If the back pain in the lumbar region, this can be due to various reasons. The pain can localize as in the vertebral column, and come from the internal organs and soft tissue. Sometimes the pain accompanies system disorders and is one of their symptoms. To find the conditions unpleasant sensations, it is necessary to make a thorough diagnosis – this will help you to start treatment in a timely manner.
Osteochondrosis of the vertebral column
Most often it is the pain localized in the area of the spinal column, more precisely in his lumbosacral department. Therefore, when the back pain in the lumbar region, all the possible causes are divided into primary and secondary. The primary reasons you refer to any disease of the vertebrae (the functional, degenerative, inflammatory, and others), and the secondary rank as all the other diseases.
The most common is the premise, which appears in the pain of back pain. Appears during the contraction of the intervertebral discs, the loss of moisture in the joint and the rapprochement of the discs between them. The pain develops because of the impact on the discs on the nerve roots, and other symptoms (disturbances of the functions of the organs, numbness, "skin " goose", etc) – due to the deterioration in the vascularity of the area.
Low back pain without treatment complicated:
- Protrusion;
- Hernia;
- The destruction of the disk;
- Seizure (loss) of the disk.
The pain in this malocclusion increases its progression, gives way, accompanied by strong acute attacks in the lumbar region. Low back pain with age is celebrated on the 60-80% of people.
Vertebral syndrome other diseases
The causes of back pain may be due not only osteochondrosis. In medicine there is the concept of "spinal syndrome", which is caused by various diseases with the change of the configuration of the spine, its mobility and functionality, with problems of posture and gait.
Curve – a common assumption for the back pain. The loins can suffer when:
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- Kyphosis;
- The lordosis;
- Scoliosis.
The kyphosis is congenital – if the child has a wedge of a vertebra, the hemivertebrae, but this is rare. Often the back pain when kyphosis appear on the background, spondylitis (inflammation of the cartilage and vertebrae, depending on the type of arthritis), cervical spondylosis (osteoarthritis of the vertebral joints vertebra). Also kyphosis and excessive lordosis can appear after the injury, failed operations, on the background of aging of the body. The curving sideways (scoliosis) in the spine is rare, especially, concerns thoraco-lumbar of the department.
Spine pain can accompany the defeat of the post in the disease of ankylosing Spondylitis. In this case, it is able to form the arch deformation, which causes pain from the tailbone up to the neck. In more serious cases, the height of the body is reduced, the vertebrae are fixed. Defeat the lumbar to any type of disease can be accompanied by with lumbodynia sharp shot regardless of movement, which occurs due to a sudden breach of the roots. Serious complication can become the syndrome of the cauda the cauda equina, when you type cramps great plexus.
Causes of pain in women
The back pain in women can have specific causes. The pain, in addition to these assumptions, it is able to proceed from these states:
- Menstruation. During the cycle, the pain may not be a signal of some problem. Some women is a certain feature of the body and this is called primary algomenoree, without organic reasons has not. If the syndrome has appeared suddenly, it may indicate hormonal errors,
inflammatory diseases. Usually feel stronger in the abdominal area, but the spine also give often. - Ovulation. The pain in mid-cycle is often a symptom of egg release from the ovary. Ovulation for many women, it blends with the unpleasant sensations in the back and abdomen, in the groin.
- Pregnancy. Back pain in pregnancy are associated with the increase of the load on the spine, these symptoms are characteristic for the second and third quarter. In the first weeks after conception, this indication can also take place, and its causes are natural (enclose the embryo, hormonal changes) and pathological (ectopic pregnancy). To reduce the pain, a woman needs to wear a blindfold to sleep on the pillows, put a pillow under the belly.
Often back pain syndrome occurs after the abortion, when endometritis, cervicitis, caused by erosion, the colpitis, when adnexitis – it is important for a timely diagnosis.
