Among them – lumbago, sciatica, low back pain and other pathological changes in the sacred department of the vertebral column. Not worth it to treat it carelessly, because the back pain can not only achieve an incredible power, making a man's life unbearable, but also be a symptom of dangerous diseases.
The back pain can be varied: acute or obtuse, dull, or a tingling sensation, a local area network (occur in the same place), or extending over the whole of the back. Manifested by unpleasant sensations in different ways: sometimes, abruptly, suddenly, and sometimes gradually, fortifying each day.
The reaction to pain and the ability to withstand its depend on many factors: age, characteristics, associated symptoms, and other. But in any case, we can't let the disease take its course. Timely started treatment will prevent dangerous effects.
To diagnose the cause of the onset of pain in the back, inspection of the spine and other procedures: x-ray investigation, computer science or magnetic resonance imaging.
The attacks of pain lumbosacral the department are manifested over the life course in approximately 80% of the inhabitants of the european countries. Acute or chronic low back pain – it is the result of a variety of neurological disorders, degenerated-degenerative diseases in women and men. In some cases, the low back pain – a consequence of diseases of internal organs, obesity, stress and mental disorders.
Causes of pain in the lower back
The problem of chronic pain in the lower back takes unbridled. The average age of cases is in rapid decline, at the present time, it is 35 to 45 years of age. Are recorded even cases of illness in children and adolescents.
The principle of the development of low back pain – the lack of a way of life of modern man, leading to a degradation of the stability of the lumbar, the most vulnerable of the division of the skeleton. Pain in the low back is accompanied by many diseases, they have become a frequent cause of treatment to a neurologist, a urologist, a surgeon, a gastroenterologist and the gynecologist. It provides for the continuation of the worsening of the problem. The next generation does not differ from a healthy lifestyle.
The lower back pain in women
Occur in a period of gynecological disorders or are the result of characteristics of the female physiology:
- The gynecological diseases. An inflammation of the epididymis – adnexite, accompanied by pain in the lower abdomen, sometimes the pain radiating to the lower back (pain mono - and bi-directional), symptoms manifested on the part of the intimate sphere (the inability to fall pregnant, sustainable burrs of selection before and after your period, the pain intensifies during sexual intercourse);
- Of pregnancy.
- Menopause;
- The pain is the result of high-hypochondria, which is more common in women. In depth, a thorough investigation does not reveal a pathology. The problem may occur intermittently or continuously. Treated psychological correction. These pains may occur outside of the influence of the menopause.
Of low back pain in men
Periodic pain occur due to the nature of the professional activity of the men, including, if the pain:
- are not consistent with physiological status of the human body;
- related to occupational risks (working in the cold, currents of air).
Back pain in men and in women
Arise in connection with diseases of the gastrointestinal tract, the surgical complications, renal diseases, metabolic disorders, diseases of an infectious nature, and neoplasms (benign, malignant).
- The appendicitis. The characteristic of the pain is localized in the region right iliac, and can sometimes radiate into the lower back, most often in the right side of the body. Meeting indefinite pain in the lumbar region.
- Pathology thin of the intestine. Accompanied by symptoms that characterize the disorders of the gastrointestinal tract. The pain of the diaphragm in the lower back due to the irritation of the fibres of the nerves.
- Cholecystitis. The pains are similar to signs of appendicitis. Are typically localized to the right side in the iliac or in the navel. Sometimes placed in the lower back during the participation in the pathogenesis of the fibres of the spinal nerves.
- Pancreatitis. Characteristic of the surrounding the pain around the body, at waist level, refltant lumbar. Combined with the symptoms of pancreatitis – vomiting, and violation of defecation, of patina on the tongue. In the case where the cause of the pain – pancreatitis, the area of the spine during palpation does not react in response to the application of force.
- Adhesions after the operation. Occur after a laparotomy or cavitary operations on the organs of the abdominal cavity, sometimes diagnose congenital of the weld. The pain is localized in different parts of the abdominal wall, radiating in the lower back.
- The renal disease. Is back pain combined with headaches, increase in diastolic (bottom) of the threshold of the blood pressure, edema. Changes in the characteristics to find when the research laboratory urine studies of the kidney and ULTRASOUND, MRI;
- Obesity in the fourth degree. This is the degree of increase in fat mass in humans. The body mass index in the fourth degree (up to 25 years) = 40, the second group (after 25) = 41. Define it as the ratio of mass (kg) to double the growth (m). The reasons for the load on the lower back are clear, without explanation.
- The infection to the commitment in the pathogenesis of the bone disease, for example, extrapulmonary (bone) of the tb. Is manifested by pain in the bones. The location of the pain in the lower back is related to the fact that it is the most massive of the division of the vertebral column, and it is subject to a maximum of charges. The symptoms associated with the clinical treatment of the chronic infection. Show low pyrexia, fatigue, headache, symptoms of the nervous system, lab tests show the tb the wand.
- Myositis – inflammation of muscles. The muscles of the lumbar region of the zone, have a larger load, therefore, the inflammation of the lumbar area and meet often. The disease develops as a result of the hypothermia, the penetration of pathogens of viral (herpes Zoster), bacterial infections (staphylococci, streptococci, and other bacteria) within the tissues of this area. Manifested by fever, intense pain, the developing countries suddenly, after local or general hypothermia. Chronic stage of the disease manifests aching pain, sometimes with the participation of the tissues of the skin and subcutaneous tissue disorders (dermatomyositis). The diagnosis is made on the basis of the clinical survey of the patient, inspection, palpation, and laboratory techniques.
