The lower back is the back of the back from the ribs to the tailbone.There are many nerve endings, and therefore the pain in this area is a common cause of medical help.Up to 90% of people experience pain in the lower back periodically or constantly.This part of the back accounts for a lot of pressure - from 50 kg in a standing position to 220 kg in a sitting position, if a person is stooped.
Consider the causes of back pain, diagnostic and therapy methods.
The causes of pain
Low's pain is both a symptom of the usual overvoltage and a signal of dangerous diseases.
Not in all cases, the causes of pain lie in the spinal disorders - diseases of the internal organs can also be reflected on sensations in the lumbar region.
Possible causes associated with bones, joints and muscles
The exact answer to the question of why the back hurts can only give a doctor after a complex of diagnostic measures.
Possible causes of pain associated directly with the state of the spine, bone tissue, intervertebral discs:
- Osteochondrosis is a disease in which degenerative and dystrophic lesions of the intervertebral discs occur.
- Intervertebral hernias and protrusions are diseases associated with the rupture of the fibrous ring.
- Displacement of intervertebral discs.
- Scoliosis or kyphosis - curvature of the spine.
- Muscle spasm during overstrain.
- Stenosis of the spine - narrowing of the space inside the spine, leading to compression of the nerves and cerebrospinal structures.
- Spondylarthrosis is a disease of the facet joint of the spine.
- Compression fracture.
- Spondylolistz - slipping off the overlying vertebra from the underlying.
- Stretching or rupture of ligaments.
- Bekhterev disease (ankylosing spondylitis) - inflammation of the intervertebral joints
Reasons for women
The causes of back pain in the lower back in women and men can have a different genesis.In women, in addition to general diseases of internal organs, bones, muscles and ligaments, pain in the lumbosacral spine, gynecological diseases are often manifested:
- Inflammatory processes in the ovaries.
- Ovary cysts.
- Shit the legs of the ovarian cyst.
- Endometriosis is a pathological growth of the uterine endometrium.
- Myoma and fibromyoma of the uterus are benign tumors.
- Malignant tumors.
With the above deviations, women feel aching, pulling pain (with the exception of twisting the legs of the ovarian cyst: in this case, the woman will feel acute pain).In addition, women in these cases will have an increase in temperature, a delay in the menstrual cycle, and pathological discharge from the vagina.
Menstruation can also be accompanied by lumbar pain.At this time, the level of estrogen and prostaglandins that lower the pain threshold sharply rises in the blood of a woman.Contractions of the uterus, its pressure on the rectum and peeling of the decidual layer of the endometrium cause discomfort.
Note.In pregnant women (especially in the third trimester) there is a significant increase in the load on the lower back and the discrepancy of joints.Similar changes are needed so that the child can go the birth canal.In this case, pain is considered the norm if they are not accompanied by abnormal discharge from the vagina.
Other reasons
Other causes of pain in the lumbar region can be infectious diseases.For example, osteomyelitis is a disease of bones and bone marrow caused by pyogenic bacteria.
Another cause of an infectious nature, which makes the back hurt and breaks the lower back in a child or adult, is tuberculous spondylitis.This disease is often found in young patients.
Tumors in the lumen of the spinal canal, good and malignant, can also cause lower back pain.Patients with pyelonephritis and urolithiasis, rupture of the abdominal aorta and hemorrhage in retroperitoneal tissue often complain of such pains.
Drinking pain on the left and right in the lower back indicates the pathology of internal organs (stomach, kidneys, intestines)
Important!To establish an accurate diagnosis, a complete diagnosis of internal organs and a skeleton is needed, as well as a doctor’s consultation.
Diagnostic methods
First you need to consult a specialist.Which doctor to contact in the sacrum and lower back?It is worth visiting a neurologist who will collect an anamnesis and make a preliminary diagnosis.If necessary, this specialist will direct you to another specialist or for additional examinations.
Diagnostics for pain in the lower back includes:
- X -ray.It is suitable for checking the condition of bones, diagnosing arthritis and fractures.In addition to ordinary radiography, highly specialized studies are conducted:
- pneumomyelography;
- angiography;
- myelography;
- Discography.
- Magnetic resonance and computed tomography.These methods help in the study of bones and soft tissues: muscles, ligaments, nerves, blood vessels.
- Blood test.It is carried out to check the presence of infections in the blood.
- Electromyography.The study checks the electrical impulses produced by the nerves and the reaction of the muscles to them.It reveals the compression of the nerve.
- Ultrasound dopplerography.The method helps to verify the cross -country ability of carotid and vertebrates.
When to see a doctor
The lower back pain is not always - an occasion to run to the doctor.If it arose after overstrain or before menstruation in a woman, do not worry.Contact a specialist with constant aching pain in the lumbar-cross, with severe pain of unknown origin.
It is also worth it to immediately turn if there are pain in the lower back, giving to the buttock, leg (especially in cases where it spreads below the knee), causing tingling and numbness of these areas.Such symptoms indicate the involvement of peripheral nerves, which may indicate an exacerbation of any disease.
