Most people who are mostly middle and older and older face back pain in the back, and both men and women suffer the same.Pain can occur after physical activity, hypothermia, lifting and leading to severity or due to long term in stationary pose."Entering the back," the back pain at the bottom is characterized.
Cause
Keep in mind that different intensity pain is mostly experienced by active people, who are not more than 60 years.This is explained by the continuous work of the muscles that support the spine and natural turns.Because one is most often in a upright position, the muscles are hardly resting.
The vulnerability of the lumbar region is due to its weaknesses: a triangle of birds and quadrangle (rhombus) grunfeld-labgft.The poultry triangle has a light muscle layer and is a small gap between the edges of the wide and external oblique muscle terminal.Rhombus grunfeld-lesgft does not cover the oblique abdominal muscles, it is not enriched, so it is subject to the formation of lumbar hernia.
Lumbar muscles are the deepest in the body.It affects the flexibility, strength, amplitude of movement and mobility, internal organs work.It is the muscles responsible for maintaining a person's vertical position and taking part in lifting the foot while walking.
Proper lumbar muscle operation provides support for the entire upper body and forms a platform for the internal organs of the abdominal cavity.With frequent reductions due to pressure or overvoltage, these muscles begin to shorten, which can cause back pain, nerve end compression, vertebral deformation and the development of degenerative processes in the joints.Chronic spasm of lumbar muscles greatly negatively affects posture, respiratory depth and essential organ conditions.
Back pain like symptoms
The lower back can hurt because of the problem with the spine or against the background of the systemic disease.Some forms of pain syndrome are clinically distinguished: local, projection, reflected, cavalry (radical) and due to muscle cramps.
Local pain syndrome in the lumbar region is constant, its intensity depends on the position of the body.In addition, the pain is enhanced by the movement and palpation of certain areas.With this form of pain, lower body and foot mobility may be limited.
The projection pain syndrome is caused by damage to the vertebrate and paravertebral (periporteous) structure.It can be spilled or local and occurs due to compression of the nerve endings, which sends signals to the same area of the brain.The sensation of pain spreads along the affected nerves and increases with turns and tilt.During hard work or physical exercise, the pulsating pain is noted, originally associated with the axial load on the spinal column.
Rooser Pain Syndrome is shocking and speaking intensity: Patients mean when they say that the back is "grabbing".The pain was so acute that one could not straighten and was often forced to remain in a position where he was defeated by a horse.
In the absence of movement, horsemen pain syndrome also does not pass and acquire a sick character.However, the attempt to move is accompanied by the strongest spasm and sharp bastard, burning.In most cases, it shot not only at the lower back, but along the feet to the ankle.The distinctive feature of radicular pain is its strengthening when switching to one side, tendency and lifting the leg straight from the position of lying down.
The reflected pain syndrome shows the internal organs.This is due to the fact that the spine and lumbar tissue are near the pathological focus of the same nerve.Due to the pain walking from the body to the back surface, the pain is blurred, blurred, permanent during movement and not intensified when pressed.
Pain in the lower part can be acute and chronic.If these symptoms are not more than three months, they talk about acute forms.If at this time the damaged tissue is not restored, it enters the chronic category.
Classification
Back pain is classified according to the mechanism of occurrence and can be nociceptive, neuropathic and psychogenic.Nociceptive type appears with pain receptor pain - nociceptors and caused by damage to tissue due to mechanical trauma or local inflammation (stretching, bruis).
Hernia is one of the consequences of osteochondrosis, it is characterized by the highlights of the intervertebral disc between the body of the vertebrae.
Neuropathic pain accompanies the cause of the intervertebral hernia nerve root.They are distinguished by irradiation (returns) on the lower part of the body and combined with numbness and some movement constraints.Such pain does not pass by itself and is usually chronic.
Psychogenic types are a rare phenomenon, a cause that can be a traumatic condition or a violation of the functioning of the nervous system.
This classification is conditional, because the pain most often causes three types to one degree or another.To determine the pain, doctors use several terms: lumbago, lumbalia and lumbar -algia.
Lumbago is a sudden attack of pain -Siber, the beginning of the patient describes as a "gap", "minus" and comparing it with a flash or electric current.Lumbalgia begins gradually and is characterized by pain especially in the lower back, at the end of the spine.
In LUMBALIA, the back is not always painful, pain arises after a long stay in a stationary position or tilted the body.It is difficult for patients to bend and take simple actions such as washing, brushing their teeth or ironing.They are looking for the most profitable pose to reduce lumbar muscle tension and reduce their condition.
Lumbosiciashialgia is a pain syndrome, which covers the lower back, buttocks and posterior parts of one or both feet.It is increasing in any movement, including coughing or sneezing.
The possibility of a pathology
Often, the lower back of the pain is caused by muscle overvoltage, especially with extremely intense exercises or exceptional physical work.In this case, the crater provocator is a rupture of the connecting fiber in the place of the muscle attachment.
