The back pain, low back pain – not a man who would never for the life of her is not known. According to the World health organization, it is the most common complaint and the most common cause of temporary incapacity to work.
What to do?
The phenomenon degenerated-of the degenerative changes of the spine is often considered obsolete, the term "degeneration". These phenomena are manifest in the absolute majority of people over the age of 18 years. In itself, the word "degeneration" includes anything of the standard age of a serious pathology. This term is reluctantly used by most neurosurgeons, and is not generally used in the international literature.
The back pain can be self-challenge ("picked up", "gelidus" the back", etc), but may indicate a disease of the spine, on a variety of serious diseases of the pyelonephritis and influenza a spinal cord tumour or metastases in the vertebrae. Therefore, pain in the back is a symptom that requires a diagnosis.
Clearly the diagnosis of the pain in the back, in the following circumstances: the pain has occurred after an injury, a fall, a road ACCIDENT; a pain that persists for several days, unable to walk and/or sleep; the pain in the lower back gives the leg and foot (the buttock, the thigh, the tibia/caviar and foot); during torpor, the sense of crawl of ants in the legs/feet; the reduction in the power to any part of legs/feet; the fact to lose weight of the legs/feet, difficulty or frequent urination, defecation; with a strong pain in the older person; in case of severe pain in the back of macie, the weakening or the person with the temperature; the back pain in the patient, with severe systemic diseases, e.g., osteoporosis, cancer, tuberculosis.
It is understood the desire to understand why the evil at the bottom of the back. The best place to start is with a magnetic resonance imaging (MRI) of the lumbosacral region of the spine. All other actions, including visits to the doctor, then. On the MRI to spend several thousands of rubles, but to do so without the guidance of a physician.
The conclusion written by a specialist of the radiotherapy, the diagnosis, often frightening for the patient. It can be written: hernia / protrusion / stenosis / low back pain / hernia Smorlya / spondiloarthrosis. This can mean everything and anything, including nothing. Simply described Mr phenomena. They must be interpreted in the internship, taking into account the anamnesis, the disease model, study, and many others. The conclusion is not written for the patient and another doctor.
The x-ray and ct scan in most cases – more research to be designated by the doctor.
By doing a lumbar MRI, it is necessary to consult a neurologist or neurosurgeon. The second, in my subjective point of view, preferably, on average, operate on neurosurgeons significantly better interpret the pictures, because every day, see images on the operations and compare it with the MRI and the clinical. In some cases, say neurologist or neurosurgeon, in need of an orthopedist.
If the results of the inspection and evaluation of the MRI is not need an operation (more often the case), the processing is carried out under the supervision of a neurologist. In typical cases, it includes a non-steroidal anti-inflammatory drugs, muscle relaxants and other medications. Sometimes, you need other methods. Determine the method and duration of treatment can be a doctor.
The self-treatment of pain in the lower back, especially in the absence of MRI, extremely wise. The application of alternative medicine, once again – especially without MRI, in the form of idiocy.
Sometimes, the doctor said that it is necessary to remove a herniated disk. Through the application of endoscopic and microsurgery of the technology in the expert hands of this operation is quite safe. I usually tell patients that the risk of paralysis or other serious complications during the removal of the herniated disc is roughly equal to the risk of death in an ACCIDENT of the way of the consultation.
Many are afraid that the surgery to the spine can paralyze. It is almost impossible. Are hazardous operations associated with this type of risk, for example, removing intramedullary tumors, operations with fractures of the thoracic spine and other If there is such a risk, a warning. During the removal of a herniated disc, the elimination of the stenosis of the spinal canal, the risk of these complications theoretical. The condition of the safety is the qualification of a neurosurgeon and the presence in the clinic of modern equipment.
There are diseases in which the necessary stabilization of the spine – installation of special structures that reinforce each other. Stabilization methods and systems for the stabilization of many. The stabilization of the spine is performed only on strict indications. The need for it may determine that a neurosurgeon. The more often the stabilization of the operations necessary for the stenoses of the spinal canal, spondylolisthesis, instability of vertebral segments of the spine, fractures of the spine.
After most of the operations of the spinal column is not only not to lie, but often, the patient begins to walk the day following surgery or even the night, the day of the operation.
What should you do for sore kidneys? In the private clinics, you can find the programs of fight against the pain in the back of the value of the car. Scientifically proven to be really quite basic things.
First of all it must be within the weight limits of the body, in other. It is necessary to have developed an axis of the muscles – swimming and fitness. Finally, the pain in the back – this is often the first symptom of the depression, as the depression is accompanied by a decrease in the pain threshold. In general, it is necessary to have a normal mood and keep in shape.