If a person has had back pain in the lumbar region, the reasons can be different, even kidney disease. Most often, this symptom is a disease of the lumbosacral spine. The lumbar spine is moving, which causes more injuries in this area.
Why develop pain syndrome?
Back pain is only a symptom. Acute pain related to disorders of the lumbar vertebrae and discs, called lumbago. Why back pain lower part, everyone should know. There are the following reasons for this symptom:
- osteochondrosis of the lumbosacral spine;
- a hernia between vertebrae;
- Bechterew's disease;
- the displacement of the vertebrae;
- congenital malformations (the presence of more of the lumbar vertebrae, spina handles);
- a congenital disorder of the shape of the vertebrae;
- benign, malignant and vascular tumors;
- rheumatism;
- inflammation of muscles (myositis);
- inflammation of the sciatic nerve;
- fracture of the spine;
- spondylolisthesis;
- osteomyelitis;
- fibrosis;
- osteoporosis;
- protrusion of the disc;
- narrowing of the spinal canal;
- arthritis;
- renal disease (hydronephrosis, pyelonephritis, tumors).
The spine in the lower back can be sore, due to a simple muscle spasm. It is possible, a sharp turn or perform sports exercises. Back pain in the lumbar region is more common in people who lead a sedentary lifestyle, and lift weights. Individuals involved in sports, this disease is much rarer.
Lumbosacral osteochondrosis
If you are constantly sore lower back in the back, it can be a manifestation of osteochondrosis of the lumbosacral spine. It is a disease that mainly affects the discs between the vertebrae. They become thin, which causes friction between them and reduced movement drive. There are the following predisposing factors for the development of this disease:
- stay for hours in an uncomfortable position;
- long torso;
- insufficient warm-up exercising;
- weakness of the muscles and tendons and back;
- wearing a backpack 1 strap;
- the presence of flat feet;
- heavy physical work;
- maximum static load;
- the wrong organization of the workplace.
Back pain is the main symptom of degenerative disc disease. If 1 degree of the disease the pain syndrome is absent. With the development of disc protrusion develops lumbago. This is a suddenly appearing pain in the lower back. Some people find it a shock. It appears, when a sharp change in position or movement.
If the back pain in the lumbar region, the cause may be lumbalgia. It is a chronic pain in osteochondrosis. Its appearance is not dependent on motor activity. The pain is sore. Such people find it difficult to bend the body. In a situation where a person lying on the back, the pain syndrome disappears or decreases.
Osteochondrosis of the 3 degrees developed radicular syndrome. It seems lumborum ischialgia. It's a pain, which gives the lower extremities down to the toes. Often it is combined with the violation of the sensitivity. Discomfort in the lumbar region, caused by compression of nerves, blood vessels and muscle spasm.
Symptoms of a hernia
If worried about the lower back pain, the causes can be a herniated. This is a very common disease. The core plate of the vertebra. Often against this background, there is a rupture of the fibrous ring. Incidence of 150 cases per 100 thousand people. There are the following possible reasons for the formation of a hernia:
- injuries (bruises, falls);
- osteochondrosis of the lumbosacral;
- overweight;
- curvature of the spine;
- the sharp turns.
At risk are drivers and office workers who work at the computer. Pain when the hernia has the following features:
- is a local;
- often radiates to the thigh, buttocks and lower leg;
- along with other symptoms (numbness, tingling);
- increases during exercise.
The severity of pain is determined by the size of the hernia. If it is large, it can lead to sciatica. It occurs in sciatica. There is severe pain in the form of lumbago technologies.
Most patients with a hernia developing pain type of lumbago. Other symptoms of a hernia are low power, limited mobility in the lower back, weakness in the legs. Sometimes broken urination.
Symptoms of ankylosing spondylitis
When back pain sacral area and lower back for a long time, it is possible to suspect ankylosing spondylitis.
It is a chronic systemic disease that most often affects the joints and the spine. The exact causes of this disease have not been established. There are the following possible etiological factors:
- inflammation of the urine;
- hypothermia;
- bone injuries;
- genetic predisposition;
- infection.
Ankylosing spondylitis occurs mainly in young 15-year-olds for 40 years. This pathology occurs in joints and joint symptoms. Back pain and stiffness of the spine is considered an early symptom. The pain is felt in the lumbosacral region. In the early stages it is expressed poorly. Its appearance is due to inflammation.
The pain is bilateral. Many people say that the pain is most pronounced on the other side. It takes more than 3 months, and does not pass. The disease develops very slowly. Pain bother these people mainly in the morning. Maybe its appearance after a prolonged static load.
