Most of the middle and older and older people are faced with back pain in the lower back and both men and women suffer in the same way.Pain can occur after physical activity, hypothermia, lifting and transport of gravity or due to a long stay in a stationary pose."It entered the rear", back pain is characterized in the lower back.
Reasons
It should be noted that the pain of different intensity is mostly experienced by people of active age, who are not more than 60 years old.This is explained by the constant work of the muscles that support the spine and its natural curves.Since a person is more often in a vertical position, the muscles do not rest almost.
The vulnerability of the lumbar region is due to the presence of its weaknesses: the triangle of the bird and the quadrangole (rhombus) Grunfeld-Lessgaft.The poultry triangle has a delicate muscle layer and is a small gap between the terminal edges of the large and external oblique muscle.The rumble grunfeld-lesgft does not close the oblique abdominal muscles on the top, it is poorly fortified, therefore it is subject to the formation of lumbar hernias.
The lumbar muscle is the deepest of the body.It affects flexibility, resistance, amplitude of movements and joint mobility, the work of the internal organs.It is this muscle that is responsible for maintaining a person's vertical position and takes an active part in lifting the legs during the walk.
The correct functioning of the lumbar muscle provides support for the entire upper part of the body and forms a platform for the internal organs of the abdominal cavity.With frequent reduction due to stress or overvoltage, this muscle begins to shorten, which can lead to back pain, compression of nerve endings, deformation of vertebrae and development of degenerative processes in the joints.The chronic spasm of the lumbar muscle extremely negatively influences the posture, the depth of breathing and the condition of the vital organs.
Back pain like a symptom
The lower part of the back can damage due to problems with the spine or the background of systemic diseases.Different forms of pain syndrome are clinically distinct: local, projection, reflected, real (root) and due to muscle spasm.
Local pain syndrome in the lumbar region is constant, its intensity depends on the position of the body.In addition, the pain has improved by the movements and palpation of a particular area.With this form of pain, the mobility of the body and the lower limbs can be limited.
The projection pain syndrome is due to damage to the vertebrates and paravertebral structures (periphence).It can be paid or local and occurs due to the compression of the nerve endings, which transmit signals to the corresponding area of the brain.The sensations of pain spread along the nerve concerned and increase with curves and inclination of the body.During hard work or physical exercises, the pain pain is noted, whose origin is associated with an axial load on the spinal column.
Rooser pain syndrome is surprising and pronounced: patients mean when they say that the rear has been "grasped".The pain is so acute that a person cannot straighten himself and is often forced to remain in the position in which he was overcome by a real fire.
In the absence of movements, even real pain syndrome does not pass and acquires a painful character.However, attempts to move are accompanied by strongest cramps and acute and flames bastards.In the vast majority of cases, he shoots not only in the lower part of the back, but throughout the leg to the ankle.The distinctive characteristics of root pain are its strengthening when turning on one side, inclinations and lifting of legs straight from the deck position.
The reflex pain syndrome indicates the lesion of the internal organs.This is due to the fact that the lumbar column and the tissue near the pathological focus are innervated by the same nerve.Since the pain goes from inside the body to the surface of the back, the pain is blurred, blurred, remains during the movements and does not intensify when it is pressed.
Pain in the lower back of the back can be acute and chronic.If this symptom does not disturb itself no more than three months, they speak of acute form.If during this period the damaged fabrics are not restored, it enters the chronic category.
Classification
Back pain is classified according to the occurrence mechanism and can be nociceptive, neuropathic and psychogenic.The nociceptive type appears with irritation of the pain receptors - nociceptors and is due to damage to tissues due to mechanical trauma or local inflammation (lengthening, bruis).
An hernia is one of the consequences of osteochondrosis, it manifests itself from a protrusion of the intervertebral disc between the bodies of the vertebrae.
Neuropathic pain accompany the pinch of nerve roots of intervertebral.They are distinguished by irradiation (return) in the lower limbs and are combined with numbness and some constraints of movements.Such pain does not go by alone 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 subordinate, since the most often pain causes all three types to one degree or another.To determine the pain, doctors use different terms: Lumbago, Lumbalia and Lumbar -Algia.
Lumbago is a sudden attack of pain, the beginning of which patients describe as "gap", "push" and compare it with lightning or an electrical stroke.Lampalgia begins gradually and is characterized by painful pain mainly in the lower part of the back, at the end of the spine.
In Lumbalia, the back does not constantly hurt, the pain arises after a long stay in a stationary position or inclination of the body.It is difficult for patients to bend and also perform simple actions such as washing, brushing of the teeth or ironing.They are looking for the most profitable installation in order to reduce the tension of the lumbar muscle and relieve their conditions.
Lampoiciasicia is a pain syndrome, which covers the area of the lower back, buttocks and the back of one or both legs.It intensifies in any movements, including cough or sneezing.
Possible pathologies
Very often, the lower back of the back hurts due to muscle overvoltage, especially with too intense workouts or unusual physical work.In this case, the cauldron provocateur is the breakdown of the connection fibers in the places of the muscle attack.
