The lower back is the back of the back from the ribs to the tail.There are many nerve endings and therefore pain in this area is a common cause of medical attention.Up to 90% of people experience lower back pain periodically or permanently.This part of the rear reports a lot of pressure - from 50 kg in an upright position to 220 kg in a sitting position if a person is bent.
Consider the causes of back pain, diagnosis and therapy.
The reasons for the pain
Low pain is both a symptom of the usual overvoltage and a signal for dangerous diseases.
Not in all cases the causes of pain are hidden in spinal disturbances - diseases of the internal organs can also be reflected on the sensations in the lumbar region.
Possible causes related to bones, joints and muscles
The exact answer to the question of why it hurts at the back can only give a doctor after a complex of diagnostic measures.
Possible causes of pain related directly to the condition of the spine, bone tissue, intervertebral discs:
- Osteochondrosis is a disease in which degenerative and dystrophic lesions of the intervertebral discs occur.
- Intervertebral hernias and convexity are diseases associated with rupture of the fibrous ring.
- Shifting intervertebral discs.
- Scoliosis or kyphosis - spinal curvature.
- Muscle spasm during surge.
- Spinal stenosis - narrowing the space inside the spine, leading to compression of the nerves and cerebrospinal structures.
- Spondylartrosis is a disease of the veil joint of the spine.
- Compression fracture.
- Spondylolistz - sliding from the proper vertebra of the main one.
- Stretching or tearing of connections.
- Bicherev's disease (ankylosing spondylitis) - inflammation of the intervertebral joints
Reasons for women
The causes of back pain in the lower back in women and men may have different genesis.In women, in addition to the common diseases of the internal organs, bones, muscles and connections, pain in the lumbosacral spine often manifests gynecological diseases:
- Inflammatory processes in the ovaries.
- Ovarian cysts.
- Remove the legs of the ovarian cyst.
- Endometriosis is a pathological growth of the uterine endometrium.
- Uterine fibroids and fibromyoma are benign tumors.
- Malignant tumors.
With the above deviations, women feel pain, pulling pain (except for twisting the legs of the ovarian cyst: in this case the woman will feel acute pain).In addition, women in these cases will have an increase in temperature, delay in the menstrual cycle and pathological discharge from the vagina.
Menstruation can also be accompanied by lumbar pain.At that time, the level of estrogen and prostaglandins, which reduce the threshold of pain, increases sharply in the blood of the woman.Uterine contractions, its pressure on the rectum and peeling of the decidual layer of the endometrium cause discomfort.
RemarkSIn pregnant women (especially in the third trimester) there is a significant increase in the lower back load and the gap of joints.Similar changes are needed so that the child can pass the birth channel.In this case, the pain is considered a norm if they are not accompanied by abnormal disposal from the vagina.
Other reasons
Other causes of lumbar pain may be infectious diseases.For example, osteomyelitis is a disease of the bone and bone marrow caused by pyogenic bacteria.
Another cause of infectious nature that causes the back to hurt and destroy the lower back in a child or adult is tuberculous spondylitis.This disease is often found in young patients.
Tumors in the lumen of the spinal canal, good and malignant, can also cause pain in the lower back.Patients with pyelonephritis and urolithiasis, rupture of the abdominal aorta and hemorrhage in retroperitoneal tissue often complain of such pain.
Drinking pain on the left and right at the lower back shows the pathology of the internal organs (stomach, kidneys, intestines)
Important!To determine an accurate diagnosis, a complete diagnosis of internal organs and skeleton is required, as well as a doctor's consultation.
Diagnostic methods
You should first consult a specialist.Which doctor to contact in the sacrum and lower back?It is worth visiting a neurologist who will gather anamnesis and make a preliminary diagnosis.If necessary, this specialist will refer you to another specialist or for additional exams.
Diagnosis for lower back pain includes:
- X -ray.It is suitable for checking the condition of the bones, diagnosing arthritis and fractures.In addition to ordinary radiography, highly specialized studies are conducted:
- pneumomyelography;
- angiography;
- myelography;
- Discography.
- Magnetic resonance imaging and computed tomography.These methods help in the study of bones and soft tissues: muscles, ligaments, nerves, blood vessels.
- Blood test.It is performed to check the presence of infections in the blood.
- Electromyography.The study examines the electrical impulses produced by the nerves and the reaction of the muscles to them.He reveals the nerve compression.
- Ultrasound Doppler.The method helps to check the crossing capacity of carotide and vertebrates.
When to see a doctor
The pain in the lower back is not always - the occasion to run to the doctor.If it occurred after an overvoltage or before menstruation with a woman, do not worry.Contact a specialist with constant pain in lumbar cross pain, with severe pain of unknown origin.
It is also worth turning immediately if there is pain in the lower back, giving the ass, legs (especially when spreading under the knee), causing tingling and tingling of these areas.Such symptoms indicate the involvement of the peripheral nerves, which may indicate exacerbation of any disease.
