Most people mainly medium and older are faced with back pain on the back of the lower back, and men and women suffer equally.Pain can occur after physical activity, hypothermia, survey and severity or severity or due to a long stay in a stationary pose."It entered the back," lumbar pain in the lower back is characterized.
Reasons
It should be noted that the pain of different intensities is experienced mainly by active age, who are no more than 60 years.This is explained by the constant work of the muscles that support the spine and its natural curves.As a person is more often in a vertical position, the muscles hardly rest.
The vulnerability of the lumbar region is due to the presence of its weaknesses: the bird triangle and the Grufeld-LESGAFT quadrilateral (rhombus).The bird triangle has a lightweight muscle layer and is a small gap between the terminal edges of the wide and outer oblique muscle.Rhombus Grufeld-LesgFT does not close the oblique abdominal muscles at the top, is little fortified;Therefore, it is subject to the formation of lumbar hernias.
The lumbar muscle is the deepest of the body.It affects flexibility, strength, breadth of movements and joint mobility, the work of the internal organs.It is this muscle responsible for maintaining a person's vertical position and is an active part in lifting the legs when walking.
The proper operation of the lumbar muscle provides support for the entire top of the body and forms a platform for the internal organs of the abdominal cavity.With frequent reduction due to stress or overtension, this muscle begins to decrease, which can lead to lower back pain, nerve ending, vertebrae deformation and the development of degenerative joint processes.Chronic lumbar muscle spasm extremely negatively affects the posture, the depth of breathing and the condition of the vital organs.
Back pain as a symptom
The lumbar region can harm due to problems with the spine or against the background of systemic diseases.Various forms of pain syndrome are clinically distinguished: local, projection, reflected, roying (root) and due to muscle spasm.
Local pain syndrome in the lower back is constant, its intensity depends on the position of the body.In addition, the pain is improved by the movements and palpation of a specific area.With this form of pain, the mobility of the body and the lower ends can be limited.
Projection pain syndrome is due to damage to vertebrates and paravertebral structures (periors).It can be spilled or local and occurs due to compression of nerve endings, which transmit signals to the corresponding area of the brain.Sensations of pain are scattered along the affected nerve and increase with body turns and inclinations.During hard work or exercise, pulsating pain is observed, whose origin is associated with an axial load in the spine of the spine.
Rooser pain syndrome is surprising and pronounced intensity: patients mean when they say the back have been "clinging."The pain is so acute that a person cannot straighten himself and is often forced to remain in the position where he was surpassed by a fire.
In the absence of movements, Road pain syndrome does not pass either and acquires a painful character.However, attempts to move are accompanied by the strongest and bastard bastards and burned bastards.In the vast majority of cases, he shoots not only on the bottom, but all over his leg to the ankle.The distinct characteristics of root pain are their strengthening by turning on one side, inclinations and lifting the straight legs of the lieuer position.
Reflected pain syndrome indicates the injury of the internal organs.This is due to the fact that the lumbar spine and the fabric near the pathological focus are innervated by the same nerve.As the pain goes from the inside of the body to the back of the back, the pain is diffuse, blurred, remains during the movements and does not intensify when pressed.
Lumbar pain can be acute and chronic.If this symptom does not bother more than three months, they talk about acute way.If, during this period, damaged tissues are not restored, it will enter the chronicle category.
Classification
Lumbar pain is classified according to the mechanism of occurrence and can be nociceptive, neuropathic and psychogenic.The nociceptive type appears with the irritation of pain receptors - nociceptors and damage to the tissues due to mechanical trauma or local inflammation (stretching, bruis) should be.
A hernia is one of the consequences of osteochondrosis, it is manifested by a protrusion of the intervertebral disc between the bodies of the vertebrae.
Neuropathic pain accompanies the pinch of nerve roots of intervertebral hernia.They are distinguished by irradiation (return) in the lower limbs and are combined with numbness and some restriction of movement.This pain does not go through its own and is usually chronic.
A psychogenic type is a rare phenomenon whose cause may be a traumatic situation or violation of nervous system function.
This classification is conditional as most of the time makes the three types of one degree or another.To determine the pain, doctors use various terms: Lumbago, Lumbalia and Lumbar -alga.
Lumbago is a sudden attack of pain, the beginning of which patients describe as "gap", "push" and compare it with a radius or a blow to electric current.Lumbalgia begins gradually and is characterized by painful pain mainly at the bottom of the lower back, at the end of the spine.
In lumbaly, the back does not hurt constantly, the pain arises after a long stay in a stationary position or body inclination.It is difficult for patients to bend and perform simple actions such as washing, brushing teeth or passing.They are looking for the most lucrative pose to reduce lumbar muscle tension and relieve their condition.
Lombsiaciashialgia is a pain syndrome, covering the lumbar area, the buttocks and the back of one or both legs.Intensifies in any movements, including cough or sneezing.
Possible pathologies
Most of the time, the lower back hurts due to muscle overtension, especially with intense training or unusual physical work.In this case, the provocative cauldron is the rupture of the connection fibers in the muscle fixation sites.
