Most people in the middle and older and older are faced with back pain in the back of the back, and men and women also suffer.Pain can occur after physical activity, hypothermia, uprising and transportation of severity or due to a long stay in a stationary installation."Entering the back", the lower back pain in the lower back are characterized.
Reasons
It should be noted that the pain of different intensities is mainly felt by active age, who do not exceed 60 years.This is explained by the constant work of the muscles that support the spine and its natural turns.Since a person is most often in a vertical position, the muscles are hardly resting.
The vulnerability of the lumbar region is due to the presence of its weaknesses: the bird triangle and the quadrilateral (rhombus) Grunfeld-Legaft.The poultry triangle has a light muscle layer and is a small gap between the terminal edges of the large and external oblique muscle.The Rhombus Grunfeld-Lelesgft does not close the oblique abdominal muscles on the top, it is poorly fortified, so it is subject to the formation of lumbar hernies.
The lumbar muscle is the deepest of the body.It affects flexibility, resistance, amplitude of movements and joint mobility, the work of internal organs.It is this muscle which is responsible for maintaining the vertical position of a person and takes an active part when the legs are lifted when walking.
The proper functioning of the lumbar muscle provides support for the entire upper body and forms a platform for the internal organs of the abdominal cavity.With a frequent reduction due to stress or overvoltage, this muscle is starting to shorten, which can cause back pain, a compression of nerve endings, a deformation of the vertebrae and the development of degenerative processes in the joints.The chronic spasm of the lumbar muscle affects extremely negatively the posture, the depth of the breathing and the state of the vital organs.
Back pain as a symptom
The lower back can hurt due to problems with the spine or in the bottom of systemic diseases.Several forms of pain syndrome are clinically distinguished: local, projection, thoughtful, agitated (root) and due to muscle spasm.
Local pain syndrome in the lumbar region is constant, its intensity depends on the position of the body.In addition, the pain is improved by the movements and the palpation of a particular area.With this pain form, body mobility and lower limbs can be limited.
The projection pain syndrome is due to damage to vertebrates and paravertebral structures (Dérivates).It can be overturned or local and occurs due to the compression of nerve endings, which transmit signals to the corresponding area of the brain.Pain sensations propagate along the affected nerve and increase with body turns and inclinations.During hard work or physical exercises, pulsed pain is noted, the origin of which is associated with an axial load on the spine.
Pain Rooser pain syndrome is surprising and pronounced the intensity: patients mean it when they say that the back has been "seized".The pain is so acute that a person cannot straighten up and is often forced to stay in the position in which it has been exceeded by a roaring fire.
In the absence of movements, the Pain Rowing syndrome does not pass either and does not acquire a painful character.However, attempted moving are accompanied by the strongest cramps and acute and burning bastards.In the vast majority of cases, he not only pulls at the lower back, but in the whole leg to the ankle.The distinctive characteristics of the root pain are its strengthening when they turn on one side, the inclinations and lift the straight legs of the bedtime.
Refleted pain syndrome indicates the lesion of internal organs.This is due to the fact that the lumbar column and the tissues near the pathological home are innervated by the same nerve.Since the pain goes from inside the body to the surface of the back, the pain is blurred, blurred, remains during the movements and does not intensify when it is pressed.
Pain in the lower back can be acute and chronic.If this symptom does not bother more than three months, they speak of acute shape.If during this time, the damaged fabrics are not restored, it enters the chronic category.
Classification
The lower back pain is classified according to the occurrence mechanism and can be nociceptive, neuropathic and psychogenic.The nociceptive type appears with the irritation of pain receptors - nociceptors and is due to damage to tissues due to mechanical trauma or local inflammation (stretching, gris).
An hernia is one of the consequences of osteochondrosis, it manifests itself by projection of the intervertebral disc between the bodies of the vertebrae.
Neuropathic pains accompany the pinch of the nerve roots of an intervertebral hernia.They are distinguished by irradiation (return) in the lower limbs and are combined with numbness and a certain constraint of the movements.Such pain does not pass itself and is generally chronic.
A psychogenic type is a rare phenomenon, the cause of which can be a traumatic situation or a violation of the functioning of the nervous system.
This classification is conditional, because most often the pain causes three types to one degree or another.To determine the pain, doctors use several terms: Lumbago, Lombalia and Lombar-Algia.
Lumbago is a sudden attack on pain, the beginning of which patients describe as "the gap", "grow" and compare it with a stroke or electric current.Lombs gradually begins and is characterized by painful pain mainly at the bottom of the back of the back, at the end of the spine.
In Lumbalia, the back does not constantly hurt, the pain occurs after a long stay in a stationary position or the inclination of the body.It is difficult for patients to comply and even carry out simple actions such as washing, brushing of Lannaire or ironing.They seek the most profitable pose to reduce the tension of the lumbar muscle and relieve their condition.
Lumbosiciaialgia is a pain syndrome, covering the lower back area, buttocks and the posterior part of one or two legs.It intensifies in all movements, including coughing or sneezing.
Possible pathologies
Most often, the lower back hurts due to muscle overvoltage, in particular with too intense training or unusual physical work.In this case, the cauldron provocative is the rupture of connection fibers in the places of muscle attachment.
