Back pain, pain in the lower part of the back – there is a man who never in his life had felt. According to data from the world health organization, is a more frequent complaint and the most frequent cause of temporary disability.
What should I do?
The phenomena and on the other hand, calcifications of the changes of the spine are often considered as obsolete, the term "osteochondrosis". These phenomena are detected by the absolute majority of people over the age of 18 years. By itself the word "osteochondrosis" includes any thing: the rule of age before the claws of the pathology. This term reluctantly used by most neurosurgeons, and, in general, is not used in the literature.
Back pain can be problem independent ("took", "gelidus back", etc), but can also indicate a disease of the spine, on a wide variety of acute states of pyelonephritis and influenza to the spinal cord tumors or metastases in the vertebrae. Therefore, back pain is a symptom that requires a diagnosis.
Clearly a diagnosis of back pain is needed in the following cases: pain came after the injury, falls, traffic accidents; the pain persists for several days, which prevents you from walking and/or sleep; pain in the lower back in the foot/leg (buttock, thigh, leg/the caviar and the foot); the torpor, the feeling of crawling chills in the legs/feet; the reduction of the force in any part of the legs/feet; lose weight legs/feet, difficulty or frequent urination, defecation; with a strong pain in the elderly; with a strong pain in the back of the macie, weakened or the person with the temperature; when the pain in the back, a patient with severe systemic diseases, such as osteoporosis, cancer, tuberculosis.
It is understandable the desire to figure out why it hurts the spine. Start best with magnetic resonance imaging (mri) lumbar-part sacrum of the spine. The rest of the activities, including a visit to the doctor, – after. In magnetic resonance imaging have to spend several thousands of rubles, but to do without the direction of a physician.
Conclusion written for the technician of radiation therapy diagnosis, often frightens the patient. There you can write: hernia / protrusion / stenosis / osteochondrosis / hernia Smorlya / spondiloarthrosis. This can mean anything, even nothing. It simply describes the mp-phenomena. It should be interpreted as the clinician taking into account the clinical history, the work of the disease, further research and much more. Conclusion, it is not written for the patient, and to another doctor.
The x-ray and ct scan in the majority of cases – more research, appointed by the doctor.
Doing a lumbar spine mri, please contact with nevrologu or the neurosurgeon. The second, in my subjective opinion, it is preferable, on average, maintained with the neurosurgeons much better interpret the images, because every day you see actual images of operations and comparing them with the magnetic resonance imaging and the clinical center of the painting. In some cases, of which say a neurologist or neurosurgeon, you need an orthopedist.
If the results of the inspection and evaluation of the resonance is not a necessary operation (the most frequent case), the treatment is performed under the control of a neurologist. In the typical cases include non-steroidal anti-inflammatory drugs, muscle relaxants, and other medications. Sometimes you will need other methods. Determine the method and duration of treatment doctor can only.
The self-treatment of pain in the lower back, especially without the mri, it is unreasonable step. The use of alternative medicine, once more – especially without the mri, heart-shaped idiocy.
Sometimes the doctor says that it is necessary to remove the herniated disc. Thanks to the application of endoscopic and microsurgery of the technology in the skilled hands of this operation is very safe. I usually tell patients that the risk of paralysis or other serious complications when it removes a herniated disc is approximately equal to the risk of dying in a traffic accident on the way to the consultation.
Many are afraid that the operation on the spine can paralyze. It is practically impossible. Are hazardous operations associated with this type of risk, for example, the removal of intramedullary tumors, the operation of the clinic for fractures of the spine and other, If this is a danger, of this reasoning. When you delete a herniated disc, the removal of the stenosis of the vertebral canal of the risk of these complications theoretical. The security condition is the qualification of a neurosurgeon and the presence in the clinic of modern machinery.
There are diseases in which it is necessary the stabilization of the spine – installation of special structures, which are the pillars of the vertebrae to each other. Stabilization methods and systems for the stabilization a lot. The stabilization of the spine is limited to the strict. The need of that it can only be determined by a neurosurgeon. More often than of the operation is necessary to stenosis of the spinal canal, spondylolisthesis, instability of vertebral segments, fractures of the spine.
After most of the operations of the vertebral column not only does not have to be time consuming, but often the patient begins to walk and the next morning after the surgery, or even at night, in the day of the operation.
What to do to not hurt the spine? In the private clinics you can find commercial programs for the fight against pain in the back by the value of the car. It has been scientifically proved that, in reality, it is enough that the simple things.
First of all, you have to be within the normal limits of body weight, in other. You must have developed the musculature axial – swim or do gymnastics. Finally, back pain is often the first symptom of the depression, since depression is accompanied by a decrease in pain threshold. In general, it is necessary to have normal mood and stay in shape.