Mid-day it is reduced. Pain syndrome during rest and disappear during use. The stage in the middle of the pain occurs at night and during the work. In the later stages of develop sciatica. The pain of ankylosing spondylitis, combined with the deterioration of the General health of the person, chest tightness, shortness of breath, drooping of the head, pain in the muscles and chest. Often affect the eyes.
Kidney disease
If the back pain in the lower back, the cause may be disease of the kidneys (hydronephrosis or pyelonephritis). The kidneys are retroperitoneal. When inflammation (pyelonephritis) lower 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 is contagious in nature. Clearly there is an acute pyelonephritis. It is characterized by pain in the lower back, nausea, fever, chills, weakness, malaise, frequent urination. Often swelling. The pain is often one-sided, dull and constant. Irradiation is possible in the region hypochondrium, stomach and navel.
If there is pain in the lower back, the reasons may be hydronephrosis. This is a disease where expansion of the renal calyx and pelvis. Often, this pathology develops in children. Based on the development of hydronephrosis is a violation of the outflow of urine, malfunction of valves and obstruction of the urinary tract.
Hydronephrosis appears sharp pain in the back. He is by irradiation. It occurs on the side slightly above the hip bones. The pain is paroxysmal, resembling renal colic. Pain syndrome combined with nausea, vomiting, appearance of blood in the urine.
Manifestations of sciatica
If strongly hurts the spine in the lumbar region, the cause may be inflammation of the sciatic nerve. This condition is called sciatica. The risk group includes the elderly. Sciatica (sciatica) often develops on the background of a herniated disc, infectious diseases (influenza, malaria, tuberculosis), and osteoarthritis poisoning. Sciatica is often observed in pregnant women.
Pain when sciatica has the following features:
- sharp (dagger);
- penetrating;
- intensive;
- burning or shooting;
- originally appears in the lower back and then goes down (top-down nature);
- extends to the buttock, thigh and lower leg;
- concerned about the constant in the form of attacks;
- has a different effect;
- often one-sided.
The pain is accompanied by tingling, numbness and motor skills disturbances. Other symptoms of sciatica refers to muscle atrophy, decreased sweating, dryness and thinning of the skin.
Plan of examination of patients
Not everyone knows what to do if back pain in the lumbar region. You need to go to the doctor and get tested. You may need the following investigations:
- computed tomography;
- x-rays of the lumbosacral spine;
- Ultrasound of the kidneys;
- magnetic resonance imaging;
- electroneuromyography;
- vascular Doppler;
- General and biochemical blood test;
- urine;
- cystourethrography.
Always perform inspection and palpation of the pelvic region and the spine. Need to consult a neurologist or vertebrologist. During the study doctor will assess the mobility of the spine, reflexes, muscle strength, range of motion of the limbs. Almost always the cause of back pain is diseases of the spine. They are easy to identify image.
Treatment measures
If the sore back, the treatment is directed at the underlying cause of the pain. The following treatment methods:
- systemic drug therapy;
- the use of local anesthesia-in the form of gels and creams;
- physical therapy;
- chiropractic;
- acupuncture;
- blockade;
- surgical treatment;
- LFK.
Such patients should be engaged in gymnastics and to follow a high protein diet. All work should be of high amplitude. If lower back pain is a symptom of pyelonephritis, it is necessary to comply with bed rest, painkillers and antibiotics. Chronic inflammation is also appointed as a diuretic. Antibiotics prefer to fluoroquinolones and penicillins.
In addition, the appointed immunomodulators and vitamins. If hydronephrosis may require surgical treatment. When the pain in the background of sciatica apply analgesics (Analgin), tool-combination, the Nsaid. In severe cases, novocaine blockade. System therapy, massage, exercises, acupuncture.
Eliminate the pain can be disruptive to treatment. Spread the cream bee or snake venom. When the hernia is shown, Nsaids, spinal traction, massage and therapeutic exercise. In severe cases, surgery is necessary. When the pain in the background of sciatica treatment involves immobilization of the spine, the use of painkillers and muscle anesthesia. In addition, the name of the B-vitamins (Combilipen).
Effective and physical therapy. After the detection of osteoarthritis have shown physiotherapy, massage, pain, physiotherapy. Is also the name of a chondroprotectors. Such patients need to move more and spend less time standing or sitting. System treatment includes manual therapy and blockade. Thus, the appearance of pain in the lower back, it is worth to go to the hospital.