Among the pathologies that cause this symptom, it should be noted:
- Intervertebral hernia.The main signs are acute pain that appears unexpectedly, a feeling of stiffness, possessiveness in the back, of weakness of the lower limbs;
- Compression fracture of the spine.Occurs during injuries, osteoporosis and tumors;
- Horse ponytail syndrome.This symptom complex is due to the compression of a solid nervous beam between the first lumbar vertebra and the coccyx.It manifests itself by intense pain on the right or left at the back, at the size and below.Pain syndrome radiates one or two members and inguinal zone.The progress of the disease leads to a violation of tactile sensitivity and the weakness pronounced in the legs.In the absence of treatment, serious complications develop until disability;
- The acute aneurysm of the abdominal aorta.Pain and heaviness in the lower back are often the only sign of this state.Most often diagnosed in elderly people with atherosclerosis and complaining of a piercing nature of night pain;
- Infectious lesions.Terna shot and pain in the lower back cause chronic bacterial skin infections, urogenital and respiratory systems, an altered immune system, taking hormonal drugs.In addition to pain, discomfort in abdominal and inguinal areas is felt behind the sternum;
- neoplasms.The pain disturbs day and night, is gradually intensifying.As a rule, there is a strong weight loss without obvious reasons.Tumors are most often diagnosed in people over 50 with oncological diseases of anamnesis.
With gastrointestinal tract pathologies, surrounding pain can occur.The feeling that pulls the lower back is often accompanied by gynecological diseases.Congenital skeletal defects and metabolic disorders can also be the cause of background pain.
Attention:If the lower back is strongly ill and the pain is painful, unbearable, we can assume an exacerbation of the Urolithiasis, when the formed stone moves along the urinary tract.
Treatment
The treatment of lumbar pain of any origin is one of the most complex medical areas.All modern studies on this subject are said on one thing: acute pain at the back of the rear and in the lower limbs should be eliminated as soon as possible.If you do not anesthetize yourself in time and do not go the chronicle of pain syndrome, the prerequisites for the development of psychogenic disorders will be created.Making clinical symptoms, they will slow down the therapeutic process and weaken its result.Consequently, first of all, the pain is removed regardless of their intensity.
To get rid of pain, anti-inflammatory non-steroidal agents and pain relievers are necessary.In serious cases, when a person is very painful to walk and the lower back is very broken, therapeutic blockade is used.
Analgesic drugs are low, medium and powerful.These allow you to quickly relieve pain, but have many side effects.Their use is justified in the event of serious damage to the intervertebral discs and the compression of nerve endings.
Modern pharmacology offers therapeutic plaster with different components - anti -inflammatory drugs, warming, chondroprotectors and plant food.
If the pain is characterized as a weak or a moderate, the doctor assists prescribed pain relievers.In the event of damage to per 1 -time structures, non -steroidal anti -inflammatory drugs - NSAIDs with a triple effect are most often used.They not only stop 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 presented by the use of plaster.Vitamins B, which doctors prescribe in injections or tablets, help cure pain in the lower back.
Muscle cramps often cause intense pain syndrome, from which muscle relaxants help well.Intense pain and pulsation caused by inflammation are stopped by hormonal drugs.
Therapeutic blocking
Sometimes the only remedy for the elimination of pain is therapeutic blocking.Thanks to the injection, one of the links of the pathological chain is deactivated, as a result of which the impulse of the pain does not reach the back, the legs and the internal organs.Blocks can be used for diagnostic purposes to establish a real cause of pain.
After the injection, the pain takes place in a few minutes, the procedure itself looks like the capture of a puncture.The indications of his conduct are as follows:
- osteochondrosis and its complications - protruding and hernies of the discs;
- myositis;
- neuralgia;
- Spondylarthrosis (calcification of vertebral joints).
Attention:The blocks are only carried out under the sterile conditions of the hospital.This is due to the fact that the spinal cord is vulnerable to the penetration of various pathogenic microorganisms.When infected with the virus, death is not excluded.
Therapeutic blockade is not carried out more than four times a year, if necessary, an evolution of 10 injections or more can be prescribed.Between them, a break of 5 to 7 days is necessary.The solutions for blocking injection contain several components, the main ones are pain relievers.To relieve inflammation, corticosteroids are added.The composition of injections can also include vitamins, thrombolytics and enzymes.To normalize neuropulsal transmission, ATP is introduced into the solution.
Physique
What to do after eliminating acute symptoms depends on the type and severity of the disease.Patients can be prescribed a massage, exercise therapy and physiotherapy.
With pain in the lumbar region, the most effective:
- Electrophoresis with special drugs;
- envelope with therapeutic mud;
- paraffin and ozokeralitic applications;
- Tur-Tur-Tur-Baths and Pearl;
- Amplipulsterrapy;
- Muscle electrical stimulation;
- acupuncture.
To stabilize the vertebrae and reduce the load on the lower back muscles, doctors recommend the use of orthopedic corsets.They are particularly effective in chronic pain caused by vertebrate damage.The use of applicators allows you to accelerate recovery.
The positive influence of these products is as follows:
- eliminated or significantly reduced by pain;
- The state of the nervous system is standardized;
- vital tone and increased performance;
- Metabolic processes in the body are accelerated;
- Spasmus muscles are relaxing.
Therapeutic exercises can only be carried out during the period of remission, with a minimum or complete pain of pain.The strong muscular corset is an excellent prevention of most diseases of the musculoskeletal system.
Attention:High power loads, body's net turns, jumps, running and oscillating legs are prohibited.
Thus, lower back pain is a signal of drawback in the spine or internal organs.In order to avoid the outburst of the pathological process and to prevent possible complications, it is necessary to consult a specialist.