The lower back pain is one of the most common reasons forcing the patient to seek help neuropathologist or therapist.The pain in the lumbosakral spine may break the possibility of long work, which impossible to move and self-service.Acute lower back pain affects both men and women as often.
Meeting with a higher frequency in secondary and older, lower-back pain can often be noticed in adolescents and young people.This is due to the rapid growth, weaknesses in the fragile muscles of the lower back, injury.Therefore, the pain in lumboslamal back is an urgent problem that everyone can meet.
Low lumbar osteochondrose pain
Lower back pain with osteochondrose can improve cough and sneezing, with any movements, especially with the tiles forward.With lower back pain, lumbar osteochondrose can be manifested by violating the sensitivity of individual areas of skin or muscle lower body and legs, weakening or felling of the tendon.
- As a rule, with osteochondrose, the curvature of the lumbar spine is imagined.Depending on the plane in which curvature occurs, Scoliosis differs (curvature right or left), lordose (curved forward) and kyphosis (smoothing the lumbar region).In the event that the spraying of the spinal cord appears with osteochondrosis, the urination or defecation is respected, as well as violations of the sensitivity of the bladder or genital organs.
- However, the most common lumbar osteochondrose is manifested with radical pain - I.E.Developing as a result of moaning nerve roots that extend from the spinal cord on one or another.So, one of the widely known lumbar syndromes - Lumbago.Occurs at the time of physical tension or in an unpleasant body position, and sometimes no visible reason.Suddenly a few minutes or hours appears, sharp pain in question ("snapshots"), often burns and cracks ("as if the stake is stuck in the lower back").
The patient freezes in an unpleasant position, cannot be corrected if the attack was created at the time of the severity of the lift.Attempts to get out of bed, coughing or bending legs are accompanied by a sharp increase in lower back pain and cross.If the patient is asked to stand on your feet, then the sharp real estate is the entire lumbar region due to muscle tension.
Lurbosacral osteochondrose tests
These tests are used as a way to carry out a preliminary diagnosis, they are appointed with the names of those doctors who offer them.
| Symptom of dischair | If the strain of abdominal printing and listening to the lower back, then the pain will become stronger.In this case, there is a high probability that the patient has osteochondrose. |
| Neri is a symptom | If, with a sharp slope forward, the head before touching breast pain is in the lower back, it also indicates problems with your spine. |
| Symptom of Lacega | This can be felt after the following actions: lying on the back, in turn you need to lift each leg.If the lower back is broken, and the pain will be given along the short nerve in the leg, the proof of the spine pathology. |
| Symptom of Lerrey | If the pain is manifested in a person along a sciatic nerve, after being speared forward, without bending his knees, from a false position, we are talking about Hondroze events. |
An intervertebral disk hernia
The hernia of the intervertebral disk is equally a rare reason, whose clinical event is a pain in lumboslov.Intervertebral disk (internal core pulp) with a long-lasting consequence, and also loses elastic properties and elastic ability with age.
With constant effect (surplus weight, injury, progressive osteoporosis), the fibrous ring of the disk becomes thinner, the shortcomings form.Through the indicated weaknesses in the fibrous ring, the pulpous disc discount can be moved and even hold.
Causes of lower back pain
Back pain is such a nonpecific symptom that can be caused by a lot of different causes.From how intense, the back hurts in the lower back, is constant or periodic, primary or secondary, there may be reasons that cause it:
Chronic pain:
- Osteomyelitis;
- Ankylosing spondylitis;
- Deforming spondylosis;
- Growth diseases - Scoliosis;
- Infectious lesions of intervertebral disks and vertebral (epidural abscess, spinal tuberculosis, brucellosis);
- Metabolic bone diseases - osteomulation, osteoporosis;
- Primary tumors and metastatic tumors of the spinal cord, vertebrae, retroperitoneal space;
- Non-effective inflammatory diseases - rheumatoid arthritis, reiterary syndrome, spondylitis;
- Kidney tumors;
- Aortic part of the abdominal part of the aortic and its branches.
Acute pain:
- Spondilo arthritis;
- The pathology of the hip joint;
- Spinal epidritis;
- Probling of interfacebral discs in the lower back;
- Spinal osteochondrosis;
- Acute intervertebral hernia;
- Obstruction hose, atypical flow of acute appendicitis;
- Urolithiasis;
- Acute stretching, spine fractures;
- Lumbago, Ishias;
- Acute disturbances of the goals of the spine - stroke;
- Acute pielonephritis.
Punches of pain in some diseases of internal authorities:
- Pelvis organs diseases.In women, inflammatory processes in the attachments, endometriosis, uterine cancer, ovarian cancer, std, gonorrhea, trichomoniasis, etc.) in men - prostatitis, prostate cancer;
- Stomach diseases, pancreas, dvhenastro, gallbladder;
- Intestinal diseases - inflammation of diverticulum, non-specific ulcerative colitis, intestinal tumors;
- Kidney diseases - kidney colic, kidney stones;
- In relation to aorta aneurysm.
