The pain in the back — one of the most frequent reasons for visits to the doctors in the world. According to various sources, with this symptom, at least once in life met 90% to 100% of adults. The back problems are in the list of major causes of dropouts at the hospital.
Back pain can be very different. Sometimes, it is a consequence of fatigue or muscle fatigue, and sometimes indicates a serious disease. The pain sensation may occur between the shoulder blades, back, on the side of the spine, give an arm, a leg. Often, they lead to disorders of movement in spinal post. In some people, "pulls" other "colette", the third in the back "pulls". It is important to find the time and eliminate the cause, if not with the time, the symptoms may increase, so as to transform the man into a person with a disability.
What are the illnesses, the pain in the back?
The more often the pain in the back are excited, that is, disturb not more than three months. Less frequent are the more long, the pain chronic.
The most obvious element is the reason — loads, physical in individuals not trained. Had to raise the cabinet on the fourth floor of the house, where there is no lift — as a result, the next day back starts to "complain".
Often the back starts to hurt after an injury. Most often it's just a bruise, but sometimes there is more serious damage to the spine: vertebral subluxations, compression fractures. A correct diagnosis allows to establish the x-ray,ct scan.
It is believed that a common cause of back pain — myofascial pain syndrome. In the muscles of the back will produce plots of the voltage of the so — called trigger points. They become sources of pain.
The most popular for the diagnosis of the back pain — low back pain. But many doctors, it raises questions. It is believed that the low back pain occurs due to degenerative changes of the spine. But these changes have almost all men after 40 years, however, the back hurts, not all of them.
If degenerative changes occur in betweenépinière disk, its exterior is the most dense part is strained and collapses, and the inside is soft and begins beyond the beyond of the vertebra, compressing the nerve roots and the spinal cord, causing pain. Such a state has been called intervertebral hernia.
Poor posture and scoliosis can also cause pain.
Osteoporosis — it's just a common problem among women in post-menopausal period. The bone tissue is destroyed, loses density, particularly at the level of the vertebrae. A rare cause of pain in the back — malignant tumors, which compress the spinal cord, and nerves.
Which more often than not, the pain in the back?
There are some risk factors if they are present in your life, you have, sooner or later, with a greater likelihood of back and problems with the spine:
- a sedentary lifestyle;
- excess weight;
- flat feet;
- excessive exercise;
- stress common — they cause a chronic tension of the muscles.
Often back pain arise or worsen during pregnancy.
In what cases it is necessary to consult a doctor?
If the back hurts long and hard, in any case worth a visit to the doctor-neurologist. But some warning signs of "shout" on the fact that the visit to the doctor just in need of:
• pain of a wound;
• pain in the back is associated with an increase in the temperature of the body;
• incontinence and fecal incontinence;
• intense pain that gives in an arm, a leg, accompanied by numbness, tingling, and other unpleasant;
• a sharp pain that disturbs always, do not pass, even during the holidays.
How to diagnose the cause of pain in the back?
In most cases, the doctor-neurologist may call the cause of the pain during the inspection, without additional examinations. If the cause of the need to specify use of the assistance of^
- an x-ray
- ct
- magnetic resonance imaging,
- electroneuromyography (recording of the electrical impulses in nerves and muscles through electrodes),
- need sometimes blood tests.
One of the most simple and quick search, which allows to assess the state of the spinal column and to detect pathologies on x-rays. Usually, photos are in two projections — front and in profile. Capture usually 4-6 adjacent vertebrae, which were originally from the pathology.
X-rays of the spine allows one to identify violations on the part of the vertebrae (from their bodies, bows and shoots), intervertebral discs and joints, trauma (fractures, vertebral subluxations), birth defects, osteophytes (overgrowth of bone tissue), osteoporosis, and other changes.
How to treat pain in the back?
In most cases of back pain are not caused by serious diseases. Unpleasant symptom may be resolved through:
- Non-steroidal anti-inflammatory.
- Gymnastics.
- Massage.
- Procedures of physiotherapy.
- A lot of people help to manual therapy.
- With some chronic back pain managed with antidepressants.
Most often the disease that lead to pain in the back, quite amenable to medical treatment. Operations use rarely. Naturally, a number of pathologies, to remit the visit to the doctor and the beginning of the treatment, the more increases the changes in the vertebral column, in consequence, grow, and the chances of being on the operating table.