Other causes of illness and
Pain in the lumbar region – the symptom of kidney disease. Often pulling, aching sensation along with a bit of a fever – a sign of pyelonephritis, or inflammation of the renal parenchyma. The disease is associated with the penetration of infection or hypothermia. Not less often of the problems becomes urolithiasis, when the renal pelvis appear to be concretions. Less commonly the pain due to:
- Ptosis the kidney;
- Tumor;
- Cysts;
- Benign education;
- Glomerulonephritis.
The pain syndrome in diseases often gives under the ribs, navel, belly. There are other possible causes of the sensations of the back:
- Violation of the composition of the bone tissue. When osteomalacia, osteoporosis, the vertebrae and the bones become thinner, the pain appears while driving, later on, in peace.
- Cancer of the lymph nodes, metastases in this region. Many tumors of different localization without treatment, give metastases in the area of the spine, the kidneys, blood vessels.
- Infections. The pain can cause epidural abscess, tuberculosis, osteomyelitis spine.
- An accident. A compression fracture spine, fracture of the bones of the pelvis also give a strong pain syndrome in the area of the belt.
- Myositis. When the inflammation of the muscles, which can occur in any area of the body, the painful symptoms are localized in the lower part of the back. This causes them a strong hypothermia or physical overload.
Other possible causes of sensations can be Reiter's syndrome, mental disorders, appendicitis, cholecystitis, pancreatitis, men – epididymitis, acute prostatitis.
The back pain in children
In childhood, most often the spine, aching in the lumbar region because of the development of disorders of posture. The children correctly seated in school, at home, spend a lot of time in front of the computer, the tv, carrying the bag over one shoulder. All of these factors cause the development of kyphosis, of kyphoscoliosis, excessive lordosis. Increase the risk of diseases of the foot plate, the deformation stops.
Ordinary conditions for the pain is strain to the muscles of physical education. Also cause painful signs capable of traction of the muscles, ligaments, injury, shot in the back, there is a strong movement wrong, fracture of the coccyx. Often suffer from sore obese children, sleep on the soft mattresses, the leader gipodinamiya style of life often lead to stress.
Less frequently in pediatric pain are activated:
- Cholecystitis, the stagnation of bile, to break the gall bladder;
- Inflammation of the pancreas, jet pancreatitis;
- Pyelonephritis, the advent of stones or sand in the kidney.
Sore children in the lumbar area with the influence, serious-SAR, girls-teenagers – during the first months or the first of them. Adolescents morning spine pain may signal the development of a hernia or tumor of the disease, it is important not to leave the symptoms without attention!
The types of back pain and symptoms
When the back pain, choose the right treatment will help the faithful interpretation of the pain. According to the degree of severity can be:
- Chronic, appears regularly, but moderate strength;
- Acute – sharp, stabbing below, it occurs suddenly or after exposure to a variety of factors.
Also the back pain is mechanical (caused by degenerative changes or inflammatory (appears when the inflammation of the spinal column, soft tissue, organs). The pain is local (local), reflected (from other organs, gives to the lower part of the back), radicular (due to compression of the roots), spread (available in different areas of the spinal column).
Aching, feverish sensations, along with contractions are characteristic of the myalgia, or muscle spasm. Stupid, often appear symptoms require a check of the genitourinary system, in particular, if they are growing in intensity. Acute pain after physical activity, may reflect a complication of the degenerative disease of the disc herniation or protrusion. Dagger of pain appear in the compression of the cauda the cauda equina, and require urgent hospital room.
The diagnosis of disorders of the back
The choice of a technician for the primary treatment depends on further events, and the type of pain. If the pain is in the lying position back pain does not subside, does not change by the change of position of the body, combined with a general malaise, it is malocclusion of the internal organs. Consult a urologist, a gastroenterologist, in the case of inability to identify the feeling – the therapist. The doctor will prescribe a series of tests:
- Common analysis of blood;
- Biochemistry;
- ULTRASOUND or magnetic RESONANCE imaging the organs of the peritoneum;
- ULTRASOUND of the space, retroperitoneal space, bladder.
