If back pain in the lumbar region, it may be caused by different reasons. Pain is able to be localized in the spinal column and emanate from the internal organs and soft tissues. Sometimes the pain is accompanied by systemic abnormalities and is one of their symptoms. To find the prerequisites discomfort, you need to pass the full diagnostics – this will help to start treatment in a timely manner.
Osteochondrosis of the spine
Most often the pain is localized in the area of the spine, or rather – lumbosacral. So when back pain in the lumbar region, all possible causes are divided into primary and secondary. The primary causes include any disease of the vertebrae (functional, degenerative, inflammatory and other), and to a secondary rank as any other disease.
The most common prerequisite, which appears pain –low back pain. It appears with narrowing of the intervertebral discs, loss of moisture in the cartilage and discs rapprochement between them. The pain develops due to the impact of the discs on the nerve roots, and other symptoms (dysfunction of organs, numbness, "tingling", etc.) – against the background of deterioration of blood supply to the area.
Low back pain without treatment is complicated by:
- Protrusion;
- Hernia;
- Destruction of the disk;
- The sequestration (loss) of disc.
The pain in this pathology intensifies as it progression, gives to leg, accompanied by a sharp, acute attacks in the lumbar region. Low back pain with age is observed in 60-80% of people.
Vertebral syndrome with other pathologies
The causes of back pain can be caused not only by low back pain. In medicine there is the concept of "vertebral syndrome" which is caused by different pathologies changing the configuration of the spine, its mobility and function, with posture and gait.
Warp – another common prerequisite for back pain. The loins can suffer with:
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- Kyphosis;
- The lordosis;
- The scoliosis.
Kyphosis is congenital – if the child has a wedge-shaped vertebrae, and hemivertebrae, but this is rare. Often back pain with kyphosis appear in the background of spondylitis (inflammation of the cartilage and vertebrae in the type of arthritis), and spondylosis (osteoarthritis of the joints in the vertebral apophysis). Also kyphosis and excessive lordosis can occur following injury, unsuccessful operations, on the background of aging. The sideways curvature (scoliosis) in the lumbar area is rare, it mainly concerns the thoracolumbar division.
Vertebrogenic pain may be accompanied by a lesion of the entire column in ankylosing spondylitis. In this case, can be formed arc-shaped deformation, which leads to pain from the tailbone to the neck. In severe cases, the body height is reduced, the vertebrae are fixed. Lose waist any disease and may be accompanied by lumbalgia – sharp shot with a careless movement, which occurs due to a sudden pinched nerve. A serious complication may be the cauda equina syndrome, trapped when a major nerve plexus.
Causes of pain in women
Back pain in women can have specific causes. Pain, besides the above described assumptions, is able to proceed from these States:
- Menstruation. During menstruation, the pain may not be a sign of a problem. For some women it is an individual feature of an organism is called primary algomenoree, with no organic cause has not. If the syndrome appears suddenly, this may indicate hormonal problems,
inflammatory diseases. Usually the sensation is stronger in the abdominal area, but in the spine also give often. - Ovulation. Pain in the middle of the cycle often becomes a symptom of the release of an egg from the ovary. Ovulation in many women is combined with unpleasant sensations in the lower back and abdomen, in the groin.
- Pregnancy. Pain pregnant back associated with an increase in load on the spine, these symptoms are characteristic for the second and third trimester. In the early period after conception, this symptom can also take place and its causes are both natural (embryo, hormonal changes) and pathological (ectopic pregnancy). To reduce pain, a woman needs to wear a jockstrap to sleep on the comfy pillows, put pillows under the stomach.
Often lower back pain syndrome occurs after abortion with endometritis, cervicitis, erosions, colpitis, adnexitis when – early diagnosis is important.
Other causes and diseases
Pain in the lumbar region – a common symptom of kidney disease. Often nagging, aching sensation coupled with the slightly increased temperature is a sign of pyelonephritis, or inflammation of the parenchyma of the kidney. The disease is associated with the penetration of infection or hypothermia. Not less often the cause of the problem becomes urolithiasis when in the renal pelvis stones appear. Less common pain due to:
- Prolapse of the kidney;
- Tumor;
- Cysts;
- Benign;
- Glomerulonephritis.
Pain in such diseases often radiates to the ribs, the navel, the lower abdomen. There are other possible causes sensations in the lower back:
- Violations of part of the bone. In osteomalacia, osteoporosis, the vertebrae and the bones become thinner, the pain appears while driving, later – alone.
- Tumors of the lymph nodes, metastases to this region. Many tumors of different localization without treatment metastasize in the area of the spine, the kidneys, the vessels.
- Infection. Severe pain can cause epidural abscesses, tuberculosis, osteomyelitis of the vertebrae.
- Injury. Compression fracture vertebra, fracture of the pelvis also give severe pain in the waist area.
- Myositis. When inflammation of the muscles, which can occur in any area of the body, the painful symptoms are localized in the lower back. Often they cause severe hypothermia or physical overload.
Other possible causes of sensations can be Reiter's syndrome, mental disorders, appendicitis, cholecystitis, pancreatitis, in men, epididymitis, prostatitis in the acute form.
Back pain in children
In childhood most often the spine pain in the lumbar region because of developing disorders of posture. Children sit improperly at school, at home, spend a lot of time at the computer, TV, wear the bag on one shoulder. All these factors cause the development of kyphosis, and kyphoscoliosis, excessive lordosis. Increase the risk of abnormalities flat feet, deformities of the feet.
Banal preconditions for pain is a muscle strain at the gym. Also cause painful signs capable of stretching muscles, ligaments, injury, a blow to the back, sudden wrong move, a broken tailbone. More likely to suffer from pain obese children, sleeping on soft mattresses, leading gipodinamiya lifestyle, often carrying stress.
