If back pain in the lumbar region, it can be caused by various reasons. Pain is able to be localized in the spinal column of stone, and to come from the internal organs and soft tissues. Decals pain is accompanied by systemic pathologies and is one of the symptoms. To determine the prerequisites discomfort, you need to pass the full diagnostics – this will help to start treatment in time.
Osteochondrosis of the spine
Most often the pain is localized in the area of the spine, or rather his lumbar-krizova Department. So when back pain in the lumbar region, all possible causes are divided into primary and secondary. The primary causes include any disease of the vertebrae (functional, degenerative, inflammatory and other), and secondary refers to all other disease.
The most common conditions according to which the connection is a pain –the degenerative disc disease. It is the connection with narrowing of the intervertebral discs, loss of moisture in the cartilage disks and the convergence between them. The pain develops due to the impact of the discs on the nerve roots, and other symptoms (dysfunction of organs, numbness, "tingling", etc.) – against the background of deterioration of blood supply to the area.
Low back pain without treatment is complicated by:
- Protrusion;
- Hernia;
- Destruction of the disk;
- The sequestration (loss) of disc.
The pain in this pathology intensifies in the world of its progress, gives to leg, accompanied by a sharp, acute attacks in the lumbar region. Low back pain with age is observed in 60-80% of people.
Vertebral syndrome with other pathologies
The causes of back pain can be caused not only by low back pain. In medicine there is the concept of "vertebral syndrome" which is caused by various pathologies changing the configuration of the spine, its mobility and function, with posture and gait.
Distortion is another common background for back pain. The loins can suffer with:
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- Kyphosis;
- The lordosis;
- The scoliosis.
Kyphosis may be congenital if the baby has a wedge-shaped vertebrae, and hemivertebrae, but this is rare. Most often back pain with the kyphosis connections are on the background of the spondylitis (inflammation of the cartilage and vertebrae in the type of arthritis), and spondylosis (osteoarthritis of the joints in the vertebral apophysis). Also kyphosis and excessive lordosis of the joint can occur after injury, unsuccessful operations, on the background of aging. The sideways curvature (scoliosis) in the area of the back is rare, it mainly concerns the thoracolumbar division.
Vertebrogenic pain may be accompanied by a lesion of the entire column in ankylosing spondylitis. In this case, can be formed arc-shaped deformation, which leads to pain from the tailbone to the neck. In severe cases, the body height is reduced, the vertebrae are fixed. Lose waist any disease and may be accompanied by lumbalgia – sharp shot with a careless movement, which occurs due to a sudden pinched nerve roots. A serious complication may be the cauda equina syndrome, when clamped a large nerve plexus.
Causes of pain in women
Back pain in women can have specific causes. Pain, besides the above described assumptions, is able to get out of such States:
- Menstruation. During menstruation the pain can be a signal of a problem. For some women it is an individual feature of an organism is called primary algomenoree, with no organic cause has not. If syndrome connection appeared suddenly, it can indicate hormonal problems,
inflammatory diseases. It usually has a stronger feeling in the abdomen, but in the spine also often given. - Ovulation. Pain in the middle of the cycle often becomes a symptom of the release of an egg from the ovary. Ovulation in many women is combined with unpleasant sensations in the lower back and abdomen, in the groin.
- Pregnancy. Pain pregnant back associated with an increase in load on the spine, these symptoms are characteristic for the other and third trimester. In the early period after conception, this symptom can also take place, and the reasons are both natural (attachment of the embryo, hormonal changes) and pathological (ectopic pregnancy). To reduce pain, a woman needs to wear a jockstrap to sleep on the comfy pillows, put pillows under the stomach.
Often lower back pain syndrome occurs after abortion with endometritis, cervicitis, erosions, colpitis, adnexitis when – early diagnosis is important.
Other causes of disease
Pain in the lumbar region – a common symptom of kidney disease. Often pulling, aching sensation along with a little high temperature is a sign of pyelonephritis, or inflammation of the parenchyma of the kidney. The disease is associated with infection or hypothermia. Not less often the cause of the problem becomes urolithiasis when in the renal pelvis joints are concretions. Less common pain:
- Prolapse of the kidney;
- Tumor;
- Cysts;
- Benign;
- Glomerulonephritis.
Pain in such diseases often radiates to the ribs, the navel, the lower abdomen. There are other possible causes sensations in the lower back:
- Violations of part of the bone. In osteomalacia, osteoporosis vertebrae and thinning of bones, joint pain is with movement, later and alone.
- Tumors of the lymph nodes, metastases to this region. Many tumors at other sites without treatment metastasize in the area of the spine, the kidneys, the vessels.
- Infection. Severe pain can cause epidural abscesses, tuberculosis, osteomyelitis of the vertebrae.
- Injury. Compression fracture vertebra, fracture of the pelvis also give severe pain in the waist area.
- Myositis. When inflammation of the soft muscle that can occur in any area of the body, severe symptoms are localized in the lower back. Often they cause severe hypothermia or physical overload.
Other possible causes of sensations can be Reiter's syndrome, mental disorders, appendicitis, cholecystitis, pancreatitis, in men, epididymitis, prostatitis in the acute form.
Back pain in children
In childhood most often the spine pain in the lumbar region because of disorders of posture. Children sit improperly at school, at home, spend a lot of time at the computer, TV, wear the bag on one shoulder. All these factors cause the development of kyphosis, and kyphoscoliosis, excessive lordosis. Increase risk of development of pathology of flat feet, deformities of the feet.
Banal preconditions for pain becomes a muscle strain in PE. Also cause severe signs capable of stretching muscles, ligaments, injury, a blow to the back, sudden wrong move, a broken tailbone. More likely to suffer from pain obese children, sleeping on soft mattresses, leading gipodinamiya lifestyle, often carry stress.