Important!It is worthwhile to think about the state of health if the pain causes problems with urination or defecation (for example, incontinence), accompanied by an increase in temperature or a sharp loss of weight, and appeared due to mechanical damage.
Symptomatic treatment
Choosing a way to get rid of back pain, it is important to remember that full treatment is impossible without clarifying the cause of unpleasant sensations.The elimination of symptoms does not imply a recovery of the body.To establish a diagnosis and prescribe the correct treatment, consult a doctor!
Medicines
What to do if the lower back hurts and aches?Before relieving pain in the back with analgesic drugs, NSAIDs (non -steroidal anti -inflammatory drugs) are taken, which, in addition to the anti -inflammatory effect, have an analgesic effect.These drugs help with pain that occurs during muscle spasm and the development of inflammation.
Reference.Analgesics are available in a wide assortment, but the doctor prescribes a specific drug.
Doctors note that constant, chronic back pains often cause psychological problems, insomnia, provoke emotional disorders and depression.Since their manifestations are associated with psychosomatics, side problems lead to even greater somatic deviations.In these cases, after consulting a psychiatrist, antidepressants are prescribed.
Folk remedies
Treatment at home with folk remedies will not eliminate the cause of pain, but will reduce symptoms.Remember that the refusal to observe a specialist and traditional treatment methods can adversely affect the body.
Here are a few recipes tested among the people:
- Mustard compress.Dilute mustard powder in warm water to a consistency resembling sour cream.Apply the mixture to the skin and insulate.To avoid skin burn, do not keep the compress for more than 5 minutes.If pain occurs, immediately remove the compress and rinse the skin with water.
- Cologne grinding liquid.Add two bubbles of a 3%iodine solution to the cologne bottle, five red bitter peppers and two valerian tinctures.Mix the ingredients and put in a dark place for a day.Lubricate the sore spot at night with the mixture with the mixture, wrapping it after that with a scarf.
- A compress made of egg protein, incense and soap.Mix 1 bag of white incense, 1 tbsp.a spoonful of grated laundry soap and 2 eggs whipped into thick foam.Apply the mixture to the woolen fabric and wrap it with the lower back.
Exercise therapy and massage
In case of back pain, it is useful to perform static or simple dynamic exercises, which exclude the risk of stretching and rupture of ligaments, muscle overnight.
For example:
- Lateral bar.Lie on the floor, put the elbow on the floor, strictly under the shoulder.Bend or intertwine your knees depending on what level of complexity you are ready for.Raise yourself up with hips so that your body forms a flat diagonal line.Lying in a position of 10-20 seconds and repeat to the other side.Perform 5-8 repetitions on each side.After a while, you can increase the approach time to a minute.This exercise strengthens the muscles of the press, arms and back.
- The pose of the child.Stand on all fours.Lower the buttocks to the heels, stretch your hands in front of you, gradually straightening them.Lower your head to the floor.Hold in the position for 30-40 seconds.This exercise stretches the ligaments and muscles of the back.
- Twisting sitting.Sit on the floor, bend your right leg in your knee and put it on the floor, throw your left leg over the right, putting it from the outside of the right thigh.Pull the right foot closer to the right buttock.Twist the body, bending your right hand at the elbow and leading it behind the left knee.Hold the position for 30-40 seconds and repeat the exercise to the other side.Exercise stretches the ligaments and muscles of the legs and back.
How to treat the pain in the back below the lower back and in the area of the lower back, if it has become chronic?A massage will become an effective tool.During the procedure, the patient falls on a solid, even surface.
The specialist before starting the processing of sick areas massages the healthy part of the back.Sometimes massage is carried out using warming ointments, essential oils.
Physiotherapy
How to treat severe pains?Doctors offer complex therapy.Methods under the general name "physiotherapy" are effective.
Among them:
- electrophoresis - improves blood supply to tissues and conductivity of peripheral nerve fibers, accelerates the process of delivering drugs to the right place of the body;
- magnetic and laser therapy;
- therapeutic baths (radon, hydrogen sulfide, turpentine);
- Thermal procedures.
Prevention
You will not have to think about how to cure your back and remove pulsating pains in the lower part of the body, if you do prevention in time.Follow the correct posture in any position of the body: sitting, lying, when lifting weights and walking.Follow the moderation of physical exertion, avoiding back overstrain.
Pay special attention to the selection of a mattress for sleeping: it should be semi -burning or tough.Give preference to narrow pillows or replace them with rollers under the neck.After awakening, it is good to perform a small warm -up, during reading, you should not tilt the head very much - this overwhelms the muscles of the neck, which affects the state of the back, and in the future leads to problems with the lower back.
Conclusion
The spine is the support of the whole organism.The condition of the internal organs depends on his health.Low's pain may indicate the presence of deviations in this important structure, as well as system diseases.Follow your health, lead a mobile lifestyle, and diseases will bypass you.