For many people the sign of this symptom as "pain lower back". Typically the discomfort associated with different diseases of the vertebral column, but, in practice, often, one finds that the reason in itself. Many times, the pain in the lower back occurs in women until the end of the pregnancy, as well as your spinal column experiences a larger load than usual.
The reason can also be a variety of diseases in internal organs, degenerative-dystrophic changes in the bone-cartilaginous machinery the lower part of the back, and t. d. MalaaktYvesnth lifestyle intense, working conditions, professional sport, obesity can trigger pain in the lower part of the spinal column.
Pain in lower back doctors call the term "lumbodynia". This is a widespread phenomenon, which is characterized by a sudden appearance and disappearance of the starting point of the pain syndrome. Some patients undergo a short course of treatment and no longer experience discomfort, others have to be treated in the months and even years. To determine the exact cause of pain in lower back, need to go through a screening before the therapist, and move forward in your direction – you narrow professionals.
Causes
More often than pain in the lower back is a symptom of various diseases of the musculoskeletal system. Often unpleasant sensation bothers the people who spend too much time on the computer, in the car, deal with the physical work, carry them in the gym. In the risk group are pregnant women or women who recently had.
The disease, accompanied by pain in the lower back
Back pain in the lower part may indicate diseases such as osteocondrose or SPOndroartroses. Is t. n. the main causes of pain related to functional and morphological changes in the spine.
Among secondary causes of low back pain include:
- tumor processes CAnKah, spinal cord;
- the injury to the vertebrae;
- the infection process the intervertebral disks and CAnKah;
- the rates of disorders in the bones (osteoporosis, osteomalacia);
- inflammatory disease nUOMnFaccionnOh etiology (rheumatoid arthritis, ankylosing);
- sharp violation of hemodynamics (for example, stroke);
- diseases related to the violation of growth;
- gastrointestinal illness (andtepicnth term of acute appendicitis, bowel obstruction);
- renal disease (when kidney stone disease, pain behind one side, more on the right side);
- disease pelvic.
Therefore, the reason for the pain is not always in injuries of the musculoskeletal system. If the pain is caused by a violation of the function of the internal organs, she has irradiating nature. In addition, the men have back pain in the lower part of the spine in chronic npoctatute, prostate cancer, although this symptom is not always required.
The pain may appear after a long walk, which suggests withtenозe of the spinal canal. The disease manifests itself in the syndrome of intermittent claudication. The man, moreover, complains of cramps and muscle pains during the walk. In older individuals develops is the state, as рeвмandtичewithкandя polymyalgia. First appear moderate pain, and then a sensation of stiffness of the arms or legs.
The biggest cause of pain below the waist, on the right side, on the left side or in the center, is the osteocondrose. Tools search methods allow you to identify the different degenerative-dystrophic changes in the CAnPTSnOhm position. In the period between the discs of the spinal column is gradually reduced, resulting develops an imbalance in the total structure of the spinal column.
This results in headaches, low-back, that are located to the left or to the right or go move mountains.
Another source of low back pain – the presence of intervertebral hernias. When ущeмлenAI, withdandвлYvesandnAI nerve roots occurs with very strong, acute pain, cope with which in the early stages help steroids and non-steroidal anti-inflammatory drugs.
Symptom outcome unfavorable is lumbodynia, which is manifested by range of variety of symptoms. Pain along the course of the nerve root can give the buttocks and feet. The discomfort appears when inclinations (even when tilting the head down), laughter, coughing, and t. d. pain that is caused is enhanced when caught lying on your back with your legs straight.
As manifest in low back pain
Symptoms of pain in the back takes a versatile nature and is dependent on the pathology. When you extend the pain manifests itself in the form of spasms, limited motion. Pain that is caused uppaduupyet buttocks, the back of the thighs. The patient is difficult to bend down, do laps of the body. If the damage is to the nerve root pain to the lower part of the body, may be a violation of sensitivity, numbness.
When osteocondrose the symptoms are gradually increased. First the pain that bothers you on the one hand, nature is not expressed. To the extent that the development of a disease process pain become each time more strong, more difficult to copyrowtwithя painkillers, affect a larger area. After a long stay in the same position the pain has nAudi nature.
For kidney disease, the pain does not appear in the lower part of the back, and up to level 12 pairs of ribs. However, when the renal colic pain that is caused uppaduupyet down, along the ureter, in the groin. The pain is unbearable, very strong, painkillers do not help. Feature – from one side to the location.
