Most people mostly medium and older and older facing pain in the back in the back of the lower back, and both men and women suffer equally.Pain can happen after physical activity, hypothermia, lifting and wearing seriousness or due to long stay in stationary pose."Enter the back side", characterizes the lower back pain in the lower back.
Reasons
It should be noted that the pain of different intensities is mainly experiencing people active age, which have no more than 60 years.This explains the permanent work of the muscles that support the spine and its natural bandages.Because a person is most often in an upright position, the muscles are almost unwilling.
Vulnerability of the lumbar region due to the presence of his weaknesses: Triangle birds and four trunks (Rombus) Grunfeld-Lesgaft.The poultry triangle has a slight muscle layer and is a small gap between the terminal edges of wide and external mow muscles.Grunfeld-Lesgft Rhombs does not close the oblique abdominal muscles on top, poorly determined, so it is subject to forming lumbar hernia.
The lumbar muscle is the deepest in the body.It affects flexibility, strength, amplitude of movements and joint mobility, the work of internal organs.It is this muscle that is responsible for maintaining a person's vertical position and is active in raising your feet when you walk.
Proper lumbar muscle operation provides support to the entire upper body and forms a platform for the inner bodies of the abdominal cavity.With frequent reduction due to stress or surge, this muscle begins to shorten, which can lead to lower back pain, nervous terminations, spinal deformation and development of degenerative processes in the joints.The chronic lumbar muscle cramp is extremely negatively affected by the posture, depth of breathing and the condition of vital organs.
Back pain like symptoms
The lower back can hurt due to the problem with the vertebrae or against the background of systemic diseases.Several shapes of pain syndrome are clinically distinguished by: local, projection, reflected, reflection (radicula) and due to muscle spasm.
Local pain syndrome in the lumbar area is constant, its intensity depends on the body position.In addition, the pain is improved by the movements and palpation of a particular area.This form pain, body mobility and lower extremities can be limited.
Rolling projection pain due to damage to vertebrate and paraversal (pericious) structures.It can be spilled or locally and occurs due to the compression of nerve endings that transmit signals to the appropriate area of the brain.Bol sensations spread along the affected nerve and increase with the turns and tilts of the body.During hard work or physical exercises, pulsating pain was observed, of which origin is associated with axial load on the spinal column.
Roissor pain is surprisingly and expressed intensity: Patients mean that when they say that the back was "grabbed."The pain is so acute that a person cannot be leveled and is often forced to stay in a position in which he overtooked a river fire.
In the absence of movement, the pain in the reshes also does not pass and acquire a painful character.However, attempts to move are accompanied are the strongest cramps and sharp, burning bastards.In the great majority of cases, it shoots not only at the bottom of the back, but in the entire leg to the ankle.The distinctive characteristics of radicular pain are strengthening when turning to one side, tendency and raising flat legs from the laying position.
Reflected pain syndrome indicates the lesion of the internal organs.This is due to the fact that the lumbar spine and tissue near the pathological focus is innervated by the same nerve.Since the pain goes from the inside of the body to the surface of the back, the pain is vague, blurry, remains during the movement and does not intensify when it is not intensified.
The lower back pain can be acute and chronic.If this symptom does not lose more than three months, they discuss acute form.If the tissue damaged during this time is not renovated, entering the category chronic.
Classification
The lower back pain is classified according to the phenomenon and can be nociceptive, neuropathic and psychogenic.The nociceptive type appears with the irritation of pain receptors - nociceptore and occur in tissue damage due to mechanical trauma or local inflammation (stretching, Bruis).
The hernia is one of the consequences of osteochondrose, the protrusion of the intervertebral disk is manifested between the vertebral body.
Neuropathic pain is accompanied by twitching nerve roots of intervertebral hernia.They are characterized by radiation (return) in the lower limbs and combine with stiffness and some motion limit.Such pain does not pass alone and is usually chronic.
The psychogenic type is a rare phenomenon, and the cause can be a traumatic situation or violation of the functioning of the nervous system.
This classification is conditional, because the most common hurts causes all three types into one or another.To determine the pain, doctors use several expressions: Lumbago, Lumbalia and Lumbar -algia.
The lumbago is a sudden attack of pain, the beginning of which patients describe as a "gap", "push" and compare it with lightning or electricity.Lumbalgia begins gradually and characterized by hurting pain mainly at the bottom of the lower back, at the end of the spine.
In Lumbaria, the back is constantly injured, the pain appears after a long stay in the stationary position or tilt the body.Patients are hard to bend and perform even such simple actions as washing, brushing teeth or ironing.They are looking for the most profitable pose to reduce the tension of the lumbar muscle and alleviate their condition.
Lumbosiciashialgia is a pain syndrome, covering the surface of the lower back, buttocks and the back of one or both legs.It is intensified in any movements, including coughing or sneezing.
Possible pathologies
It usually hurts the lower back due to the overvoltage of the muscles, especially with too much intense training or unusual physical work.In this case, a boiler provocator, the fiber connection rupture in the muscle fastening places cracked.
