In the process of evolution, man became a creature upright, but stand on his feet, he made the backbone of the daily experiencing high load, which marked the beginning of diseases of the musculoskeletal system. The most common complaints of patients in the doctor's office - it hurts your back in the lumbar, can be a consequence of various diseases of the spine. In this painful back pain arises and how it reflects various issues with internal organs or accompanies severe systemic disease.
The task of the doctor - to find out the true cause of back pain for which the patient may have to undergo a complete examination. According to statistics, from back pain suffers every third inhabitant of the great metropolis, regardless of gender and age. For some patients the discomfort becomes so habitual, that they cease to notice it. But to ignore such a symptom cannot, because the progression of the pathology can lead to very unpleasant consequences, up to disability. What to do when back hurts in the lumbar, to what doctors to go and how to deal with this symptom?
Why hurt your back in the lumbar?
It is useful to know
Pain in the lower back - it's a vague symptom that can be caused by a number of causes, ranging from a simple over-work and ending with the emergence of malignant tumors.
In medicine accepted classification, according to which all the mechanisms of the development of back pain are divided into:
Primary - painful cause дегенеративно-дистрофические changes in the spine (osteochondrosis, spondylarthrosis, протрузия of the intervertebral disc).
Secondary - the pain in the lower back are a reflection of a number of diseases:
- disease growth (scoliosis);
- violation of metabolic processes (osteoporosis);
- injuries (contusions, sprains, fractures of the vertebrae);
- tumor processes;
- inflammatory diseases (arthritis, spondylitis);
- infectious lesions that affect the межпозвоночные drives.
Diffuse pain in the lower back, often occur in diseases of the pelvic organs, gynecological and урологических патологиях.
Character болевого syndrome can be acute or chronic, the area of localization - to the right or to the left of the spinal column. Often these pains иррадиируют in the back, паховую area, lower limbs, осложняются neurological симптоматикой, are the cause of restricted mobility and stiffness of movements. More detail on the most common causes, causing the characteristic pain syndrome in the lumbar.
Back hurts in the area of lower back pain - causes
The most common reasons болевого syndrome in the lumbar region include the following states:
- Injuries of the spine. An unfortunate fall, a blow, or even lifting weights can lead to very resilient to the crisis, the shift of the vertebrae in the lumbar region, stretching the muscles. Every injury is accompanied by severe, sharp pain that literally gives a person a straighten out. Sometimes there is damage to the spine leading to paralysis of the lower limbs. Diagnosis is put after an x-ray of the spine, and methods of treatment will depend on the type of injury and the severity of the damage.
- Osteochondrosis of the lumbar. Disease дегенеративно-dystrophic nature leading to the defeat of the cartilage of the intervertebral disc. In the initial stage of degenerative disc disease is felt only mild discomfort in the lumbar, which gets worse after physical exertion. With the progression of the disease begins with the destruction of the fibrous rings and reduces the distance between the vertebrae, which leads to ущемлению nerve endings and the emergence of severe pain in the lower back, отдающих step. In the last stages of the disease occurs deformity of the spine, formed of a hernia, intense pain are permanent, a person can lose the ability to mobility and become disabled.
- Radiculitis. The disease arises due to compression of the nerve roots of the spinal nerves. The cause of the lumbar-sacral back pain can be frequent colds, injuries of the spine, tumors, hernia, salt deposits. Intense bouts of back pain occur suddenly during physical exertion, change in body position, and even when you cough or sneeze are accompanied by a change of the sensitivity on the go radicular nerve, giving the thighs, buttocks. During a seizure a person can разогнуть back.
- A Herniated intervertebral disc. Pathology is accompanied by protrusion of the body intervertebral disk into the spinal canal. Disease can cause trauma, degenerative disc disease, a low-active lifestyle, exercise, strength training. They are long, gnawing pain in the lower back that gets worse during movement, long standing, cough, sneezing. With the progression of the disease is a painful, intensifies, gives to the thighs and buttocks, accompanied by онемением of the limbs, loss of mobility. Problems with a chair, incontinence and other complications.
- Spinal stenosis. Narrowing of the spinal canal, most often is diagnosed in advanced age. This condition contribute to the degenerative processes that develop in the spine with the aging of the organism. The result is pain in this separation of the vertebrae pillar, which was morbid changes. Stenosis is accompanied by not only болевым syndrome, but also a sense of crawl "chills" and numbness of the extremities. Patients with стенозом quickly get tired, can not long walk, suffering from intermittent claudication.
Characteristics of lumbar pain
Assume the presence of this or that pathology, an experienced doctor can from the nature of the болевого syndrome. Pain in the lumbar may be sharp, sharp and to discover seizures, or harass a person constantly and wear a dull, aching character.
Sharp pain in the lower back may be caused by the following diseases:
- osteochondrosis of the lumbar-sacral department;
- lumbago, sciatica;
- intervertebral hernia (acute form);
- протрузия discs in the lumbar;
- acute violation of спинального blood circulation.
Sharp, paroxysmal pain may have a neuralgic nature, and occur under the following патологиях;
- pinched nerve roots in the lower spine;
- manifestations of multiple sclerosis, поражающего nerve fibers of the spinal cord;
- lumboschialgia, accompanied by ущемлением the sciatic nerve;
- degenerative sacroiliitis - festering process in the sacral area.
The chronic nature of the pain, manifested тянущими, aching feelings, is celebrated in патологиях:
- spondylosis deforming;
- tumors of the spine and spinal cord;
- scoliosis (curvature of vertebral columns);
- infectious lesions - tuberculosis, brucellosis;
- inflammatory processes of rheumatoid arthritis;
- atherosclerotic changes in the abdominal аорте.
