Among them, low back pain, radiculitis, osteochondrosis and other pathological changes in lumbar-sacrum department of a backbone. It is not worth to refer to this ever, as the pain in the lower back can not only achieve incredible strength, making the life of a person unbearable, but also can be a symptom of ms dangerous diseases.
Lower back pain can be varied: sharp or dull, painful or burning, local (to manifest itself in the same place) or cover the entire back. Manifest unpleasant sensations in a different way: sometimes sharply, suddenly, and sometimes gradually, reinforcing each day.
The reaction to pain and the ability to migrate depends on many factors: the age, the psychical characteristics, associated symptoms, and other things. But, in any case, can not let the disease take its course. Early and treatment will help you avoid dangerous consequences.
To diagnose the cause of the appearance of pain in the back, requires the inspection of the spine and some additional procedures: radiographic survey, computer, or magnetic resonance imaging.
Attacks of pain in the lumbar-sacral department are manifested during the life of approximately 80% of the inhabitants of the european countries. Acute or chronic pain in the lower back – the result of various neurological, and on the other hand, calcification of the diseases of women and men. In some cases, back pain is a consequence of diseases of internal organs, obesity, stress, and mental disorders.
The causes of pain in the lower back
The problem of chronic pain in the lower back adopts rampant. Mean age of the sick poor in earnest, in the present, which is 35 to 45 years. Are recorded even cases of the disease in children and adolescents.
The premise of the development of the syndrome of pain in the lower back – the sedentary life of modern man, which leads to reduce the resistance of the lumbar spine, the most vulnerable of the division of the skeleton. Pain in the lower back that accompanies many diseases, have become a common cause of treatment nevrologu, urologist, surgeon, gastroenterologist and the gynecologist. It is expected that they will continue to, aggravation of the problems. The next generation is no different healthy lifestyle.
Pain in the lower back in women
Occur in the period of gynecological diseases or are a consequence of the characteristics of female:
- Gynecological diseases. The inflammation of appendages – adneksit, accompanied by abdominal pain, sometimes the pain radiates to the back (pain a and double face), also manifests the symptoms of the intimate sphere (the inability to become pregnant, it is a long staining of selection before and after the menstruation, the pain is intensified during sexual intercourse);
- Pregnancy;
- Menopause;
- The pain is the result of an increase in the distrust, more common in women. In depth, the survey does not reveal the pathology. The problem may occur intermittently or continuous. It is a psychological correction. These pains may occur outside the influence of the climax.
Pain in the lower back in men
Newspapers the pain occurs in relation to the characteristics of the professional activity of the men, in particular, if the pain:
- do not comply with the function of the physiological status of the body of men;
- is related to occupational hazards (work in the cold, currents of air).
Pain in the lower back and the men and women
Arise in connection with acute diseases of the gastrointestinal tract, surgery complications, renal diseases, metabolic disorders, infectious diseases of the nature and of tumors (benign, malignant).
- The appendicitis. Characteristic the pain is located on the right side of the field, it can sometimes to radiate in the kidney, more frequently on the right side of the body. Is defined pain in the lumbar area.
- The pathology of the fine division of the intestine. Accompanied by symptoms characteristic of a disorder of the gastrointestinal tract. The pain radiates into the kidneys due to irritation of the fibres of the lumbar nerves.
- The cholecystitis. The pain remember the signs of appendicitis. Usually located on the right side in the area of the pelvis or the navel. Sometimes occur in the kidneys when the participation in the pathogenesis of the fibers of the spinal nerves.
- The pancreatitis. Characterized by the surrounding pain around the body, in the area of the waist, reflects back. Combined with the characteristics of the symptoms of pancreatitis – vomiting, violation of defecation, tap the language. In the event that the cause of the pain – pancreatitis, the area of the spinal column when the sensation does not react in response to the application of the force.
- Adhesions after surgery. Occur after a laparotomy or abdominal operations in the abdominal cavity, is sometimes diagnosed defects of the welds. The pain is located in different parts of the abdominal wall, it radiates into the kidneys.
- The disease of the kidneys. The pain in the lower back combined with pain of head, increase of the diastolic (lower) threshold of the blood pressure, edema. Characteristic changes found in the research laboratory of the urine, of instruments of research of the kidneys – the ultrasound scan, magnetic resonance imaging;
- The obesity of the third degree. It is the extreme degree of increase in body fat in humans. The body mass index of fourth grade (up to 25 years) = 40, the second group (after 25) = 41. It is defined as the relationship between mass (kg) at two times growth (m). The causes of the load on the kidneys are clear without explanation.
- The infection with the involvement in the pathogenesis of bone, for example, extrapulmonary (bone) tuberculosis. It is manifested by pain in the bones. The location of the pain in the lower back is related to the fact that it is the most massive of the division of the vertebral column, and is subject to a maximum effort. The symptoms relate to the clinical of the chronic infection. Identify a small hyperthermia, fatigue, headache, symptoms of lesions of the nervous system, laboratory reveal tuberculosis wand.
- Myositis – inflammation of muscles. The muscles of the lumbar spine bear the greatest burden of work, therefore, the inflammation of the lumbar spine is often found. The disease develops as a consequence of hypothermia, the penetration of the viral pathogens (herpes Zoster), bacterial infections (staph, strep, other bacteria) in the tissue of this area. It is manifested by fever, strong pains, in developing countries, suddenly, after a local or general hypothermia. Chronic phase of the disease manifests pain, aches and pains, sometimes with the participation of the tissues of the skin and subcutaneous tissue (dermatomyositis). The diagnosis is performed according to the clinical survey of the patient, inspection, palpation, and laboratory methods.