Among the pathologies that cause these symptoms, should be noted:
- Intervertebral hernia.The main signs are sharp pain that seems unexpected, the feeling of stiffness, belonging to the back, weakness in the lower leg;
- Fracture compression of the spine.Occurs during injuries, osteoporosis and tumors;
- Horse tail syndrome.The complex of this symptom is caused by compression of large nerve beams -a lobster located between the first lumbar vertebra and coccyx.It is characterized by severe pain on the right or left on the back, at the waist level and below.The pain syndrome emits one or both limbs and the inguinal zone.The progress of the disease leads to a violation of touch sensitivity and clear weakness in the foot.In the absence of treatment, severe complications develop until defects;
- Acute aneurysm of the stomach aorta.The pain and weight in the lower back are often the only signs of this condition.Often diagnosed in parents suffering from atherosclerosis and complaining of stabbing night pain;
- Infectious lesions.Interesting and tedious pain in the lower back causes chronic bacterial skin infections, urogenital and respiratory systems, affected immune systems, taking hormone medications.In addition to pain, discomfort in the abdomen and inguinal areas is felt behind the sternum;
- Neoplasm.The pain is troubling both day and night, gradually strengthening.As a rule, there is a sharp weight loss for no apparent reason.Tumors are most commonly diagnosed in people over 50 years old with anamnesis oncology.
With the pathology of the gastrointestinal tract, the pain around may occur.Attractive feelings are often accompanied by gynecological diseases.Congenital frame defects and metabolic disorders can also be the cause of pain in the lower back.
Attention:If the lower back hurts, and the pain is painful, unbearable, we can consider hunting of urolithiasis, when the stone formed along the urinary tract.
Treatment
The treatment of lumbar pain from any of the original is one of the most complex medical areas.All modern studies on this topic are said to be one thing: acute pain in the back and lower leg should be eliminated as soon as possible.If you do not finance time and allow chronic pain syndrome, then the prerequisites for the development of psychogenic disorders will be established.Disrupting clinical symptoms, they will slow down the therapeutic process and weaken the results.Therefore, first of all, the pain is released regardless of their intensity.
To get rid of pain, anti -anti -Ssteroid anti -anti -anti -Anti -Analgesic Anti -Analgesics are required.In severe cases, when one is very painful to walk and the lower back is very damaged, therapeutic blockade is used.
Analgesic drugs are weak, average and powerful.The latter allows you to quickly relieve pain, but have many side effects.Their use is allowed in the event of severe damage to the intervertebral disc and the compression of the nerve endings.
Modern pharmacology offers therapeutic plaster with different components - anti -inflammation, heating, chondroprotective and food supplements.
If the pain is characterized as weak or moderate, attending a doctor prescribe analgesic.In the event of damage to the structure per 1 -time, anti -non -—ssteroids -NSAIDs with the most commonly used triple effects.They not only stop the pain syndrome, but also suppress inflammation, reduce body temperature.
NSAIDs are used in tablets or injections, as well as in the form of ointments or gels.
Good results are indicated by the use of plaster.B Vitamins, which doctors prescribe injections or tablets, help cure back pain.
Muscle cramps often cause severe pain syndrome, from which muscle relaxants help well.Severe pain and pulse caused by inflammation is stopped by hormone medication.
A therapeutic blockade
Sometimes one remedy to eliminate pain is a therapeutic restriction.Through injection, one of the pathological chain links is turned off, as a result of the pain of pain does not reach the back, feet and internal organs.Blocks can be used for diagnostic purposes to create a true cause of pain.
After the injection, the pain occurs within minutes, the procedure itself resembles a puncture.The clues to his behavior are as follows:
- osteochondrosis and complications - protrusion and disc hernia;
- myositis;
- Neuralgia;
- Spondylarthrosis (vertebral joint calcification).
Attention:The block is done only in sterile conditions in the hospital.This is due to the fact that the spinal cord is exposed to the penetration of various pathogenic microorganisms.When it is infected with the virus, death is not excluded.
Therapeutic blocks are performed no more than four times a year, if necessary, a course of 10 injections or more can be set.Among them, a 5-7 day break is required.The solution for injection of restrictions contains several components, the main is a painkiller.To relieve inflammation, corticosteroids are added to them.The composition for injection also includes vitamins, thrombolytics, and enzymes.To normalize the delivery of neuropulseal, ATP is introduced into a solution.
Physoalization
What to do after removing acute symptoms depends on the type and severity of the disease.Patients can be prescribed massage, exercise therapy and physiotherapy.
With pain in the lumbar region, the most effective:
- Electrophoresis with special drugs;
- wrap with therapeutic mud;
- paraffin and ozokerithic applications;
- Turpentine and pearl baths;
- amplipulsterrapy;
- muscle electrical stimulation;
- acupuncture.
To stabilize the vertebra and reduce the burden on the lower back muscles, doctors recommend the use of orthopedic corsets.They are very effective in chronic pain caused by damage to the vertebrates.The use of applicator allows you to speed up recovery.
The positive influence of the product is as follows:
- eliminated or reduced by pain;
- The state of the nervous system is normalized;
- important tones and improvement in performance;
- The metabolic processes in the body are accelerated;
- The muscles -The rest is resting.
Therapeutic training can only be done during the period of forgiveness, with a minimum or absence of complete pain.Strong muscle corsets are an excellent prevention for most diseases of the musculoskeletal system.
Attention:High power loads, sharp turns of the body, jumping, running and swinging their feet are prohibited.
Therefore, lower back pain is a signal of weakness in the spinal column or internal organs.To prevent chronic pathological processes and prevent possible complications, it is necessary to consult a specialist.