Question "What does back pain mean?"Maybe it seems stupid.Everyone can test it.Dried, raised a heavy facility, was a long time in forced pose, an unpleasant bed, here is a list of ordinary reasons to overload back and pain.The decision is praying.Drink anesthesia and wait for a speedy recovery.
It doesn't always help.Pain can get a firm stronghold tight and become the worst enemy for weeks, months, years.Even then some people people may not see a doctor, but still take pills.
The pain is a signal of our body through a nervous system that has a problem and must be resolved.The situation is much worse when the disease is progressing, and nothing hurts.This happens with oncological diseases when pain occurs in the last phases of the disease.
Types of pain
Non-special - takes more than 85% of the doctor's visit.Related to muscle overload, ligaments, tendons, small spine joints.
Koreshka - caused by the compression of the nerve root of the kile.Up to 10% of cases.
Specifically - caused by a particular illness.This includes the spine, tuberculosis, pure process, neoplasm, narrowing of the spine, abdominal cavity, small pelvis and others.Up to 10% of cases.
Symptoms
Typical symptoms of defective pain:
- Appearance, discharge when moving (sharp rotation of the head, slope, weight lift);
- occurs after a long involuntary position (sitting on a computer, with professional drivers, static permanent work for sellers);
- Limiting mobility after sleep in an unpleasant position, on an uneven surface.
The reason for these symptoms in breach of motor stereotypes, when some muscles and joints are overloaded, while others, on the contrary, do not participate in motion.
There is such a thing as a "unprepared" movement.When muscles are not outstretched, the ligaments are not heated, and give them a large load or a very large amount of movement.So, office workers who are not involved in sports, after these games with the activities of games, ropes in cities, competitions may not go on the next day due to rears.The second category is a pension a lot of gardeners.All winter houses spend with minimal physical activity and suddenly gave excess loads on the spine.The result is one - pain, mobility limit.
The root of the spinal cord is characterized by:
- Shooting pain with fingers of the foot, brush;
- Reflex breaches;
- sensitivity changes (stiffness, increased skin sensitivity);
- reduction of muscular force;
- Symptoms in muscle tension.
According to these symptoms - pain in the tongue, stiffness of a small finger on hand or shooting in the leg in the leg, often possible to determine exactly which level in the spine contains the nerve compression without MRI.
Specific pain may indicate a potentially dangerous, serious disease.Threat symptoms:
- the beginning of permanent back pain for up to 15 years and after 50 years;
- The nature of pain that does not hold pain (pain is not reduced only in a lying position, in certain poses);
- Connecting injury pain;
- smoothness of pain;
- the presence of oncology earlier;
- Temperature pain, weight loss;
- extended rigidity in the morning;
- PARALIES, PELL DISORDERS, Heavy sensitivity disorders;
- Changes in urine analysis, blood.
The cause of such offenses may be serious diseases:
- rheumatic diseases;
- malignant tumors;
- Infections (osteomyelitis, abscess, tuberculosis, closes herpes);
- vascular diseases (aneurism abdominal aortic);
- Blood diseases;
- osteoporosis;
- Kidney diseases, cystitis;
- Pancreatitis, twelve ulcers;
- Stanosis of spinal channels, spine fractures.
Therefore, it is better to advise with the doctor to turn off the dangerous causes.Especially if pain medications help weak and there are dangerous symptoms.
Diagnostics
This is the most important phase of treatment, because all further actions depend on.You seem to be able to make X -Ray or MRI then everything will become clear.But there are traps.The functional diagnostic doctor concludes based on what he sees in the picture.But he does not examine the patient himself.Therefore, the image results are not equal to the diagnosis.
We will analyze an example.If you take completely healthy people between the age of 20, then almost half of them can be detected by Hernie intervertebral discs.But that does not mean that they need treatment, an inspent exam or spine surgery to remove deficiencies.
Clinical recommendations for general practitioners of the National Institute for Improvement of the Britain's Health and Social Assistance in most cases with nonpecific pain syndrome for up to 1 year, and NI X -RAY nor CT / MRI with numerous exceptions.
Wouldn't hernia cause pain?Only in 1 out of 10 cases.In all other cases of disk and back pain cases are not connected.
First, history of pain development, the first episode, circumstances (injuries, load) are clarified, which appeared other symptoms, seemingly not related to back pain.
During the inspection, spine bandages, limiting mobility, muscle tensions are evaluated.Localization of pain, signs of root compression ("gives" in the leg, violation of the sensitivity of the limbs).
And only then, according to the indications, the CT / MRS are implemented, a general and biochemical blood test was prescribed.
Therefore, the doctor should diagnose.The type of pain, the necessary studies should be determined, the dangerous symptoms of a certain pain and only then prescribe treatment.
Treatment
First aid. More before taking tablets, you can help yourself.It is necessary to unload your spine and provide a chance to relax.In order to do this, we lie on a flat hard surface (floor, dining table, on the back of the plywood sheet).Under your feet, you need to put a large pillow, roller, chair, so the corner between the body and hips in the knee 90 degrees in the knees.
We breathe slowly and try to relax as much as possible with each exhalation.You can lie as much as needed.The main thing is that the surface is not cold.Soft sofas, beds are not suitable.
Drug.Usually the treatment begins with nonsteroidal anti -infalm raters (NSAIDs), which will help mitigate pain and inflammation.These medications can be purchased without a prescription, but cannot be taken uncontrollably.
Their entry can lead to erosion, intestinal rectors and stomach, bleeding.If there are already problems with the gastrointestinal strip, it increases the risk of complications.I can have a toxic effect on the liver.There is a risk for the cardiovascular system, kidneys, with bronchial asthma.
Traditional NSAIDs have more side effects especially on the digestive system.But they are quite affordable.
Selective NSAIDs have a much lower harmful effect on the digestive tract, but they have a higher price.
At the same time, the choice of medicine is better for the trust of the doctor so that in correlation of risk and benefits in any case.Maybe prescribed medications to protect the stomach.
Another group of drugs is muscle relaxant, helps release muscle spasm.
Hondroprotectors were also used.
Life. Back pain doesn't mean you have to lie all the time.Launch beds, corset and other devices that limit movements are not recommended.This will cause only the weakening of the muscles that keep us in an upright position.
It is necessary to maintain a reasonable activity for the maintenance of tons, the normalization of blood circulation.The light walks, gymnastics, exercise of physiotherapy are suitable.
You also need to sleep on a hard orthopedic mattress.Take breaks in walking work.Drink enough fluid.
Prevention
It is necessary to strengthen the back to create a strong muscle corset.Such physiological directions as swimming, pilates and yogs are suitable.
Sleep is recommended on a flat rigid surface.The pillow is small, comfortable.
Increase more than 3 kg bags with flat lower back with leg strength.The load is evenly distributed for 2 hands.
Replace bag by backpack and wear two strips
To reduce the shock load on your spine, carry shoes with a thick spring sole.It is advisable to reduce weight.