Back pain in the lumbar region is very common pain syndrome, which occurs in different diseases, such as the spine and internal organs, or systemic diseases.
It could be the waist, above, below, right or left, and often this pain occurs during pregnancy, how late, and in the early stages. If the pain is very acute, accompanied by fever, weakness, you should call an ambulance.
Although there is severe pain without fever in order to understand the reasons for its occurrence, should be addressed to the therapist, who on the basis of anamnesis, complaints of the patient is aimed at professionals such as an osteopath, neurologist, urologist, gynecologist, gastroenterologist, cardiologist, surgeon, or pulmonologist. The final diagnosis is a doctor on the basis of MRI, ultrasound and other tests and diagnostic methods.
The main reason for lower back pain
The most obvious reason for the pain in the lower back is lumbago and sciatica, which is caused by damage to lumbar degenerative disc disease, as well as more serious diseases of the spine or intervertebral protrusions herniarum. Such pain can occur when the nerve irritation of the spine, pinched nerve roots, irritation of the ligaments and muscles, their swelling, as well as diseases of the internal organs of the pain can radiate to the lower back.
In clinical practice 60-30% of the urban population in developed countries regularly recurring back pain, 80% of the time people complain that back pain in the lower back. All age groups susceptible to violations from the side of the spine, but in most cases, these diseases disrupt patients aged 30-60 years. 66% of cases of lower back pain caused by degenerative disc disease, is affected, when one of the roots 1. sacral, 4, 5 lumbar vertebrae are called mono-articular syndrome. If affects the right of the spine 2 what happens, 33% of patients have viridicornis syndrome if 3, then triadically syndrome, which is much rarer.
Because the causes of back pain is not always pain, it is possible to use a number of serious provocation tests, which will help to understand whether the pain in the spine, or signs of other diseases, cystitis, pyelonephritis, urolithiasis, inflammation of the uterus, prostate disease, problems with the intestines or in the lungs. It tests for lumbosacral degenerative disc disease, which is called doctors, who suggested their use in preliminary diagnostic:
- Symptoms Dejerine — voltage of the abdominal muscles, if you listen to the lower back, the pain increases, and therefore a high probability of their occurrence is low back pain.
- Symptom Neri — if the sharp tilt of the head forward to touch your breasts you feel the pain — it could also be because of the spine.
- A symptom is a symptom — if, after you have alternately lifting first one foot, then the other, lying on his back, grabbed the waist and pain irradiáta in the leg along the sciatic nerve, it is also a problem of the spine.
- Symptoms Larrea — if the pain will appear during the sciatic nerve when you're lying position on the back, trying to lift the torso forward without bending the knees, then you need to sit with your legs extended, is also from degenerative disc disease.
Back pain is such a nonspecific symptom that can be caused by many different reasons. About how intensely aching back in the lumbar region, it is permanent or recurrent, primary or secondary, can be the reasons causing it:
| 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 waist
If back pain just above the waist - so can radiation to liver pain any pathological changes in the liver, hepatitis, hepatic failure, administration of toxic drugs. The pain is most often localized in the right hypochondrium. If the pain is felt on the right or on the left above the waist, it is very possible that the cause is acute kidney disease. Chronic kidney disease, such as polycystic ovarian disease, a malignant tumor of the kidney, chronic pyelonephritis accompanied by symptoms low, because the kidney capsule is stretched gradually.
Swelling during acute pyelonephritis, and also prevent the ureter the pain is more intense, but the dull, aching in nature. And the pain is continuous, sometimes radiating to the navel area, lower abdomen, and pain in the left upper quadrant or right, depending on the patient's kidneys. Also chronic kidney disease, certain medication, which promotes such pain. The increased load on the kidneys, as a filter, when the toxic of certain medications can cause pain, which disappear after discontinuation of the drug.
Why back pain lower lumbar
When back pain below the waist, apart from the obvious, diseases of the spine (sciatica, lumbago, herniated disc, ankylosing spondylitis, etc.), possible causes include recurrent pain during menstruation in women, diseases of the female genital organs such as inflammation of the uterine appendages - oophoritis, oophoritis (adnexitis) and diseases of the pelvic peritoneum, bowel, inflammation of the appendix (the Appendix of the blind intestine), in men - prostate disease, bladder.
Lower back pain right or left
If pain occurs simultaneously and the right and left lower back this can also be symptoms of pyelonephritis, hepatitis, cholecystitis, inflammation of the uterus or the prostate, pneumonia or pleurisy. When radiating to the flank pain may be due to intestinal obstruction, atypical course of appendicitis. Lower back pain on the right or the left are for the following diseases:
- Diseases of the spine
The acquired diseases include, tumors, degenerative disease, such as spondylosis, spondylosis, inflammation - osteomyelitis, spondylitis, and traumatic injury, herniated disc, lumbago, sciatica. One of the congenital diseases share sacralization, spondylosis, lucido, spondylolisthesis.
- Diseases of the internal organs
Inflammatory diseases of the pelvic organs - the convenience of the spinal canal tissue, the bladder, the prostate, the uterus and its appendages. Pathological processes in the abdominal organs, intestines, kidneys.
- Diseases of the nervous system lumbosacral
When root compression, nervous system messages from different neurological diseases, hysteria, neurasthenia, neuritis, neuralgiasta, sciatica, violation of metabolism, gout, diabetes, malformations of the nervous system.
Pain when pinching the sciatic nerve and lumbago
When inflammation or pinching of the sciatic nerve sciatica back pain in the lower back can be very different. It's like a burning sensation, back pain, tingling, numbness or tingling can be mild or long or short. The sciatic nerve is the most effective, the longest nerve in the human body, and only occurs on one side of the body, as a rule, women right, men left.
There is a theory, why there is such a difference, the pattern of inflammation of the sciatic nerve in males and women about this you need to know in our article, the symptoms of a pinched sciatic nerve. Such a pain in the buttocks or the back surface of one leg is usually worse when you change the position of the body, particularly sensitive spot behind the knee and the area of the bony protrusions on the bottom of the buttocks, also people may find themselves in the muscles of the calf or posterior surface of the femur painful nodules that when touched particularly sensitive.
Lumbago is a disease which is popularly called sciatica, the pain, this I know not by hearsay. This sudden cross, which appears on the background of physical activity with hypothermia, working in a draft or long-term in a difficult position, with a sharp movement.
Paroxysmal pain in the lower back, causes a person to take a forced situation in which the pain softens this pain syndrome is delayed for at least a week, painkillers, tepid the tools and massage usually help to cope with the disease. Even if such a simultaneous attack of the disease should consult a doctor, because it is a warning of the presence of pathological changes in the lumbosacral spine.