Most people in the middle and older are mainly faced with back pain in the lower back, and both men and women are equally.Pain after carrying physical activity, hypothermia, lifting and severity, or long staying in a long -standing pose."He entered the back", characterized by the lower back pain of the back in the lower back.
Reasons
It should be noted that the pain of different intensities is most experienced by people of active age who are up to 60 years old.This is explained by the constant work of the muscles that support the spine and its natural bends.Because man is most often in the upright position, the muscles are almost not resting.
The presence of the weaknesses of the lumbar region: the triangle of the bird and the rectangle (rhombus) grunfeld-lesgaft.The poultry triangle has a mild layer of muscle and a small gap between the terminal edges of the wide and external oblique muscle.The Grunfeld-Lesgft Rhombus does not close the top of oblique abdominal muscles on top, poorly enriched, so it is exposed to lumbar hernia.
Lumbar muscle is the deepest in the body.It affects the elasticity, strength, amplitude, and articular mobility, and the work of internal organs.This muscle is responsible for maintaining a person's vertical position and is actively involved in lifting the legs.
The proper functioning of the lumbar muscle supports the entire upper body and forms a platform for the internal organs of the abdominal cavity.Frequent reduction in tension or overvoltage can be shortened, which can result in lower back pain, nerve endings, deformation of the vertebrae and developing degenerative processes in the joints.Lumbar muscle chronic cramps are extremely negatively affecting posture, depth of breathing and the condition of vital organs.
Back pain as a symptom
The lower back may be harmful due to the background of spinal problems or the background of systemic diseases.Many forms of pain syndrome are clinically distinguished: local, projection, reflection, roining (radicular) and muscle cramps.
Local pain syndrome in the lumbar region is constant and its intensity depends on the position of the body.In addition, pain is improved by movement and palpation of a particular area.With this form of pain, the mobility of the body and lower limbs can be limited.
The projection pain syndrome is the result of damage to vertebrates and paravebral (periporteous) structures.It can be spilled or local, and due to compression of nerve endings, which transmits the signals to the appropriate area of the brain.Pain perceptions are divided along the affected nerve and increases with the turns and decisions of the body.Pulzating pain is observed during hard work or physical exercises, which results in the axial load of the spinal column.
The rooster pain syndrome is surprising and pronounced intensity: patients mean when they say that the back is "grabbed".Pain is so acute that one cannot balance and often be forced to stay in a position in which a rooting fire has gone beyond.
In the absence of movements, the Roying Pain syndrome does not pass and acquires a painful character.However, the attempts to move are accompanied by the strongest cramps and sharp, burning rogues.In the vast majority of cases, it shoots not only at the bottom of the back, but also at the foot towards the ankle.The distinctive properties of radical pain are strengthened when turning to one side, bending and lifting straight legs from the position of black.
The reflected pain syndrome indicates the lesion of the internal organs.This is due to the fact that the lumbar spine and tissue of the lumbar spine near the abnormal focus are innervated by the same nerve.Because the pain goes from inside the body to the back surface, the pain is blurred, blurred, retained during movement and does not increase with pressure.
The lower pain of the back can be acute and chronic.If this symptom is disturbed by up to three months, they talk about the acute form.If the injured tissues are not restored at this time, it will be placed in the chronic category.
Classification
Lower back pain is classified according to the mechanism of occurrence and can be noceceptive, neuropathic and psychogenic.The nociceptive type appears by irritation of pain receptors - nociceceptors - and is a consequence of damage to mechanical trauma or local inflammation (stretching, Bruis).
The hernia is one of the consequences of osteochondrosis, shown by the protrusion of the intervertebral disc between the vertebrae.
Neuropathic pains accompany the intervertebral hernia's nerve roots.These are distinguished in the lower limbs by irradiation (return) and combined with numbness and some restrictions on movements.Such pain does not pass on his own and is usually chronic.
The psychogenic type is a rare phenomenon due to a traumatic situation or violation of the nervous system.
This classification is conditional because the pain most often causes all three types at one or another degree.Doctors use several terms to determine pain: Lumbago, Lumbalia and Lumbar algy.
Lumbago is a sudden analgesic attack, which begins with patients called "gap", "push" and compared with lightning or electrical flow.Lumbalgia starts gradually and is characterized by pain, especially at the lower back, at the end of the spine.
In Lumbalia, the back does not hurt continuously, pain occurs after it is in a long position or after the body has been overthrown.It is difficult for patients to bow and perform simple activities such as washing, brushing or ironing.They are looking for the most profitable pose to reduce lumbar muscle tension and alleviate their condition.
The lumbosiciashalgia pain syndrome, which covers the back of the lower back, buttocks and one or both legs.It increases in any movement, including coughing or sneezing.
Potential pathologies
Most often, the lower back hurts muscle overvoltage, especially due to too intense workouts or unusual physical work.In this case, the cauldron provokes the interruption of the connecting fibers in the locations of the muscle binding.