- The proliferation of benign and malignant tumors of the march of the nerve fibers, Innervating the kidneys. The symptoms of a variety, to correspond to the stage of the disease and the localization of the pathology.
Permanent and periodic pain in the lower back
There are different classifications of pain, in particular, depending on the duration.
- Periodic pain normally associated with exercise, physiological characteristics of the organism of the person, or acute diseases of the internal organs.
- Permanent, acute, chronic pain, irreversible caused by pathological processes in the body, while diseases of the locomotor apparatus of the human skeleton and the deep injuries of the vessels of the legs.
Periodic pain in the lower back - so called because they disappear after the recovery and removal of a source of pain.
The origin of such pain may be different from that of women or of men, or to be applied in the same way to men and women.
Persistent pain in the lower back, usually caused by inflammatory and irreversible dystrophic and degenerative processes in bone and cartilage, severe disorders of the bleeding of the vessels of the legs. Persistent pain, to a lesser extent, are related to injuries of the muscles, and internal organs.
The pain is called the constant, when the removal of a focus of momentum difficult due to the development of the irreversible processes in the bone and cartilage. Degenerative and dystrophic processes are not normally subject to the complete cure. You can stop or cut time. In some cases, the pain resolves after the replacement of damaged tissues in the implant.
Periodic and permanent pain often have a close relationship to each other, so temporary the pain becomes constant.
For example, bone tuberculosis causes eating disorders in the cartilage tissue, causing osteochondrosis, and the pain manifests itself almost always with periods of attenuation and intensification.
The curvature of the spine (scoliosis) at the beginning goes unnoticed, it occurs periodically, then enters the osteochondrosis and is manifested by constant pain. An example to follow.
Of the disease, accompanied by constant pains in the lower part of the back:
- Low back pain is an acute pain in the lower back. The consequence of lesions in the lumbar vertebrae. In the initial stages, the pain can be cut, as well as a pathologic process at the early treatment resolves the problem. Develops suddenly, when lifting weights, and other causes. Most frequently diagnosed in men. Low back pain-a possible consequence of several diseases, for example, from displacement, from a herniated disc, pinching of nerve roots in the lumbar region (neuralgia), inflammation or pinching of the sciatic nerve – degenerative disc disease, other abnormalities of the vertebrae. In addition to a strong sharp pain that is manifested by a decrease in the mobility of the skeleton in the lumbar area. In the absence of therapy or for the treatment of low back pain can become irreversible bone disease.
- Intervertebral the osteochondrosis – includes several diseases of inflammatory and dystrophic nature, is manifested at the beginning of the destruction of the joint surface cartilage and bone, with involvement in the pathogenesis of the nerves.
- The scoliosis. The curvature towards the sides of the vertebrae, is manifested asymmetry of the shoulder line, alteration of the posture, the deformation of the skeleton, the education cartilage of the hump, which can be seen on the slopes. Develops in the reduction of the functions of the bones of the skeleton and of the muscles, the processes of calcification in the cartilage tissue of the waist. It is manifested with pains in the bones of the skeleton in complicated cases. Continuous scoliosis is asymptomatic. Scoliosis is the innate and the acquired.
- Ankylosing spondylitis is loss of mobility of the joints. Much more common in men. Another name for the pathology of the disease behtereva. Is chronic inflammation. The disease is manifested with pains in the joints and the spine, which is characterized by lesions of the eyes, the decline in the growth of the person. In doing so, it produces proliferation of the connective tissue of the joints of the spine.
- The spondylosis. It is the natural aging process of the joints. Is achieved by the thinning and loss of mobility of the joints in the low back. Pathogenesis develops complications and the accession of the inflammation of the current to the spondylosis. The symptoms corresponding to inflammation of the joints of the spine.
- The difference in length of the legs more than 2-3 cm, accompanied by a wide variety of pain with the movement, including the pains in the lower part of the back. The pathology develops, as the atrophy of the muscles of a leg as a result of suffering in childhood, polio and other diseases. In some cases, with the problem of dealing with the orthopedic help of the tab. A defect is difficult to correct if it is too large a difference in leg length, or when the canopy of the rise of the feet.
- Osteoporosis, the thinning, the leaching of calcium from bone. Often lead to hip fractures. It is also observed lumbar osteoporosis. To represent the deformation of the skeleton, the joints, the cartilage, the development of the hernia in the vertebrae. Often experienced by women during menopause.
- Thrombophlebitis – total or partial-to stop the bleeding of the deep vessels. Combined with the inflammation around the vessel. This complicates the course of the disease, leads to the development of the pain syndrome even at rest.
To what doctor to go to?
With pain in the spine, in the first place, you must contact the neuropathologist on the regional clinic, if the patient's condition is stable, or to call an ambulance. Lower back pain can be one of the symptoms of gynaecological, urological, surgical, and gastroenterological problems.
Back pain is often combined with various infections and injuries of the extremities. Persists the syndrome of back pain in diseases of the heart and the lungs. This sets the depth of the survey.
After that the patient made the diagnosis, are usually prescribed medications that decrease the pain in the lower back, to normalize the blood circulation and help to restore the nervous tissue. This can be pills, gels, ointments, or injection, remove the inflammation and spasms.
Surgical intervention may be necessary when the diagnosis of a herniated disc, which is a complication of degenerative disc disease. The hernia, which puts pressure on the nerve root, remove it, retrieves it, and the pain passes with time.
Best of all, the spine and the muscles relax, whether to sleep on the hard mattresses placing a small pillow under the knees. By doing so, the bed rest should not last too long, since this can lead to the weakening of muscles, which only worsen the problem. Even when the pain is you should try to save even a little physical activity.