Among the pathologies causing this symptom, it should be noted:
- Intervertebral hernia.The main signs are sharp pain that appears unexpectedly, a sense of stiffness, possession in the back, weakness in the lower extremities;
- Spine compression fracture.Occurs during injuries, osteoporosis and tumors;
- Horse tail syndrome.This complex of symptoms was created due to the compression of a massive nervous bundle located between the first lumbar vertebrae and the dutch.It is manifested by strong pain on the right or left, at the level of the waist and below.The syndrome of pain radiates on one or both limbs and inguinal zones.Disease progress leads to a violation of tactile sensitivity and expressed weakness in their legs.In the absence of treatment, severe complications are developed to disability;
- Acute aneurism of abdominal aorta.Pain and weight in the lower back are often the only sign of this country.The most commonly diagnosed older people suffering from atherosclerosis and complain about the penetration of the nature of night pain;
- Contagious lesions.Withdrawal and blunt pain in the lower back of the rear challenge chronic bacterial skin infection, urogenital and respiratory systems, a damaged immune system, taking hormonal drugs.In addition to pain, discomfort in abdominal and inguinal areas feel behind the sternum;
- Neoplasms.Bolst bothers both day and night, gradually enhanced.As a rule, there is a sharp loss of weight without obvious reasons.Tumors are most commonly diagnosed in people over 50 years with anamnesis oncological diseases.
With the patholoms of the gastrointestinal tract, the surrounding pain can occur.The feeling that pulls the lower back is often accompanied by gynecological diseases.Congenital skeletal shortcomings and metabolic disorders may be the cause of pain at the bottom of the back.
Attention:If the lower back is sharply ill, and the pain is painful, unbearable, we can assume the deterioration of urolithication, when the formed stone moves along the urinary trail.
Treatment
The treatment of lumbar pain of any origin is one of the most complex medical areas.All modern studies on this topic are about one thing: acute pain in the back of the back and in the lower extremities should be eliminated as soon as possible.If you do not enter anesthesia and allow the chronicle of pain syndrome, then the prerequisites for the development of psychogenic disorders will be created.Hishing on clinical symptoms, the therapeutic process will slow down and weaken the result.Therefore, above all, the pain is removed regardless of their intensity.
To resolve pain, anti-static non-agenters and analgesics are needed.In severe cases, when a person is very painful for walking, and the lower back is largely broken, therapeutic blockages are used.
Analgetic medications are weak, average and strong.The latter allows you to quickly relieve pain, but you have many side effects.Their use is justified in case of serious damage on intervertebral discs and compression of nerve endings.
Modern Pharmacology offers therapeutic plasters with different components - Antinupal, heating, hondroprotective and lined diet accessories.
If the pain is characterized as a weak or moderate, attending the doctor prescribes analgesics.In the event of damage to 1 amenimate structures, nonsteroidal anti-inflammatory drugs - NSAIDs with triple effect are most often used.They do not stop only pain syndrome, but also suppress inflammation, reduce body temperature.
NSAIDs are used in tablets or injections, as well as in the form of fat or gels.
Good results are shown using mortar.B Vitamins, which doctors prescribe in injections or tablets, help treat pain in the lower back.
Group muscles often provoke severe pain syndrome, from which my muscle relaxants help me well.A difficult pain and pulsation caused by inflammation stops with hormone medications.
Therapeutic blockade
Sometimes the only remedy is the painful pain of the therapeutic blockade.Through the injection, one of the connections of the pathological chain is excluded, as a result that the impulse hurts does not reach the back, legs and internal organs.Blocks can be used for diagnostic purposes to establish a true cause of pain.
After injection, the pain takes place in a few minutes, the process itself reminds of capturing puncture.Indications for his behavior are as follows:
- Osteochondrosis and its complications - protrusion and kilos disks;
- myositis;
- neuralgia;
- Spondylartost (calcification of vertebrae).
Attention:Blocks are performed only in sterile conditions of the hospital.This is due to the fact that the spinal cord is vulnerable on the penetration of various pathogenic microorganisms.When it is infected with a virus, death is not excluded.
Therapeutic blockages are carried out not more than four times a year, if necessary, a course of 10 injections or more can be prescribed.Between them need a break of 5-7 days.The blockade injection solutions contain several components, are major painkillers.In order to mitigate inflammation, the corticosteroids were added to them.The composition for injections can also contain vitamins, thrombolites and enzymes.For normalization of neuropulsonal transmission, ATP is introduced into a solution.
Physiology
What to do after removing acute symptoms depends on the type and weight of the disease.Patients can be prescribed, massage, exercise therapy and physiotherapy.
With pain in the lumbar area, the most efficient:
- electrophoresis with special medications;
- Wrap with therapeutic mud;
- Paraffin and ozoker applications;
- TURPENTINE AND PERSONAL BUYS;
- Amplipulsteraria;
- Electric muscle stimulation;
- Acupuncture.
To stabilize vertebrae and reduce the load on the lower back muscles, doctors recommend the use of orthopedic corsets.They are especially efficient in chronic pain caused by damage to vertebrates.The application of the applicator allows you to accelerate recovery.
The positive impact of such products is as follows:
- Eliminated or noticeably reduced with pain;
- The state of the nervous system is normalized;
- Vital tone and increase in performance;
- The metabolic processes in the body are accelerated;
- Spanished muscles relax.
Therapeutic exercises can only be done during the remission period, with a minimum or complete absence of pain.A powerful muscle coros is a great prevention of most diseases of the musculos-bone system.
Attention:Large power loads are prohibited, sharp crossings of the body, jumps, runs and swings.
Therefore, the pain in the lower back is the signal of disadvantages in the spinal column or inner authorities.To prevent the chronic of the pathological process and prevent possible complications, it is necessary to advise with the expert.