Among them – the back pain, sciatica, back pain and other pathological changes in the spine lumbosacral. It's not worth dealing with this absentmindedly, because the back pain not only can achieve the incredible strength, making the life of a person unbearable, but also be a symptom of dangerous diseases.
The back pain can be diverse: sharp or dull, dull, or lancinating, local (manifest in such a place) or spreads over the whole back. Manifest discomfort in a different way: sometimes dramatically and suddenly, and sometimes gradually, amplifying every day.
The reaction to pain and the ability to carry out his will depend on many factors: age, mental characteristics, for the accompanying symptoms and other things. But in any case can not throw the disease to take its course. Timely started treatment will help you avoid dangerous consequences.
To diagnose the cause of the appearance of back pain, examination is needed of the spine and some complementary treatments: x-ray examination, computerized or magnetic resonance imaging.
Attacks of pain in the lumbosacral department arises in the course of life, about 80% of the residents of most european countries. Acute or chronic back pain, the result of a variety of neurological diseases, degenerative and dystrophic diseases of women and men. In some cases, the back pain – a consequence of diseases of internal organs, obesity, stress and mental disorders.
The causes of lower back pain
The problem of chronic lower back pain takes rampant. The average age of cases is rapidly reduced, now he is about 35-45 years old. There are also cases of children and adolescents.
Introduction the development of the pain syndrome lumbar spine – the sedentary life of modern man, which leads to a decrease of the stability of the lumbar spine, the most vulnerable of the department of the skeleton. Back pain accompanies many diseases, have become the most common cause of referral to a neurologist, urologist, surgeon, gastroenterologist, and gynecologist. There will be a further worsening of the problem. The next generation will not enjoy a healthy lifestyle.
Back pain in women
Occur in a period of gynecological diseases or are the result of features of female physiology:
- Gynaecological diseases. Inflammation of the appendages – annessite, accompanied by pain in the lower abdomen, sometimes radiating pain in the lower back (pain single and double side), also manifests symptoms from the intimate sphere (the inability to stay pregnant, long term spotting before and after menstruation, the pain intensifies during sexual intercourse);
- Pregnancy;
- Climax;
- The pain is the result of increased mistrust, is more common in women. In-depth and comprehensive examination does not identify the pathology. The problem may occur periodically or continuously. Psychological correction. These pains may occur outside of menopause.
Back pain in men
Pain recurrent occur in relation with the characteristics of the professional activities of men, including, if the pain:
- do not match the physiological state of the body men;
- related to occupational risks (working in a cold environment, air currents).
Back pain and men and women
Occur because of serious illnesses of the gastro-intestinal tract, surgical complications, renal diseases, metabolic disorders, diseases of infectious nature, and tumors (benign and malignant).
- The appendicitis. Characteristic is the pain localized to the right iliac field, sometimes may radiate to the lower back, most often on the right side of the body. Meets uncertain pain in the lumbar region.
- Pathology of the small bowel. Are accompanied by symptoms, characteristic for disorders of the gastro-intestinal tract. The pain radiates into the lower back due to irritation of the fibres of the nerves the lumbar.
- Cholecystitis. Pain remember the signs of appendicitis. Are usually located on the right side in the area of the iliac or navel. Sometimes the damage in the lower part of the back with involvement in the pathogenesis of the fibres of the spinal nerves.
- The pancreatitis. Is characteristic belt of pain around the body, in life, is reflected back. Combined with the typical symptoms of pancreatitis – vomiting, disorders of defecation, the patina on the tongue. In case if the cause of the pain – pancreatitis, the area of the spine with great sensitivity and does not react in response to the application of force.
- The tips after the surgery. Occur after laparotomy or abdominal operations on the organs of the abdominal cavity, sometimes diagnose the defects of adhesions. The pain is localized in different parts of the abdominal wall, radiating into the lower back.
- Kidney disease. The back pain blends with the headaches, increase in diastolic (lower) threshold of the blood pressure and edema. Characteristic changes found in laboratory studies of the urine tests, instrumental studies, renal – ULTRASOUND, magnetic RESONANCE imaging;
- Obesity fourth degree. This is the extreme degree of increase in fat mass person. The body mass index of the fourth degree (up to 25 years) = 40, the second group (after 25) = 41. Define it as the ratio between the mass (kg) double that of the growth (m). Causes of load on the lower part of the back are clear without explanations.
- The infection with the involvement in the pathogenesis of bone tissue, for example, extrapulmonary (bone) tuberculosis. It manifests itself with pain in the bones. The localization of back pain is related to the fact that this is the most massive department of the vertebral column, and is susceptible to the maximum stress. Symptoms associated with clinical features of chronic infection. Reveal a slight fever, fatigue, headache, symptoms of nervous system damage, laboratory analysis reveal the bacillus of tuberculosis.
- Myositis – inflammation of muscles. The muscles of the lumbar region carry the most load, and then inflammation of the lumbar region often. The disease develops because of the cold, the penetration of viral pathogens (herpes Zoster), bacterial infections (staphylococci, streptococci, and other bacteria) in the tissue of this area. It is manifested by an increase in body temperature, severe pain, developing suddenly after the local total or hypothermia. Chronic stage of the disease manifests pain, pain, sometimes, with the full involvement of the tissues of the skin and subcutaneous tissue disorders (dermatomyositis). The diagnosis is made on the basis of clinical investigation of the patient, inspection, palpation, and laboratory techniques.
