What to do if a sore lower back?

lower back pain

Low back pain can make a person completely incapacitated as to walk, to move and even lie with this symptom can be very problematic. Such a pain constantly haunts the patient, giving him the darkest thoughts about the near future.

The problem may be hiding in the spine, kidneys, gastrointestinal tract, and for women even in gynecology.

Osteochondrosis and spondiloarthrosis

Description

Osteochondrosis – a degenerative vertebrae and intervertebral discs, where they are mechanically damaged, cracked, inflamed. Most cases of osteoarthritis have lower back, which is the most "loaded" of the spine.

The spondylosis is the degenerative damage of the intervertebral joints.

Both diseases are considered to be age, in full force manifest itself after age 40. In addition, the disease is "male" character – men are more prone to problems with the vertebrae.

The nature of the pain

When walking hurts badly, the cross alone cover the lower back aching pain. Sometimes is captured, not the whole vertebrae, for example, sore back lower right, the left part does not suffer.

Additional symptoms

Can numbing one or both legs. When walking, the patient gets tired quickly.

Who and how to diagnose?

Surgeon or podiatrist. Main methods are: MRI.

Treatment

Treatment is long and complex. Pills to relieve pain and strengthen the joints a bit, massage and physical therapy should help the patient to strengthen the muscle corset to the spine it was easier to carry the load.

In severe cases, shows the operation.

Infectious gynecological diseases

Description

Lower back pain in women can be triggered by infections – chlamydia, gonorrhoea, candidiasis, and thrush. Men have low back pain due to infection is much less common – they suffer under the stomach.

The nature of the pain

Unpleasant sensations of burning or aching, not dependent on the load and time of day.

Additional symptoms

Pus, bleeding, increased body temperature.

Who and how to diagnose?

Gynecologist. Methods: medical history, urine analysis and blood smear, culture.

Treatment

Antibiotics.

Renal colic

Description

Pain in the lower back can be triggered by the kidneys. In renal colic, the urine ceases to flow from the kidney to the urinary bladder due to injury/kidney stones/inflammation, and develops an emergency medical condition.

The nature of the pain

Pain in lower back left or right. The pain is sharp, oppressive.

Additional symptoms

Frequent and ineffectual urge to urinate.

Who and how to diagnose?

If back pain lower left (or right), then patients will deal with a nephrologist or an internist. Methods: medical history, ultrasound, x-ray.

Treatment

Depends on the cause of the blockade. Often requires surgical intervention.

Diseases of the gastrointestinal tract

gastrointestinal diseases

Description

Pain in the lower back can be a symptom of ulcer of the duodenum, stomach or a symptom of inflammation of the pancreas.

The nature of the pain

Pain in the lower spine is a strong aching or sometimes stinging.

Additional symptoms

The pain are observed also in the abdomen. Heartburn, hematemesis, or diarrhea. Who and how to diagnose?

If there are additional symptoms, the question "Why my back hurts at the bottom" will deal with the gastroenterologist.

Methods: examination, collection of complaints, probe.

Treatment

Depends on the severity of the disease. Sometimes a drug therapy, is often required cauterization of the ulcers. When perforation shown surgery.

Growing pains

Description

If men and women answer the question "Why is a sore lower back" always has the answer, the children are not so simple. There is a group of diseases that have the common name "growing pains". Their causes are not entirely clear, but it is known that the main symptom is night pain, including pain in the lower part of the spine.

The nature of the pain

The child in the night, during sleep there is a pain in the back or lower left back pain on the lower right. The pain is aching and sensitive, if you get out of bed and "go away" — the pain goes away.

Additional symptoms

The pain only appears at night, during activity, complaints of "sore lower back" are not available.

Who and how to diagnose?

The therapist, by process of elimination. Needed: medical history, blood tests, ultrasound, MRI, CT, x-ray.

Treatment

If growing pains sore lower back, the causes will go away on its own with age. At strong painful syndrome, the doctor may prescribe painkillers.

Acute disturbances of the spinal blood circulation

disorders of the spinal blood circulation

Description

Low back pain right and left side can be caused by infarction of the spine – acute violation of the spinal circulation. With this condition, which is a consequence of injury, entrapment or thrombosis, the blood ceases to flow to the blocked areas of the spine and the tissues slowly die.