Rarely in children pain are provoked by:
- Cholecystitis, stagnation of bile, the inflection of the gallbladder;
- Inflammation of the pancreas reactive pancreatitis;
- Pyelonephritis, the appearance of stones or sand in the kidney.
It hurts kids in the lumbar region the flu, severe SARS, in adolescent girls the first menstruation, or in front of them. Teens have morning back pain may signal the development of herniation or even tumor disease – it is important not to leave the symptoms ignored!
ViDi back pain and symptoms
When back pain to choose the right treatment will help the correct interpretation of pain. On the severity it can be:
- Chronic, the connection is regular, but moderate in strength;
- Acute – sharp, shooting, sudden or after exposure to a number of factors.
Also back pain is mechanical (caused by degenerative changes) or inflammatory (connection is inflammation of the spine, soft tissues, organs). The pain can be local (local), reflected (goes with other bodies, gives to a loin), radicular (due to compression of the roots), diffuse (in several areas of the spine).
Aching, twitching sensations, coupled with the characteristic twitching myalgia, or muscle spasm. Stupid, often, connections are the symptoms require verification of the genitourinary system, especially if they are growing in intensity. Acute pain after physical work may reflect complications of osteochondrosis, hernia or protrusion. Stabbing, unbearable joint pain appear when compression of the cauda equina and require urgent placement in the hospital.
Diagnosis of pathologies of the keeps
The choice of a specialist for initial treatment depends on additional symptoms and type of pain. If the pain in the supine position in the lower back does not subside, does not change by changing the position of the body, combined with General malaise, we are talking about the pathology of internal organs. Should pay to the urologist, the gastroenterologist, if it is impossible to identify feelings to the therapist. The doctor will prescribe a series of examinations:
- General analysis of blood;
- Biochemistry;
- Ultrasound or MRI of the organs of the peritoneum;
- Ultrasound, retroperitoneal space, urinary bladder.
Female pathology doctors, nurses and under the supervision of a gynecologist after inspection, on the chair, taking smears and ultrasound of the pelvis. To clarify the nature of pain and its causes need to be checked by a podiatrist, vertebrologist – appointed x-ray, MRI, analysis of rheumatoid factor. If you suspect that osteoporosis may need a bone density test, tests for calcium, phosphorus, a number of hormones. When injuries to the lumbar area you should pay in the emergency room or trauma ward.
Medication
The treatment will be entirely due to the exact cause of the pain. Temporarily numb the pain but not to cure the disease will help non-steroidal anti-inflammatory drugs (NSAIDs). These tools reduce inflammation, remove pain. Severe cases (lumbago, lumbago) require the introduction of drugs in g lang, Vienna.
In less serious cases, you can apply the ointment with NSAIDs, they lubricate the belt area and other painful areas, the pain quickly subsides. Osteochondrosis is usually prescribed to drink tablets with NSAID courses of 7-10 days to long to be numb and to remove inflammatory reaction.
When back pain in the lower back treatment may include such remedies (if the disease is caused by problems with the spine):
- B vitamins;
- Muscle relaxants;
- Chondroprotectors;
- Corticosteroids injections.
Kidney disease is treated with herbal remedies, antibiotics, drugs that dissolve the stones that wash the sand. When pain is caused by tumors, treatment is carried out under the control of the oncologist.
Other types of treatment
Physiotherapy is usually recommended for chronic diseases of the spine. The lower back pain causes inflammation of internal organs on the background of physical therapy could worsen the infection will trigger more severe consequences. From physiotherapeutic procedures are recommended:
- Electrophoresis with painkillers, magnesium, anesthetics, corticosteroids;
- Electrical stimulation of the muscles – relaxes, relieves spasms, improves blood circulation in the lumbar region;
- Amplipuls – relieves pain, improves tissue trophism;
- Balneotherapy, the treatment with paraffin and mud – warms, relieves pain, increases the rate of removal of products of inflammation.
Also the patient can be assigned to the hood of the spine, manual therapy, treatment by an osteopath. Be sure to exercise – without a gym to restore health to the lower back will not work. Than to treat diseases of the spine can also recommend a podiatrist – can be worn bandages, corsets for posture and reduce pain.
Folk remedies
Reduce back pain with the help of folk remedies. There are a number of recipes that will be useful in diseases of the vertebral column:
- Grate a piece of ginger root. Mix in equal parts with honey. Add the mixture to the cloth, to put on the problem area. Cover top with a cloth to wrap the bandage or cloth, leave for an hour.
- Mix equal parts St. John's wort herb and comfrey. Tablespoon of the mixture brew a Cup of water, to insist hour. Drink 100 ml three times a day at least a month. When the pain and aching sensation in the lumbar region this method will help to restore mobility, improve the condition of cartilage.
- Couplings combine 3 tablespoons of almond oil and 10 drops of eucalyptus oil. To apply oil for rubbing the problem areas in global demand when the pain.
Pain syndrome prevention
To the nobility about the pain in the spine and the region of the belt, you need to follow some preventive measures. It's important to eat with the inclusion of menu, cheese, dairy foods, nuts sources of calcium. Physical inactivity and obesity are invalid – they must be fought with all possible kinds of sports, cardio. All infectious disease must be treated on time to drink more water – so you can avoid chronic pain in patients with renal problems.
Orthopedic treatment is very important for the health of the spine. It is impossible to lift weights without load balancing – need to get up with heavy object in the hands of the right. When working in a sitting position it is necessary to make regular warm up for 3-5 minutes – this will help to avoid stagnation and degenerative processes. If you sleep on an orthopedic mattress to prevent curvature of the spine from an early age, it will help to avoid problems in the future.