The back pain in the lumbar region — is very often developed from the pain syndrome that occurs in various pathologies, such as the spine and the internal organs or systemic disease.
It can be the upper back, below, to be more to the right or to the left, and often also the type of pain that happens during pregnancy as successive, and in the early days. If the pain is very acute, accompanied by fever, weakness, you need to call an ambulance.
If there is intense pain, without temperature, to understand the causes of its appearance, it is necessary to consult a doctor, who, on the basis of medical history, the complaint of the patient will send to the experts, as well as osteopath, neurologist, urologist, gynecologist, physician, cardiologist, surgeon, or pulmonologist. The definitive diagnosis is by doctors on the basis of magnetic RESONANCE imaging, ULTRASOUND, and other tests and diagnostic methods.
The main causes of back pain
The most obvious reason the appearance of pain in the lower back is lumbago and sciatica, which is caused by lesions of the lumbar spine, osteochondrosis, and also more serious diseases of the spine — protrusions or intervertebral herniarum. Such pain can appear in case of irritation of the nerves of the spine, jamming of the nerve roots, in the case of irritation of the ligaments and muscles, with their edema, and also in case of diseases of internal organs, the pain may radiate to the lower back.
In clinical practice it is 60-30% of the urban residents of the developed countries periodically experience recurring pains in the back, between these, 80% of the people complains about back pain is back pain. All age groups of the population exposed to violations on the part of the spine, but in most cases, such disorders, care about the patients in the age 30-60 years. In 66% of cases of back pain are due to degenerative disc disease, when they hit one of the roots of the 1st sacral, 4, and 5 lumbar vertebra is called monoarticular syndrome. If it hits once 2 back, which is 33% of the patients viridicornis syndrome, if 3 -triadically syndrome, which is much more rare.
Because the causes of back pain is not always back pain, it is possible to spend a little bit complicated and provocative tests that help you understand whether the back pain, or signs of other diseases — cystitis, pyelonephritis, kidney stones, inflammation of the adnexa and uterine, pathology of the prostate, problems with the intestines or the lungs. This test lumbo-sacral and degenerative disc disease, which bear the names of the names of the doctors, who have offered to them to use as a pre-diagnosis:
- Symptom Dejerine — in the case of abdominal tension, if you listen to the back, the pain intensifies, then the highest probability of appearance — low back pain.
- Symptom Black — if a strong tilting the head forward until it touches the chest feels pain in the back — this can also be because of the spine.
- Symptom Of the symptom — if after you lift alternately, first one leg, then the second, lying on his back, squeezed the lower part of the back and pain irradiáta the step to the sciatic nerve, is also a problem of the spine.
- Symptom Larrea — if the pain occurs when the sciatic nerve after from the position lying on the back, try to lift your torso forward without bending the knees, i.e. sit with your legs outstretched — this also happens to be degenerative disc disease.
The back pain is so non-specific symptom that can be caused by a mass of various reasons. How intense, severe back pain in the lumbar area, is constant or periodic, primary or secondary, can be the cause, the cause:
| The acute pain |
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| Chronic pain |
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| Radiating pain in some diseases of internal organs |
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Pain above the lumbar
If the back pain right side above lumbar spine - so it may radiate the hepatic pain, with any pathological changes in the liver - hepatitis, hepatic insufficiency, intake of toxic drugs. The pain is most often localized in the right upper quadrant. If the pain you are feeling to the right or to the left, just above the waist, most likely the reason for this is the acute kidney disease. Many chronic diseases of the kidney, such as polycystic kidney disease, and malignant neoplasms of the kidney, chronic pyelonephritis are accompanied by minor symptoms, because the renal capsule stretched gradually.
When the edema during the acute pyelonephritis, and also with the blocking of the ureter, the pain gets more intense, but the dull, aching character. The pain is constant, sometimes radiating to the area of the navel, the lower abdomen, and also occurs the pain in the right upper quadrant, left or right, depending on the kidney patient. Even for chronic diseases of the kidneys, the intake of some drugs favors the onset of pain. Increased workload of the kidneys, as a filter body, when the damage of the toxic action of some drugs causes pain, and taking place after the discontinuation of the drug.
Because the back pain lumbar
When the back pain the lumbar, in addition to the evident disorders of the spine (sciatica, lumbago, hernia, alzheimer's disease Bechterew etc), possible causes are a recurrent pain during the menstrual cycle in women, diseases of female genital organs, inflammation of the adnexa and uterine - oophoritis, salpingoophoritis (annessite), and also the disease the pelvic peritoneum, the bowel, inflammation of the appendix (processus blind intestine), men with diseases of the prostate, of the urinary bladder.
Back pain to the right or to the left
If the pain appear simultaneously to the right and to the left of the back can also be the symptoms of pyelonephritis, hepatitis, cholecystitis, inflammation of the adnexa of the uterus or the prostate, pneumonia or pleurisy. When radiating pain in boca can be caused by a bowel obstruction, atypical flow of appendicitis. Back pain to the right or to the left, there are the following diseases:
- Diseases of the spine
Purchased diseases can be attributed - tumor, degenerative disease, as spondiloartrosi, spondylosis, inflammatory processes - osteomyelitis, spondylitis, and traumatic injury, hernia, lumbago, sciatica. Among the defects of diseases show sacralization, spondylosis, shiny, spondylolisthesis.
- Diseases of the internal organs
In inflammatory diseases pelvic - parametral fiber, bladder, prostate, of the uterus and its appendages. The pathological processes in the organs of the abdominal cavity - intestinal tract, the kidney.
- Diseases of the nervous system lumbosacral department
When squeezed nerve roots and pilasters, with various neurological disorders - hysteria, neurasthenia, neuritis, neuralgias, radicolite, metabolic, gout, diabetes, developmental defects of the nervous system.
Pain when jamming sciatica and low back pain
When the inflammation or jamming of the sciatic nerve, when the lumbosacral sciatica back pain in the low back can be very varied. It's like a burning sensation, lumbago, and tingling, with numbness or tingling, it can be moderate and long-term or short-term. The sciatic nerve is the most powerful, along the nerve of the human body and manifests itself only in one side of the body, as a general rule, women right, men left.
There is a certain theory, because she has placed such a distinction, the regularity of the inflammation of the sciatic nerve of the men and women you may know in our article the symptoms of sciatic nerve crush. The sore belly or on the side of a leg are usually amplified when you change the position of the body, particularly painful spot below the knee and in the area of bone marrow of driving while under the buttocks, the man can discover in the muscles of the tibia or femur painful nodules, that when you touch a particularly sensitive.
Low back pain - the disease, which is popularly called the sciatica many of the pain do not know from hearsay. This is a sudden back pain, which appears in the background of physical activity with hypothermia, working in a project or in a certain long an awkward position, with a sudden movement.
Paroxysmal pain that permeates the lower part of the back forces the person to take a forced position in which pain vanishes, so painful syndrome is delayed at least a week, pain killers, tepidus tools and massage usually help you to cope with the disease. Even after a piece of the attack of the disease is necessary to consult to the doctor, because this is an indication of the presence of pathological changes in the spine, the lumbosacral.