Causes of back pain in the lumbar area

The back pain in the lumbar area — a very common pain syndrome that is experienced during different conditions, such as the spine and the internal organs or the system of diseases.

the pain

It may be above the waist, then, be more to the right or to the left, and often this type of pain is when pregnancy as well as in the rear, and in the early stages. If the pain is acute, accompanied by an increase of temperature, weakness, you should call an ambulance.

If you are not in severe pain, without temperature, for the understanding of the causes of your appearance, you should consult a doctor, in virtue of the history, patient complaints will be sent to the specialists, as well as osteopath, a neurologist, a urologist, a gynecologist, the gastroenterologist, the cardiologist, surgeon or pulmonologist. The definitive diagnosis is established by doctors on the basis of a magnetic resonance imaging, ultrasounds, and other tests and diagnostic techniques.

The main causes of pain in the lower back

The most obvious cause of the appearance of pain in the lower back is lumbago and sciatica, which is caused by the defeat of the lumbar spine, osteochondrosis, as well as more serious pathologies in the spine — protrusions or intervertebral herniarum. These pains can appear in case of irritation of the nerves of the spinal column, clogging of the nerve root, irritation of the ligaments and muscles, to edema, as well as in diseases of the internal organs, the pain can radiate in the kidneys.

In clinical practice, 60-30% of the inhabitants of the developed countries arise periodically recurrent pain in the back, between them in 80% of cases, the man complains that his back is hurting him, precisely in the lower part of the back. All age groups of the population vulnerable to violations on the part of the spine, but in most cases similar discomfort bother patients between the ages of 30 to 60 years. In 66% of cases of back pain caused by the problem of osteochondrosis, when you are injured one of the backs 1 of the sacrum, 4, 5 vrtebra back — this is called monoarticular syndrome. If the involvement of immediate 2 loin, which is 33% of the patients is viridicornis syndrome, if 3-triadically syndrome that occurs with much less frequency.

Given that the causes of back pain is not always the osteochondrosis, you can enjoy several complex provocative tests that will help you to understand, what are the painful sensations in the spine, or are symptoms of other diseases of the cystitis, pyelonephritis, the kidneys, inflammation of appendages of uterus, pathology of the prostate gland, intestinal problems, or lung. Are testing lumbar-sacral of the osteochondrosis, which carry the names of the names of the doctors proposed to use as a pre-diagnosis:

  • The symptom Dejerine — tension of the abdomen, if you pay attention to the lower back, the pain intensifies, thus the greater the probability of its occurrence — the osteochondrosis.
  • The symptom neri — if you tilt the head forward until it touches the chest feels pain in the lower back — this can also be due to the vertebral column.
  • The symptom Of the symptoms of — if, after the lifting alternately, first one leg, then the second, lying on his back, hall the kidneys and the pain irradiáta in the leg sciatic nerve, also problems for the spinal column.
  • The symptoms of Larrea — if the pain appears for the progress of the sciatic nerve after lying on the back, trying to lift the trunk forward without bending the knees, that is to say, to sit with the arms extended by the foot — this also comes from the osteochondrosis.

The back pain is so non-specific a symptom that can be caused by the mass of different reasons. That so intense, severe back pain in the lumbar area, is constant or recurring, primary or secondary, can be the cause of its promoters:

The acute pain
  • The bulging intervertebral discs in the lumbar area
  • The osteochondrosis of the spine
  • Acute intervertebral hernia
  • Ankylosing
  • The pathology of the hip
  • Epiduritis spinal
  • Acute stress, fractures of the vertebrae
  • Low back pain, sciatica
  • Violations of acute spinal the circulation of the blood — brain hemorrhage
  • Intestinal obstruction, microkernel during acute appendicitis
  • Urolithiasis
  • Acute pyelonephritis
The chronic pain
  • The Disease Behtereva
  • Deforming spondylosis
  • Osteomyelitis
  • Metabolic bone disease — osteomalacia, osteoporosis
  • The primary tumors and the right suggestive of metastatic tumor of the spinal cord, the vertebrae, the retroperitoneal space.
  • The disease of growth of the scoliosis
  • Conditions of the defeat of the intervertebral discs and vertebral (epidural abscess, tuberculosis of the spine, and brucellosis)
  • Non-communicable diseases inflammatory diseases — rheumatoid arthritis, syndrome Reuter, ankylosing spondylitis
  • Tumors of the kidneys
  • Atherosclerosis of the abdominal part of the aorta and its branches
Radiating the pain of some diseases of internal organs
  • Diseases of the stomach, pancreas, duodenum, gallbladder,
  • Diseases of the organs of the pelvis. In women, inflammatory processes in the epididymis of the uterus, endometriosis, uterine cancer, ovarian cancer, sexually transmitted diseases (chlamydia, ureaplasmosis, gonorrhoea, trichomoniasis, etc) men — prostatitis, prostate cancer
  • Kidney disease — renal colic, kidney stones
  • Intestinal disease — inflammation of a diverticulum, ulcerative colitis, tumors of the intestine
  • Frustrating aortic aneurysm

