Most people of mainly medium and older and older people are faced with back pain in the back of the lower back, and both men and women suffer alike.Pain can occur after physical activity, hypothermia, lifting and wearing severity or due to a long stay in a inpatient pose."Enter the back", the pain in the lower back in the lower back are characterized.
Reasons
It should be noted that the pain of different intensities is largely experienced by people of active age who are no longer than 60 years.This is explained by the constant work of the muscles that support the spine and its natural bends.Since a person is most often in the upright position, the muscles almost don't rest.
The susceptibility of the lumbar region can be attributed to the presence of its weaknesses: the triangle of the bird and the square (rhombus) Grunfeld-Lesgaft.The poultry triangle has a mild muscle layer and is a small gap between the terminal edges of the wide and outer sloping muscle.The Grunfeld-Lesgft-Rhombus does not close the sloping abdominal muscles, it is poorly enriched, so it is subject to the formation of lumbar hernia.
The lumbar muscle is the deepest in the body.It influences flexibility, strength, amplitude of movements and joint mobility, the work of internal organs.It is this muscle that is responsible for maintaining the vertical position of a person and is actively involved in raising the legs while walking.
The proper operation of the lumbar muscle supports the entire upper body and forms a platform for the internal organs of the abdominal cavity.In the event of a frequent reduction due to stress or overvoltage, this muscle begins to shorten, which can lead to pain in the lower back, the compression of the nerve endings, the deformation of the vertebrae and the development of degenerative processes in the joints.The chronic cramp of the lumbar muscle influences the attitude, the depth of breath and the condition of the vital organs.
Back pain like a symptom
The lower back can damage the spine or against the background of systemic diseases due to problems.Different forms of pain syndrome are clinically differentiated: local, projection, reflected, radicular (radicular) and due to the muscle cramp.
Local pain syndrome in the lumbar area 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 certain area.With this form of pain, the mobility of the body and the lower extremities can be limited.
The projection pain syndrome is due to damage to vertebrates and paravertebral (periports) structures.It can be buried or locally and occurs due to the compression of the nerve endings, the signals transferred to the corresponding area of the brain.Pain sensations are spread along the affected nerve and increase with curves and bodies.During hard work or physical exercises, pulsating pain is determined, the origin of which is associated with an axial load on the spine.
The Rooser pain syndrome is surprising and pronounced in intensity: the patients mean it when they say that the back was "moved".The pain is so acute that a person cannot straighten up and is often forced to stay in the position in which it was overtaken by a roaring fire.
In the absence of movements, the roying Pain syndrome does not fit and gets a painful character.Attempts to move are accompanied by the strongest cramps and sharp, burning bastards.In most cases, it not only shoots at the end of the back, but also in the leg to the ankle.Districting characteristics of radicular pain are his strengthening when you turn to one side, raise tendencies and straight legs from the position of lying down.
The reflected pain syndrome shows the lesion of the internal organs.This is due to the fact that the lumbar spine and tissue are innocent by the same nerve near the pathological focus.Since the pain from the inside of the body goes to the surface of the back, the pain is vaguely, blurred, remains during the movements and does not increase when pressing.
The pain in the lower back can be acute and chronic.If this symptom does not interfere for more than three months, talk about acute form.If damaged tissue is not restored during this time, the chronic category category is included.
classification
The pain in the lower back is classified according to the mechanism of occurrence and can be nociceptive, neuropathic and psychogen.The nociceptive type appears with irritation of pain receptors - nociceptors and is due to damage to tissues due to mechanical trauma or local inflammation (stretching, bruis).
A hernia is one of the consequences of osteochondrosis, it manifests itself by a lead of the intervertebral disc between the bodies of the vertebrae.
Neuropathic pain accompany the clamping of nerve roots of Schwanderhernie.They differ in radiation (return) in the lower limbs and are combined with numbness and some restrictions.Such pain does not go on itself and is usually 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 limited, since pain most often causes all three types to one or the other degree.To determine the pain, doctors use different terms: Lumbago, Lumbalia and Lumbal -Algia.
Lumbago is a sudden pain attack from which the patients call "gap", "push" and compare with a flash or an electrical power comparison.Lumbargia gradually begins and is mainly characterized by painful pain on the lower back of the lower back at the end of the spine.
In Lumbalia, the back does not hurt, the pain arises after a long stay in a stationary position or the body's bodies.It is difficult for patients to carry out even simple actions such as washing, brushing tooth or ironing.They are looking for the most profitable pose to reduce the tension of the lumbar muscle and relieve their condition.
Lumbosiciashialgia is a pain syndrome that covers the area of the lower back, buttocks and the rear part of one or both legs.It increases in movements, including cough or sneezing.
Possible pathologies
Most of the time, the lower back hurts due to muscle overvoltage, especially if training or unusual physical work.In this case, the Cauldron Provocateur is the breaking of the connection fibers at the places of muscle attachment.
Among the pathologies causing this symptom should be noted:
- Intermediate hernia.The main signs are a sharp pain that occurs unexpectedly, a feeling of stiffness, possession in the back, weakness in the lower extremities;
- Compression fracture of the spine.Occurs in the event of injuries, osteoporosis and tumors;
- Syndrome of the horse's tail.This symptom complex is due to the compression of a massive nerve ray between the first lumbar vertebra and the Coccyx.It manifests itself through severe pain on the right or left in the back, on the waist level and below.Pain syndrome radiates on one or both limbs and groin zone.The progress of the disease leads to a violation of tactile sensitivity and a pronounced weakness in the legs.In the absence of treatment, serious complications develop.
