The lumbar spine, in the course of life is extremely durable. It is not surprising that, sooner or later, often at the end of the day, many begin to feel that they have a bad low-spin. But it is not necessary to consider it as a normal phenomenon. The lower back pain have their cause, which often requires formal treatment. And if you do not pay attention to them and do not take the right steps, not knowing what to do, the pain in the lower back may lead to a deterioration of your life and health.
Why poorly in low-spin — the probable causes
The most probable reasons of occurrence of low back pain low back pain, which give the leg, belly, related to the fact that the man spends a lot of time behind the wheel, computer, engaged in physical labour, especially if it is necessary to radically change the position of the body. Pain in lower back the lower back can lead and excessive loads in the gym, the enthusiasm for the work of the house, especially in the presence of an excess of weight. In the area of risk are, and have recently given birth, women, or those who have already entered a period of menopause
If the poorly down the back at the bottom of the back, he can speak of the presence of tumours-malignant and benign formations in the pelvic organs or in the pelvic cavity, diseases of the prostate or chronic prostatitis. The back pain after a long walk usually indicate the development of stenosis in the vertebral canal. Additional symptom is the syndrome of spinal or pseudo-intermittendi of lameness.
Polymyalgia rheumatica is a very common disease for the elderly. First the person feels pain in the lower back, little by little, they strengthen in the proximal part of the departments upper or lower limbs, you receive a stiffness and a restriction of mobility.
A common cause of low back pain is low back pain. During the examination of the spine may detect degenerative diseases, such as osteoporosis, osteoarthritis and osteoarthritis. The distance between the spinal discs gradually decreases, which violates the mechanical balance of the spine. This in turn also results in that poorly down the back at the bottom of the back. Finally, this kind of pain can result from muscle spasm while running away unusual of the physical load.
If I have a pain in the lower back to back — the nature of pain and possible symptoms
The nature of low back pain depends entirely on its cause. If it is the sprains, the pain spread mainly on the lumbar spine. In some cases, they give them in the buttocks and the back of the surface of the hip. The mobility and bending of the body is considerably limited. When the interference of the nerve roots of the pain at the bottom of the back of the waist gradually go down on the feet. If the cause of the low back pain is one of the systemic diseases, for example, the sciatic, the symptoms will get progressively worse.
Espresso the nerve endings of the spinal cord herniation of the intervertebral disk, is generally found in older men. Usually, the pain in this case, amplified by the sneezing, the coughing, the laughter, the slopes, the extension of the spine in the department of the lower back. Try to lie down and lift the right leg to the vertical. In the presence of a disc herniation, you will feel the pain lumbosacral. This type of pain is called lumbago. In a standing position, it intensified, and the position lying down — falls.
If the wrong low-spin — the secondary causes
- neoplastic diseases of the spine and spinal cord;
- the vertebral fractures;
- infectious diseases that may occur to the defeat of the intervertebral disc and vertebrae;
- the metabolic lesion of the bone
- non-communicable diseases, the inflammatory nature
- violations of acute spinal circulation, stroke;
- the gastro-intestinal tract (ileus, an atypical acute appendicitis);
- thoughtful of the pain, which can occur in various diseases of the pelvic organs (infectious, gynecological diseases, renal colic).
What to do if you have pain in lower back
Diseases that can cause pain in the lower back at the bottom of the back rather numerous and almost all of them have similar symptoms. This is why it is often necessary for the differential diagnosis with the application of laboratory equipment and methods. According to the results of these studies and will be designated for the treatment of pain, and more specifically those diseases that were at the origin of their appearance.
Why the back pain lumbar low?
May be there is person, but once is not faced with the pain in the back. This problem is more relevant for men after 60 years, but among young people arrive to these situations. It is known that the limitation of the physical activity of working age, most often occurs because of low back pain. Why this is happening and what to do with his appearance, tell the doctor. And the patient is only required to come to the consultation of a specialist.
Any pain is a signal about some of the problems in the body. And its location, generally indicates the source of the problem. If concerned about the back, and then most people just idea of the pathology of the spine. It is true, the damage to axial skeleton are most often the cause of pain in the lumbosacral region. These states are:
- The low back pain.
- Spondiloarthrosis.
- Herniated intervertebral.
- Injury.
- Oa.
- The Ankylosing Spondylitis.
- Spondylolisthesis.
- Osteoporosis.
- Stenosis of the spinal canal.
- The tumor.
By doing so, can be affected by the structure of the axial skeleton: the vertebrae, discs, joints, ligaments, tendons and muscles. And the disease process is most often a degenerate-dystrophic, inflammatory, or traumatic in nature. This contributes to the inactivity, sedentary work, carrying heavy loads and other types of load on the spine. An important role is played and the internal factors, related to the exchange-metabolic, and immune changes in the body.
But the low back pain is a sign not only of diseases of the spine. And everyone knows, doctors. It is under this condition can be disguised quite common among the internal organs in women and men. Therefore, the causes of pain it is necessary to search among these conditions:
- The gynaecological problems.
- Diseases of the kidney and bladder.
- Urinary is a medical condition.
- The disease of the intestine.
In addition, the back can hurt the pregnancy increases the load on the lower back due to the displacement of the center of gravity of the body and the stretch in the internal ligaments of the pelvis.
