The lumbar spine, in the course of the life it supports a huge load of work. It is not surprising that sooner or later, often at the end of the day, many begin to feel that it would hurt them in the bottom of the back. But we must not think that this is a normal phenomenon. Pain in the lower back have their cause in the that it often requires urgent treatment. And if attention is not paid and does not perform the steps, without knowing what to do, pain in the lower back can cause deterioration of your health and life.
Why it hurts the lower part of the back — probable causes of
The most likely causes of the rise of the pain in the lower part of the back in the lower back, the pains that occur in the leg, the lower part of the womb, are related to the fact that the man of long time driving, the team is dedicated to the physical work, especially if you have to drastically change the position of the body. The headaches in the lower part of the back in the lower part of the back can lead and excess load in the gym, the fascination for the works in the home field, especially, if there is excess weight. In the area of risk are and have recently given birth, or women who have already entered menopause
If the pain in the lower back in the lower part of the back, this may indicate the presence of benign and malignant tumors of the entities in the organs of the pelvis or in the pelvic cavity, diseases of the prostate or chronic prostatitis. The back pain after a long walk usually indicate the development of stenosis in the spinal canal. Additional symptom serves the syndrome of spinal anesthesia or pseudo-intermittendi of lameness.
Polymyalgia rheumatica is quite common disease for the elderly. First, the person feels pain in the lower back, little by little, are magnified in the parts proximal of the departments in the upper or lower extremities, appears stiffness and limitation of mobility.
A frequent cause of pain in the lower part of the back is the osteochondrosis. In the survey of the vertebral column can be detected degenerative diseases, such as osteoporosis, arthritis and osteoarthritis. The distance between the vertebrate disks, decreases slowly, and that breaks the mechanical balance of the spine. This, in turn, also causes pain in the lower back in the lower part of the back. Finally, this type of pain may be the result of a muscle spasm when you perform a physical activity.
If it hurts the lower part of the back in the lower part of the back — the nature of pain and possible symptoms
The character of the pain in the lower part of the back depends entirely on their causes. If this stretching, the pain is distributed, mainly, in the lumbar spine. In some cases, occur in the buttocks and the posterior face of the thigh. The mobility and the spin of the body significantly restricted. When you jam the nerve roots of pain in the lower part of the back of the waist slowly down to her feet. If the cause of pain in the lower back is one of the systemic diseases, for example, low back pain, your symptoms are getting worse little by little.
Expresso of the nerve endings in the spinal cord of the hernia of the intervertebral discs, as a general rule, common in older men of that age. Normally, the pain in this case, are reinforced through the sneezing, the coughing, the laughter, slopes, correct to the extension of the spine in the department of the waist. Try lying on your back and lift the straight leg vertical. If you have a hernia of the intervertebral disc you are sure that you will feel pain in the lower back. This type of pain is called lumbago. In a standing position, it is amplified, and prone position — silent.
If it hurts the lower part of the back — secondary causes of
- the tumor disease of the vertebrae and of the spinal cord;
- fractures of the vertebrae;
- infectious diseases, as a result of which it can produce the defeat of the intervertebral discs and the vertebrae;
- metabolic of the defeat of bone tissue
- non-communicable diseases of an inflammatory nature
- violations of acute spinal blood circulation, stroke;
- disease of the intestinal tract (ileum, atypical acute appendicitis);
- includes the pain that can occur in different diseases of the organs of the pelvis (infectious, gynecological diseases, renal colic).
What to do if you have a pain in the bottom of the back
Diseases that can cause pain in the lower back in the lower part of the back lot and almost all of them have similar symptoms. That is why there is often a need to perform the differential diagnosis with the use of hardware and laboratory. Based on the results of these studies and is assigned to the treatment of pain, and, more specifically, of the diseases, which were the cause of its appearance.
Why back is hurting in the bottom department of the spine?
Perhaps, there is not a single person even once, you are not faced with the pain in the back. This problem is more relevant for the people after 60 years of age, but young people happen this kind of situations. It is known that the restriction of the physical activity of a working age, most often occurs due to a pain in the lower back. Why is this happening and what to do when it appears, tell the doctor. And the patient only needs to come to the consultation of the specialist.
All pain is a signal about certain problems in the body. And your location, usually indicating the source of the problem. If you are bothered by back, most of the people are right to think about the pathology of the spine. It is true, damage in the axial skeleton represent most of the common cause of painful sensations in the lumbar-sacral area. Of these states, must carry:
- The osteochondrosis.
- Spondiloarthrosis.
- Intervertebral m? s of a hernia.
- Of the injury.
- The spondylosis.
- The Disease Behtereva.
- The spondylolisthesis.
- Osteoporosis.
- The spinal stenosis.
- The tumor.
Can affect any structure of the axial skeleton: the vertebrae, discs, joints, ligaments, tendons, and muscles. To a pathological process, often have degenerate-dystrophic, inflammatory, or traumatic. Contributing to this inactivity, sedentary work, the use of weights and other types of loading of the spine. The important role that they play and the internal factors, related to exchange-metabolic, immune and age-related changes in the body.
But the pain of the lower back is a sign not only of the diseases of the spine. And they know all the doctors. Under this symptom may be masked fairly common disease of the internal organs, women and men. Therefore, the cause of the painful sensations we must search among the states:
- Gynecological problems.
- The disease of the kidneys and bladder.
- Urolgica pathology.
- The gut disease.
In addition, the back may ache during pregnancy, increases the load on the kidneys due to a displacement of the center of gravity of the body and extend the internal ligaments of the pelvis.
