If a person any pain in the back in the lumbar region, the reasons can be different up to kidney disease. Often this symptom is due to pathologies in the lumbar-sacral spine. Lumbar spine is mobile, that becomes the most frequent cause of injury in this sector.
Because it develops the pain syndrome?
The back pain is only a symptom. Acute pain in the back, associated with a violation of the work the lumbar vertebrae and discs, called the low back pain. Because the back pain in the lower part, everyone should know. Underline the following causes of this symptom:
- low back pain lumbosacral spine;
- a herniated disc between vertebrae;
- ankylosing Spondylitis;
- the displacement of the vertebrae;
- congenital malformations (the presence of incremental lumbar vertebra, the split buckets);
- innate violation of the shape of the vertebrae;
- benign, malignant tumors and vascular;
- rheumatism;
- the inflammation of the back muscles (myositis);
- the inflammation of the sciatic nerve;
- fracture of the vertebral column;
- spondylolisthesis;
- osteomyelitis;
- fibrotic;
- osteoporosis;
- protrusion disk;
- narrowing of the spinal canal;
- osteoarthritis;
- renal disease (hydronephrosis, pyelonephritis, tumors).
The spinal column in the lumbar area may hurt because of a simple muscle spasm. This is possible with a sharp turn or performing exercises sports. The back pain in the lumbar region is most common in people who lead a sedentary life and increase in severity. People involved in the sport, this disease is much more rare.
Lumbo-sacral back pain
If you constantly sore back from behind, then this can be a manifestation of degenerative disc disease in the lumbar-sacral spine. This disease, which predominantly affects the discs between the vertebrae. Are thinned, which causes friction between them and reduction in the motility of the disk. Highlight the following predisposing factors to the development of this disease:
- beautiful watch in an awkward position;
- along the sides of the trunk;
- the lack of training during physical education classes;
- the weakness of the muscles and the ligaments of the back;
- wear backpacks 1 strap;
- the presence of a flat foot;
- heavy physical work;
- a large static load;
- the wrong organization of the workplace.
The back pain are the main symptom of degenerative disc disease. When 1 degree of the disease, the pain does not exist. With the development of a protrusion of the disc develops low back pain. You suddenly appear pain in the lumbar-sacral. Some people feel like an electric shock. She appears with an abrupt change of posture, or when you are driving.
If the back pain in the lumbar region, may be the cause of low back pain. This is the chronic pain osteochondrosis. Its appearance does not depend on the motor activity of man. The pain is dull. So people it is difficult to bend the body. In the situation of a man lying on his back, the pain syndrome disappears or decreases.
Osteochondrosis 3 degrees of evolution syndrome is the root. Manifests itself lumborum ischialgia. It's a pain that makes the leg up to the toes. Often combines with the violation of the sensitivity. The discomfort in the lumbar region guided by the compression of nerves, blood vessels, and a muscle spasm.
Signs of a hernia
If you are worried about the back pain, the causes may reside in the herniated disc. This is a very common disease. When her nucleus of the disc vertebra moved. Often in this context occurs the rupture of the fibrous ring widths. The incidence rate of 150 cases per 100 thousand people. Highlight the following possible causes of hernia formation:
- trauma (bruises, falls);
- low back pain, lumbosacral;
- the excess of weight;
- the curvature of the spine;
- tight bends.
At risk are the drivers and employees who work at a computer. The pain from hernia has the following features:
- is local;
- often gives to the thigh, the buttocks and the shank;
- combined with other symptoms (numbness, tingling);
- intensifies during exercise.
The severity of painful syndrome is determined by the amount of hernia. If it is large, then you can develop sciatica. Manifest sciatica. The pain is as strong as lumbagoes.
The majority of patients hernia develops pain type of low back pain. More symptoms of hernia has a drop of power, limitation of mobility of the back, weakness in the legs. Sometimes broken urination.
The symptoms with spondiloartrite ankiloziruûŝem
When the back pain in the sacral and lumbar region for an extended period of time, you may suspect that you have ankylosing Spondylitis.
This is a chronic disease, a systemic disease that most often affects the joints of the vertebral column. The exact causes of the development of this disease are not installed. Outline the following possible causative factors:
- inflammation of the genitourinary system;
- hypothermia;
- lesions of the bones;
- hereditary predisposition;
- infections.
Ankylosing Spondylitis occurs mainly in young subjects between the ages of 15 and 40 years of age. This condition manifests itself, the cartilage and non-cartilage symptoms. Back pain and stiffness of the vertebral column are considered to be more an early symptom. The pain is felt in the lumbosacral department. In the early stages are expressed poorly. Its appearance is due to an inflammation.
The pain is bilateral. Many people say that the pain is more pronounced with a single hand. Lasts for more than 3 months and does not pass. The disease develops very slowly. The pain bother these people, mainly in the morning. Perhaps his appearance after a long period of static load.