- The growth of benign and malignant tumors of the movement of the nerve fibres, Innervating the lower back. The symptoms are different, the corresponding phase of the disease and the localization of the disease.
Constant and periodic back pain
There are a variety of classification of pain, including, depending on the duration.
- Pain recurring usually connected with physical exercise, the physiological characteristics of the human body or acute diseases of the internal organs.
- Permanent, acute, chronic pain caused irreversible pathological processes in the body diseases of the musculoskeletal system the skeleton of a person and injury of vessels deep in the foot.
Periodic back pain - as they call them, because they disappear after the recovery and the resolution of the firebox pain.
The origin of the pain can vary for women or men, or equally to refer to men and women.
Back pain persistent usually caused by inflammatory and irreversible dystrophic and degenerative processes in bone and cartilage, severe disorders of blood circulation of blood vessels of the legs. Persistent pain, to a lesser extent, are associated with the defeat of the muscles and internal organs.
The pain is called the constant, when the size of the hearth pulse difficult due to the development of irreversible processes in bone and cartilage. Degenerative and dystrophic processes usually are non-refundable complete healing. The their is can pause or stop the time. In some cases, the pain persists after the replacement of the damaged tissue on the plant.
Periodic and constant pain often have a narrow connection between them, so the temporary pain becomes constant.
For example, the spinal cord, tuberculosis causes a disturbance of nutrition of the cartilage tissue, which causes back pain and the pain occurs almost always with periods of weakness and aggravation.
The curvature of the spine (scoliosis), initially flows fairly well, it manifests itself periodically, then switches to low back pain and is manifested constant pain. The examples could continue.
Disease, accompanied by constant back pain:
- Low back pain acute lower back pain. The consequence of pathological changes in the lumbar vertebrae. In the initial stages, the pain can stop, as well as a pathological process in a timely manner treatment is eliminated. Develops suddenly, when lifting weights, and other similar causes. Most often diagnosed in men. Low back pain – the consequence of a number of diseases, for example, displacement, disc herniation, injury to the nerve roots in the lumbar area (neuralgia), inflammation or squeezing of the sciatic nerve – degenerative disc disease, and other abnormalities of the vertebrae. With the exception of a strong acute pain, it manifests itself in a decrease in motility of the skeleton in the lumbar region. In the absence of treatment, or wrong treatment of low back pain can degenerate into irreversible illness of the bone tissue.
- Intervertebral low back pain – includes a series of inflammatory and dystrophic nature, which manifests itself initially in the destruction of the joint surface cartilage and bone tissue, with full involvement in the pathogenesis of the nerves.
- The scoliosis. The lateral curvature of the vertebrae, it is evident the asymmetry of the shoulder line, altered posture, the deformation of the skeleton, formation, rib hump, which is visible when you fold. Develops when the functions of the bones of the skeleton and of the muscles of dystrophic processes in the cartilage tissue of the lower back. It manifests itself with pain in the bones of the skeleton in complicated cases. Along with the scoliosis, asymptomatic. The scoliosis is congenital and the acquired.
- Ankylosing spondylitis – loss of joint mobility. Much more common in men. Another name of disease – ankylosing Spondylitis. Is a chronic inflammation. The disease manifests as pain in the joints and the spinal column, characterized by injury to the eyes, decrease of the human growth. When this happens, the proliferation of the connective tissue of the joints in the spine.
- Spondylosis. It is the natural aging process of the joints. The gradual thinning and loss of mobility in the lumbar joints. The pathogenesis is set during complications adhesion and inflammation current spondylosis. The symptoms corresponding to inflammation of the joints of the spine.
- The leg length difference more than 2-3 cm, accompanied by a variety of pains during the drive, including back pain. The pathology develops, as the atrophy of the muscles of the leg due to suffering from childhood polio and other diseases. In some cases, the problem of cope with the help of orthopedics tab. A defect is difficult to correct, if it is too large difference in the length of the legs or with a canopy to lift the foot.
- Osteoporosis thinning, the leaching of calcium from the bone tissue. Often the cause of fractures of the neck of the femur. Also looking at lumbar osteoporosis. It is obvious deformation of the skeleton, joints, cartilage, and the development of hernias vertebral. You get sick more often women in period of menopause.
- Thrombophlebitis – partial or total arrest of the circulation in the blood vessels deep. Combined with the inflammation around the ship. This complicates the course of the disease, causes the development of pain syndrome even at rest.
To what doctor to address?
With pain in the area of the spinal column, in the first place, it is necessary to contact a neurologist in the clinic of the district, if the patient's condition stable, or to call an ambulance. The back pain can be one of the symptoms of gynecological, urological, surgical, and gastroenterological problems.
The back pain is often combined with a variety of infections and injuries of the limbs. It is not excluded syndrome of low back pain in the case of diseases of the heart and lungs. This is set in-depth examination.
After that the patient will make the diagnosis, usually prescribe medications that reduce the pain in the back, and normalize the blood circulation and help to repair the nervous tissue. These can be tablets, gels, ointments or injection to relieve the inflammation and spasms.
Surgery is usually necessary when the diagnosis of disc herniation, which is a complication of degenerative disc disease. A hernia, which puts pressure on the nerve root, is removed, is recovering, and the pain with time goes by.
The better the spinal column and the muscles relax, whether to sleep on the hard mattress, putting under the knees and a small pillow. During this bed rest should not last too long, because it is full of weakening of the muscles, which will only worsen the problem. Even when the pain is strong we must try to save at least moderate physical activity.