Among the pathologies that cause this symptom, it should be noted:
- Intervertebral hernia.The main signs are acute pain that appears unexpectedly, a sense of rigidity, possessiveness in the back, weakness at the lower extremities;
- Spine compression fracture.It occurs during injuries, osteoporosis and tumors;
- Horse tail syndrome.This symptom complex is due to the compression of a huge nervous beam located between the first lumbar vertebra and the coccyx.It is manifested by intense pain on the right or left on the back, at the waist level and below.Pain syndrome radiates to one or both members and the inguinal zone.The progress of the disease leads to a violation of tactile sensitivity and the spoken leg weakness.In the absence of treatment, serious complications develop to deficiency;
- The acute aneurysm of the abdominal aorta.Pain and weight in the lower back are often the only sign of this state.More often diagnosed with elderly people suffering from atherosclerosis and complaining of a penetrating nature of night pain;
- Infectious lesions.Pull and opaque backs on the back causes chronic bacterial infections, urogenital and respiratory systems, impaired immune system, taking hormonal medications.In addition to pain, discomfort in abdominal and inguinal areas is felt behind the sternum;
- Neoplasms.The pain bothers the day and night, gradually intensifies.As a rule, there is a sharp weight loss without obvious reasons.Tumors are most often diagnosed in people over 50 years old with anamnesis cancer diseases.
With pathologies of the gastrointestinal tract, surrounding pain may occur.The feeling that pulls the lower back is often accompanied by gynecological diseases.Congenital skeletal defects and metabolic disorders may also be the cause of back pain.
Attention:If the lower back is markedly sick and the pain is painful, unbearable, we can assume an exacerbation of urolithiasis when the formed 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 about one thing: acute back pain and lower extremities should be eliminated as soon as possible.If you do not anesthetize in time and allow the chronicle of pain syndrome, prerequisites for the development of psychogenic disorders will be created.Hushing in clinical symptoms, they decrease the therapeutic process and weaken their outcome.Therefore, first of all, the pain is removed, regardless of its intensity.
To get rid of pain, non -anti -inflammatory and analgesic none -esteroids are required.In severe cases, when a person is very painful of walking and the lower back is quite broken, therapeutic blocks are used.
Analgesic medications are weak, medium and powerful.The latter allows you to quickly relieve pain but have many side effects.Its use is justified in case of serious damage to intervertebral discs and compression of nerve endings.
Modern pharmacology offers therapeutic plaster with different components - anti -inflammatory, heated, chondroprotectors and vegetables.
If pain is characterized as a weak or moderate doctor, the doctor prescribes painkillers.In case of damage to structures for 1 time, non -non -steroid anti -inflammatory drugs with a triple effect are more frequently used.They not only interrupt pain syndrome, but also suppress inflammation, reduce body temperature.
NSAIDs are used in tablets or injections, as well as in the form of ointments or gels.
Good results are shown by the use of briefs.Vitamins B, which doctors prescribe in injections or tablets, help heal back pain.
Muscle cramps usually cause severe pain syndrome, of which muscle relaxants help well.Intense pain and pulsation caused by inflammation are interrupted by hormonal medications.
Therapeutic blockade
Sometimes the only remedy for eliminating pain is therapeutic blockade.Through the injection, one of the bonds of the pathological chain is turned off as a result of 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 injection, the pain occurs in a matter of minutes, the procedure itself resembles the capture of a puncture.The indications for your conduct are as follows:
- Osteochondrosis and their complications - protrusion and hernias of discs;
- myositis;
- neuralgia;
- Spondylartrosis (calcification of vertebral joints).
Attention:The blocks are performed only under 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 with the virus, death is not excluded.
Therapeutic blocks are performed no more than four times a year, if necessary, a 10 injections course or more can be prescribed.Among them, a interval of 5 to 7 days is required.Locking injection solutions contain multiple components, the main ones are painkillers.To relieve inflammation, corticosteroids are added to them.The composition for injections may also include vitamins, thrombolytics and enzymes.To normalize neuropulse transmission, ATP is introduced into the solution.
Fissoalization
What to do after removal of acute symptoms depends on the type and severity of the disease.Patients may receive massage, exercise therapy and physical therapy.
With pain in the lower back, the most effective:
- Electrophoresis with special medicines;
- It involves therapeutic mud;
- Paraffin and Ozoceritic Applications;
- Turpentine and pearl baths;
- AmplipultipulSterrapy;
- muscle electrical stimulation;
- acupuncture.
To stabilize the vertebrae and reduce load in the lumbar muscles, doctors recommend using orthopedic scores.They are especially effective in chronic pain caused by damage to vertebrates.The use of applicators allows to accelerate recovery.
The positive influence of such products is as follows:
- eliminated or visibly reduced by pain;
- The state of the nervous system is normalized;
- The vital tone and the increase in performance;
- Metabolic processes in the body are accelerated;
- Spasted muscles relax.
Therapeutic exercises can only be done during the period of remission, with a minimum or complete absence of pain.Strong muscle corset is an excellent prevention of most diseases of the musculoskeletal system.
Attention:High -power loads are prohibited, sharp body roads, jumps, legs running and shaking the legs.
Thus, lumbar pain is a disadvantage sign in the spine of the spine or internal organs.To avoid the chronization of the pathological process and prevent possible complications, it is necessary to consult a specialist.