Mid-day is is reduced. The pain intensifies at rest and disappears during the work. In a phase in which the pain occurs during night and during work. In the later stages you develop sciatica. The pain syndrome in the disease of Bechterew merges with the deterioration of the general health of a person, from constraint in the chest, shortness of breath, omission of head, muscle pain, and breast. Often affects the eyes.
Kidney disease
If the back pain the lumbar, then the cause may be renal disease (hydronephrosis or pyelonephritis). The kidneys are retroperitoneal. When the inflammation (pyelonephritis) back pain is the most common complaint of patients. This disease is often diagnosed in children and young girls. Pyelonephritis often develops on the background of kidney stones.
The disease has an infectious nature. The most brilliant runs acute pyelonephritis. It is characterized by pain in the lower back, nausea, fever, chills, weakness, general malaise, frequent urination. They often appear swelling. The pain is often unilateral, dull, and constant. Irradiation is possible in the area of the hypochondrium, the pubis and the navel.
If the back pain, the causes may reside in hydronephrosis. Is a disease in which occurs the extension to the kidney and the calyces and renal pelvis. Often this disease develops in young children. The basis for the development hydronephrosis is a violation of the outflow of the urine, the incorrect operation of valves and obstruction of the urinary tract.
When hydronephrosis appears to be a sharp pain in the back. She is irradiating. It lays to the side a little above the pelvic bone. The pain is paroxysmal, reminiscent of renal colic. The syndrome of the pain merges with the nausea, the vomiting, the appearance of blood in the urine.
Events from sciatica
If you hurt your spine in the lumbar region, the cause may be inflammation of the sciatic nerve. This condition is called sciatica. At risk are the elderly. Sciatica (or sciatica) often develops on the background of a herniated disc, infectious diseases (influenza, malaria, tuberculosis, osteoarthritis, poisoning. Often the sciatica is observed in pregnant women.
The pain from sciatica has the following features:
- acute (epidemic of daggers);
- environmental;
- intense;
- stinging or shooting;
- initially appears in the lower part of the back, and then goes down (port down their forecasts);
- covers a buttock, thigh and calf;
- constantly concerned in the form of heart attacks;
- has a different effect;
- often unilateral.
The pain is accompanied by tingling, numbness and motor skills disturbances. Other symptoms of sciatica refers to muscular atrophy, disorders of sweating, dryness and thinning of the skin.
The plan of investigation of patients
Not everyone knows what to do, if the back pain in the lumbar region. It is necessary to consult a doctor and undergo the examination. May require the following studies:
- computed tomography;
- x-ray lumbo-sacral spine;
- Renal ECHOGRAPHY;
- tomography, magnetic resonance imaging;
- electroneuromyography;
- ultrasound of the blood vessels;
- common and biochemical analysis of the blood;
- the analysis of the urine;
- cystourethrography.
Necessarily carries out the inspection and palpation of the lumbar region and spine. You need to consult a neurologist, vertebrologist. During the examination the physician evaluates the mobility of the spine, reflexes, muscle strength, movement of the limbs. Almost always the cause of back pain is a disease of the spine. It is not difficult to reveal the image.
Therapeutic activities
If you hurt your back, the treatment must be directed toward the cause of the pain. Apply the following treatments:
- the system of the drug therapy;
- the use of local pain-relieving in the form of gel and ointments;
- physiotherapy;
- chiropractic;
- acupuncture;
- the block;
- the surgical treatment;
- Physical THERAPY.
Such patients need to exercise and to adhere to the protein diet. All performed the exercises must have high amplitude. If the back pain is a symptom of pyelonephritis, it is necessary to comply with bed rest, take pain medication and antibiotics. Chronic inflammation is also assigned to diuretics. Antibiotics preference fluoroquinolones, and penicillins.
Are also assigned immunomodulators and vitamins. In the case of developing hydronephrosis may be necessary to surgical treatment. When the pain in the background of the sciatica is to apply pain-relieving (Analgesic), the vehicles combined, the FANS. In the most severe cases require novocaine block. In the scheme of treatment include massage, exercises, acupuncture.
To eliminate the pain can be distracting therapy. Apply the ointment with the bee or snake venom. Hernia showing the FANS, the discharge of the vertebral column, massage, and physiotherapy. In the most severe cases, surgery is needed. When the pain in the background of sciatica treatment involves immobilization of the spine, the use of pain killers and intramuscular administration of anesthetics. In addition, they are assigned the B-group vitamins (Combilipen).
Effective and physiotherapy. With the detection of the degenerative disc disease is illustrated kinesitherapy, massage, reception, painkillers, physical THERAPY. Necessarily assigned chondroprotectors. In such patients you need to move more, and spend less time standing or sitting. In the scheme of treatment include manual therapy, and blocking. Therefore, the onset of pain in the lower back is the occasion to go to the hospital.