The sad statistics show that about half of the adult population troubled from back pain, but only every fifth turning on the qualified help to the doctor. Negligence to their health entails involvement in the disease process not only of many muscles, but even some of the internal organs. The result of a lesion of the cervical spine are severe headache, tinnitus, blurred vision, dizziness. If they hit the thoracic department, disruption of the work of the heart and lungs. Disease of the lumbar effect on the functioning of the digestive organs and the kidneys, in men it reduces libido.
With regular attempts at lifting heavy objects, but also because of the jumps and falls, occur microtrauma of the intervertebral discs.Systematic negative impact supports a loss of elasticity of the intervertebral discs are flattened, the distance between the vertebrae decreases. Respectively, the nerve roots leaving the spinal cord, clamped. The result becomes unpleasant sensations and feelings of pain. Along with this, in the area of the clamping uneven-vascular bundle forms a swelling, due to which the patient is experiencing even more pain.Destruction of the intervertebral disc leads to the fact that it ceases the depreciation and wounded still stronger.
The prognosis of doctors is based on the age at which the patient first met with suffering. The most dangerous situation occurs, if the symptoms appeared in the 16-18 years — that means the early beginning of the disease. In the 21-23 years old, most likely you encounter the extrusion, to the 32-34 years — intervertebral hernia. At an advanced age, hernia is often exacerbated by evolving autonomic dysfunction, neuralgia, diseases of the blood vessels. If the back pain is localized in the area of the lower back and for the first time touched the patient, if he has already reached the age of 55 to 65 years old, the doctors give positive forecasts.
Examination of the spine is necessary if the pain does not disappear during the movement, is amplified at night, has a high intensity and appeared for the first time. In addition, there is urgent need to visit the clinic says incontinence of stool and urine, recent injury, cancer history. If the pain lasts longer two weeks, the disease with high probability accepts the chronic form, which is poorly treatable.
In the vast majority of cases is the culprit of the pain is osteochondrosis. Intervertebral hernia is manifested by pain sensations when lifting heavy objects and while rotating the torso in a tilted position. After the patient feels weakness and pain in his leg — right or left. Discomfort is amplified when you move, sneeze, cough. Sciatica easily recognizable by the sharp pain in the lower back. If the patient is experiencing constant discomfort in the occipital area and on the shoulders when trying to turn your head, it signals a chronic disease of the spine — cervical spondylosis, which causes an overgrowth and subsequent deformation of the vertebrae. Among other things, who suffer from back pain often complain of the inability to breathe deeply and the lack of mobility of the rib cage. In some cases, the cause is injury — sprains or bruises. Proper treatment allows you to completely heal, the lack of treatment contributes to the development of serious complications, which may lead to a significant curvature of the spine.
Examination of the spine helps to reveal the cause, for which the patient's back hurts.Only by understanding what is the catalyst of malaise, allows you to choose the appropriate treatment. Spin — this is the most extensive of the anatomy of the region, which includes the loins and sacrum, neck, shoulder blades and spine. Exactly on the back is going on the projection of dozens of important anatomical structures. This caused by a variety of reasons, which are able to cause nausea. Usually in quality of these reasons, the act of the pathology of the musculoskeletal system and the various diseases:
- Infringement of spinal blood circulation;
- Hernia of the intervertebral disc;
However, it is important to realize that not always is a disease caused by a disease of the musculoskeletal system. Often pain are the result of lesions of the internal organs:
- Kidney disease;
- Diseases of the gallbladder and liver;
- Problems with the intestinal problems;
- Interruption in the work of the heart;
- Many diseases of the lungs.
In a situation where the pain caused by diseases of the internal organs, the feelings of pain will not disappear, that the patient didn't even do. It can lie, sit, walk, but the intensity of the feelings becomes below. At the same time, doctors do not exclude the reverse situation, when the osteochondrosis of the thoracic department makes itself felt pain in the region of the heart, mistakenly taken for angina.
While it is not the fact that the projection of the internal organs coincides with the localization of back pain. Itself the pain may also be worn by another character. Dull and aching pain between the shoulder blades clearly indicative of cardiac pathology. A sharp pain that affects your back and significantly growing during the change of posture, that is, sciatica, disk hernia or sciatica. The pain, that gives in the side and groin area, is a typical symptom of renal colic.