The nature of the pain

Pain in lower back in women as men, equally acute and strong.

A heart attack can be so wide that the patient can not stand on his feet.

Additional symptoms

Often develops with loss of sensation on the right side, left side and below the lesion.

Who and how to diagnose?

Any physician, surgeon, trauma surgeon and emergency physician. Methods: x-ray, ultrasound.

Treatment

Conservative – funds that thin the blood, which reduce swelling and inflammation. Supportive therapy.

If treatment is not given effect or state of beginning to threaten the patient's life – shown operation.

Non-infectious inflammatory disease

Description

To this type of diseases include skin diseases: dermatitis, some types of lichen, granulomas. All of them, originating in the lower back can cause pain.

The nature of the pain

Pain burning is on the skin or deep under her.

Additional symptoms

Redness, skin blisters, itching.

Who and how to diagnose?

Dermatologist. Methods: medical history, test results, crops of fluid from the blisters, review.

Treatment

Depends on the disease.

Often ointments, although in some cases, use of tablets and injections.

Metabolic lesions of bone

Description

This group includes diseases in which bone loses mass and strength. Why? This happens for various reasons, but mostly because of the imbalance of the regeneration/destruction of bone tissue. The shift also has a lot of reasons – for example, it can lead to the violation of absorption of calcium from food. Often this disease is diagnosed in older women, men rarely.

The nature of the pain

Pain – aching, medium intensity. Can be located in the center of the vertebra, right side, left side. The pain increases when the weather changes, under load.

Additional symptoms

Frequent microfractures in the bones and fractures. Usually, the disease involves not only the spine, but other bone structure.

Who and how to diagnose?

The surgeon, the orthopedist. Methods: medical history, urine tests for calcium and other substances, x-ray, MRI.

Treatment

Depends on the specific disease.

If possible, medicines that eliminate the cause brittle bones, otherwise supportive care.

Infectious diseases that affect the vertebrae and discs

Description

The spine may also fall ill with an infectious disease. When this infection affects the part of the spine and causes inflammation. The basic names of diseases: discitis, osteomyelitis, epidural abscess, postoperative infections group.

The nature of the pain

Depends on the type of lesion. If the infection developed around the lower vertebrae, the inflammation presses on the nerve roots and the patient plagued by pain of a sharp character shoots in the foot with the right side/left side and when walking, and at rest. If the infection has developed inside of the spine, appear aching pain of medium intensity.

Additional symptoms

Temperature, inflammation in nearby organs (kidneys, bladder, uterus in women, testes in men).

Who and how to diagnose?

Physician, surgeon. Methods: blood and urine tests, ultrasound.

Treatment

Conservative.

Vertebral fractures

vertebral fractures

Description

Fracture of a vertebra or several vertebrae is a very dangerous phenomenon. In this fracture the patient has all the chances to remain disabled, as it threatened all the structures that lie below the fracture site. Distinguish between compression and explosive fractures. The first damaged the front part of the vertebra, with the second – and the front and rear.

Compression fracture (even if suffered a "lower" vertebra) has a relatively favorable prognosis, when the explosive fracture of the probability of further disability.

The nature of the pain

The pain is sharp and very strong, can be sharp. Felt at the site of fracture, though sometimes back pain on the right, left or bottom.

Additional symptoms

Depending on the strength of the fracture below the injury can occur: numbness, loss of sensation, paralysis of the legs; urinary incontinence and fecal incontinence, loss of sexual function; convulsions.

Who and how to diagnose?

A spinal fracture is a medical emergency, so it can diagnose any doctor.

Methods: x-ray, MRI.

Treatment

Depends on the type and severity of fractures. In uncomplicated cases, hospitalization, bed rest with restriction of movement, maintenance therapy, then rehabilitation. In severe cases – surgery.

When you need to go to the doctor?

To the doctor you need to go anyway, because the spine is Central to vital structures.

Any injury, illness, and problems of the spine can lead to disability, in the case of the lower divisions – to the loss of feet and, consequently, to the loss of ability to walk.