Mankind pays for the ability to walk on two legs with back pain.If your back hurts from time to time in the lower back, it may be the result of extreme fatigue or being in an uncomfortable position while working or sleeping.But the reasons can be more serious.
Causes of pain
The lower back is one of the most painful places.There are reasons for this:
- osteochondrosis;
- scoliosis;
- herniated discs;
- tumors;
- Infectious tissue injuries.
The nature and intensity of pain depends on the disease.And it bothers you in different ways: after sleep, exercise, overwork.For example, renal colic is constantly accompanied by back pain.And here it does not matter the type of activity of the patient.
- Most often, you have pain in the lower back due to osteochondrosis of the lumbar spine.The pain is of moderate intensity during sleep and is aggravated by physical stress.Constantly feeling tired.The feeling of heaviness makes you lie down.But relief does not always come afterwards.
- If there is a herniated disc, severe pain occurs after sudden movements, lifting or falling heavy objects.
- If the hernia is compressed, there is a sharp pain, which is characterized as lumbodynia.Movement in the waist is noticeably limited.Damage to the nerve root also causes pain in the leg.
- In old age, stenosis of the intervertebral canal occurs quite often.A sign of this is lameness, numbness in the legs, especially after a long walk.
- The stiffness of the spine, which appears in the morning, indicates the beginning of the development of ankylosing spondylitis.At first, acute pain sensations appear in the sacral region, then spread to the lumbar region.The feeling after sleep is not rest, but fatigue, which disappears as soon as physical exertion begins.Young men are most susceptible to this disease.The disease is hereditary.My back hurts mostly when lying down.
- Acute pain in the lower back is also manifested by pyelonephritis (an inflammatory process in the kidneys).They are accompanied by an increase in body temperature and swelling in the morning after sleep.
- Older men often develop a disease such as an abdominal aortic aneurysm.The aching pain and pulsation in the abdomen is the result of the pressure of the aorta on the nearby organs.
- Back pain, fever, burning along the nerve are signs of herpes zoster.This viral disease affects the cells of the spinal cord.A pink rash appears on the body, and later blisters.
- Another common disease that many consider harmless is flat feet.A deformed leg during walking increases the load on the spinal column.Pain subsides during sleep.
- If there are congenital changes in the vertebrae: an irregular shape or a change in the gap, then sooner or later they will make themselves felt.
- Autoimmune pathologies, in particular multiple sclerosis, provoke pain of different localization.including back pain.
There are other reasons why there is severe pain in the lower back.It can be osteoporosis, infections of the urinary system, hemorrhoids, cancer, complications of viral or bacterial infections.And even physiological changes that affect women and occur during pregnancy and childbirth.
Pain caused by diseases of internal organs
When you wonder why your back hurts in the lumbar region, sometimes it is hard to believe that the causes can also be in the organs.It is a fact that in some cases the pain of internal organs is "directed" to the lower back.
- Right-sided pleurisy, pneumonia is the cause of pain in the right lower back.Associated symptoms: cough, shortness of breath, fever.Left pleurisy sends pain signals to the left side of the back, which worsens when bending over or lying down during sleep.
- Gallstone disease is also localized with sharp pains on the right side, only in the lower back, and they are accompanied by chills and nausea.They have a cutting character.
- Hives of pain in the lower back occur due to pancreatitis.It is accompanied by nausea and vomiting.
- Severe pain under the left shoulder is often the result of a myocardial infarction.
- For men, the pathology of the prostate gland causes pain in the lower back, with a transition to the sacrum.In women - cystitis.
- Diseases of the distal alimentary canal cause pain below the waist.
pain provocateurs
Factors such as:
- Body hypothermia.
- intense physical activity.
- Certain types of sports (bodybuilding, bodybuilding, weightlifting, weightlifting).
- muscle strain.
- Fracture.
- Menstrual cycle in women.
- bad nutrition
- stress
- Uncomfortable position during sleep.
Back pain in the lumbar region in children
New technologies have not only brought benefits to our world, but also harm.whyBecause the love for the computer from an early age deprives children of full motor activity and creates incorrect posture.
Important: if you choose the right chair and table for your child to study, you will avoid curvature of the spine!
