The back pain in the lumbar region — very common pain syndrome that occurs in various pathologies, such as the spine and the internal organs or in systemic diseases.
It may be above the waist, below, to be more to the right or to the left, and often, such pain is during pregnancy that late in life, and at an early stage. If the pain is very strong, accompanied by an increase of the temperature, of the weakness, it is necessary to call an ambulance.
If not of intense pain, without temperature, in order to understand the causes of its appearance, it is advisable to consult a therapist, who, on the basis of the anamnesis, complaints of the patient will guide them to specialists, such as osteopath, neurologist, urologist, gynecologist, gastroenterologist, cardiologist, surgeon, or a pulmonologist. The definitive diagnosis is set by the doctors on the basis of MRI, ULTRASOUND, and other analyses and diagnostic methods.
The main causes of low back pain
The most obvious reason for the emergence of pain in the low back is lumbago and sciatica, which has caused the defeat of the lumbar region of the spine, osteochondrosis, as well as more serious pathologies of the spine — protrusions or intervertebral herniarum. These pains may occur in case of irritation of the nerves of the spine, interference to the nerve roots, irritation of the ligaments and muscles, during their edema, as well as diseases of the internal organs of the pain may radiate in the lower back.
In the clinical practice of 60-30% of the urban population in developed countries arise periodically recurring pain in the back, among them, in 80% of cases, the man complained that the back pain is in the lower back. All age categories of the population are exposed to abuse on the part of the spine, but in most cases, such ailments are bothering the patients aged 30 to 60 years. In 66% of cases of back pain caused by degenerative disc disease, when it affects one of the roots of 1 sacred, 4, 5 lumbar vertebrae is called monoarticular syndrome. If immediately affects 2 roots, what happens in 33% of patients is viridicornis the syndrome if 3 triadically syndrome, which is much less frequent.
Because the reasons of the appearance of pain in the back is not always pain in the lower back, you can spend a few not complicated provocation tests that can help you to understand, are they related to the pain in the spine, or are symptoms of other diseases of the cystitis, pyelonephritis, urolithiasis, inflammation of the uterus, pathology of the prostate, bowel problems, or lungs. What are the tests of lumbo-sacral degenerative disc disease, which carry names with the names of doctors, who have proposed to use them as a pre-diagnosis:
- Symptom Dejerine — voltage abdominals, if listen back, the pain increases, where the probability of their occurrence of lower back pain.
- Symptom Neri — if with a sharp tilt of the head forward until you reach the chest you feel a pain in the lower back is also may be because of the spine.
- Symptom Of symptoms — if after that you alternate lift first one leg, and a second, lying on back, hall on the lower back and the pain irradiáta in the foot on the sciatic nerve, it is also problems with the spine.
- The symptoms of Larrea — if the pain occurs along the sciatic nerve after you have sores on the back, try to lift the torso forward without bending the knees, it is to sit down with long strokes of the foot is also at the root of the degenerative disease of the disc.
A pain in the back — it is so colitis is a symptom that can be called the mass of different reasons. So intense, it hurts to spin in the lumbar region, it is constant or periodic, primary or secondary, may be the reasons for causing:
| Acute pain |
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| Chronic pain |
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| Radiating pain in certain diseases of the internal organs |
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Pain above the kidneys
If the back pain with right lumbar - then may radiate the hepatic pain, and no pathological changes in the liver, hepatitis, hepatic insufficiency, the reception toxic drugs. The pain is often localized in the right upper quadrant. If the pain is felt to the right or to the left just above the waist, it is very possible that the reason lies in the diseases of the kidneys. Many of the chronic kidney disease, such as the polykystose, malignant tumors, kidney, pyelonephritis chronic are accompanied by small symptoms, because the renal capsule stretches a bit.
The edema in pyelonephritis, acute, and during the blocking of the ureter the pain is more intense, but dull, painful nature. When the pain is persistent, sometimes radiating to in the region of the navel, lower abdomen, and also occurs the pain in the left upper quadrant or right, according to a kidney patient. Also the chronic diseases of the kidney, the intake of certain drugs contributes to the onset of these pains. The increase of the load on the kidneys, as a filter of the authority during the toxic action of certain drugs causes pain that come after the withdrawal of the drug.
Why is the back pain below the waist
When the back pain below the waist, with the obvious exception of diseases of the spine (sciatica, lumbago, hernia, Ankylosing spondylitis, etc), possible causes are a recurrent pain at the time of menstruation in women, the diseases of the female genital organs, such as inflammation of the uterus - oophoritis, salpingovarite (annexite), as well as diseases of the pelvic peritoneum, the bowel, inflammation of the appendix (apophyse blind of the intestine), in men - the disease of the prostate, of the bladder.
Pain in the lower back to the right or to the left
If these pains occur simultaneously and to the right and to the left, from the back, this can also be symptoms of pyelonephritis, hepatitis, acute cholecystitis, inflammation of the uterus or the prostate, pneumonia or pleurisy. When the radiating pain in boca reason can be obstruction of the intestine, exo conduct of the appendicitis. The pain in the lower back to the right or left are when the following diseases:
- The disease of the spine
Acquired diseases may be attributed to tumour, degenerative pathology, such as spondiloarthrosis, osteoarthritis, inflammation - osteomyelitis, ankylosing spondylitis, as well as traumatic injuries, hernias, lumbago, sciatica. Among the pathologies congenital secrete sacralization, spondylosis, lucido, spondylolisthesis.
- The diseases of the internal organs
Inflammatory diseases of the pelvic organs - parametral fiber, bladder, prostate, uterus and its annexes. During pathological processes in the organs of the abdominal cavity, the intestine, the kidneys.
- Diseases of the nervous system lumbosacral department
When the pressure of the nerve roots, poles, in a variety of neurological diseases - hysteria, neurasthenia, neuritis, neuralgias, sciatica, infringement of a metabolism, gout, diabetes, if the harm of the development of the nervous system.
The pain when the interference of the sciatic nerve and lumbago
In case of inflammation or interference of the sciatic nerve, while the sacral sciatica back pain of back can be very diverse. It is both a burning sensation, pain, tingling, with numbness or tingling, may be that moderate, and long-term or short-term. The sciatic nerve is the most powerful, a long nerve in the human body and manifests itself only in a part of the body, generally, women right, men left.
There is a certain theory, why this difference, the regularity of the inflammation of the sciatic nerve in men and women is it possible to know in our article, the symptoms of pinch of the sciatic nerve. Such a pain in the buttock or the back surface of one of the legs generally worse during a change of position of the body, especially painful under the knee and in the area of bone marrow of the tongue in the bottom of the buttocks, is also a man can find itself on the muscles of the leg or the back of the thigh, painful nodules, which, touching particularly sensitive.
Lumbago is a disease, which in the people it's appropriate to call the radiculitis, the pain know not by hearsay. This sudden back pain that appears on the bottom of the physical workload of hypothermia, working in a project or in a long an uncomfortable position, at the sudden movement.
Breakthrough pain, permeates the lower back that fact that the man is forced to take a position, in which the pain dissipates, pain syndrome delayed at least a week, painkillers, tepidus tools and massage usually help to cope with the disease. Even after such a big amount of attack of the disease should consult a doctor, because it is the bell of the availability of pathological changes in the sacred department of the vertebral column.