The pathologies that cause the symptom should be noted:
- Between vertebrae hernia.The main signs are a sharp pain that appears unexpectedly, a feeling of stiffness, feeling of possession, weakness of the lower limbs;
- The compression fracture of the spine- occurs during injury, osteoporosis and tumors;
- Ponytail syndrome.This symptomatic complex is known as compression of the huge nerve beams between the first lumbar vertebra and the coccyx.It is manifested on the right or left, with severe pain at the waist level and below.The pain syndrome radiates to one or both limbs and to the inguinal zone.The progress of the disease leads to a violation of palpable sensitivity and the outstanding weakness of the legs.In the absence of treatment, serious complications extend to disability;
- Acute aneurysm of the abdominal aorta.In the lower back, pain and difficulty are often the only sign of this condition.Most often they are diagnosed with elderly people with atherosclerosis and complain of the pierced nature of night pain;
- Infectious injuries.The pull and dull pain on the back of the back cause chronic bacterial skin infections, urogenital and respiratory systems, damaged immune systems, and taking hormonal drugs.In addition to pain, the discomfort of the abdominal and inguinal areas is felt behind the sternum;
- tumors.The pain is disturbed both at night and at night and gradually increases.As a general rule, there is a sharp weight loss without sharp reasons.Tumors are most often diagnosed in people over 50 years of age, with a history of oncological diseases.
The pathologies of the gastric intestine tract can cause surrounding pain.The feeling that pulls the lower back is often accompanied by gynecological diseases.Congenital skeleton defects and metabolic disorders can also cause pain at the bottom of the back.
Attention:If the lower back is sharply ill and the pain is painful, unbearable, we can assume that urolithiasis is exacerbated when the formed stone moves along the urinary tract.
Treatment
Treatment of lumbar pain of any origin is one of the most sophisticated medical areas.All modern studies on the subject are said to be one thing: Acute pains should be removed at the back of the back and lower limbs as soon as possible.If it is not anesthetized on time and permits the chronicle of the pain syndrome, the prerequisites for the development of psychogenic disorders will be created.In contrast to clinical symptoms, the therapeutic process is slowed down and its result is weakened.Therefore, above all, the pain is removed, regardless of their intensity.
Anti -inflammatory non -sertoid agents and analgesics are required to get rid of pain.In severe cases, if a person is very painful to walk and the lower back is very interrupted, therapeutic blockades are used.
The painkillers are weak, average and strong.The latter allows you to quickly relieve pain but have many side effects.Their use is confirmed by severe damage to the intervertebral discs and the compression of nerve endings.
Modern pharmacology offers therapeutic plaster with various components - anti -inflammatory, warming, chondroprotective and plant dietary supplements.
If the pain is considered weak or moderate, the doctor prescribes painkillers.In the case of damage to 1 structures, non -seertoid anti -inflammatory drugs are most commonly used by NSAIDs with a triple effect.Not only do they stop pain syndrome, they also suppress inflammation and reduce body temperature.
NSAIDs are used in tablets or injections and in the form of ointments or gels.
Good results are shown by the use of plasters.Vitamins prescribed by doctors in injections or pills are helped to cure lower back pain.
Muscle cramps often provoke severe pain syndrome from where muscle lakes help well.The severe pain and pulsation caused by inflammation are stopped by hormonal drugs.
Therapeutic blockade
Occasionally the only drug to eliminate pain is therapeutic blockade.Through the injection, one of the relationships of the pathological chain turns off, which results in the pain impulse does not reach the back, legs and internal organs.Blocks can be used for diagnostic purposes to determine the real cause of pain.
After the injection is injected, the pain takes place in minutes, and the procedure itself is similar to capturing a puncture.Signals of your behavior are as follows:
- osteochondrosis and complications - the protrusion and hernia of plates;
- myositis;
- neuralgia;
- Spondylarthrosis (calcification of spinal water).
Attention:The blocks are carried out only in the hospital under sterile conditions.This is due to the fact that the spinal cord is sensitive to the penetration of various pathogenic microorganisms.If you are infected with the virus, the death is not excluded.
Therapeutic blockades are performed up to four times a year if 10 or more injections can be prescribed if necessary.They need a 5-7 day break between them.Solutions for blockade injection contain more parts, the main painkillers.Corticosteroids are added to relieve inflammation.The composition of injections can also contain vitamins, thrombolitics and enzymes.To normalize neuropulzal transmission, the ATP is introduced into the solution.
Phytoalization
After removing acute symptoms, the activity depends on the type and severity of the disease.Patients can prescribe massage, exercise and physiotherapy.
The most effective with the pain of the lumbar region:
- Electrophoresis with special drugs;
- wraps with therapeutic mud;
- Paraffin and ozokeritic applications;
- turpentine and pearl baths;
- amplipulstherapy;
- electrical stimulation of muscle;
- acupuncture.
To stabilize the vertebrae and reduce the load on the lower back muscles, doctors recommend the use of orthopedic grasses.They are particularly effective in chronic pain caused by vertebrates.The use of applicators allows you to accelerate recovery.
The positive effect of such products is as follows:
- eliminate or noticeably reduce pain;
- The condition of the nervous system is normalized;
- vital sound and performance growth;
- The metabolic process of the body accelerates;
- The cramped muscles rest.
Therapeutic exercises can only be performed during the remission period, with a lack of minimal or complete pain.Strong muscle lining is an excellent prevention of most diseases of the muscle system.
Attention:High -performance loads, sharp turns of the body, jumping, running and swinging legs are forbidden.
Thus, the lower back pain is a sign of the disadvantage of the spinal column or the internal organs.A specialist should be consulted with a specialist in order to prevent chronicle of the pathological process and prevent possible complications.