Almost every second man older than 16-18-year-old regularly complains that his back is sore. In recent years, such problems have become typical, even teenagers, and the frequency of complaints among adults with back pain grow and grow. At the same time medical help changes only a fifth of them. Others want to "survive" on their own, leaning on painkillers and hoping that problems will pass by itself.
Each would cost based on exactly what back pain to his specific case, because this symptom can cause serious health problems.
The cause of the pain
Relatively young and healthy people, back pain usually abnormal overload. They cause pain in the spine, with complaints that doctors treat 85% of patients. No need to be a weightlifter to engage in physical work, because of their professional specificity, or be a enthusiast of country garden is working to get back problems. Constantly found in the same position, for example, when working on a computer, provides a voltage, which is the reason why back pain. The recommendations of the doctors attached to the back of the chair and sit on it deeper, there is a good reason. Heavy bags to carry home from the store can give the same effect.
The diagnosis of "tired backs" in medical terminology. The pain is non-acute in nature, is charged to the "undetermined cause" and treated with rest and proper fit. Pay more attention to, if the feeling does not subside within two weeks accompanied by other symptoms, or have a certain periodicity. Find out why lower back pain, you will need several hardware-surveys and consultations with doctors of different specializations.
Compression fracture
According to the world health organization, up to 4 % of all elderly patients, with a sore back, suffering a compression fracture. This diagnosis means the crack formed in the vertebra, without any particularly strong external impact. This fracture occurs in older people among the younger age groups tended her patients with osteoporosis of the spine. Bone density unreliable in front of gravity. Fracture can take place even under the influence of its own weight of the patient, and he did not notice, and just mention that your back hurts, why – is unclear. For this reason, compression fractures traumatic consequences are not.
What to do if your back hurts as a result of such damage, the information you tell your doctor. Save the situation at rest, strict bed rest and medication, which can reduce the soreness.
Problems with the spine
Osteochondrosis
Is a chronic disease that can affect people of all ages, social status and gender. With the development of osteochondrosis intervertebral disc height decreases, the reduced mobility of the entire spine, the time complications arise, not only on the side of the ridge, but especially the internal organs.
Spondylolisthesis
This disease affects up to 7 % of the population. But spondylolisthesis is diagnosed, it is quite rare: many people, until the last moment ignored the signal of acute pain occurs in the lower back. In principle, the disease can affect any part of the spine, but most often affects the fifth lumbar vertebra. His leg is deformed, which reper started under the bulging either backward or forward. Figuratively speaking, spondylolisthesis of the spine ceases to remind post – it's more like a ladder.
The disease manifests itself in the fact that the constantly sore back, the pain can be transferred to the buttocks, in some cases the lower extremities. However, if the disease is not too far gone, the feeling is not too spicy, which allows the patient may ignore them.
Ankylosing spondylitis
He also has ankylosing spondylitis. Affects mostly men, and people of all ages. Female patients account for only 16-17 %. When ankylosing spondylitis inflamed joints, ligaments; the disease is progressive in nature. Usually begins in the lumbar spine, but without any response, that is, the right treatment, quickly spread to the chest, and after – and the cervical segment. That is the back cover: if a sore lower back, soon the whole body will not remain on the sidelines.
The first symptoms are stiffness in the lower part of the body, accompanied by severe pain syndrome. It should be noted the excitement of the whole spine to the muscles, which is continuous and does not subside, even during the long holiday. Almost all of the patients complaining of the thigh; over time, bechterew's disease affects the connective tissue of the heart, lungs and kidneys. In medicine, describes the individual cases of ankylosing spondylitis even affected the eyes.
A Herniated discs.
This pathology of intervertebral discs is considered a very common. Often the problem with Mature people 40 and older, but can develop at a much younger age. Promote the emergence of herniated discs can:
- overweight – it is recent years is the most common precipitating factor;
- heavy physical work or exercise with weights;
- injury, appropriate spine;
- prolonged sitting (especially if the workplace is organized correctly, a failure to make rehabilitation recommendations);
- trigger the disease: dysplasia in infancy, scoliosis, osteochondrosis.
The mechanism of development of a hernia is a degeneration of tissue, such as connective tissue and muscle. Not supported muscularis corset for the spine began to sink, wheels – simulat and pressed beyond the limits of the column. As a result, the patient is very back pain, especially when lifting or turning inclinavit it bears. The pain is also aggravated by sneezing or coughing, and sudden or unaccustomed movements. Other symptoms — numbness, tingling, or power leg, crawling him "goosebumps" and other not very pleasant feeling.
