The back pain is a symptom of disease more often, the muscles of the back and spine. In this article we will see, for the pain in the back.
Problem in the lower back can be the result of a bone disease of the spine, the lumbar discs between the vertebrae, ligaments around the discs of the spinal column, spinal cord and nerves, muscles of the lower back, pelvic organs, and abdominal and also the skin covering the lumbar area. The upper part of the back can hurt, in consequence of diseases of the aorta, breast tumors, or inflammation of the spinal column.
Suddenly, arising from short-term low back pain also referred to as lumbago, and gradually developed chronic — lumbodynia. If it hurts the lower back (the coccyx) is coccygodynia.
Causes of pain in the back
In most cases, back pain due to injury to the muscle-skeletal system violations (microdamages ligaments and joints of the spine after heavy loads for them, tension or spasm of the muscle). A little less likely to cause aches and pains become more pronounced changes of side of the spine, for example, hernia of the intervertebral disc, or dislocation of the vertebrae (spondylolisthesis). Finally, in rare cases, back pain may be related to serious diseases (tumors and inflammatory processes in the vertebral column and spinal cord, disease of the internal organs — the heart, kidneys, pancreas, pelvic organs, and Dr.).
Possible causes of pain in the back
- Muscle spasms;
- Sprain (injury to ligaments );
- Muscle trauma;
- The bleeding in the pelvis;
- The dissection of the aorta;
- Infections of the spine and of the pelvis;
- Lumbar, stenosis of the spinal canal;
- Metastases in the spine (cancer that has spread to the spine from other organs);
- Viral infections, including influenza.
The disease, in which pain in the back
- Aneurysm of the abdominal aorta;
- The ankylosing of ankylosing spondylitis;
- Cancer of the bone;
- Degenerative disease of the vertebral discs;
- Diffuse idiopathic of the hyperostosis;
- Kidney stones;
- Paget's disease;
- Pancreatitis, cancer of the pancreas (preparing for the pain);
- The psoriatic arthritis;
- Reactive arthritis;
- Pityriasis versicolor (the pain and the characteristic eruption on the skin).
Dangerous than the pain in the back
Usually, the back pain is of a permanent nature, are enhanced when the movements and physical activities and accompanied by physical disabilities in the spine and a feeling of stiffness in the back. In most cases, is characteristic of relapsing current, to which the episodes of exacerbations, usually cause intense physical load long focus on posture problems or hypothermia, replaced more or less lengthy periods, during which the pain are absent or expressed least.
In the great majority of cases of back pain do not represent a direct threat to life and to human health and often spend independently (without treatment). However, sometimes the back pain can be due to serious injuries to the spine or internal organs.
Below are the characteristics of pain in the back, that can be associated with serious pathology. If you have any of these symptoms, see a doctor immediately and, in any case, do not self-medicate.
- The back pain is permanent, and is located in the same location.
- The back pain decreases in the prone position or occurs during the night.
- Back pain accompanied by an increase in the temperature of the body.
- The back pain is accompanied by muscle tension in the limbs, or combines with the long stiffness in the morning.
The diagnosis of back pain
- The inspection of a neurologist for an evaluation of the state of the nervous system, the muscles of the spine.
- The general examination of blood and urine to the exclusion of the inflammatory process in the kidneys.
- X-ray of the spine for the exclusion of osteomyelitis, fractures and other diseases. To refine identified on the x-ray changes doctor advanced can assign computed or magnetic resonance imaging of the vertebral column (the first allows to evaluate in detail the state of the remains of structures, the second, the spinal cord and intervertebral discs).
Often, when these studies reveal dystrophic changes of the intervertebral disc and the vertebral bodies and diagnosed with osteocondrose". It should be noted that the osteocondrose in itself is not a disease, and reflects changes related to the age of the spine. The types of changes from the side of the intervertebral disc (including hernia) reveal, almost all the people of mature age, including never experienced back pain. In other words, the identification of signs of degenerative disc disease when x-ray or a herniated disc when the mri still does not give reason to believe that the back pain related to them is a decision only you can take doctor based on the results of the clinical examination).
The treatment of back pain
Cure back pain, it is often not possible, however, it is possible to minimize the frequency of exacerbations with the correct life style and drug therapy. The treatment of back pain depends on the reason that caused its occurrence. Choose the proper treatment for You, you can only doctor.
The effect of treatment of events may not manifest immediately, therefore, it is necessary a lot of patience and endurance. The main goal of treatment is the removal of acute pain, but also in the prevention of the worsening of the disease in the future.
How to relieve back pain
Bed rest may ease the transition of acute pain in the back chronic. With this in mind, when pain moderate, there is no need for a rest, when the intense pain that it should be possible to limit its duration (1-3 days).