Important!It is worth considering the state of health if the pain causes problems with urination or bowel movements (eg incontinence), accompanied by fever or abrupt weight loss and occurs due to mechanical damage.
Symptomatic
Choosing a way to get rid of back pain, it is important to remember that full treatment is impossible without clarifying the cause of the unpleasant sensations.Elimination of symptoms does not mean restoration of the body.To make a diagnosis and prescribe proper treatment, consult a doctor!
Medication
What should I do if the lower back hurts and hurts?Before relieving the back pain with analgesic drugs, NSAIDs (non -steroidal anti -inflammatory drugs) are taken, which, in addition to the anti -inflammatory effect, have an analgesic effect.These drugs help with pain that occurs during muscle spasm and the development of inflammation.
Reference.Analgesics are available in a wide range, but the doctor prescribes a specific medicine.
Doctors note that constant, chronic back pain often causes psychological problems, insomnia, provoke emotional disorders and depression.As their manifestations are related to psychosomatics, the side problems lead to even more somatic deviations.In these cases, after consultation with a psychiatrist, antidepressants are prescribed.
Folk remedies
Home treatment with folk remedies will not eliminate the cause of pain, but will reduce the symptoms.Remember that refusal to monitor specialized and traditional treatments can adversely affect the body.
Here are some recipes tested among people:
- Mustard compress.Dilute the mustard powder in warm water to a consistency that resembles sour cream.Apply the mixture to the skin and insulate.To avoid skin burning, do not keep the compress for more than 5 minutes.If pain occurs, remove the compress immediately and rinse the skin with water.
- Cologne GrindSAdd two bubbles of 3%iodine solution to the collar with cologne, five red bitter peppers and two Valerian tinctures.Mix the ingredients and place in a dark place for a day.Grease the sore spot at night with the mixture with the mixture, then wrap it with a scarf.
- A compress made of egg protein, incense and soap.Mix 1 bag of white incense, 1 tbsp.A spoonful of grated soap for washing and 2 eggs killed in thick foam.Apply the mixture to the wool tissue and wrap it with the lower back.
Exercise and massage therapy
In the case of back pain, it is useful to perform static or simple dynamic exercises that exclude the risk of stretching and tearing of connections, muscles overnight.
For example:
- Sidebar.Lie on the floor, put your elbow on the floor strictly under your shoulder.Bend or intertwine your knees, depending on the level of complexity you are ready.Lift yourself with your hips so that your body forms a flat diagonal line.Lies in position for 10-20 seconds and repeat on the other side.Perform 5-8 reps on each side.After a while, you can increase the approach time to a minute.This exercise strengthens the muscles of the press, arms and back.
- The child's posture.Stand on fours.Lower the buttocks to your heels, stretch your hands in front of you, gradually straighten them.Lower your head to the floor.Hold in position for 30-40 seconds.This exercise stretches the connections and muscles of the back.
- Sitting.Sit on the floor, bend your right leg in the knee, and place it on the floor, throw your left leg over the right, placing it on the outside of the right thigh.Pull the right leg closer to the right ass.Bend the body, bending your right hand in the elbow and leading it behind the left knee.Hold the position for 30-40 seconds and repeat the exercise on the other side.Exercise stretches the connections and muscles of the legs and back.
How to treat the back pain below the lower back and in the lower back area if it has become chronic?Massage will become an effective tool.During the procedure, the patient falls on a solid, uniform surface.
The specialist before the processing of diseased areas massages the healthy part of the back.Sometimes massage is done with the help of warming ointments, essential oils.
Physiotherapy
How to treat severe pain?Doctors offer complex therapy.The methods under the common name "physiotherapy" are effective.
Among them:
- Electrophoresis - improves the blood supply to the tissues and the conductivity of the peripheral nerve fibers, accelerates the process of delivery of medicines to the correct place of the body;
- magnetic and laser therapy;
- therapeutic baths (radon, hydrogen sulfide, turpentine);
- Thermal procedures.
Prevention
You will not have to think about how to heal your back and eliminate pulsating pain in the lower body if you are prevention on time.Follow the right posture in any position of the body: sitting, lying down, lifting weights and walking.Follow the moderation of physical activity, avoiding back.
Pay special attention to the choice of a sleep mattress: it should be semia or difficult.Give preference to tight pillows or replace them with rollers under your neck.After awakening, it is a good idea to perform a small warm -up, during reading you should not tilt your head a lot - this flows the muscles of the neck, which affects the condition of the back, and in the future leads to problems with the lower back.
Conclusion
The spine is the support of the whole body.The condition of the internal organs depends on his health.Low pain may indicate the presence of deviations in this important structure as well as systemic diseases.Follow your health, lead a mobile lifestyle, and your illnesses will surround you.