- The acute aneurysm of the abdominal aorta.The pain and heaviness in the lower back are often the only sign of this condition.Most often diagnosed in older people who suffer from atherosclerosis and complain of a penetrating nature of night pain;
- Infectious lesions.Pulling and blunt pain in the lower back of the back produce chronic bacterial skin infections, urogenital and respiratory systems, impaired immune system and occupies hormonal medication.In addition to pain, the discomfort in the abdominal and inguinal areas behind the sternum can be felt.
- Neoplasms.Pain disturb day and night and gradually strengthen.As a rule, there is a sharp weight loss without obvious reasons.Tumors are most commonly diagnosed in humans over the age of 50 with anamnesis oncological diseases.
In the case of pathologies of the gastrointestinal tract, 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 pain on the bottom of the back.
Attention:If the lower back is sharply sick and the pain is painful, unbearable, we can assume that urolithiasis aggravation if the formed stone moves along the urinary tract.
Treatment
Treatment of lumbar pain of any origin is one of the most complex medical areas.All modern studies on this topic are said about one thing: acute pain in the back of the back and in the lower extremities should be removed as soon as possible.If you are not anesthetized in time and allow the chronicle of pain syndrome, the prerequisites for the development of psychogenic diseases will be generated.When she breastfeeds on clinical symptoms, you slow down the therapeutic process and weaken your result.First, the pain is removed regardless of its intensity.
In order to get rid of pain, anti -inflammatory non -steroid means and analgesics are required.In severe cases, therapeutic blockages are used when a person is very painful to run and the lower back is very broken.
Analgetics are weak, average and strong.The latter enable them to quickly relieve pain, but have many side effects.Their use is justified in the event of severe damage to the intervertebral discs and the compression of the nerve endings.
Modern pharmacology offers therapeutic plasters with different components - anti -inflammatory, heat, chondroprotective and vegetable nutritional supplements.
If the pain is characterized as weak or moderate, the doctor present prescribes analgesics.In the case of damage to the Pro 1 -time structures, non -steroid antoiding medication with a triple effect is used most frequently.They not only stop pain syndrome, but also suppress inflammation and reduce body temperature.
NSAIDs are used in tablets or injections as well as in the form of ointments or gels.
Good results are shown by using plasters.B -Vitamine, which doctors prescribe in injections or tablets, help heal pain in the lower back.
Muscle cramps often produce severe pain syndrome from which muscle relaxants help well.Severe pain and pulsation through inflammation are stopped by hormonal medication.
Therapeutic blockade
Sometimes the only means of eliminating pain is the therapeutic blockade.The injection switches off one of the members of the pathological chain, whereby the pain pulse does not reach the back, legs and inner organs.Blocks can be used for diagnostic purposes to determine a real cause of pain.
After the injection, the pain takes place in a few minutes, and the procedure itself is similar to recording a puncture.Signs of his behavior are as follows:
- Osteochondrosis and their complications - lead and hernias of discs;
- Myositis;
- Neuralgia;
- Spondylarthrosis (calcification of the vertebral joints).
Attention:Blocks are only carried out under sterile conditions of the hospital.This is due to the fact that the spinal cord is susceptible to the penetration of different pathogenic microorganisms.If the virus is infected, death is not excluded.
Therapeutic blockages are not carried out more than four times a year if necessary, and a course of 10 injections or more can be prescribed.A 5-7-day break is required between them.Solutions for the blockade injection contain several components, the main pain.To alleviate inflammation, corticosteroids are added to them.The composition for injections can also include vitamins, thrombolytics and enzymes.In order to normalize neuropululatory transmission, ATP is introduced into the solution.
Physoization
What to do after the removal of acute symptoms depends on the type and severity of the disease.Patients can be prescribed massage, training therapy and physiotherapy.
Most effective with pain in the lumbar region:
- Electrophoresis with special medication;
- Wrapping with therapeutic mud;
- Paraffin and ozokeritic applications;
- Turpentine and pearl baths;
- Amplipulsterrapie;
- electrical muscle stimulation;
- Acupuncture.
In order to stabilize the vertebrae and reduce the load of the lower back muscles, doctors recommend using orthopedic corsets.They are particularly effective in chronic pain caused by damage to vertebrates.With the use of applicators, you can accelerate the recovery.
The positive influence of such products is as follows:
- eliminated or noticeably reduced by pain;
- The condition of the nervous system is normalized;
- Vital tone and increase in performance;
- Metabolic processes in the body are accelerated;
- Cramp muscles relax.
Therapeutic exercises can only be carried out during the remission period with a minimum or a complete absence of pain.Strong muscle corset is excellent prevention of most diseases of the musculoskeletal system.
Attention:High -performance charges, sharp bodies, jumps, running and swinging legs are prohibited.
Therefore, the pain of the lower backrest is a signal of the disadvantage in the spine or in the inner organs.In order to prevent the chronization of the pathological process and prevent possible complications, it is necessary to consult a specialist.