If the back pain, you should limit this point to the physical activity, in particular, to avoid weight lifting and long-stay in the same position, what matters is to correctly perform the movement, not increasing the load on the spine.
For the unloading of the spine and ensure you a state of dormancy, it is advisable to use a belt or a corset.
Medicines for back pain
The treatment depends on the cause of pain in the back and refers to the doctor after the examination.
To relieve pain use anti-inflammatory agents not released in the form of tablets, ampoule injection molds, creams and gels, and pain killers or a combination of drugs. Medicines from both groups attribute the short course (usually no more than 3 to 5 working days. In addition, to eliminate headaches, apply compresses with solutions from topical anesthetics and doctor of the lock (which can be the doctor).
When the pain related with the tension of the muscles, use drugs, remediando muscle spasm (muscle relaxants action central — within 1-2 weeks). Taking such medicines can only be prescribed by a doctor.
Currently, for the treatment of back pain, associated with dystrophic changes in the spine (osteochonDroz) suggest the use of special medications — medications that stimulate the production of the main tissue components of articular cartilage and, thus, slow down the destruction. The effectiveness of such medicines in diseases of the vertebral column is not proven, the same can be said about the numerous, widely advertised dietary supplements (usually containing medicinal plants, organic products, vitamins, and Dr), and homeopathic means. Despite the fact that all the tools are freely available in pharmacies without prescription, you should not take them without first consulting your doctor.
Physical therapy and therapy by exercise, when the pain in the back
To reduce the manifestations of pain you can apply heat to dry (but is not deep heating) and other procedures of physiotherapy, but only after consulting your doctor.
After the end of the period of acute useful therapy lessons for the exercise of the special complex (strengthening the back muscles, abdominal muscles) and massage.
The chiropractic when the pain in the back
Manual therapy can assign only a doctor, after performing an x-ray and/or magnetic resonance imaging, that allow to evaluate objectively the state of the spinal column, in and around their tissues. When used correctly, you run a therapy manipulative (impact on the joints of the spine, ligaments and muscles) allows you to adjust to the many sites of violation (for example, muscle tension, subluxations in the joints), which sometimes allows for a quick and effective way to eliminate back pain.
The chiropractic treatment has contraindications and limitations:
- When the hernias or the destruction of the intervertebral disc (the displacement of fragments may cause compression of the spinal cord, vertebral column and of the root of the blood vessels).
- After suffering the myocardial infarction, and stroke, in patients with diseases, tuberculosis of the spine, violation of functions of the endocrine system, when a severe osteoporosis.
- When a strong worsening, accompanied by sharp limitation of mobility of the spine due to headaches and tension of the muscles of the back (may increase symptoms).
- Diseases of the blood vessels and the violation of the coagulation system of the blood.
If you do not perform the chiropractic treatment can cause serious complications, therefore, should perform only by qualified staff (a doctor of the corresponding specialization). It is absolutely unacceptable to the achievement of manual therapy average health care professionals and people without medical training!
Acupuncture (acupuncture), often has a positive effect when moderate back pain, especially resulting from toning the muscular tension and enhancing the emotional disorders. Although, according to the thinking of traditional chinese medicine, acupuncture can apply to any type of disease, it is considered that acupuncture is contraindicated in the following cases.
- For diseases of the heart and blood vessels.
- If you have benign and malignant (including in the past).
- Diseases, requiring urgent surgical intervention.
- In the case of violations of renal function and hepatic.
- If you have a tendency to bleeding or are taking the drug, in violation of the coagulation of the blood.
- During the infectious diseases.
- When the pregnancy.
Yoga when the pain in the back
Yoga not only help relieve pain but also relieve tension of the muscles of the back, as well as reduce inflammation. Only 5 minutes per day to devote to exercise, and already in a short time you will see the result.
The prevention of back pain
- Use a comfortable bed with a stretch and a mattress.
- Try to maintain the correct posture during the walk.
- Observe the correct posture behind a desk, while working with the computer. Note that, to the forearm when they were not in weight, and completely lying on the table. During extended operation use a seat with a backrest, head support and arms to rest and relax.
- Avoid prolonged exposure in the same position (behind a computer, driving a car). Try possible, every half hour to stretch, stretch legs, move around.
- With a long stay in the standing position, search for a point of support for the back, the hands or the head (for example, lean your back on a vertical surface, on the train, metro).
- If You wear high-heeled shoes, remember to walk in it without interruption, you can not more than 2 hours straight.
- Avoid sudden movements and inclinations of the trunk, always look for a support for the realization of such activities.
- If you need to raise anything with the ground should squat, but not lean.
- Do not lift or transport the gravity, leading in front of you, avoid leaps, and try to keep the back straightened.
- Strengthen the muscles of the back with the ministry of physical education, swimming, workout at the gym.
- Keep normal body weight