Diagnosis
Why it hurts the lower part of the back, you can install only the doctor. In any case, should not be treated self-diagnosis and self-medicate. The diagnosis is made on the basis of complaints of the patient, the clinical manifestations, andnandмnewithtичewithких data, results of research tools and methods. The patient is prescribed x-rays, myelography, magnetic resonance imaging, computed tomography, and other types of research.
The ct scan is the most efficient and выwithокоиnформandtYvesnth way to identify the different structural changes of the spine caused tрandвмandtизandциeй, infectious process, tumor formations, osteoporosis and other diseases. The basis of myelography is application contrasting substance. Method used when there is suspicion of stenosis of the spinal canal, hernias, tumors, and other pathological processes of the spinal column.
Treatment
What to do if the pain in the back, you can say only by qualified personnel. Tactics of treatment depends on the cause of the pain. You should not take pain killers because they give only a temporary effect (and in certain diseases do not help), "lubricate" the clinical picture and aggravate the pathological process that the man, constantly, take the pain, you postpone visit to the doctor.
The main principle of the therapy – the treatment of the pain itself, but rather its causes. Thus, when the osteocondrose it is necessary a series of measures. Anti-inflammatory non steroids when the disease is used as symptomatic therapy in the period of the heat. Such drugs include Diclofenac, Нимewithулиd and dp., however, they have a lot of counter-indications (for example, a stomach ulcer).
Can also be applied with nonsteroidal anti-inflammatory drugs-ointments. In some cases, are required steroidal anti-inflammatory drugs. The main activities carried out outside of aggravation and consists of classes and physiotherapy sessions because, through the course of massage therapy, the organization correctly the mode of day and feed.
In addition, you are assigned the procedures of physiotherapy, acupuncture, chiropractic, and t. d. Outside worsening doctors recommend gymnastics practice healing. It is the best way to strengthen the back, relieve tension and muscle spasm. Doctor oblast medical-sports exercises (therapy exercise) necessarily included in the program of prevention of back pain.
Major lesson to be conducted under the supervision of an instructor, but a few simple exercises it is perfectly possible to perform in-house:
- Lie on your back, hands pull along the body, legs slightly bent in knee joints. The feet of reject, on the right side, in the body and the head rotate a little to the left (the most important thing – do not overdo it). After five seconds to return to starting position, repeat the same thing with the other side. Only ten repetitions.
- Get up on your knees, with your hands to lean on the chair. Fold it back up, and then maximize the bend. Do ten repetitions.
- Lie on your back with legs straighten. Lift the right leg, 20 cm from the ground, to keep up the appearance of fatigue. The same is done with the left leg. Make five attempts for each leg.
A good effect to give massage and chiropractic. These procedures are performed only by a qualified technician. The execution is incorrect, the violation of a technical event may cause major damage. During a session of manual therapy hands of an expert go through the whole back area, affecting different levels (fascia and bone structure and t. d.).
A special attention is given to the level of neural. The specialist has a direct impact on the neurons by means of palpatory manipulation. This was the therapist is able to halt or speed up the neural to the chain. Recently, the growing popularity of acupuncture. The course is composed of several procedures and aims to reduce the starting point of the pain syndrome and muscle relaxation.
If you have excess weight, you must establish the mode of feeding. Preference should be given vegetable, low-calorie food. The squirrel is one third of the daily diet. You can eat neжирnth fish, poultry, meats, eggs. Also the protein contained in leguminous plants, buckwheat, mushrooms, nuts (with them the important thing is not to overdo it). The fats should consume unsaturated (lamb, white fish, nuts, vegetable oils).
Diseases osteo-articular system play an important role vitamins a and D. the Vitamin a contained in the green onion, fruits such as orange and yellow, fish fat, liver, egg yolks. Vitamin D is synthesized under the influence of solar best. Also you can get it in small amounts of milk, oil, egg yolks, cod liver oil, caviar. For the health of the bones must consume a sufficient amount of phosphorus (bran, lettuce, cabbage, cheese, fish) and calcium (liver, cheese, eggs, nuts, cabbage).
If you have back pain it is best to go to a therapist, that is at the basis of the data collected to determine more tactics. In the case of diseases of the internal organs, the patient goes through a series of additional searches and forwarded to the straits of professionals. The main rule, which must absorb all of the patients do not self-medicate, and in all the painful manifestations in a timely manner to resort to a specialist.