Many people know the symptom of "sore lower back". Usually the discomfort associated with various diseases of the spine, but in practice it often turns out that the cause of the other. Frequent pain in the lower back occurs in women late in pregnancy, such as the spine experiences more stress than normal.
The reason may be also different diseases of internal organs, degenerative changes in the bone-cartilage devices lower back, etc. Lack of physical activity, severe working conditions, professional sports, obesity can cause pain in the lower part of the spine.
Lower back pain doctors call the term "lumbalgia". It is a common phenomenon, which is characterized by the sudden appearance and disappearance of the pain syndrome. Some patients undergo a short course of treatment and never experience discomfort, others have to get treatment for months and even years. To determine the exact cause of pain in the lower back, it is necessary to examine first the doctor, and then he in the direction of the experts.
Reasons
Most often lower back pain is a symptom of various diseases of the musculoskeletal system. Often the discomfort is bothering the people who spend a lot of time at the computer, in the car, doing heavy physical work, throw yourself at the gym. Risk group includes pregnant women or women who recently gave birth.
Diseases, associated with pain in the lower back
Back pain bottom can indicate diseases such as osteoarthritis or spondylosis. It's called the primary causes of pain associated with functional and morphological changes in the spine.
Among the secondary causes of lower back pain are:
- neoplastic processes of the vertebrae, spinal cord;
- injuries to the vertebrae;
- infectious process of the intervertebral discs and the vertebrae;
- metabolic disorders of the bones (osteoporosis, osteomalacia);
- inflammatory diseases of infectious etiology (rheumatoid arthritis, ankylosing spondylitis);
- acute hemodynamic instability (eg, stroke);
- diseases associated with impaired growth;
- gastrointestinal disease (atypical acute appendicitis, bowel obstruction);
- kidney disease (urinary stones disease the pain behind the one sided, often on the right side);
- diseases of the pelvic organs.
Thus, the reason for the pain is not always rooted in damage to the musculoskeletal system. If the pain is caused by a malfunction of the internal organs, it is irradiating nature. In addition, in men back pain base of the spine, chronic prostatitis, prostate cancer, although this symptom is not always required.
Pain can occur after a long walk refers to the fact that spinal stenosis. The disease manifests itself in the form of the syndrome, intermittent claudication. People, in addition to complaining of cramps and muscle pain when walking. Elderly people develop the condition as rheumatic polymyalgia. Firstly, it is a slight pain, feeling of stiffness in the hands or feet.
The most common cause of pain below the waist, right side, left side or in the middle of the is lower back pain. Instrumental examination to help identify the different degenerative changes in the spine. Those intermediate discs of the spine gradually decreases, which leads to the development of imbalances in the structure of the entire spine.
This leads to lower back pain, which is localized to the left or right, or to go in the course of the ridge.
Another source of lower back pain – the presence of intervertebral hernia. In the event that their violation, compression of the nerve roots is quite strong, sharp pain that is in the early stages to help steroids and non-steroidal anti-inflammatory drugs.
Symptoms of an unfavorable outcome is lumbodynia, which manifests itself in a wide range of symptoms. Pain along the nerve root can radiate into the buttocks and legs. Discomfort appears when bending (even when tilting the head down), laugh, cough, etc. Pain syndrome is worse when lifting the lying on back straight leg.
Occur back pain
Symptoms of back pain is different depending on the existing pathology. When stretched, the pain manifested in the form of convulsions, when movement is limited. Syndrome the pain radiates to the buttocks, the back of the thighs. It is difficult to bend down to turn the case. If damaged roots give pain in the lower part of the body, there may be disturbances of sensation, numbness.
Osteoarthritis symptoms increasing gradually. Initially, the pain interferes with one hand, her character is not expressed. With the development of pathological pain, the process becomes stronger, harder, stop pain, affect a large area. After a long stay in one position the pain is aching in nature.
If kidney damage pain does not show the lower back, approximately at the level of 12 pairs of ribs. However, in renal colic the pain radiates down syndrome, the ureter, to let in the groin. The pain is unbearable, very strong pain medicines do not help. The characteristic symptom is a unilateral localization.