Why have appeared pains down the back, you can learn after a medical examination and get a diagnosis.
When a patient comes to his doctor, he wants to get full information about the origin of the unpleasant sensations and to follow the tactics. And to do this it is necessary to pass a medical examination. The main step is the clinical examination, at the time that he learned of subjective measures and objective signs of pathology.
If to speak about the allegations, the greater concern is that patients call to know, the pain. May have different coloring, but more often are characterized by the following features:
- Acute or chronic.
- Shooting, plaintive laments, throbbing, shooting, stabbing.
- Of varying intensity: from the weak to the strong.
- Are located in the lumbar-sacral area.
- Dan in the lower extremities, the groin area, the belly.
- Are heightened when the movements of the body, the seat, of walking.
However, the pain in the lower part of the back is not the only symptom of the pathology – the clinical picture includes other symptoms that may suggest a possible source of problems.
Diseases of the spine
When patients are upset with the back in the lumbar-sacral matter, it is necessary to seek confirmation of vertebrogenic nature of such sensations. The pain are often related to muscular tension or compression of the nerve roots. Therefore, there can be the following:
- Low back pain-acute shot in the lower back.
- Lumbodynia – dull and deep pain.
- Sciatica – radiating pain to the lower extremity of the motion of the sciatic nerve.
Sometimes, the first to appear unpleasant sensations in the legs and back starts to bother a little later. In addition to pain, in the composition of the radicular syndromes (radiculopathy) are characteristic of the neurological disorders associated with corruption, sensory, motor and vegetative fibres. These include:
- The oppression of the suhozhilnih of the reflections.
- Decreased strength in the lower extremities.
- The weakening of the sensitivity.
- Numbness, tingling, "crawl chills", a burning sensation.
- Change of coloration of the epidermis.
These violations appear in the dermatomes segments of the body, innervating surprised the spine. And local signs of pathology of the spine include muscle tension and pain paravertebral points in lumbar-sacral department, the softness of the physiologic lordosis and the restriction of active movements.
Vertebrogenic disease are equally frequent in men and women, with the age that they, and only they progress and, often, lead to reduction of functionality of the person.
Gynecological problems
If you have pain in the lower back in women, it is necessary to pay attention to the possibility of pathology in the field of gynecology. Often these are inflammatory diseases or dysfunctional states. In such cases, you may see the following symptoms:
- Irregularity of the menstrual cycle.
- Vaginal discharge.
- The increase of the temperature.
Acute processes in the uterus and epididymis can pass to a chronic form or lead to complications such as peritonitis. In addition, the cause of the pain could be an ectopic pregnancy or a miscarriage. Then, there is a significant risk of internal bleeding and shock.
The disease of the kidneys and bladder
Pain in the lower back is considered as one of the signs of kidney disease – jade. As a rule, have permanent character, and in the case of the kidneys can be reinforced by the shaking of the driving or of the race. When the cystitis such sensations are localized in the suprapubic area, and may radiate to the sacrum. The inflammatory process is accompanied by other symptoms:
- Dysuric disorders: pain, burning sensation when urinating.
- The change of color of the urine.
- Fever, general malaise.
Chronic pathology is accompanied by a gradual decrease of the functional capacity of an organ, which grows in the kidney failure.
Urolgica pathology
If the men suffers from back pains in the lower part of the lower back, the differential diagnosis should be performed with urology and diseases. First of all excluded from the disease prostate prostatitis, adenoma and. As the pain that is felt in the pubic area and crotch, occur in the rectum and the sacrum. Often you observe additional symptoms:
- The selection of the urethra.
- Difficulty urinating.
- The reduction of power.
Acute prostatitis are possible manifestations general such as fever, weakness, general malaise. The diseases chronic inflammatory processes have slow nature and low symptoms.
Bowel disease
Examining the question about the origin of the pain in lumbar-sacrum area, it is worth mentioning about the pathology of the different departments of the intestine. Appendicitis, ulcerative colitis, proctitis – state, which require different approaches in the diagnosis and treatment, but may be accompanied by symptoms similar. Among them are:
- Pain in the abdomen or the sides.
- The change of the chair – constipation or diarrhea.
- Fever.
When the colitis, often detected pathological impurities in the stool, blood, mucus, or pus. And the objective of the inspection with the palpation of the belly and rectal study provides additional information about the disease.
Nonvertebral pathology is diverse enough, so the doctor is clear in the differential diagnosis of back pain.
The diagnosis
To understand why the patient has pain of the ent in the back, you have to pass an additional examination. The doctor will prescribe a complex laboratory tools and techniques, the results of which will help you to make a conclusion. To them carry this kind of studies:
- General analysis of blood and urine.
- The biochemistry of the blood (markers of inflammation, rheumatology test, urea, creatinine, and others).
- The analysis of urine nechiporenko, General.
- Analysis of the secretions of the genital organs, cala.
- The x-ray of the spine.
- The magnetic resonance imaging mri and computed tomography.
- Ultrasound of the internal organs.
- Endoscopy of the intestine.
If necessary, a list of diagnostic procedures and expands. Use all possibilities to establish the source of the pain.
Treat vertebrogenic disease is necessary due to the nature pathological process and the individual characteristics of the patient. You have in mind and the possibility of co-existing conditions, which also require an adequate correction. If the cause of the pain, not associated with the spine, excluded, then the treatment takes care of the spine, the neurologist or the orthopedist-traumatologist.