The question "What does the back pain mean?"It might look stupid.Everyone can test it.Dry, lifting heavy objects, is for a long time in forced pose, uncomfortable beds, here is a list of common reasons to unload and pain.The decision applied on its own.Drink anesthetic and wait for a speedy recovery.
This doesn't always help.The pain can last behind and be the worst enemy for weeks, months, years, years.However, some patients may not see a doctor, but continue to take the pill.
Pain is a signal of our body through the nervous system with problems and it must be resolved.This condition is worse when the disease lasts, and nothing hurts.This occurs with oncological diseases when pain occurs in the last stage of the disease.
Type of pain
Not specific - take more than 85% of the doctor's visit.Associated with muscle load, ligaments, tendons, small joints of the spine.
Koreshka - caused by compression of the hernia nerve root.Up to 10% of cases.
Specifically - caused by certain diseases.These include spinal fractures, tuberculosis, purulent processes, neoplasms, narrowing of the spinal cord, abdominal cavity disease, small pelvis and more.Up to 10% of cases.
Symptom
Normal symptoms of non -specific pain:
- appearance, severity when moving (sharp rotation of head, slope, heavy lifting);
- arises after a long forced position (inactivity on the computer, with a professional driver, static standing work for the seller);
- Limit mobility after sleeping in an uncomfortable position, on an uneven surface.
The reasons for these symptoms that violate motor stereotypes, when some muscles and joints are burdened, while others, on the other hand, do not participate in movement.
There are things like "not ready" movements.When the muscles are not stretched, the ligaments are not heated, and they are given either a large load or a very large movement.Therefore, office workers who are not involved in sports, after the event are covered with game activities, cities -rope, competition may not work the next day due to back problems.Another category is a pension gardener.They spend all the winter homes with minimal physical activity and suddenly put an excessive burden on the spine.The result is a pain, mobility limitations.
The spinal cord root is characterized by:
- shooting pain to the toes, brushes;
- Reflex violations;
- changes in sensitivity (numbness, increased skin sensitivity);
- decreased muscle power;
- Symptoms in muscle tension.
According to these symptoms - pain in the tongue, numbness from the small finger in the arm or shooting in the leg, it is often possible to determine exactly what level in the spine there is a nerve compression without MRI.
Special pain can indicate potentially dangerous and serious diseases.Symptoms of threats:
- The onset of back pain is up to 15 years and after 50 years;
- The nature of the pain (pain does not decrease, in a lying position, in certain pose);
- Pain connection with injury;
- smoothness of pain;
- Previous presence of oncology;
- temperature pain, weight loss;
- prolonged stiffness in the morning;
- paralysis, pelvic disorders, severe sensitivity disorders;
- Changes in urine analysis, blood.
The cause of such a violation may be a serious illness:
- rheumatic disease;
- malignant tumors;
- infection (osteomyelitis, abscess, tuberculosis, attaching herpes);
- vascular disease (abdominal aortic aneurysm);
- blood disease;
- osteoporosis;
- kidney disease, cystitis;
- pancreatitis, duodenal ulcer;
- Stenosis of the spinal cord, spinal fracture.
Therefore, it is best to consult a doctor to exclude harmful causes.Especially if the painkillers help to be weak and there are dangerous symptoms.
Diagnostics
This is the most important level of treatment, as all the next action depends on it.Looks like you can make X -ray or MRI, then everything will be clear.However, there are traps here.Diagnostic doctors work to conclude based on what he sees in the picture.But he didn't check the patient himself.Therefore, the results of the picture are not the same as the diagnosis.
We will analyze for example.If you take a healthy person who is 20 years old, then almost half of them can be detected by the intervertebral disc hernia.But this does not mean that they need treatment, in examination or surgery on the spine to eliminate defects.
Clinical proposals for general practices doctors of the National Institute to improve Great Britain's health and social assistance in most cases with non -specific pain syndrome for up to 1 year recommends that not X -Ray or CT/MRI with some exceptions.
Didn't Hernia cause pain?Only in 1 out of 10 cases.In all other cases, disc hernia and back pain are not connected.
First, the history of pain development, the first episode, the condition (injury, the burden) explained, the other symptoms appear, as if they were not related to back pain.
During examination, spinal bends, limiting mobility, muscle tension is evaluated.Localization of pain, signs of root compression ("giving" the foot, violating the sensitivity of the limbs).
And only at that time, according to signs, CT/MRI was performed, general blood tests and biochemistry were prescribed.
Therefore, the doctor should be diagnosed.He needs to determine the type of pain, the study he needs, does not include the harmful symptoms of certain pain and only prescribe treatment.
Treatment
First aid. Even before taking the pill, you can help yourself.It needs to unload the spine and give it a chance to rest.To do this, we lie on a flat surface (floor, dining table, plywood sheet) behind.Under your feet, you need to put large pillows, rollers, stools, so that the angles between the body and hips are 90 degrees in the knees.
We slowly breathe and try to rest as much as we can with each breath.You can lie as much as needed.The main thing is that the surface is not cold.Soft sofas, beds are not appropriate.
Drug.Typically, the treatment begins with anti -non -ssteroids (NSAIDs), which will help relieve pain and inflammation.These medicines can be purchased without a prescription, but they cannot be taken uncontrollably.
Their intake can cause erosion, intestinal and stomach ulcers, bleeding.If there is already a problem with the gastrointestinal tract, this increases the risk of complications.They can have toxic effects on the liver.There is a risk of the cardiovascular system, kidneys, with bronchial asthma.
Traditional NSAIDs have more side effects especially on the digestive system.But they are a bit affordable.
Selective NSAIDs have lower damage to the digestive tract, but have a higher price.
At the same time, the choice of medicine is best to entrust the doctor so that it links the risks and benefits in each case.It may be a prescribed remedy to protect the stomach.
Another group of drugs is muscle relaxants, they help relieve muscle cramps.
Chondroprotectors are also used.
Live. Back pain doesn't mean you have to lie all the time.Beds, corsets and other devices that limit movement are not recommended.This will only cause muscle weakness that holds us in a upright position.
It is necessary to maintain a reasonable activity to maintain tone, normalizing blood circulation.Walking lights, gymnastics, physiotherapy exercises are appropriate.
You also need to sleep on hard orthopedic mattresses.Broadcasting in work to walk.Drink enough liquid.
Prevention
For prevention, it is necessary to strengthen the back to create a strong muscle corset.Physiological instructions such as swimming, pilates, and yoga are appropriate.
Sleep is recommended on a flat surface.Small pillows, comfortable.
Raise the bag more than 3 kg with the lower back with the strength of the leg.The load is distributed evenly with 2 hands.
Replace the bag with a backpack and wear on two ropes
To reduce the shock load on the spine, wear a single thicker shoe.It is advisable to lose weight.