The woman of the malocclusion to be treated and in the evaluation phase under control of the gynecologist after inspection, on a chair, put the brush strokes and an ULTRASOUND of the pelvic organs. To clarify the nature of pain and its causes, need a check from the orthopedic vertebrologist – assigned x-ray, magnetic RESONANCE imaging, analysis of the rheumatoid factor. If you suspect that osteoporosis may be necessary to densitometry, the analysis on the calcium, phosphorus, a series of hormones. When a trauma to the lumbar area is necessary to consult to the emergency department or in the department of dental traumatology.
Pharmacological treatment
The treatment will be completely the cause the exact cause of the pain. Temporarily numb, but they do not treat the disease help anti-inflammatory drugs (NSAIDS). These funds relieve the inflammation, clean the pain syndrome. Severe cases - (low back pain, back pain) require the administration of medication in the muscle, vienna.
Less than the most serious cases, can apply the ointment with NSAIDS, are coated area of the zone, and other painful areas quickly the pain disappears. Osteochondrosis usually prescribed to take the pill with FANS in exchange for up to 7-10 days, for a long insensitive and remove inflammatory reaction.
When the back pain in the lumbar area, the treatment may include and the funds (if the disease is caused by problems with the spinal column):
- Vitamins of the group b;
- Muscle relaxants;
- Chondroprotectors;
- Glucocorticoids in injections.
Kidney disease treatment with the help of herbal preparations, antibiotics, medicines, solvents, stones, Stripping the sand. When the pain is caused by tumors, the treatment under the supervision of an oncologist.
Other types of treatment
Physiotherapy, as a general rule, it is recommended only in the case of chronic diseases of the spine. The back pain due to inflammation of the internal organs, with a background of physiotherapy may worsen the infection to trigger more severe consequences -. Physiotherapy techniques recommended:
- Electrophoresis with painkillers, magnesium, anesthetics, corticosteroids;
- Electrostimulation, muscle – relaxing, eliminates spasms, optimizes the circulation of the blood in the lumbar region;
- Amplipuls – relieves pain, improves the trophism of the tissues;
- Balneotherapy, paraffin treatment and sludge – heats, reduces pain, increases the speed of the derivation of the products of inflammation.
Also, a patient can be assigned to the hood of the spinal column, chiropractic treatment, osteopath. Necessarily takes place PHYSIOTHERAPY – with no exercise to restore the health of the lumbar is not working. To cure diseases of the spine also tell me orthopedic – you can wear the bandages, corsets for the formation of posture and reduce the pain.
Folk remedies
Reduce the pain, and with the help of folk remedies. There are a number of recipes, which will be useful for diseases of the spine:
- Grate a piece of ginger root. Mix equal parts of honey. Apply the mixture to the rag, put on the problem area. Cover the top with a rolled cloth with a bandage or a towel, leave for an hour.
- Mix equal parts st. john's wort, and the herb comfrey. Spoon mixture of beer, a glass of water, infuse for an hour. Drink 100 ml three times/day for not less than one month. When the pain and painful sensations in the lumbar region this method will help you to restore mobility, improve the status of the cartilage.
- Combine 3 tablespoons of almond oil and 10 drops of eucalyptus oil. Apply the oil to the rubbing of the problem area, if necessary, the onset of pain.
Prevention of pain
To not know pain at the spinal column and the area of the belt, it is necessary to respect a series of preventive measures. It is important to eat with the inclusion in the menu of ricotta cheese, food, nuts – sources of calcium. Physical inactivity and obesity are not valid – with them we have to fight with the aid in the context of the loss of sports, of cardio. All infectious malocclusion must be treated in time, drink more water – so you can avoid chronic pain on the background of kidney problems.
The orthopedic procedure is very important for the health of the spine. It is not possible to lift weights without load distribution – there is a need to get up with a blunt object in his hand directly. When working in a sitting position should do regularly exercise for 3-5 minutes – this will help to avoid stagnation and degenerative processes. If you sleep on an orthopedic mattress to prevent curvature of the spine with an early age, this will help you avoid problems in the future.