The lumbar spine, throughout life, can withstand greater load. It is not surprising that sooner or later, often at the end of the day, many begin to feel that they are sick down the back. But we should not assume that this is a normal phenomenon. Pain can be its cause, which often requires immediate treatment. And if you don't pay attention to them and have taken appropriate measures, doesn't know what to do, pain in the lower back can lead to a significant deterioration of your own life and health.
Why it hurts down the back — likely to cause
Likely causes of lower back pain low back pain, which gives the legs, lower abdomen, due to the fact that a person spends a lot of time behind the wheel, the computer is involved in physical work, especially if he has significantly changed the position of the body. Pain in the lower back the lower back and may cause excessive load in the gym, obsessed with the work of the house, especially in the presence of excess weight. At risk are women who have recently given birth or those who have already entered menopause
If a sore lower back the lower back, this may indicate the presence of malignant and benign tumors of the pelvic organs or the pelvic cavity, diseases of the prostate or chronic prostatitis. Back pain after a long walk on foot usually indicate the development of stenosis of the spinal canal. An additional symptom is a syndrome of spinal or pseudo-claudication inter mittens.
Rheumatic polimialgia is a fairly common disease in older people. Firstly, the person will experience lower back pain, they gradually intensified in the proximal upper or lower limb looks stiff and limited movement.
The most common cause of lower back pain lower back pain. During the investigation of the spine may also be observed in such degenerative diseases as osteoporosis, osteoarthritis and osteoarthritis. The distance between the vertebrate of the disc is gradually reduced, and this disrupts the mechanical balance of the spine. This, in turn, also causes a sore lower back at the waist. Finally such pain can be the result of a muscle spasm while performing unaccustomed physical activity.
If it hurts down the back of the waist — the nature of pain and possible symptoms
The nature of low back pain depends entirely on its cause. If this stretching, the pain is spread mainly in the lumbar spine. In some cases, they give the buttocks and hamstring. Mobility and the body becomes significantly limited. With the pinching of the nerve roots in the lower back pain from the waist down gradually to his feet. If the cause of low back pain is one of the systemic diseases, such as sciatica, its symptoms progress gradually.
Expresso nerve endings of the spine, herniated discs usually occur in older men. Usually the pain in this case aggravated by sneezing, coughing, laughing, bending, straightening of the spine in the lumbar Department. Lie on your back and lift straight legs in the vertical direction. The presence of a herniated disc you will feel pain in the lower back. This type of pain is called lumbago. In the standing position it is on the rise, and lie down — abates.
If it hurts down the back — the secondary causes of
- neoplastic diseases of the spine and spinal cord;
- vertebral fractures;
- infectious diseases, which may occur damage of the intervertebral discs and the vertebrae themselves;
- metabolic damage bone
- non-infectious inflammatory diseases
- acute disorders of the spinal blood circulation, stroke;
- diseases of the gastrointestinal tract (intestinal obstruction, atypical acute appendicitis);
- reflective pain, which can occur in various diseases of the pelvic organs (inflammation of gynecological diseases, renal colic).
What to do if you have pain below the back
Diseases that can cause lower back pain in the lower back quite a lot and almost all of them have similar symptoms. Therefore, it is often necessary to make differential diagnosis use of hardware and laboratory techniques. Depending on the results of these studies show and treatment of pain, or rather, those illnesses which caused their appearance.
Why back pain lower back?
Is probably not one person who at least once faced with the back pain. This problem is urgent for people after 60 years, but the young people in these situations to happen. It is known that the restriction of the exercise of working age are more likely to occur in just the lower back pain. Why is this happening and what to do with his appearance, tell your doctor. And the patient needs only to come to the consultation of the expert.
All pain is a signal of certain malfunctions in the body. And its location generally indicates the source of the problem. If your worried about the back, most people only think of the pathology of the spine. True, injuries to the axial skeleton represent the most common cause of pain in the lumbosacral region. Such conditions are:
- The lower back pain.
- Spondiloarthrosis.
- Intervertebral hernia.
- Injury.
- Spondylosis.
- Bechterew's Disease.
- Spondylolisthesis.
- Osteoporosis.
- Spinal stenosis.
- Tumor.
This can affect any structure is the axial skeleton: the vertebrae, discs, joints, ligaments, tendons and muscles. The pathological process is frequently degenerative, inflammatory or traumatic in nature. This is facilitated by inactivity, sedentary work, carrying heavy loads and other loads on the spine. The important role of internal factors related to metabolism-metabolism, immune system and age-related changes in the body.
But lower back pain is a symptom, not only diseases of the spine. And I know it all doctors. This symptom can be masked fairly common diseases of the internal organs in women and men. Therefore, the cause of pain should determine such States:
- Gynecological problems.
- Diseases of the kidneys and bladder.
- Urologic pathology.
- Bowel disease.
In addition, the back may ache during pregnancy, when the increased load on the lower back because of the shifting center of gravity of the body and stretch the internal ligaments of the pelvis.