Among the pathologies that cause this symptom, it should be noted:
- Intervertebral hernia.The main signs are an acute pain that appears unexpectedly, a feeling of rigidity, possessiveness in the back, weakness of the lower limbs;
- Fracture of the compression of the spine.It occurs during injuries, osteoporosis and tumors;
- Horse tail syndrome.This complex of symptoms is due to the compression of a huge nerve ray located between the first lumbar and coccyx vertebra.It manifests itself from severe pain on the right or left in the back, at the level of life and below.Pain syndrome radiates to one or whether the limbs and the inguinal area.The progress of the disease leads to a violation of tactile sensitivity and the pronounced weakness of the legs.In the absence of treatment, serious complications develop until disability;
- The acute aneurysm of the abdominal aorta.Pain and heaviness in the lower back are often the only sign of this state.More often diagnosed in the elderly who suffer from atherosclerosis and complain of a penetrating nature of night pain;
- Infectious injuries.The pain and opaque pain in the back of the back cause chronic chronic skin infections, urogenital and respiratory systems, altered immune system, taking hormonal drugs.In addition to pain, the discomfort in the abdominal and inguinal areas is warned behind the sternum;
- neoplasms.The pain is worried both during the day and at night, it gradually intensifies.As a rule, there is a strong weight loss without obvious reasons.Tumors are often diagnosed in people over the age of 50 with anamnese oncological diseases.
With the pathologies of the gastrointestinal tract, surrounding pain may occur.The feeling that pulls the lower back of the back is often accompanied by gynecological diseases.Congenital skeletal defects and metabolic disorders can also be the cause of pain in the lower part of the rear.
Attention:If the lower back of the back is severely ill and the pain is painful, unbearable, we can suppose an exacerbation of urolithiasis, when the trained stone moves along the urinary tract.
Treatment
The treatment of lumbar pain of any origin is one of the most complex medical areas.All modern studies on this topic are said on one thing: acute pains in the back of the back and in the lower limbs should be eliminated as soon as possible.If you do not anesthetize in time and allow the chronicle of the pain syndrome, prerequisites for the development of psychogenic disorders will be created.He silenced for clinical symptoms, will slow down the therapeutic process and weaken its result.Therefore, first of all, the pain is removed independently of their intensity.
To get rid of the pain, non -inflammatory non -pounds and non -short analgesics and analgesics are needed.In the most serious cases, when a person is very painful to walk and the lower back of the back is significantly broken, therapeutic blocks are used.
Analgesic drugs are weak, medium and powerful.The latter allows you to quickly relieve pain, but to have many side effects.Their use is justified in case of serious damage to intervertebral discs and the compression of nerve endings.
Modern pharmacology offers therapeutic patches with different components: anti -inflammatory, heating, chondroprier and vegetable dietary supplements.
If the pain is characterized as a weak or moderate, participation in the doctor prescribes analgesics.In case of damage to the structures for 1 time, non -pound fans are often used more often, fans with triple effect.Not only do they stop pain syndrome, but they also suppress inflammation, reduce body temperature.
Fans are used in tablets or injections, as well as in the form of ointments or gel.
The good results are shown by the use of patches.The B vitamins, which doctors prescribe in injections or tablets, help cure back pain.
Muscle cramps often cause a serious pain syndrome, from which muscles are relaxing well.Serious pain and pulsation caused by inflammation are stopped by hormonal drugs.
Therapeutic block
Sometimes the only remedy to eliminate pain is the therapeutic block.Through the injection, one of the bonds of the pathological chain is deactivated, due to which the impulse of pain does not reach the back, legs and internal organs.Blocks can be used for diagnostic purposes to establish a real cause of pain.
After the injection, the pain takes place in a few minutes, the procedure itself recalls the capture of a drilling.The indications for its conduct are as follows:
- Osteocondrosis and his complications - Professor and Ernie of the records;
- Mosite;
- neuralgia;
- Spondylartrosis (calcification of the vertebral joints).
Attention:The blocks are performed only in the sterile conditions of the hospital.This is due to the fact that the spinal cord is vulnerable to the penetration of various pathogenic microorganisms.When infected by the virus, death is not excluded.
Therapeutic blocks are performed no more than four times a year, if necessary, a course of 10 injections or more can be prescribed.Among them, a 5-7 days break is needed.The blocking solutions contain different components, the main ones are painkillers.To relieve inflammation, corticosteroids are added.The composition for injections can also include vitamins, thrombolytic and enzymes.To normalize the neuropulseal transmission, the ATP is introduced into the solution.
Fisalization
What to do after removing acute symptoms depends on the type and severity of the disease.Patients can be prescribed massages, operating therapy and physiotherapy.
With pain in the lumbar region, the most effective:
- electrophoresis with special drugs;
- It envelops with therapeutic mud;
- Paraffin and ozakeric applications;
- Bathrooms of terrible and pearl;
- amplipulsterrapy;
- muscle electrical stimulation;
- acupuncture.
To stabilize the vertebrae and reduce the load on the muscles of the lower back, doctors recommend the use of orthopedic corsets.They are particularly effective in chronic pain caused by damage to vertebrates.The use of applicators allows you to accelerate recovery.
The positive influence of these products is as follows:
- eliminated or considerably reduced by pain;
- The state of the nervous system is normalized;
- The increase in vital tone and performance;
- The metabolic processes in the body are accelerated;
- The spasmerized muscles relax.
Therapeutic exercises can only be done during the remission period, with a minimum or complete absence of pain.Strong muscle corset is an excellent prevention of most of the musculoskeletal system diseases.
Attention:High power loads are prohibited, acute body curves, jumps, racing legs and oscillating.
Therefore, back pain is a disadvantage signal in the spinal column or in the internal organs.In order to prevent the crunning of the pathological process and prevent possible complications, it is necessary to consult a specialist.