Diagnosis
Why sore lower back, it can be set only by the doctor. In no case should not engage in self-diagnosis and self-treatment. Diagnosis is based on patient complaints, clinical symptoms, anamnesis data, results of instrumental methods. The patient is prescribed x-rays, myelography, MRI, CT and other investigations.
Computed tomography is an efficient and highly informative method to reveal the various structural changes in the spine caused by trauma, infection, tumor formation, osteoporosis and other diseases. Based myelography is the use of contrasting materials. The method is used in cases of suspected spinal stenosis, hernia, tumors and other pathological processes of the spine.
Treatment
What to do if your back hurts, you can say only by a qualified technician. Tactics of treatment depends on the underlying cause of the pain. It is not recommended to use pain medications, because they provide only a temporary effect (and in certain diseases of not help), "lubricate" the clinical picture and worsen the disease process, what the person is constantly removing the pain, delay the visit to the doctor.
The main principle of treatment – the treatment is not pain itself, but its causes. So, osteochondrosis require different measures. Non-steroidal anti-inflammatory drugs for this disease are used for symptomatic treatment season swing. Such drugs include Diclofenac, Nimesulide etc., but they have a number of contraindications (eg, peptic ulcer).
Can also be applied to non-steroidal anti-inflammatory creams. In some cases, require steroid anti-inflammatory drugs. The main events will be held time, without the aggravation of and medical gymnastics, the completion of the therapeutic massage, the organization is the right day-care and nutrition.
Also appointed physiotherapy, acupuncture, chiropractic, etc. without exacerbation doctors recommend therapeutic exercises. This is the best way to strengthen your back, relieve tension and muscle spasm. Therapeutic exercises (physical therapy) is a mandatory program to prevent back pain.
The categories are best done under the supervision of the director, but some simple exercises, it is possible to perform at home:
- Lying back, arms stretched along the body, legs slightly bent at the knee joints. The legs are bent to the right in the body and head turn slightly to the left (the main thing – do not overdo it). After five seconds, return to starting position, repeat the same on the opposite side. A total of ten repetitions.
- Get on your knees to lean on the chair. Arch your back upwards, then the maximum SAG. Do ten repetitions.
- Lie on your back, straighten your legs. Lift the right leg 20 cm from the floor, hold until fatigue. The same is done with the left foot. Do five repetitions for each leg.
Good effect gives massage and manual therapy. These measures can be carried out only by a qualified technician. Improper execution of, a violation of technician behavior can cause considerable damage. During the session of manual therapy in the hands of the expert to go through the whole area, affecting different levels (fascia, bone structure, etc.).
Particular attention is paid to the nervous system level. The expert has a direct effect on neurons through palpatory manipulation. A chiropractor is able to slow down or speed up the nerve chain. Recently, the growing popularity of acupuncture. The course consists of several procedures, and it is referred pain and muscle relaxation.
The presence of excess weight should be diet. Priority should be given to herbal, low-calorie food. Proteins is one of the third part of the daily diet. You can eat lean fish, poultry, meat, eggs. Also the protein contained in legumes, buckwheat, mushrooms, nuts (for them it is important not to overdo it). Fats should consume unsaturated (lamb, white fish, nuts, vegetable oils).
Diseases of the osteoarticular system, the important role of vitamins a and D. Vitamin A is found in greens, onions, vegetables, orange and yellow colors, fish liver oil, liver, egg yolk. Vitamin D is synthesized under the influence of sunlight. It is also possible to get small amounts of milk, butter, egg yolk, cod liver, caviar. Bone health should consume adequate amount of phosphorus (bran, lettuce, cabbage, cheese, fish) and calcium (liver, cheese, eggs, nuts, cabbage).
The presence of back pain is best to consult the therapist on the basis of the information collected should be able to determine further tactics. The presence of diseases of internal organs the patient goes through several other studies and sent to the experts. The most important rule, which should learn all patients not to self-medicate any disease manifestations, without delay, contact a specialist.