Back pain, lower back pain is not a person who would never in their lives experienced. According to the world health organization, is the most common complaint and the most common cause of temporary disability.
What to do?
The phenomena of degenerative changes in the spine are often referred to as the outdated term "osteochondrosis". These phenomena are observed among the majority of people over 18 years old. Actually, the word "osteochondrosis" include any age standards of serious pathology. This term reluctantly used by most neurosurgeons, and is not used in the international literature.
Back pain can be a separate problem ("grab", "gelid the back", etc.), but it may indicate disease of the spine, about a variety of serious diseases, pyelonephritis and flu, spinal tumors or metastases in the vertebrae. Thus, back pain is a symptom that requires diagnosis.
By far the diagnosis of the back pain are necessary in the following cases: the pain came after the injury, falls, accidents, serious pain lasts a few days, stopping to walk and/or sleep; pain radiates to the foot/leg (buttock, thigh, Shin/calves and feet); boredom, the feeling of tingling in legs/feet, reduce the force of any part of the foot/feet; weight loss feet/legs; difficulty or frequent urination, bowel movements; severe pain in the older person; severe back pain macie, impaired or person with a temperature; back pain of the patient, which is a serious systemic disease, such as osteoporosis, cancer, tuberculosis.
Clearly want to find out why a sore lower back. Best to start with the magnetic resonance imaging (MRI) of the lumbosacral spine. All other activities, including a visit to the doctor, then. MRI, you have to spend a few thousand, but you can do without a doctor's referral.
The conclusion, written by an expert radio diagnostics, often scares patients. It can be written: hernia / protrusion / stenosis / degenerative disc disease / herniated Smorlya / spondylosis. This can mean anything, including nothing. Just a picture of the Mr-phenomena. They should interpret the Doctor with regard to medical history, diseases, more research-and more. Conclusion is not written for patients, and another doctor.
Radiography and computed tomography in most cases, the additional studies prescribed by a doctor.
Do an MRI of the lower back, you need to consult a neurologist or neurosurgeon. Secondly, in my subjective opinion, better: the average neurosurgeons operate much better interpretiruya pictures, because daily I see the real picture on the activities and correlate them to the MRI and clinical picture. In some cases, which I am going to say a neurologist or a neurosurgeon, you need a podiatrist.
If the results of the inspection and evaluation of MRI did not need surgery (and most often the case), treatment is carried out under the supervision of a neurologist. In typical cases this includes non-steroidal anti-inflammatory drugs, muscle relaxants and other medications. Sometimes other methods are needed. To determine the manner and duration of treatment can only a doctor.
Self-treatment of lower back pain, especially in the absence of MRI, a very wise move. Use of alternative medicine, again, especially in the absence of MRI, a total idiocy.
Sometimes the doctor says that you need to remove a herniated disc. Thanks to the use of endoscopic and micro-surgical techniques in the right hands, this action is quite safe. I don't usually tell the patient that the risk of stroke or other serious complications when removing a disc herniation is a roughly equal risk of dying in a traffic accident on the way advice.
Many fear that surgery on the spine can paralyze. It is almost impossible. There are dangerous activities associated with this risk, for example, the removal of intramedullary tumors, surgery for fractures of the thoracic spine, etc. If such a risk exists, it warned. When you remove the disc herniation, the resolution of the stenosis of the spinal canal, the risk of these complications theoretical. Condition security is a qualified neurosurgeon and the clinic has modern equipment.
There are diseases that require stabilization of the spine – the installation of structures, which keep the vertebrae to each other. Stabilization as well as methods and systems to stabilize very much. Stabilization of the spine is performed only on strict indications. Need it can only be defined as a neurosurgeon. Most often, a stabilizing surgery is needed when spinal stenosis, spondylolisthesis, instability of the spine segment, spinal fractures.
While most of the functions of the spine not only did not have long to lie, but often the patient begins to walk alone the next morning after surgery or even in the evening the day of surgery.
What you need to do, not to hurt the lower back? In private hospitals you can find commercial programs to combat back pain at the expense of the car. It is scientifically proven that, in fact, enough for basic things.
First of all, you need to have normal body weight, other. You should have a well developed axial muscles – swimming and gym. Finally, back pain is often the first symptom of depression, because depression is associated with reduced pain threshold. Usually, it is essential for normal mood and keep in shape.