Why there was pain in the lower back, after consultation of the inspection and diagnosis.
When a patient appealed to a doctor, he wants to get full information on the origin of the discomfort and the continuation of the tactic. And for this, it is necessary to pass an examination. And the primary step is a clinical examination, during which the study of subjective and objective signs of pathology.
If to speak about the complaints, the biggest concern in patients cause is pain. They may have different coloring, but most often characterized by the following features:
- Acute or chronic.
- Throbbing, aching, throbbing, the tension, the seam.
- Variable intensity: low-to-high.
- Localized in the lumbosacral region.
- Give at the lower end, the area inguinal, belly.
- Are reinforced when the movements of the trunk, the seat of the walk.
However, the low back pain is not the only sign of pathology – the clinical picture includes and other symptoms suggesting a likely source of the problem.
The disease of the spine
When the patients concerned about spin in the lumbosacral region, you have to seek the confirmation vertebrogenic nature of these sensations. The pain is often related to muscular tension or compression of the nerve root. So they may have the following character:
- Lumbago – low back pain acute back.
- Lumbodynia – girl and deep pain.
- Sciatica – pain, smack in the lower limbs along the sciatic nerve.
Sometimes, the first appear unpleasant sensations in the legs, back, and starts just a little later. In addition to the pain, in the composition of syndrome nerve root (radiculopathy) are typical of the neurological problems associated to corruption in sensory, motor and autonomic fibers. They include:
- The depression of deep tendon reflexes.
- Loss of strength in the lower limbs.
- The weakening of the sensitivity.
- Numbness, tingling, "crawl hen", a burning sensation.
- The change in the coloration of the skin.
These disorders appear to be of relevance in the dermatomes – segments of the body, innervating hit heel. And the signs of the pathology of the spine, which include muscle tension and pain paravertebral points in lumbosacral department, blunted physiological lordosis and limitation of motion.
Vertebrogenic disease also common in men and women, with age, they do not progress and often lead to a reduction in the functional capacity of the person.
Gynaecological problems
If there was pain in the lower back for women, then you must pay attention to the occasion of the pathology in the field of gynecology. Most often these are inflammatory diseases or dysfunctional states. In such cases, can appear the following signs:
- The irregularity of the menstrual cycle.
- The vaginal secretions.
- An increase of the temperature.
Sharp process in the uterus and annexes can become chronic or cause a complication in the form of peritonitis. In addition, the cause of the pain can be a ectopic pregnancy or a spontaneous abortion. Then a great risk of internal bleeding and shock.
Diseases of the kidneys and bladder
The sensation of pain in the lower back are considered as one of the signs of kidney pathology – jade. Generally, they are of a permanent nature and, in the case of urolithiasis may be exacerbated when the cahotage of the conduct or the execution. Cystitis these sensations are suprapubic and may radiate into the sacrum. The inflammatory process is accompanied by other symptoms:
- Dysuric disorders: pain, burning sensation during urination.
- The change of color of urine.
- Fever, general malaise.
Chronic pathology is accompanied by a progressive decline in the functional capacity of the organ, that turns into a kidney failure.
The pathology urologic
If in men, the back pain back in low, the differential diagnosis should be make and with urological and diseases. First of all exclude from the disease of the prostate, prostatitis and adenoma. Such the pain felt in the pubic region and the perineum, give in the rectum and the sacrum. Often there are further signs:
- Urethral.
- Difficulty urinating.
- A decrease of the activity.
When the prostatitis acute are possible-general of the event in the form of fever, weakness, malaise. And chronic inflammatory processes have the weakness of nature, and very few symptoms.
Diseases of the intestine
In considering the question of the origin of the pain, lumbo-sacral area, mention should be made of and pathology of the various departments of the intestine. Appendicitis, ulcerative colitis, proctitis – of the state, which require different approaches in the diagnosis and treatment, but may be accompanied by symptoms similar. These include:
- The pain in the belly or the sides.
- The change of the chair – constipation or diarrhea.
- Fever.
Colitis are often found impurities in the stool, blood, mucus or pus. And the purpose of the examination palpation of the stomach and the rectum of the study provides additional information on the disease.
Nonvertebral pathology is quite diverse, which is why the doctor is necessary to clear the differential diagnosis of pain in the back.
The diagnosis
To understand why the patient has bad dem back, you need to pass an additional examination. The doctor will prescribe you the services of laboratory and instrumental methods, the results of which will help you make a good conclusion. They include these studies:
- General analyses of blood and urine.
- The biochemistry of the blood (markers of inflammation, rheumatology test, urea, creatinine, etc).
- The analysis of urine on Nechiporenko, General.
- Analysis of the secretions of the genital area, cala.
- The x-ray of the spine.
- Magnetic resonance imaging and computed tomography.
- ULTRASOUND of the internal organs.
- Endoscopy of the intestine.
If necessary, a list of procedures for the diagnosis of the expansion. Use all the possibilities to establish the source of the pain.
Treat vertebrogenic disease, you must according to the nature of the pathological process and the individual characteristics of the organism of the patient. Taken into account and the possibility of coexisting disease, which also requires a correction to be adequate. If the cause of the pain, is not related to the spine, are excluded, this treatment deals with the spine, neurologists or orthopaedic-traumatic stress disorder.