Each person at least once in their life has been faced with a problem when their back hurts in the lower back.Such a symptom often appears with a prolonged seat in an uncomfortable position.Pain is sure for health and passes after a good rest.
Treatment can only be prescribed after a complete diagnosis and determination of the cause and nature of the disease.No action can be done independently without examining a doctor.
A variety of reasons
The most common causes that lead to pain: osteochondrosis, scoliosis, hernia of intervertebral discs.Tumors and infectious tissue are much less common.
According to the disease, pain manifests in different ways.If the cause of pain is renal colic or stomach ulcers, sensations are constant regardless of the nature of the activity (a person is located in a lie or occupied with an active activity).
If there is osteochondrosis from the thoracic region, then the pain gives the heart, then the patient wrongly believes that he has angina.
If the lower back hurts in a lying position
When the pain appears and the person does not know what to do with it, he prefers to go to bed, hoping that discomfort will pass.But if the pain intensifies in the position of going to bed, there is probably a disease of the musculoskeletal system, which is called Bekhterev's disease.
The disease affects young men, changes occur in the vertebrae and they grow, the flexibility of the spine is reduced.
Due to the fact that the spine cannot take a natural position, a person in a lie position feels pain.
Bekhterev's disease is inherited, the impulse for development is given by chronic infectious diseases.The pain is intensifying if you lead a sedentary lifestyle.
The first sign is the feeling of stiffness in the spine, as well as if lying in the lower back is improved.Early diagnosis allows you to completely cure the disease.
Primary pain syndrome
Doctors share primary and secondary pain syndromes with regard to back pain and lower back.
Primary lumbar pain syndrome contains muscle-skqueletto changes that are morphofunctional.
This includes the most common causes, which is why pain occurs:
- osteochondrosis (lesion of bone and cartilage, intervertebral disc);
- Spondyloprosis (damage to intervertebral joints which affect the mobility of the spine).
Secondary pain syndrome
Secondary syndrome includes a greater variety of diseases, due to which the back hurts in the lower back:
- Scoliosis (curvature of the spine);
- reflected pain;
- osteoporosis and osteomulation (lesion of the cosen fabric);
- Bekhterev's disease (inflammation of a non -infectious nature);
- rheumatoid arthritis;
- isolated tumor or formed metastases;
- tuberculosis, epidural abscess, brucellosis (infectious diseases);
- a condition of the stroke which leads to a violation of cerebrospinal traffic;
- gastrointestinal diseases (in particular, appendicitis or intestinal disease);
- diseases in the pelvic area (kidney colic, sexually transmitted diseases);
- Fracture of the dorsal vertebrae (the most dangerous and most serious reason).
Acute pain
The lower back pain is also divided into acute and chronic.Each of them shows for certain reasons.
The non -understanding but painful manifestation of acute pain is a muscle stretch.It occurs due to the formation of cramps in long muscles.
Most often, athletes and people of work specialties suffer from a problem.The pain is located in the lower back, but it is clearly felt in other parts of the body, human mobility is limited, lying down lying.
Bringing down the spine also causes acute pain.The most dangerous injury is the vertebral fracture.
A fracture can be caused by a fall, and it can occur completely, for example, if a person suffers from magnetorate disease, osteoporosis, hyperparathyroidism or tumor.
Travel of intervertebral discs in the lumbar region are also led to pain.In this case, human mobility will be very limited.
The pain itself is caused by the compression of the nerve roots.Additional symptoms:
- altered sensitivity;
- decrease or complete absence of Achilles and knee reflexes;
- Radio pain.
The displacement of the vertebrae can lead to the pathology of proximity, which was healthy until the last.The violations of the lower vertebrae cause bladder and intestines diseases.
Another reason why acute pain occurs is easy syndrome.The intervertebral disc is not affected at the same time, only the compression of the spine occurs, which leaves the vertebral canal.The intervertebral hole is narrowed due to the narrowing of the intervertebral hole.
A serious illness as an epidural abuse can cause pain.What in this case do?
The disease cannot be delayed because it can lead to tragic consequences.It is necessary to immediately take all measures to eliminate the compression of the spinal cord, sometimes surgery is necessary.
In the region, from the lower back, ending in knees, can give pain caused by hip joint disease.
Chronic pain
If the back is sick in the lower back and the pain is constantly present, it hurts or pulls, it indicates other diseases than in acute pain.
The first reason is the deformation of spondylosis.The vertebrae of the lumbar region are undergoing dystrophic changes, the ligaments weaken, bone growth begins.
As a result, bone growths are starting to put pressure on nerve roots and painful pain occurs.Symptoms can be added to numbing and weakness of the legs.
Chronic lower back pain can be caused by cancer or altered metabolism processes.
In this case, you must make an antitumoral therapy, modify the diet of the day and nutrition to eliminate the deep cause, everything else will be ineffective.
Another reason is osteomyelitis when infection enters the bone and causes inflammatory processes.
Disease leading to lower back pain
Other diseases that cause pain in the lumbar region
- Facetal arthropathy;
- stenosis of the vertebral canal;
- hernia disc;
- myogenic pain;
- Rupture of a fibrous ring.
In women, pain can be caused by pelvic diseases, such as endometriosis, uterine carcinoma and ovaries.In men - prostatitis or prostate carcinoma.
Path of the buds, a stomach tumor, the duodenum can also give to the lower back.Pain occurs with ulcerative colitis, colon tumors, diverticulitis.
If the pain applies not only to the lumbar, but also to the thoracic region, it is important to exclude the probability of aorta stratification.
For harmful causes, there may be physiological changes, for example, a postpartum period or a net mass of mass, the influence of epidural anesthesia.
The treatment of such pain is not done, the patient can do nothing, the pain will pass after a while.
Treatment of the lumbar region
Before you start treatment, you should make a diagnosis correctly.First of all, the doctor performs a clinical examination of the patient, then relies on the results of ultrasound and MRI examinations.
Based on the diagnosis, a therapeutic program is already selected, combining various methods.
First, the treatment aims to eliminate pain syndrome in order to bring the patient a comfortable life.After all, the complete healing of the disease (if possible) can last for years.
If an bruise became the cause of the disease, then a traumatologist will be treated.According to the cause of the pain that the therapist / family doctor should reveal, the additional history of the disease can lead an orthopedist, nephrologist, urologist, proctologist, gynecologist, cardiologist, gastroenterologist, pulmonologist, infectious media.
Previously, the treatment of pain in the lower back was carried out exclusively with antibiotics.Now there are so many treatment methods that only an experienced doctor will help choose the right one.
To facilitate the condition of the patient, it is recommended to change the orthopedic mattress.Pain will eliminate pain relievers that heat up ointments and gels, which also contain anti-inflammatory components.
It is also advisable to use non-steroidal anti-inflammatory drugs.Muscle cramps will be eliminated by muscle relaxants, swelling of the nervous spine will eliminate diuretic and vascular products.
When the patient can return to a normal lifestyle, the treatment continues with physiotherapy, massage and therapeutic exercises.
The treatment is carried out using the following non-drug methods:
- vacuum therapy;
- acupuncture;
- Laser therapy;
- Manual therapy;
- dry traction;
- Pharmacopucture;
- electrical stimulation;
- magnetopuncture.
Such treatment provides rapid elimination of pain and also eliminates the cause itself, thus ensures a long-term result.