The pain above the waist

The woman

If you suffer from back pain right above the waist - so you can to radiate liver pain, before any of the pathological changes in the liver - hepatitis, hepatic insufficiency, the intake of toxic drugs. The pain most often is localized in the right upper quadrant. If the pain is felt to the right or to the left a little more above the waist, it is very possible that the cause lies in the acute diseases of the kidney. Many of the chronic diseases of the kidneys, such as polycystic kidney disease, malignant tumors of the kidney, chronic pyelonephritis accompanied by the little symptoms, as that the renal capsule is stretched little by little.

When edema during acute pyelonephritis, as well as when you block the ureter the pains are more intense, but forceful, the pain of the nature. When this pain is permanent, sometimes it radiates to the area of the navel, the lower part of the abdomen, and also produces pain in the left hypochondrium or right, depending on the diseased kidneys. Also in the chronic diseases of the kidneys, taking certain drugs contributes to the onset of these pains. Increased load on the kidneys, as a filter of the authority, to the shock txico the action of some medications causes pain, that passed after the withdrawal of the drug.

Why it hurts the back below the waist

When it hurts the back below the waist, in addition to overt disease of the spine (sciatica, lumbago, intervertebral hernia, the disease behtereva, etc), possible causes are the periodic pain during menstruation in women, the genital disease of women, such as inflammation of the appendages, uterine - oophoritis, salpingooforitis (adneksit), as well as diseases of the pelvic peritoneum, the bowel, inflammation of the appendix (a) the blind gut), the men - diseases of the prostate, the bladder.

Pain in the lower part of the back, to the right or to the left

If these pains appear at the same time and to the right and to the left in the lower part of the back can also be symptoms of pyelonephritis, hepatitis, acute cholecystitis, inflammation of appendages of the uterus, or prostate, pneumonia or pleurisy. When radiating pain in the mouth causes may be intestinal obstruction, the microkernel to the leakage of appendicitis. Pain in the lower part of the back, to the right or to the left are the following diseases:

  • Diseases of the spine

To address the diseases can be attributed - tumor, degenerative pathology, such as spondiloarthrosis, spondylosis, inflammatory processes - osteomyelitis, spondylitis, as well as traumatic injuries, intervertebral hernia, low back pain, sciatica. Among the congenital malformations, pathologies, distinguish sacralization, spondylosis, lucid, and spondylolisthesis.

  • Diseases of the internal organs

The inflammatory diseases of the pelvic organs - parametral fiber, the bladder, the prostate, the uterus and its appendages. When the pathological processes in the organs of the abdominal cavity of the small intestine, the kidneys.

  • Diseases of the nervous system in the lumbar-sacral the department of

When you tighten the roots, nerve of the pillars, in different neurological diseases, hysteria, neurasthenia, neuritis, neuralgia, radiculitis, the lack of exchange of substances to the gout, diabetes mellitus, developmental defects of the nervous system.

The pain in the jam sciatica and lumbago

The inflammation or the jam of the sciatic nerve, when lumbar-sacral radiculitis back pain in the lower back can be very varied. She is like a burning sensation, back pain, tingling, numbness, or chills, may be moderate, and long-or short-term. The sciatic nerve is the most powerful, the long nerve in the human body and is manifested only on one side of the body, as a general rule, the women on the right, men to the left.

There is a theory, why has this distinction, the pattern of the inflammation of the sciatic nerve in both men and women on this subject, to know in our article about the symptoms of impingement of the sciatic nerve. As the pain in the buttock or in the back of the surface of one of the legs, usually intensify when you change the position of the body, especially painful to the spot below the knee and in the area of the marrow of the protrusion of the lower part of the buttocks, also man can discover in the muscles of the leg or of the back part of the thigh, painful knots, which to the touch are particularly sensitive.

Low back pain is a disease, that in the village it is customary to call sciatica, many of this pain do not know from hearsay. It is the flash of a shot, which appears in the background of the physical load with hypothermia, the work on the flow of air or a long in an uncomfortable position, at the sharp movement.

Pain paroxysmal, permeates the kidneys causes the person to force the position at which the pain fades, a pain syndrome lasts at least a week, pain killers, tepidus tools and massage usually help to deal with the disease. Even after a lump sum payment of the attacks of the disease should consult a doctor, as this is bell the presence of lesions in the lumbar-sacral department of a backbone.

22.08.2018