Scoliosis can develop from carrying a heavy backpack, flat feet or uncomfortable shoes.Be sure to treat him!Excessive physical activity and heavy lifting are contraindicated for children.When participating in sports, you should be especially sensitive to your child's complaints of back discomfort after exercise.It could be a herniated disc.Timely treatment will allow the child to live a full life.
Types of pain
The nature of pain is divided into the following types:
- Spasm of the long muscles of the back causes severe pain.This is due to stretching.The problem is familiar to athletes and people whose specific profession involves stress on the back muscles.The pain decreases a little while lying down.The main location is the lower back.
- Injury to the spine, in particular a fracture, is very dangerous.It can occur as a result of an unsuccessful fall or become the result of osteoporosis, Paget's disease, hyperparathyroidism.
- Displacement of intervertebral discs causes pain due to compression of nerve roots.For this reason, the patient's mobility is limited, the sensitivity is reduced and the knee reflex is reduced.The danger of this disease is that healthy vertebrae begin to ache, which disrupts the functioning of internal organs and causes restless sleep.
- Ankylosing spondylitis causes back pain in 31% of cases.This degenerative process damages the capsule of the intervertebral joints and causes pain not only in the back but also in the legs.Lower back hurts when sitting, bending sideways or leaning back, or standing for long periods of time.
- Infectious inflammatory process in the epidural space is a very serious and dangerous disease.It can be fatal if treatment is not started on time.
treatment
For back pain, seeing your doctor right away is the key to successful treatment.Even if the pain only bothers you at night or after sleeping, there is a reason to consult a specialist.
After analyzing the causes, the doctor will give recommendations on how to behave and not get sick.The treatment will be comprehensive, using ointments, tablets, injections, massages and physiotherapy.
Non-steroidal anti-inflammatory drugs are in the first place in the treatment of back pain:
- In the initial stage, literally during the first 3-5 days, treatment is carried out using injections to relieve pain and inflammation.They act quickly, effectively relieving acute pain by injecting the medication directly into the bloodstream or muscle.
- Then anti-inflammatory and pain-relieving tablets, chondroprotectors and irritants are used (separately in each specific case).
- In addition, ointment treatment is used.Correctly selected ointment helps to relieve inflammation in the affected area and also warms (if necessary).
Reflex muscle tension is relieved with the help of muscle relaxants.With their help, pain is treated and mobility is restored.Use for 3 to 7 days.
Group B vitamin preparations are a necessary addition to basic therapy.
In some cases, drug blockade is necessary.Anesthetic is administered epidurally or paravertebrally.Used for degenerative changes in the spine.
Physiotherapy treatment:
- UHF;
- electrophoresis;
- magnetotherapy.
Massage relieves acute pain by improving blood circulation.Twisting the muscles has a beneficial effect on the elasticity and flexibility of the ligaments.To increase the general tone of the body and only with the permission of the attending physician, massage is combined with a bath or sauna.Do not heat during the infectious process!
Pain during pregnancy can be relieved by wearing a special bandage.
Orthopedic underwear is mandatory for patients with flat feet.
therapeutic exercise
Exercise is also a remedy.They strengthen the back muscles, improve posture, increase muscle tone and increase blood circulation.They are used not only in the complex of therapeutic therapy, but also for the prevention of pain in the lower back.As in the case of drug therapy, therapeutic exercises are prescribed in each case individually, analyzing the main causes of the disease.But you can highlight some general exercises, each of which is performed 5-10 times, preferably in the morning, to avoid overwork.
- In a standing position, turn the body alternately to the right, forward, back, left.
- In a standing position, spread your legs shoulder-width apart, turn your body to the sides.
- In all four positions, make a "cat": arching the lower back.
- Lie on your back, bend your knees, hands along the body.Raise and lower your pelvis, gradually increasing the range of motion.
- Lie on your back, legs straight, hands along the body.Alternately bend your knees and then pull them toward your chest.
- Standing on all fours, rotate the legs alternately.
Whatever the reason, only a specialist can determine why your back hurts, identify the "culprit" of the disease and prescribe the correct and effective treatment.As with any other disease, self-medication is not worth it!Any drug can not only treat, but also harm if chosen incorrectly.