Everyone at least in his life was in trouble when his back hurts in the lower back.Such symptoms often appear with prolonged chairs in an uncomfortable position.The pain is safe for health and passes after a good break.
Treatment can be prescribed only after complete diagnosis and determination of the cause and nature of the disease.No action can be done independently without examining the doctor.
A variety of reasons
The most common causes of pain: osteochondrosis, scoliosis, intervertebral disc hernia.Tumors and contagious tissue lesions are less common.
Depending on the disease, pain is indicated in different ways.If the cause of pain is a colic ulcer or kidney stomach, then the sensation is fixed regardless of the nature of the activity (a person is lying or busy with active activity).
If there is an osteochondrosis of the thoracic area, then the pain gives to the liver, then the patient mistakenly believes that he has angina pectoris.
If the lower back hurts in a lying position
When the pain arises and the person does not know what to do with him, he prefers to lie down, hoping that the discomfort will pass.But if the pain increases in the position of the lying down, then it is likely that there is a disease of the musculoskeletal system, called Bekhterev's disease.
The disease affects young men, changes occur in the vertebra and they grow, spinal flexibility is reduced.
Because the spine is unable to take a natural position, a person in a lying position feels pain.
Bekhterev's disease is inherited, the impetus for development is given by chronic infectious diseases.Pain is increasing if you live an inactive lifestyle.
The first sign is the feeling of stiffness in the spine, and also lying on the lower back.Early diagnosis allows you to fully cure the disease.
The main pain syndrome
The doctor shares the major and secondary pain syndrome when it comes to pain and lower back.
The main lumbar pain syndrome contains morphofunctional muscle changes.
This includes the most common reason, which is why pain arises:
- osteochondrosis (bone and cartilage, intervertebral disc);
- Spondyloprtrosis (damage to the intervertebral joints affecting spinal mobility).
Secondary pain syndrome
The secondary syndrome includes a variety of diseases, which is the back pain at the bottom:
- Scoliosis (spinal curvature);
- reflected pain;
- osteoporosis and osteomulation (costeen tissue lesions);
- Bekhterev disease (inflammation of non -burning properties);
- rheumatoid arthritis;
- protected tumors or metastasis formed;
- tuberculosis, epidural abscess, brucellosis (infectious disease);
- the condition of the stroke leading to a violation of the cerebrospinal circulation;
- gastrointestinal disease (in particular, appendicitis or bowel disease);
- diseases in the pelvic area (kidney disease, sexually transmitted diseases);
- Dorsal spine fractures (most dangerous and serious causes).
Acute
Back pain is also divided into acute and chronic.Each of them shows some reasons.
Nonal manifestations but painful acute pain are muscle stretch.It occurs due to the formation of spasms in long muscles.
Often, athletes and people who work specifically have problems.The pain is localized to the bottom, but it is clearly felt in other parts of the body, human mobility is limited, lying down.
Taping the spine also leads to acute pain.The most dangerous injury is a spinal fracture.
Fractures can be caused by a fall, and it can occur completely, for example, if a person has a diarrhea, osteoporosis, hyperparathyroidism, or he has a tumor.
The intervertebral disc shift in the lumbar region also causes pain.In this case, human movement will be very limited.
The pain itself is caused by compression of the nerve root.Additional symptoms:
- impaired sensitivity;
- reducing or complete absence of Achilles and Knee reflexes;
- Radio pain.
Transfer of vertebrae can lead to nearby pathologies, healthy to the last.Lower vertebrae violation leads to bladder and intestinal disease.
Another reason why acute pain occurs is simple syndrome.The intervertebral disc is not affected at the same time, only the spinal compression occurs, which comes out of the spinal cord.Intervertebral holes are narrowed due to narrowing of the intervertebral hole.
Serious illness as epidural abscess can cause pain.What to do?
With this disease cannot be delayed, as it can cause tragic consequences.It is necessary to immediately take all the steps to eliminate spinal cord compression, sometimes surgical intervention is required.
In the area, starting from the lower back, ending with the knee, it can provide pain caused by hip joint disease.
Chronic
If the back pain in the lower back and the pain is always present, it is painful or attractive, then this shows another disease from acute pain.
The first reason is to change spondylosis.The lumbar region vertebra undergoes dystrophic changes, weakening ligaments, bone growth begins.
As a result, bone growth begins to put pressure on the nerve roots and pain.Symptoms can be added to numbness and weakness in the feet.
Chronic back pain can be caused by cancer or impaired metabolic process.
In this case, you need to do antitumor therapy, change the day's regimen and nutrition to eliminate the main cause, everything will be ineffective.
Another cause is osteomyelitis when infection penetrates the bone and causes the inflammation process.
A disease that leads to lower back pain
Other diseases that cause pain in the lumbar region
- Facetal arthropathy;
- Spinal cord stenosis;
- hernia disc;
- myogenic pain;
- Break the fibrous ring.
In women, pain can be provoked by pelvic diseases, such as endometriosis, uterine carcinoma and ovaries.In men - prostatitis or prostate carcinoma.
The buds, tumors in the stomach, duodenum can also give to the lower back.Pain occurs with ulcerative colitis, colon tumors, diverticulitis.
If pain does not only occur for lumbar, but also to the thoracic region, then it is important to exclude the probability of aortic stratification.
For dangerous reasons, there may be physiological changes, for example, the postpartum period or sharp set of mass, the influence of epidural anesthesia.
Such pain treatment is not done, the patient cannot do anything, the pain will pass after a certain time.
Lumbar area treatment
Before starting the treatment, you need to make the diagnosis correctly.First, the doctor performs the patient's clinical examination, then depends on the results of the ultrasound and MRI examination.
Based on the diagnosis, therapeutic programs have been selected, combining various methods.
First of all, this treatment is intended to eliminate the pain syndrome to restore a comfortable life patient.After all, the complete healing of the disease (if possible) can be years.
If bruises are the cause of the disease, then the traumatologist will be treated.Depending on the cause of the pain that the therapist/family must be revealed, the further history of the disease can cause orthopedics, nephrologists, urologists, proctologists, gynecologists, cardiologists, gastroenterologists, pulmonologists, infectious media.
Previously, pain treatment in the lower back was done exclusively with antibiotics.There are now many methods for treatment that only an experienced doctor will help choose the right one.
To facilitate the patient's condition, it is recommended to convert the mattress to the orthopedic.Pain will eliminate painkillers and heating gels, which also contain anti -inflammatory components.
It is also advisable to use anti -non -ssteroid drugs.Muscle cramps will be removed by muscle relaxants, nerve swelling will eliminate diuretic and vascular products.
When the patient can return to the normal lifestyle, continuous treatment with physiotherapy, massage and therapeutic training.
Treatment is carried out using the following non -Drug methods:
- Vacuum therapy;
- acupuncture;
- laser therapy;
- manual therapy;
- dry attraction;
- Pharmacopuncture;
- Electrical stimulation;
- Magnetopuncure.
Such treatment provides rapid removal of pain, and also eliminates the cause itself, thus ensuring long results.