The following question is, "What does back pain mean?"It may seem stupid.Everyone can try it.It was in a long -time, forced pose, a dried, heavy object, in an unpleasant bed, here is the usual causes of the back and pain overloading.The decision begs itself.Drink anesthesia and wait for a quick healing.
It doesn't always help.Pain can definitely get your feet and become the worst enemy of weeks, months, months.Even if some patients do not seek medical attention but continue to take the tablets.
Pain is a sign of our body through the nervous system that a problem arises and needs to be resolved.The situation is much worse when the disease progresses and nothing hurts.This occurs with oncological diseases when the pain occurs in the final stage of the disease.
Types of pain
Non -specific - it takes more than 85% of your doctor's visit.Muscles, ligaments, tendons and small joints of the spine are overloaded.
Koreshka - caused by compression of the nerve root of the hernia.Up to 10% of cases.
Specific - caused by a certain disease.This includes spinal fracture, tuberculosis, messy process, tumors, spinal cord narrowing, abdominal cavity disease, a small pelvis and others.Up to 10% of cases.
Symptoms
Typical symptoms of non -specific pain:
- appearance, aggravation when mobility (sharp rotation of the head, slope, weight lifting);
- after a long emergency (sitting on a computer with professional drivers, static constant work for sellers);
- Limiting mobility after sleeping in an uncomfortable position on an uneven surface.
These symptoms are caused by a violation of motor stereotype when some muscles and joints are overloaded, while others, on the contrary, do not participate in movements.
There is a thing like a "unprepared" movement.When the muscles do not stretch out, the tapes are not warm and receive heavy loads or very large amounts of movement.So, office workers who do not participate in the sport, after loud events with play activities and rope towns, do not work the next day because of the problems of the back.Another category is retirement gardeners.All winter houses were filled with minimal physical activity and suddenly placed superfluous load on the spine.The result is one - pain, limiting mobility.
The roots of the spinal cord:
- Pain on the fingers of the foot, brush;
- Violation of reflexes;
- sensitivity changes (numbness, increased skin sensitivity);
- decrease in muscle strength;
- Symptoms of muscle tension.
These symptoms - the pain of the tongue, the small finger numbness on the arms or the foot pain on the leg, often determine exactly the level of the spine at the nerve compression without MRI.
Specific pain can be a potentially dangerous, serious illness.Symptoms of threats:
- The beginning of lasting back pain for 15 years and after 50 years;
- The non -wearing nature of the pain (the pain does not decrease in itself, in lying position, in certain poses);
- the relationship between pain and injury;
- the smoothness of the pain;
- earlier presence of oncology;
- temperature pain, weight loss;
- prolonged stiffness in the morning;
- paralysis, pelvic disorders, severe sensitivity disorders;
- Changes in urine analysis, blood.
The cause of such violations may be serious illnesses:
- rheumatic diseases;
- malignant tumors;
- infections (osteomyelitis, abscess, tuberculosis, closing herpes);
- vascular disease (abdominal aortic aneurysm);
- blood diseases;
- osteoporosis;
- kidney disease, cystitis;
- pancreatitis, duodenal ulcer;
- The spinal canal stenosis, spinal fractures.
Therefore, it is better to consult a doctor to exclude dangerous causes.Especially if the painkillers help poorly and there are dangerous symptoms.
Diagnosis
This is the most important stage of treatment as all further measures depend on.You seem to be able to make an X -TRT or an MRI, then everything becomes clear.But here are the pitfalls.The functional diagnostic doctor concludes from the vision seen in the picture.But he does not examine the patient himself.Therefore, the results of the image are not the same as the diagnosis.
Analyze the example.If you are taking a perfectly healthy person at the age of 20, almost half of them can be detected with the hernia of intervertebral plates.But this does not mean that they need treatment in an in -depth examination or in spine surgery to eliminate errors.
Clinical recommendations to a doctor at the National Institute's general practice doctor to improve the health and social assistance requirements of Britain, in most cases, with non -specific pain syndrome, for one year, it is recommended that neither X -Gray nor CT/MRI with many exceptions.
Isn't it a pain in pain?Only in 1 of the 10 cases.In all other cases, the disk hernia and the back pain are not linked.
First of all, the development of pain, the first episode, the history of the circumstances (injury, load) is clear what other symptoms have appeared, apparently not related to back pain.
During the inspection, we evaluate the spine bends, mobility restrictions, and muscle tension.Localization of pain, signs of compression of the roots ("ad" in the leg, violation of the sensitivity of the limbs).
And only then, as indicated, CT/MRI is performed, a general and biochemical blood test is prescribed.
Therefore, the doctor should be diagnosed.You need to determine the type of pain, the necessary studies, exclude the dangerous symptoms of specific pain, and only prescribe treatment.
Treatment
First aid. It can help yourself even before taking the tablets.Download the spine and give you the opportunity to relax.To do this, we lay down on a flat hard surface (floor, dining table, plywood) on the back.Under your feet, you should place a large pillow, roller, stool to have an angle between the body and the hips in a 90 degree knee.
We breathe slowly and try to relax as much as possible with every exhalation.You can lie as much as you need.The most important thing is that the surface is not cold.The soft sofas, the beds are inadequate.
Drugs-Treatment usually does not begin with -Steroidal anti -inflammatory drugs (NSAIDs) that help relieve pain and inflammation.These drugs can be purchased without a prescription, but they cannot be taken uncontrollable.
Their intake can lead to erosion, intestinal ulcer and stomach, bleeding.If there are already problems with the gastrointestinal tract, this increases the risk of complications.They can have a toxic effect on the liver.There is a risk of asthma of the cardiovascular system, kidneys and bronchi.
Traditional NSAIDs have several side effects, especially on the digestive system.But they are quite affordable.
Selective NSAIDs have a much lower adverse effect on the digestive system but are higher.
However, choosing a medicine is better to entrust the doctor to correlate the risk and benefits in each case.You may have prescribed drugs to protect the stomach.
Another group of drugs is muscle loose, helping to relieve muscle cramps.
Condroprotectors are also used.
Life. Back pain does not mean that you need to lie down all the time.Bed relaxation, corset and other devices that restrict the movements are not recommended.This only causes the muscles that keep us in an upright position.
A reasonable activity should be maintained to maintain the sound and normalize blood circulation.Light walks, gymnastics, physiotherapy exercises are right.
You also have to sleep on the hard orthopedic mattress.Take a break at work to walk.Drink enough liquid.
Prevention
To prevent it, you need to strengthen your back to create a strong muscle corset.Physiological directions such as swimming, pilates and yoga are right.
Sleep is recommended on a flat, rigid surface.The pillow is small, comfortable.
Raise more than 3 kg bags with a straight bottom back with the strength of the legs.The load is distributed evenly with 2 hands.
Replace the bag with a backpack and wear two straps
To reduce the shock of the spine, wear thick spring soles.The reduction of weight is advisable.