Why is there pain in the lower back, found after medical examination and additional diagnostics.
When the patient goes to the doctor, he wants to get detailed information about the origin of discomfort and further tactics. And it has to be investigated. And the most important step is the clinical examination, during which clarify the subjective and objective signs of pathology.
If we talk about complaints, the main concern of patients the cause of the pain. They can be different colors, but most often, it is characterized by the following features:
- The acute or chronic.
- Shooting, aching, throbbing, drawing, stitching.
- Varying the intensity varies from mild to severe.
- Localized in the lumbosacral region.
- Let the lower limbs, groin area, stomach.
- Aggravate the movements of the trunk, sitting, walking.
However, lower back pain is not only symptom of pathology – clinical picture includes other symptoms, which suggests that the most likely cause of the problem.
Diseases of the spine
When patients worried about the back in the lumbosacral region, you need to look for confirmation of vertebrogenic nature of these sensations. Pain is often associated with muscular tension or compression of the nerve root. So they can have the next signs:
- Lumbago – acute lumbago lower back.
- Lumbalgia – dull and deep pain.
- Sciatica – pain radiating to the lower extremities during the course of the sciatic nerve.
Firstly, sometimes there are unpleasant sensations in the legs and back began to trouble later. But the pain, radicular syndromes (radiculopathy) are typical of a neurological disorder that involves damage to sensory, motor and autonomic fibers. These are:
- Depression of tendon reflexes.
- Decreased strength in the lower extremities.
- The deterioration of the sensitivity.
- Numbness, tingling, "pins and needles", burning sensation.
- Discoloration of the skin.
Such violations appear on the appropriate dermatomes of the body segment, innervate the affected spine. And local signs of pathology of the spine are muscle tension and soreness paravertebral points in the lumbosacral region, the smoothed physiological lordosis and limitation of active movements.
Vertebrogenic disease is equally common in men and women, with age they only get worse and often lead to reduced functional ability of the person.
Gynecological problems
If there is lower back pain in women, you need to pay attention to the possibility of disease in the gynecological field. Most often we talk about inflammatory diseases or dysfunctional States. In such cases, you may see the following signs:
- Irregularity of menstruation.
- Vaginal discharge.
- The growth temperature.
Acute processes of the uterus and appendages can become chronic or be a complication of peritonitis. In addition, the cause of the pain can be ectopic pregnancy or miscarriage. So the risk of internal bleeding and shock.
Diseases of the kidneys and bladder
Pain in the lower back, is considered one of the symptoms of kidney disease – kidney inflammation. As a rule, they are by nature permanent, and if the kidney stones can aggravate a bumpy ride or running. Cystitis, these sensations are localized in the suprapubic region and may radiate to the sacrum. The inflammatory process is accompanied by other symptoms:
- Dysuric disorders: convulsions, burning sensation during urination.
- To change the color of the urine.
- Fever, General malaise.
Chronic pathology is associated with a gradual decrease in the functional capacity of the organ, which develops in renal dysfunction.
Urological disease
If men are the back pain in the lower back down, then the differential diagnosis should be done urological and diseases. First of all, rule out prostate disease – prostatitis and adenoma. Such pain is felt in the pubic area and the perineum, giving the rectum and the sacrum. Often there are other signs:
- Discharge from the urethra.
- Difficulty in urinating.
- Reduced potency.
Acute prostatitis possible General symptoms-fever, weakness, malaise. And chronic inflammatory processes are slow and bad symptoms.
Bowel disease
When considering the origin of pain in the lumbosacral region, it is necessary to mention, the pathology of the various departments of intestines. Appendicitis, ulcerative colitis, proctitis, a condition that require different approaches to diagnosis and treatment, but have similar symptoms. These are:
- Pain in the abdomen or side.
- Change in stool – constipation or diarrhea.
- Fever.
Colitis are often pathological impurities in the stool: blood, mucus or pus. But an objective examination, palpation of the abdomen and rectal examination gives additional information about the disease.
Nonvertebral pathology is quite varied, which is why the doctor requires a thorough the differential diagnosis of back pain.
Diagnosis
To understand why the patient has pain in the lower back, you need to pass additional tests. The doctor will prescribe a complex of laboratory and instrumental methods, the results of which will help make the right conclusion. These include the following studies:
- General analysis of blood and urine.
- Blood biochemistry (markers of inflammation and rheumatology tests, urea, creatinine, etc.).
- Urine analysis according to Nechyporenko, zimnitskiy.
- Analysis of the secretions of the genital tract, the feces.
- Radiography of the spine.
- Magnetic resonance imaging and computed tomography.
- Ultrasound of the internal organs.
- Endoscopy of the intestine.
If necessary, a list of diagnostic procedures is increasing. Opportunities to create the source of the pain.
The treatment of vertebrogenic diseases, is based on the nature of the pathological process and the individual characteristics of the patient. Take into account the possibility of join conditions, which also require adequate correction. If the cause of the pain, which is not related to the spine, do not fall, the treatment deals with the spine, neurological or orthopedic injury.