Rarely in children pain are provoked by:
- Cholecystitis, stagnation of bile, the inflection of the gallbladder;
- Inflammation of the pancreas, reactive pancreatitis;
- Pyelonephritis, the appearance of stones or sand in the kidney.
It hurts kids in the lumbar region the flu, severe SARS, in adolescent girls the first menstruation, or in front of them. Teens have morning back pain may signal the development of herniation or even tumor disease – it is important not to leave the symptoms ignored!
The types of back pain and symptoms
When back pain to choose the right treatment will help the correct interpretation of pain. On the severity it can be:
- Chronic, appearing regularly, but moderate in strength;
- Acute – sharp, shooting, sudden or after exposure to a number of factors.
Also back pain is mechanical (caused by degenerative changes) or inflammatory (appears when inflammation of the spine, soft tissues, organs). The pain can be local (local), reflected (derived from other organs, gives to a loin), root (caused by compression of the roots), diffuse (in several areas of the spine).
Aching, twitching sensations, coupled with the characteristic twitching myalgia, or muscle spasm. Blunt, often appearing symptoms require verification of the genitourinary system, especially if they are growing in intensity. Acute pain after physical work may reflect a complication of osteochondrosis, hernia or protrusion. Stabbing, unbearable pain appear when compression of the cauda equina and require urgent placement in the hospital.
Diagnosis of pathologies of the back
The choice of a specialist for initial treatment depends on additional symptoms and type of pain. If the pain in the supine position in the lower back does not subside, does not change by changing the position of the body, combined with General malaise, we are talking about the pathology of internal organs. You should refer to the urologist, the gastroenterologist, if it is impossible to identify feelings to the therapist. The doctor will prescribe a series of examinations:
- General analysis of blood;
- Biochemistry;
- Ultrasound or MRI of the organs of the peritoneum;
- Ultrasound, retroperitoneal space, urinary bladder.
Female pathology doctors, nurses and under the supervision of a gynecologist after inspection, on the chair, taking smears and ultrasound of the pelvis. To clarify the nature of pain and its causes need to be checked by a podiatrist, vertebrologist – appointed x-ray, MRI, analysis of rheumatoid factor. If you suspect that osteoporosis may need a bone density test, tests for calcium, phosphorus, a number of hormones. Trauma zones of the waist should go to the emergency room or trauma ward.
Medication
The treatment will be entirely due to the exact cause of the pain. Temporarily numb the pain but not to cure the disease will help non-steroidal anti-inflammatory drugs (NSAIDs). These tools reduce inflammation, remove pain. Severe cases (lumbago, lumbago) require the introduction of drugs into a muscle, vein.
In less serious cases, you can apply the ointment with NSAIDs, they lubricate the belt area and other painful areas, the pain quickly subsides. Osteochondrosis is usually prescribed to drink tablets with NSAIDs rates up to 7-10 days to long to be numb and to remove inflammatory reaction.
When back pain in the lower back treatment may include such remedies (if the disease is caused by problems with the spine):
- B vitamins;
- Muscle relaxants;
- Chondroprotectors;
- Corticosteroids injections.
Kidney disease treated using herbal medicines, antibiotics, drugs that dissolve the stones that wash away the sand. When pain is caused by tumors, treatment is carried out under the control of the oncologist.
Other types of treatment
Physical therapy usually is recommended only in chronic diseases of the spine. Lower back pain because of inflammation of the internal organs on the background of physical therapy could worsen the infection will trigger more severe consequences. From physiotherapeutic procedures are recommended:
- Electrophoresis with painkillers, magnesium, anesthetics, corticosteroids;
- Electrical stimulation of muscles relaxes, removes spasms, improves blood circulation in the lumbar region;
- Amplipuls – relieves pain, improves tissue trophism;
- Balneotherapy, the treatment with paraffin and mud – heats, reduces pain, increases the speed of discharge of the products of inflammation.
Also the patient can be assigned to the hood of the spine, manual therapy, treatment by an osteopath. Is necessarily performed gymnastics without gymnastics to restore the health of the lower back will not work. Than to treat diseases of the spine can also recommend a podiatrist – can be worn bandages, corsets for posture and pain reduction.
Folk remedies
Reduce back pain with the help of folk remedies. There are a number of recipes that will be useful in diseases of the vertebral column:
- Grate a piece of ginger root. Mix in equal parts with honey. Apply the mixture to the cloth, to put on the problem area. Cover top with a cloth to wrap the bandage or cloth, leave for an hour.
- Mix equal parts St. John's wort herb and comfrey. Tablespoon of the mixture brew a Cup of water, to insist hour. Drink 100 ml three times/day at least a month. When the pain and aching sensation in the lumbar region this method will help to restore mobility, improve the condition of cartilage.
- Combine 3 tablespoons of almond oil and 10 drops of eucalyptus oil. To apply oil for rubbing the problem areas as needed when pain.
Pain syndrome prevention
To know about pain in the spine and the region of the belt, you need to follow some preventive measures. It's important to eat with the inclusion of menu, cheese, dairy foods, nuts sources of calcium. Physical inactivity and obesity are invalid – they must be fought with all possible kinds of sports, cardio. All infectious disease must be treated on time to drink more water – so you can avoid chronic pain in patients with renal problems.
Orthopedic treatment is very important for the health of the spine. It is impossible to lift weights without load balancing – need to get up with heavy object in the hands of the right. When working in a sitting position it is necessary to make regular warm up for 3-5 minutes – this will help to avoid stagnation and degenerative processes. If you sleep on an orthopedic mattress to prevent curvature of the spine from an early age, it will help to avoid problems in the future.