain.

Chiropractic care has contraindications and limitations:

• When ernie or destruction of intervertebral disc (displacement of fragments can lead to compression of the spinal cord, spinal roots and blood vessels).
• After myocardial infarction, stroke, cancer, tuberculosis of the spine, alteration of the functionality of the endocrine system, when expressed osteoporosis.
• The keen expression, accompanied by a strong limitation of mobility of the spine because of the pain and tension in the muscles of the back (can increase symptoms).
• In vascular diseases and blood coagulation disorders.

If not performed correctly, chiropractic care can lead to serious complications, so it must go only to qualified personnel (doctor, relative specialization). Absolutely unacceptable the possession of manual therapy medium-sized health-care professionals and people without medical training!

Acupuncture

Acupuncture (acupuncture) often has a positive effect for moderate back pain, in particular those arising from muscle tension, and combined with emotional disorders. Even if, according to the concepts of traditional chinese medicine, acupuncture, you can apply for all diseases, it is believed that acupuncture is contraindicated in the following cases.

• In diseases of the heart and blood vessels.
• In the presence of benign and malignant tumors (including in the past).
• For illnesses that require urgent surgery.
• If the kidney function and the liver.
• In the presence of the propensity to bleeding or the intake of drugs, violate the coagulation of the blood.
• For the acute infectious disease.
• During pregnancy.

Yoga for back pain

Yoga helps not only relieve pain but also relieve tension in the back muscles, but also reduce the inflammation. Only 5 minutes per day to devote to the exercises, and you will soon see the result.

The prevention of back pain

• Use a comfortable bed with elastic and hard mattress.
• Try to maintain a correct posture when you walk.
• Observe the correct posture at your desk, when you work with the computer. Note, for the forearms during the work were the weight, and completely lay on the table. In the long work, use a chair with a backrest, headrest and armrests for rest and relaxation.
• Avoid prolonged stay in one position (computer, driving a car). Try possibly every half an hour to reach a little exercise, to move.
• With a long stay in the upright position, find a point of support for the back, the hands or the head (for example, leaning with the back against a vertical surface in a subway train).
• If You wear high-heeled shoes, remember that walking in it without any interruption can be no more than 2 hours in a row.
• Avoid bends and gradients of the trunk, always looking for support to make this kind of operations.
• If necessary, raise any thing with the floor must hunker down, but not bend.
• Do not lift and does not move of gravity, bringing in front of you, avoid jerking, and try to keep your back straight.
• Strengthen your back muscles with the help of physiotherapy, swimming, gym.
• Maintain a normal body weight