Irradiating a (scattered), pain in the lumbar arise in a patient in поражениях of the internal organs:
- diseases of the organs of the digestive system (stomach, 12-перстной intestine, pancreas, gall bladder);
- renal colic in the urinary diseases, pyelonephritis;
- intestinal pathology - diverticulosis, a tumor, ulcerative colitis, intestinal obstruction
- diseases of the pelvic organs.
It is useful to know
Many men say that the very back hurts in the lumbar when простатите or tumors of the prostate. In women a similar symptom causes an inflammatory process in the придатках, endometriosis, genitourinary infections, or malignant tumors of the uterus and ovaries.
Localization болевого syndrome
In the process of diagnosis the doctor should pay attention not only on the nature of the pain, but also to the area of its localization. Сопоставив the complaints of the patient with the degree of painful sensations and space to defeat, it can be assumed, what the pathology is causing the discomfort. This will help you map out the scheme of the examination of the patient and will speed up the setting of the correct diagnosis.
Hurt my back in the lumbar to the right
If the patient complains of pain in the lower back on the right side, is the cause of this condition may be inflammatory lesions of the liver, gallbladder or right kidney. When intestinal obstruction or atypical manifestations of appendicitis painful feelings appears on the right side, below or above the loins.
Pain in the lower back on the left
The cause of this condition may be inflammatory processes in the intestine, pancreas, tumors, trauma, degenerative pathologies (spondylosis, hernia). Pain on the left side of the lumbar observed in inflammation of the urinary bladder, pyelonephritis, damage to the muscles and ligaments in this area.
Hurt my back in the lumbar man
Alarming symptom may cause excessive physical load. For example, pain in the lower back often watch professional athletes engaged in weight training, bodybuilding competitions and arise after sharp turns, tilts, exercises with a dumbbell. Lumbar pain, visiting workers, engaged in heavy physical work - loaders, builders, workers of agriculture.
Very often it is the cause of болевого syndrome in men are kidney disorders, neurological pathology (inflammation, nerve), degenerative processes in the lumbar, which causes squeezing of the root (osteochondrosis, intervertebral hernia, pinched sciatic nerve). When damage to the kidneys, pain syndrome in the lumbar, is strengthened, if a person lies in a vertical position, bends down, sharply rotates. Factors that contribute to discomfort, can also be related diseases - diabetes mellitus, diseases of the internal organs, is an inflammatory process in the prostate gland, неврастения.
Back hurts in the area of lower back pain in women
In addition to the reasons mentioned above, lower back pain in women can trigger the inflammatory diseases of organs of small pelvis (uterus, appendages), endometriosis, uterine fibroids, or malignant tumors. In addition, the shoulders in women are often pain during pregnancy, because in this period will greatly increase the load on the spine. With the growth of the fetus is the center of gravity shifting, and a woman can always feel the drag of pain in the lower back (especially when tilted forward).
At the late stage of pregnancy is the release of the joints in the sacral area, so the body is preparing for the upcoming birth. This process also causes tension and pain in the lumbar region. In addition, in the course of pregnancy often other chronic diseases. Inflammatory pathology of the urinary system, kidney disease can manifest itself described pain in the lower back.
Sometimes drag back pain occur in women at different stages of the menstrual cycle, which may be indicative of disruption of the function of the reproductive system. In this case, should as soon as possible consult a specialist and undergo the necessary examination. Trigger a characteristic symptom can have an abortion, which is associated with damage to the inner lining of the uterus, reduction or the development of эндометрита (inflammation in the womb). In such cases, the pain локализуется at the bottom of the lower back and legs.
Often the cause of pain in the sacral area become a difficult birth, accompanied by injuries and the stretching of the birth canal. How to restore these symptoms become less pronounced and will soon disappear. If the back hurts in the lumbar and on the legs, the cause may be displacement of the vertebrae, or pinched nerve roots, occurs during childbirth.
How to treat back pain?
In the first place the patient's interest, which the physician treats the back pain in the lumbar and to what expert to turn to for help? First you need to get to an appointment to a local therapist, who on a set of symptoms, and with regard to the results of the survey put the preliminary diagnosis and for further treatment lead the patient to narrow specialists.
When поражениях the traumatic nature of the patient will guide the doctor - traumatologist. In inflammatory or degenerative поражениях spine - ревматолог, orthopedist, neurologist. In diseases of the organs of the digestive system treatment performed by a gastroenterologist. If it is the cause of the pain lies in the defeat of the genitourinary system, a woman should consult a gynecologist, man - to урологу. In the development of cancer the treatment process the patient deals with the oncologist.
When it appears a sharp pain in the back - the so-called "lumbago", it is recommended to take the pill each analgesic (Baralgina, Analgin, Ketanova) and try to take a comfortable position, in which the pain is not so strong, and the musculature is released. In the absence of the effect of over 40 minutes, you can take more with a strong product - Ketorol, Трамал, Diclofen. Such strong pain medication can be used no more than 2 times a day.
To remove the spasm you antispasmodics (no-spa, Drotaverine, Papaverine, Duspatalin). It is possible to take the pill diuretic (Furosemide, Veroshpirona), which eliminate the swelling and help to relax the pinched nerve roots. Of course, that all of the above funds shall be applied only as a first aid in bout of back pain or sciatica that does not rule out that it is mandatory to visit a doctor.