Only a careful examination of the patient will help determine the exact cause of the disease. Diagnosis involves the elaboration of the clinical pictures of the disease, consulting a neurologist, but also a number of special methods:
- Magnetic resonance tomography (gives a good effect, when it is necessary to visualize the spinal cord);
- X-rays of the spine in two or three planes;
- Ultrasound examination;
- Check a chiropractor;
- Comprehensive analysis of blood, including biochemical;
- Computed tomography;
- Somatic examination.
In the process of collection of medical history, the doctor finds the emotional state of the patient and any stress, the localization of the painful sensations in the back and radiation. He also asks about the accepted injuries and illnesses, captures the relationship between pain in the spine and gestures.
Diagnosis of the spine focuses on the exploration of the neurological condition, muscle tone and signs of tension. In addition, it is important to determine the level of difficulty of the movements due to painful sensations when you try to lift the leg. Priority importance is the diagnosis of the sensitivity, so how can it be reduced or, on the contrary, to climb.
The aim of the somatic survey — to detect a possible infection, tumors, diseases of somatic nature, which may be expressed through illness of the back. Only clinical data give reason to talk about compression and reflex complications of degenerative disc disease. However, you must remember that not all problems with the backbone signal of osteochondrosis — a disease that affects a large portion of the adult people and people over fifty years old. Painful can be a sign of much more serious diseases, therefore it is very important to carry out the most thorough research and find the true cause of the disease. Only in this case, treatment will be really effective.
Treatment of back pain
Treatment of back pain is always assigned on the basis of the causes of the malaise, which can be different in each case. The basic methods include:
- Surgical intervention in cases of urgency;
- Manual therapy;
- Therapeutic physical training (LTV);
- Intake of drugs;
- Rehabilitation activities;
- Traction of the spine;
- A variety of massages.
Treatment is the use of medication helps to alleviate the feelings of pain and inflammation, greatly improve the metabolic processes in the body. Analgesics are divided into two categories — no drugs and narcotic substances.Conventional analgesics represent non-steroidal anti-inflammatory agents. For strengthening of immunity with the use of immunomodulators, and a complex of vitamins B and C. To narcotic pain reliever, doctors resort only in extreme cases when the pain is almost impossible to endure, and other medicines will have no discernible effect. Medications medications are introduced by injection in a situation when the back hurts, not because of the easy stretching of the muscles, but because of malignant tumors or dangerous injuries.
At the present time gaining popularity of the modern highly effective and safe method for the treatment of problems of the spine, joints, ligaments — shock wave therapy, which is the hardware method of therapeutic effects on the tissue by the observation of acoustic waves at a certain frequency.
You cannot overestimate the benefit of physiotherapy practices, which significantly strengthens the dorsal muscles stabilize the spine and positively affect metabolic processes. The most effective in this sense, the electrophoresis with calcium, as well as paraffin baths, electrical stimulation. If it allow you to financial options, the patient is obliged to visit the mud baths — their positive effect on the road to recovery is confirmed scientifically.
Exercise therapy and massage are also aimed at strengthening the muscles and stabilizing the spine. They significantly reduce the intensity of painful feelings, and sometimes they are able to completely get rid of unpleasant sensations. However, therapeutic exercise and massage are displayed only after what will be filmed worsening pain, otherwise the health of the patient and the overall clinical picture of the disease significantly worse. Physiotherapy should take place under the supervision of a doctor, no serious load excluded. The first grade classes most often there will be no movement, all you have to do is lie quietly on a flat is not a soft surface. In subsequent meetings, the doctor will cause the patient to commit a small amplitude and on the strength of the movement — first to lift the feet from the supine position, after the use of special grenades. The best basic exercise for strengthening the spine, which causes association with the stretching of the cat — deflection in a situation where the patient stands on all fours. If the pains are more intense during therapeutic physical training, you should stop the exercise immediately.
Surgical intervention with the aim of removal of disc herniation is indicated only for specific cases, when the spinal cord and the roots of the cauda equina quite heavily crushed. Without it can not do, if a patient is diagnosed radiculopathy, which accompanies the reaction of the obvious paresis. The lack of any kind of any effect after conservative treatment within three-four months and a large herniated disc leave no other option than to turn to the doctor.