- The densification of benign and malignant tumours of the road of nerve fibers, Innervating the lower back. The symptoms of the variety, correspond to the phase of the disease and the location of the pathology.
Permanent and periodic low back pain
There are a variety of classification of pain, including, depending on the duration.
- Periodic pain are commonly associated with the physical exercise, the physiological characteristics of the human body or of acute diseases of the internal organs.
- Permanent, acute, the chronic pain caused by irreversible pathological processes in the organism in diseases of the musculoskeletal system the skeleton of man and of lesions of the deep vessels of the legs.
Periodic back pain are so called because they disappear after the healing and the resolution of the focus of the pain.
The origin of the pain can vary for women or men, or treat men and women.
The persistent pain in the lower back are usually due to an inflammatory and irreversible dystrophic and degenerative processes of bone and cartilage, severe disorders of blood circulation in the vessels of the legs. The persistent pain in a lesser degree, is related to a lesion of the muscles and internal organs.
The pain is called constant, when the resolution of a home pulse difficult due to the development of irreversible processes in bone and cartilage. Degenerative and dystrophic processes usually can not be a complete cure. You can suspend or stop in time. In some cases, the pain persists after the replacement of the tissue, the implant.
Periodic and permanent pain often have a close link between them, so the temporary pain is constant.
For example, tuberculosis causes of eating disorders cartilage causes pain in the lower back, and the pain almost always comes with periods of slowdown and aggravation.
The curvature of the spine (scoliosis) first of all passes imperceptibly, occurs periodically, then pain in the lower back and is manifested by pain permanent. Examples, you can continue.
Of the disease, accompanied by permanent pain in the lower back:
- Lumbago – acute low back pain. The consequence of pathological changes at the level of the lumbar vertebrae. In the initial stages the pain may not stop, because the process of the disease, when the early treatment is eliminated. Develops quite suddenly, as a function of weight-lifting and other causes. The most frequently diagnosed cancer in men. Lumbago – a possible consequence of several diseases, for example, an offset, a herniated disc, pinched nerve roots in the lumbar (neuralgia), inflammation or pinching of the sciatic nerve – degenerative disc disease, and other abnormalities of the spine. With the exception of a sharp acute pain is manifested by a decrease of the mobility of the backbone in the lumbar region. In the absence of therapy, or poor treatment of lumbago can be transformed into an irreversible bone disease.
- Intervertebral osteochondrosis includes a number of inflammatory diseases and degenerative nature, is manifested first by the destruction of the articular surface, the cartilage and the bone tissue with the participation of the pathogenesis of the nerves.
- The scoliosis. The lateral bending of the vertebrae, has been manifested by an asymmetry of the shoulder line, an alteration of the posture, the deformation of the skeleton, education coasts of hunchback, which is visible when the slopes. Grows in reducing the functions of bone and skeletal muscles, the degenerative process in the cartilage of the size. Manifests with pain of the bones of the skeleton in the complicated cases. Sustainable of scoliosis are asymptomatic. Scoliosis is sometimes innate and what is acquired.
- Ankylosing spondylitis – loss of mobility of the joints. Significantly more frequent in men. The other name of the disease – Ankylosing spondylitis. Is a chronic inflammation. The disease is manifested by pains in the joints and the spine, is characterized by lesions of the eyes, the decline in the growth of man. With the proliferation of the connective tissue of the joints of the spine.
- Oa. It is the natural aging process of the joints. Progressive thinning and loss of mobility of the joints. The pathogenesis occurs when the complications and the accession of inflammation in the course of the spondylosis. The symptoms are inflammation of the joints of the spine.
- The difference in leg length of more than 2-3 cm, accompanied by a variety of pain during the trip, including back pain. The pathology develops as atrophy of the leg muscles simple reason of having suffered childhood polio and other diseases. In some cases, the problem of face using orthopedic of the tab. The default, it is difficult to remedy a too large difference in the length of the legs or in the canopy of the increase of the foot.
- Osteoporosis – the thinning, of the leaching of calcium from the bones. Often triggers of fractures of the femoral neck. Also observe lumbar osteoporosis. Is manifested by the deformation of the skeleton, the joints, the cartilages, the development of herniated discs of the spine. More common in women during menopause.
- Thrombophlebitis – a complete or partial arrest of the circulation of blood vessels deep. Combined with the inflammation around the vessel. This complicates the course of the disease, causes the development of pain even at rest.
Your doctor contact?
Suffering from pain in the spinal column, in the first place, it is advisable to speak to a neurologist at the centre medico-social, if the patient's condition is stable, or to call an ambulance. Low back pain can be a symptom, gynaecological, urological, surgery, and gastroenterology problems.
The back pain is often combined with a variety of infections and injuries of the members. Not excluded the syndrome of pain in the lower back, in diseases of the heart and lungs. It was during the depth of the review.
After the patient is diagnosed, it is usually prescribed medication to reduce the pain in the lower back, normalize blood flow and help to restore the nervous tissue. It may be tablets, gels, ointments or injections to relieve the inflammation and spasms.
The surgical intervention is usually necessary when the diagnosis of a herniated disc, which is a complication of the degenerative disease of the disc. A hernia, which exerts pressure on the nerve root, is removed, he is restored, and the pain goes with time.
The better of the spinal column and the muscles relax, if sleep on a hard mattress, putting a small pillow under the knees. By doing this, the bed rest should not last too long, because it is fraught with the weakening of the muscles, which will only exacerbate the problem. Even in cases of severe pain, you should try to keep at least the weakness of the physical activity.