The question "What does back pain mean?"It may seem stupid.Everyone can test it.Dry, raised a heavy object, it was long in a forced pose, an uncomfortable bed, here is a list of common reasons to overload the back and pain.The decision rises.Drink an anesthetic and wait for a quick recovery.
It doesn't always help.Pain can firmly gain a position on the back and become the worst enemy for weeks, months, years.Even so, some patients patients may not consult a doctor, but continue to take pills.
Pain is the sign of our body through the nervous system that there is a problem and should be solved.The situation is much worse when the disease progresses and nothing hurts.This occurs with cancer diseases when pain occurs in the last stages of the disease.
Pain types
Non -specific - takes more than 85% of the doctor's visit.Associated with muscle overload, ligaments, tendons and small joints of the spine.
KORESHKA - Caused by compression of the nerve root of a hernia.Up to 10% of cases.
Specific - caused by a certain disease.This includes a spine fracture, tuberculosis, purulent process, neoplasia, spinal canal narrowing, abdominal cavity disease, a small pelvis and others.Up to 10% of cases.
Symptoms
Typical symptoms of non -specific pain:
- appearance, exacerbation when moving (clear rotation of the head, slope, weight lifting);
- It comes after a long forced position (sedentary work on the computer, with professional drivers, static work for salespeople);
- Limiting mobility after sleep in an uncomfortable position on an irregular surface.
The reason these symptoms violate the motor stereotype, when some muscles and joints are overloaded, while others, on the contrary, do not participate in movements.
There is a "unprepared" movement.When the muscles are not stretched, the ligaments are not heated and receive a large load or a very large volume of movements.Therefore, office workers who are not involved in the sport, after Timbilding events with game activities, cities of rope, competitions may not go to work the next day due to back problems.Another category is the gardeners of the age of the pension.They spent the whole winter house with minimal physical activity and suddenly gave an excess load in the spine.The result is a - pain, limitation of mobility.
The roots of the spinal cord are characterized by:
- throwing pain on the toes, brush;
- violation of reflexes;
- Sensitivity changes (numbness, increased skin sensitivity);
- decreased muscle strength;
- Symptoms in muscle tension.
According to these symptoms - tongue pain, pinky finger numbness on the arm or leg pain, it is usually possible to determine quite accurately at what level in the spine there was a nerve compression without magnetic resonance imaging.
Specific pain may indicate a potentially dangerous and severe disease.Threat symptoms:
- The onset of persistent back pain up to 15 years and after 50 years;
- Nature not -of pain (pain does not decrease alone, in a lying position in certain poses);
- the connection of pain to the lesion;
- Softness of pain;
- the presence of oncology previously;
- 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 can be serious diseases:
- rheumatic diseases;
- malignant tumors;
- Infections (osteomyelitis, abscess, tuberculosis, herpes closed);
- vascular diseases (abdominal aortic aneurysm);
- Blood Diseases;
- osteoporosis;
- kidney diseases, cystitis;
- pancreatitis, duodenal ulcer;
- Spinal canal stenosis, vertebral fractures.
Therefore, it is better to consult a doctor to exclude dangerous causes.Especially if painkillers help weakly and there are dangerous symptoms.
Diagnosis
This is the most important stage of treatment, as all additional actions depend on it.It looks like you can make an x -ray or magnetic resonance imaging, so everything will be clear.But there are traps here.A functional diagnosis doctor makes a conclusion based on what you see in the image.But he does not examine the patient himself.Therefore, the results of the figure are not equal to the diagnosis.
We will analyze the example.If you take completely healthy people at the age of 20, almost half of them can be detected by intervertebral disc hernias.But that does not mean that they need treatment, examination or spinal surgery to eliminate defects.
Clinical Recommendations for General Practice Doctors of the National Institute to improve Great Britain Health and Social Welfare Standards in most cases, with non -specific pain syndrome of up to 1 year I recommend that neither X -Ray nor CT/Magnetic Resonance with various exceptions.
Isn't it a hernia causes pain?Only in 1 in 10 cases.In all other cases, the hernia of the disc and back pain is not connected.
First, the history of pain development, the first episode, circumstances (injury, load) are clarified, which other symptoms appeared, apparently not related to back pain.
During the inspection, the spine folds, limiting mobility, muscle tension are evaluated.Pain location, signs of root compression ("gives" in the leg, violation of limb sensitivity).
And only then, according to the indications are CT/MRI, a general blood and biochemical blood test is performed.
Therefore, the doctor should be diagnosed.It needs to determine the type of pain, the necessary studies, exclude dangerous symptoms of specific pain, and only then prescribe treatment.
Treatment
First aid. Even before taking pills, you can help yourself.It is necessary to unload the spine and give the chance to relax.To do this, we lay on a flat hard surface (floor, dining table, plywood) on the back.Under your feet, you need to put a large pillow, roll, feces, so that the angle between the body and the hips is 90 degrees in the knees.
We breathe slowly and try to relax as much as possible with each expiration.You can lie as much as necessary.The main thing is that the surface is not cold.Soft sofas, beds are not suitable.
Drug.Normally, treatment begins with non -steroid anti -inflammatory drugs (NSAIDs), which will help relieve pain and inflammation.These medications can be purchased without a prescription, but cannot be taken uncontrollably.
Its ingestion can lead to erosion, intestinal ulcers and stomach, bleeding.If there are already problems with the gastrointestinal tract, this increases the risk of complications.They may have a toxic effect on the liver.There is a risk to the cardiovascular, kidney system with bronchial asthma.
Traditional NSAIDs have more side effects, especially in the digestive system.But they are quite accessible.
Selective NSAIDs have a much lower harmful effect on the digestive tract, but have a higher price.
At the same time, the choice of the drug is better to trust the doctor to correlate the risk and the benefit in each case.Perhaps recipes recipes to protect the stomach.
Another group of drugs is muscle relaxants, they help relieve muscle spasm.
Condroprotectors are also used.
Life. Back pain doesn't mean you need to lie all the time.Rest in bed, corsets and other devices that limit movements are not recommended.This will only cause weakening the muscles that keep us in a vertical position.
It is necessary to maintain a reasonable activity to maintain the tone, normalize the blood circulation.Light tours, gymnastics and physical therapy exercises are suitable.
You also need to sleep in a hard orthopedic mattress.Take breaks at work to walk.Drink enough liquid.
Prevention
For prevention, it is necessary to strengthen the back to create a strong muscle corset.Physiological directions such as swimming, pilates and yoga are adequate.
Sleep is recommended on a smooth and rigid surface.The pillow is small, comfortable.
Lift bags of more than 3 kg with one bottom straight back with the strength of the legs.The load is evenly distributed by 2 hands.
Replace the bag with a backpack and wear on two strips
To reduce the column shock load, use shoes with a thick sole.It is advisable to reduce weight.