Among them – lumbago, radiculitis, osteochondrosis and other pathological changes in the lumbosacral spine. One should deal with it carelessly, because the lower back pain, not only can achieve incredible strength, making the person's life unbearable, but also be the symptoms of dangerous diseases.
Lower back pain can vary from: a sharp or dull, aching or burning, local (looks in one place) or cover the entire back. Obvious discomfort in different ways: sometimes sharply, suddenly, and sometimes gradually, increasing day by day.
Response to pain and ability to tolerate it depends on many factors: age, mental characteristics, accompanying symptoms, and more. But in any case can not throw the disease possibility. Timely care will help to avoid dangerous consequences.
To diagnose the cause of back pain, the necessary examination of the spine and certain other procedures: x-rays, computed tomography, or magnetic resonance tomography.
Attacks of pain in the lumbosacral region observed during his life about 80% of modern inhabitants of the European countries. Acute or chronic back pain – a consequence of a variety of neurological, degenerative diseases in women and men. In some cases, back pain is the result of diseases of internal organs, obesity, stress and mental disorders.
Causes of lower back pain
The problem of chronic lower back pain lasts rampant. The average age of onset is rapidly declining, at the moment he is 35-45 years. Even in cases where children and young people.
A prerequisite for the development of pain syndrome in the lower back – sedentary lifestyle of modern man, leading to decreased stability in the lower back, the most vulnerable division of the skeleton. Pain can accompany many diseases, they are often the reason for seeking a neurologist, a urologist, surgeon, gastroenterologist and a gynecologist. Is projected to further aggravation of the problem. The next generation is not a healthy way of life.
Lower back pain in women
Born in the time of gynecological diseases or are the result of the peculiarities of female physiology:
- Gynecological diseases. Inflammation, adnexitis, accompanied by pain in the abdomen, and sometimes pain radiating to the lower back (pain on one or both sides), also manifested symptoms of the intimate sphere (the inability to become pregnant, long spotting before and after menstruation pain increases during sexual intercourse);
- Pregnancy;
- Menopause;
- The pain is as a result of increased suspiciousness more common in women. In-depth, comprehensive study did not reveal any pathology. This problem can occur intermittently or constantly. Treated psychological repair. Such pain can occur outside the influence of menopause.
Lower back pain in men
Recurrent pain arise in connection with peculiarities of professional activity of men, including, if the pain:
- does not correspond to the physiological state of the organism of the man;
- related to professional risks (working in a cold, draughty).
Lower back pain in both men and women
Connection with acute diseases of the gastrointestinal tract, surgical complications, kidney disease, metabolic disorders, diseases of infectious nature, and tumors (benign and malignant).
- Appendicitis. Characterized by pain localized in the right iliac region, sometimes may radiate to the lower back, usually on the right side of the body. Find vague pain in the lumbar region.
- Pathology of the small intestine. With symptoms characteristic of disorders of the gastrointestinal tract. The pain radiates to the lower back due to irritation of the fibres of the lumbar nerves.
- Also cholecystitis. Pain reminiscent of symptoms of appendicitis. Usually localized in the right iliac region, or the navel. Sometimes felt in the lower back when involved in the pathogenesis of the fibers of the spinal nerves.
- Inflammation of the pancreas. A typical belt pain all over the body, the waist, the view of the lumbar spine. Combined with typical pancreatitis symptoms – vomiting, violation of defecation, touching the tongue. If the cause of pain – inflammation of the pancreas, the area of the spine feeling, does not react in response to the force.
- Adhesions after surgery. To occur after laparotomy or abdominal surgery on the abdominal organs, sometimes diagnosed congenital adhesions. The pain is localized in different parts of the abdomen radiating to the lower back.
- Kidney disease. Lower back pain coupled with headache, an increase in diastolic (lower) threshold blood pressure and edema. Typical changes in laboratory tests, urine tests, instrumental studies, renal ultrasound, MRI;
- Fourth-degree obesity. This extreme increase fat mass in humans. The weight of the index in the fourth degree (under 25 years) = 40, the second group (25) = 41. It is defined as the ratio of mass (kg) of twice the height (m). Cause pressure on the lower back out, without explanation.
- Infection involved in the pathogenesis of bone tissue, for example, extrapulmonary (bone) tuberculosis. Is manifested by pain in the bones. Localization of pain in the lower back is related to the fact that it has a massive share of the spine, and it requires a maximum load. Symptoms associated with clinical picture of chronic infection. Reveals a mild fever, fatigue, headache, symptoms of lesions of the nervous system, the laboratory to reveal the tubercle bacillus.
- Myositis – inflammation of muscles. The muscles of the lumbar region to carry heavy loads, so the inflammation in the pelvic area are common. The disease develops as a result of hypothermia, the penetration of pathogens virus (herpes Zoster), bacterial infections (Staphylococcus, Streptococcus, other bacteria) into the tissue in this area. Is manifested by fever, severe pain, develops suddenly, when the local or General hypothermia. Chronic stage of the disease manifested by aching pain, sometimes with involvement of the tissues of the skin and subcutaneous tissue (dermatomyositis). Diagnosis is based on clinical interviews with the patient, inspection, palpation and laboratory methods.
