The back pain, back pain – there is not a man who would never in his life had. According to the World health organization, is the most common disorder and the most frequent cause of temporary disability.
What to do?
The phenomena of degenerative and degenerative changes in the spine is often referred to obsolete the term "back pain". These phenomena have found the absolute most of the people over the age of 18 years. By itself the word "low back pain" includes any thing: by the end of the standard to the most difficult pathology. This term reluctantly used by most of the surgeons, and generally is not used in the international literature.
The back pain can be a challenge in itself ("dense", "gelidus back", and so on), but can signal disease of the spine, on a variety of serious states of pyelonephritis and the influence up to a tumor of the spinal cord or of the metastases in the vertebrae. In this way, the back pain is a symptom that requires a diagnosis.
The diagnosis for the back pain is necessary in the following circumstances: the pain has occurred after an accident, a fall, a car ACCIDENT; severe pain lasts a few days, it prevents you from walking and/or sleepiness; back ache gives you in leg/foot (buttock, thigh, leg/spawn and the foot); torpor, sensation of pins and needles in the foot/feet; the powers in any part of the leg/foot; to lose weight legs/feet; difficulty or increased frequency of urination, defecation; in the case of severe pain of the elderly; in the case of severe back pain macie, weakened, or the person with the temperature; when the back pain in a patient with severe systemic disease, such as osteoporosis, cancer, tuberculosis.
Understandable the desire to discover the reason for the back pain. Best to start with the magnetic resonance imaging (MRI) of the lumbo-sacral spine. All other actions, including the visit of a physician, – then. The RESONANCE is necessary for you to spend a couple of thousand rubles, but to do so without the direction of a physician.
The conclusion, written by a specialist radiotherapy diagnostic, often frightening to the patient. There can be written: hernia / protrusion / stenosis / low back pain / hernia Smorlya / spondiloartrosi. This can mean anything, including nothing. Simply describes the MR-phenomena. They must be interpreted in the clinical with taking into account of the history, of the disease, more research, and much more. Conclusion do not write to the patient and another doctor.
X-ray and computer tomography in most cases – further research suggested by your doctor.
After doing an mri of the lumbar, it is necessary to consult a neurologist or neurosurgeon. The second, in my personal opinion, is preferable, and the average operating neurosurgeons very best to interpret the pictures, because every day they see the actual images on the operations and correlate with magnetic RESONANCE imaging and clinical picture. In some cases, it will tell the neurologist or neurosurgeon, they need an orthopedist.
If the inspection and evaluation of magnetic RESONANCE imaging does not need an intervention (often), the treatment is carried out under the supervision of a neurologist. In typical cases includes anti-inflammatory drugs, muscle relaxants and other medications. Sometimes you need other methods. Determine the mode and duration of treatment, the doctor can only.
Self-medication back pain, especially without the mri, it is extremely unreasonable step. The application of alternative medicine, even in this case – especially without magnetic RESONANCE imaging, a form of idiocy.
Sometimes the doctor says you need to remove a herniated disc. Thanks to the application of endoscopic and microsurgical technologies in the capable hands of this operation is safe. I usually say to the patients, that the risk of paralysis or other serious complications during removal of a herniated disk about equal to the risk of death in a road ACCIDENT along the road to the consultation.
Many are afraid that by surgery to the spine can paralyze. It is almost impossible. Are hazardous operations connected with risk, for example, the elimination of intramedullary tumors, the operations of fractures of the spine, etc. If this danger is there, warned of this. When you delete a herniated disc, the resolution of the stenosis of the spinal canal, the risk of these complications theoretical. The safety condition is the qualification of a neurosurgeon and the presence of a clinic with modern equipment.
There are diseases for which it is necessary to the stabilization of the spinal column – installation of special structures between the vertebrae between them. Stabilization methods and systems for the stabilization of very. The stabilization of the spinal column takes place only under certain conditions. The need that can only determine a neurosurgeon. Most often, stabilization operations need to stenosis of the spinal canal, spondylolisthesis, instability of the vertebral segments, fractures of the spine.
After most of the operations to the backbone not only do not have time for lying, but often the patient begins to walk the following morning, after a surgery, or even in the evening, the day of the operation.
What you need to do to avoid back pain? In the private clinics you can find commercial programs to fight back pain to the cost of the car. It is scientifically proven that it is actually quite elementary things.
First of all, you need to be in the normal range of body weight, in the other. Must have developed a musculature, and axial – swimming and water fitness. Finally, the back pain is often the first symptom of depression, since depression is accompanied by a decrease of the pain threshold. In general, you have to have a normal mood and get in shape.