Osteomyelitis
This is one of the few reasons which cause back pain. Such a diagnosis is only about 0.01% of patients referred to as doctor. Started osteomyelitis due to penetration of the spinal cord infection often he gets blood in the urine channel. Insidiousness of the disease is that it develops gradually and undetected, his illness, the patient should know when to back pain and fever, sometimes dangerous indicators.
However, it is worth mentioning: if you have a sore lower back or shoulders, and the thermometer confirms that you are sick, this does not mean that you have osteomyelitis. The same clinical picture has been observed in many infectious diseases the same flu, for example. So if you really sore back, what to do, should be decided by the doctor. By the way, you can begin to heal infection of the spine at a time, because you have to fight with the more familiar disease.
Back pain can be enforced and severe scoliosis, sciatica (in his case, their strength can crescere "unbearable"), and many other problems of the spine. If you are worried about the question of what to do pain in the back, change the focus and anxiety of the establishment of an accurate diagnosis. Only an expert can understand what treatment you need.
Except for the spine
How to get rid of back pain? Many people think that the tell should be a podiatrist or spine. However, this part of the body can tip us problems in the internal organs, where the spine is not in relation:
- if back hurt on the left, the upper part of the body that is sore, but sometimes rapiente signs, this symptom can be a sign of a heart attack. In any case, the heart-apparently there was a problem so a visit to a cardiologist costs as quickly as possible;
- the pain affects the lower back and datum usque foot, often indicates an inflammatory process of the kidneys or the organs of the competence of the gynecologist. Natural feelings – pulling, sharp, throbbing. Sometimes the pain is delivered and the groin;
- pain in the area between the shoulder blades often speaks of diseases of the gastrointestinal tract. Some of them are given in the lower back and the patient starts to take care of his non-existent sciatica;
- mild pain in the back, a lot of dans, one of the lower limbs and increase in number when moving or sitting, can talk about sciatica, an inflammation or pinching of the sciatic nerve;
- deaf, but noticeable pain in shoulder blade when moving to the center of the spine and aggravate the turns of the body either breathing – clear signal, problems with his lungs. In some cases, so obvious heart disease.
If the treatment of back pain and it is recommended that most patients with vertebrate diagnosis is ineffective, if the intensity of the pain depends on the position (sitting, standing, lying down), most likely, the problem is not in your area, and some of the internal organs.
In all these cases, the psychologist must prescribe treatment. Back pain than physiological reasons, and because of the internal disorder. And when he continued (or the patient him suck), the discomfort can't be fixed. Although pain medication is considerably weaker than planned.
Therapeutic criteria
The main issue for patients is still the same, sacramental: what to treat? Back pain – symptom is to be removed, so it does not interfere with life and work. However, this is a very limited perception of the problem. Withdrawal solves the problem temporarily. If you do not deal with the disease, which has provoked its development, the pain will return again and again.
If back pain is caused by problems with the spine, is usually applied to a standard set of treatment modalities, elaborated in accordance with the specific diagnosis and individual patient characteristics. It includes:
- nonsteroid anti-inflammatory drugs number. They simultaneously get rid of back pain and ortum or generandi them inflammatory process. If the pain is very strong, the drug is administered intramuscularly; in complex cases they are supplemented by analgesics and narcotic substances. Maintenance medication, vitamins, muscle relaxants, reinforcing the effect of nonsteroid, anti-histamines. If back pain caused by the original disease, the treatment – and it shall apply from the first day, regardless of the intensity of the pain syndrome;
- physiotherapy. It is prescribed when the acute attack stopped, and the procedure can cause a relapse or complications. One of the most popular and powerful effects — electrophoresis, magnetic therapy, acupuncture. In recent years, in particular, recommended by doctors hydrokinesotherapy — stimulating stretching of the spine, exercises in the swimming pool, which is heated water;
- physiotherapy. Without it not to manage almost all diagnoses. Deformation and degradation of the spine is progressing, if it is not regularly forced to take the correct position. Gymnastics has become a part of the life of the patient and after removing the back pain.
If back pain was caused due to the development of diseases of some internal organs, the treatment will change dramatically. The first step remains the same, except that you will only include painkillers (if the inflammation has had time to settle the patient's body). In the second stage of treatment is aimed at addressing the primary pathology: the treatment of heart, digestive or genitourinary systems. This is justified, because back pains are not related to its physiological state.
Cases, psychosomatic back problems, and can rightly be considered the most complex patients. He must pass a comprehensive examination and consultation with several experts to cut the likelihood of not only vertebrate ailments, and problems with internal organs. And then the conversation (and not one) of the professional psychologist. In our country the doctor is perceived as something unpresentable. Unfortunately, without his help, the patient must accept the fact that he is constantly back pain: get rid of the internal problems on their own is obtained in a few patients.