- Growth of benign and malignant tumors along the nerve fibers, which innervate the lower back. Symptoms are varied, and they correspond to the stage of disease and localization of the pathology.
Continual and repeating lower back pain
There are different classifications of pain, including, depending on the duration.
- Recurrent pain is usually associated with exercise, the physiological characteristics of the human body or acute diseases of the internal organs.
- The constant, acute, chronic pain, caused by irreversible pathological processes in the body, diseases of the musculoskeletal system the human skeleton and lesions in the deep vessels of the legs.
Periodic lower back pain, as they are called, because they disappear after recovery and removal of the source of the pain.
The origin of the pain can vary from woman or men, or equal treatment for men and women.
Constant back pain is usually caused by an inflammatory and degenerative and irreversible degenerative processes in bone and cartilage, severe disorders of the blood vessels of the legs. Constant pain under the related damages to the muscles and internal organs.
Constant pain is a call, when you eliminate the source of the pulse is difficult, due to the development of irreversible processes of bone and cartilage. Degenerative and dystrophic processes are usually applied to a complete cure. They can suspend or terminate some time. In some cases, the pain persists when you replace the damaged tissue with the implant.
Repeated and continuous pain is often a close relationship to each other, so the temporary pain becomes constant.
For example, bone tuberculosis causes malnutrition of the cartilage, which causes osteoarthritis, and the pain almost always occurs through the publication and aggravation.
Curvature of the spine (scoliosis) initially unnoticed, appear regularly, so goes the degenerative disc disease and is manifested by constant pain. Examples can continue.
The disease, which is accompanied by constant pain in the lower back:
- Lumbago – acute lower back pain. As a result of pathological changes in the lumbar vertebrae. In the initial stage the pain may stop, because the pathological process with timely treatment have been eliminated. Develops suddenly, lifting weights and other similar reasons. More often diagnosed in men. Lumbago – a possible consequence of several diseases, for example, displacement, herniated disc, pinched nerve roots in the lumbar (neuralgia), inflammation or pinching of the sciatic nerve of osteoarthritis and other abnormalities of the vertebrae. In addition to severe pain, which is manifested in decreased mobility of the skeleton in the lumbar region. Without treatment or improper treatment of lumbago may develop irreversible disease of the bone.
- Intervertebral osteochondrosis – includes a number of diseases, inflammatory and degenerative nature, is manifested initially by destruction of the articular surface of cartilage and bone involved in the pathogenesis of the nerves.
- Scoliosis. Sideways curvature of the vertebrae, occurs in an asymmetrical shoulder line, disturbed posture, the deformation of the skeleton, the formation of the rib hump, which is visible when bending. Develops when the decrease in the function of bones and muscles, degenerative processes in the cartilage tissue of the lower back. Is manifested by pain in the bones in complicated cases. Long scoliosis are asymptomatic. Scoliosis can be congenital or acquired.
- Ankylosing spondylitis loss joint mobility. Much more common in men. Another name for this disease is bechterew's disease. Is a chronic inflammation. The disease is manifested by pain in the joints and the spine, which is characterized by damage to the eyes, a decrease in human growth. Thus there is a proliferation of connective tissue in the joints and spine.
- Spondylosis. This is a natural process of aging joints. There is a gradual thinning and loss of mobility in the lumbar joints. Pathogenesis the advancing complications and the accession of inflammation during spondylosis. The symptoms are consistent with inflammation of the joints of the spine.
- Leg length difference of more than 2-3 cm, accompanied by a variety of pain in motion, such as pain in the lower back. Pathology develops muscle atrophy of one leg, due to childhood polio and other diseases. In some cases, the problem of cope with the help of orthopedic tabs. The error is hard to fix when too large a difference in leg length or a gentle lift of the foot.
- Osteoporosis – thinning, loss of calcium in bone tissue. Often cause hip fractures. See also lumbar spine osteoporosis. Occurs deformity of the skeleton, joints, cartilage, development of intervertebral hernias. More common in women during menopause.
- Thrombophlebitis is a partial or complete stop of blood flow in deep vessels. Combined with inflammation around the vessel. This complicates the disease, provoking the development of pain syndrome even at rest.
To what doctor to address?
Pain in the spine in the first place, you should turn to a neurologist at a local hospital, if the patient's condition is stable, or call an ambulance. Lower back pain can be a symptom of gynecological, urology, surgery and gastroenterology problems.
Lower back pain often combined with a variety of infections and injuries of the extremities. Not to eliminate pain in the lower back diseases of the heart and lungs. This is the set of in-depth studies.
When a patient is diagnosed, it is usually prescribed drugs that reduces pain, normalizes blood circulation and helps to restore the nervous tissue. It can be tablets, gels, ointments or injections, to relieve inflammation and cramps.
Surgical intervention is usually required in the diagnosis of a herniated disc, which is a complication of osteoarthritis. Hernia, which press on the nerve roots, is removed, it is restored, and pain, which eventually passes.
The best the spine and the muscles relax when sleeping on a hard mattress, placing your knees a small pillow. When bed rest should not last too long, because it is fraught with the weakening of the muscles, which only exacerbates the problem. Although in severe pain, you should try to keep at least mild physical activity.