Physiological causes
Low pain can occur if you are:
- Suffer excessiveness;
- Additional risk for women;
- You are pregnant or have recently born;
- Spend a lot of time drive a car or computer;
- You mainly staden (office workers) or standing (sellers, waiters, street advertising, surgeons) lifestyle;
- Deal with dynamic physical work with sharp changes in the body position (especially if your specialty is associated with severe physical activity);
- Upload yourself to a gym or fitness club.Be extremely careful if you have recently started training;
- They like the country;
- They achieved postmenopause, which is in the development of osteoporosis.
Low color pain and pregnancy
Pregnancy deteriorates the manifestations of the diseases that exist in the mother's body.Due to the change of hormonal background and increased pathology loads are especially manifested in the second half of the pregnancy.In addition to pain that follows the threat of premature birth, the pain in the lower back can be:
- an intervertebral disk hernia;
- radiculitis;
- pancreatitis;
- Pyelonephritis;
- The disease of the urine (renal).
Why do the back hurt under the lower back
Kad leđa boli ispod donjeg dijela leđa, osim očiglednih bolesti kralježnice (Ishias, lumbago, intervertebralni hernija, itd.), Mogući uzroci tokom menstruacije u ženama, poput upale maternice - sulpinhofori (adnektitis), kao i bolesti), kao i bolesti).Pelvic peritoneum, hoses, inflammation of the add-on (process of chatty hose), in men - prostate, bladder diseases.
The pain is above the lower back
If your back hurts to the right of the lower back, the liver hurts can radiate, with any pathological changes in liver-hepatitis, liver failure and poisonous medications.The pain is most often localized in the right hypochondrome.
If pain feels on the right or left above the lower back, it is very possible that the reason lies in acute kidney diseases.Many chronic kidney diseases, such as policist, kidney malignant, chronic pyelonephritis are accompanied by small symptoms, because the renal capsule is growing.
When to see a doctor?
- If the back pain radiates the lower back, and itself is located a little higher (in the chest area).The pain is accompanied by sweating, bootes of vomiting and nausea, shortness of breath.
- The pain radiates on the peritoneum, chest, neck, jaw.
- The patient is dizzy, a messy consciousness occurs.
- Tachycardia begins.
- The trauma of the spine, accompanied by the loss of control over defecation, urinating.
- The legs are weakening, buttocks, genitals go stun.
Diagnostics
In order to determine which disease caused the pain in the lower back, it is necessary to pass a comprehensive diagnostic exam.
Laboratory methods:
- General and biochemical urine and blood tests.
- Analysis for cancer markers present in the blood when tumors form.
Instrumental research methods:
- X -aj spine.
- Endoscopy of the hose, stomach and uterus.
- Ultrasonic examination of the abdominal cavity.
- Magnetic resonanceCamography.
How to treat back pain in the lower back?
How to treat the lower back?Access to the treatment of the back depends entirely on the symptoms of the disease, the diagnosis of the disease that is a doctor.A comprehensive approach is usually used, which includes several treatment methods.
Anesthetic medications.Grease helps mitigate inflammation, stretching, has a heating effect if the lower back is cold.
The next fat differs:
- Combined medications (used for outkeeps and injuries, together with antimatory and analgesic effects, have the effects of healing due to their substances);
- Anti -infalmatory analgesics (include medicinal substances refrigerated effects that mitigate irritation - menthol, lavender and analgesic drugs);
- Chondroprotectors (one of the active components of such drugs is a substance used for pathological processes in cartilage, which contributes to the active renewal of the mature areas);
- Irritating medications (effect based on spreading blood vessels and blood flow to sources of pain).
Using therapeutic exercises, the patient will be able to reduce pain, to make muscles strong, increasing the distance between vertebrae.They will help to free the suffocated nerve roots, normalize blood flow in the affected area and improve metabolic processes.
In order to treat the exact gymnastics, not mutilated, it is necessary to follow all the recommendations of the doctor attending.
- The movements are made slowly and smoothly without sharp turns;
- The room must be ventilated before training;
- The patient should wear clothes that are not embarrassing movement;
- Exercises are done when the patient inhales, and on the exhalation should be returned to its original position;
- The load increases gradually.First, the number of access is about 10, and then they increased;
- You should follow your welfare during gymnastics.If she started a sharp pain, then you have to stop classes.
In addition, the massage is perfectly helped in releasing pain in the lumbar spine.Positive therapeutic effects of massages include the following:
- Improving blood supply to a diseased body part;
- Mixing muscles, which are their ligaments more flexible and more elastic;
- removal of acute pain;
- Resolving toxins accumulated in muscles and subcutaneous tissues;
- pleasant sensation by stimulating nerve skin endings;
- Positive emotions.
The expert in the clinic can be trusted or conducted at home, in any case, the benefits of it will be invaluable.
Which doctor contact?
In case of back pain, it is not known, above all, it is not known, it is necessary to contact the therapist.This will help determine the disease with the total of symptoms.
If the reason is obvious: the pain preceded the injury, the pain occurred against the background of the pregnancy, menstrual cycle or chronic disease, it makes sense to contact immediately.
Supermarket is allowed only in cases where the cause of pain is accurately known.