Question "What does back pain mean?" This seems stupid.Everyone can test it.Dry, lifting heavy objects for a long time in forced posture, uncomfortable bed, which is a list of common causes that overload the back and pain.It's time to beg yourself.Take an anesthesia and wait for a quick recovery.
This doesn't always help.Pain can stand firm and become the biggest enemy for weeks, months, years.Even then, some patient people may not see the doctor and continue taking pills instead.
Pain is a signal from our body through the nervous system, indicating that there is a problem and must be solved.When the disease progresses, the situation will be worse without any harm.When pain occurs in the final stage of the disease, tumor disease occurs.
Types of pain
Nonspecific - occupies over 85% of the doctor.It is related to overloading of muscles, ligaments, tendons, and small joints of the spine.
Koreshka - caused by compression of the root of hernia.Up to 10% of cases.
Specifically - caused by a certain disease.This includes fractures of the spine, tuberculosis, suppurative processes, tumors, stenosis of the spinal canal, abdominal disease, small pelvis, etc.Up to 10% of cases.
symptom
Typical symptoms of nonspecific pain:
- The appearance when moving, aggravates (sharp head, slope, weightlift);
- After a long forced position (sitting work on the computer, professional driver, seller standing work statically);
- In an uncomfortable position on an uneven surface, limiting mobility after sleep.
The reason these symptoms violate the exercise stereotype is that when some muscles and joints are overloaded, others do not participate in the exercise.
There is a "unprepared" campaign.When muscles are not stretched, the ligaments do not get hot and give them a larger load or a lot of movement.Therefore, office staff who do not participate in sports may not go to work the next day in games with game activities, rope towns, matches, matches due to back problems.Another category is the Pension Age Gardeners.They spent all the physical exercises in the winter house and suddenly took too much burden on their spine.The result is a - pain, mobility limitation.
The characteristics of the spinal cord root are:
- Foot finger shooting pain, brush;
- Violation of reflection;
- Changes in sensitivity (numbness, increased skin sensitivity);
- Reduce muscle strength;
- Symptoms of muscle tone.
Based on these symptoms - tongue pain, numbness on the little fingers on the arms or pain in the shooting of the legs, it is usually very accurate to determine the nerve compression without MRI at which level of the spine.
Specific pain may indicate a potentially dangerous, serious disease.Symptoms of threat:
- The onset of persistent back pain until 15 and 50 years later;
- the non-standard nature of pain (pain cannot be reduced alone, lying in certain positions);
- The connection between pain and injury;
- the smoothness of the pain;
- The existence of oncology;
- Temperature pain, weight loss;
- long-term stiffness in the morning;
- Paralysis, pelvic disease, severe sensitive disease;
- Urine analysis changes, blood.
The cause of this kind of violation may be a serious illness:
- rheumatism;
- Malignant tumor;
- infection (osteomyelitis, abscess, tuberculosis, herpes blocked);
- Vascular disease (an aneurysm of the abdominal aorta);
- Blood disease;
- osteoporosis;
- Kidney disease, cystitis;
- Pancreatitis, duodenal ulcer;
- Stenosis of the spinal canal, vertebrae fracture.
Therefore, it is best to consult a doctor to rule out the risk.Especially if painkillers are weak and have dangerous symptoms.
diagnosis
This is the most important stage of treatment, as all further movements depend on it.It seems you can make an X-ray or an MRI and everything will become clear.But, there are traps here.The functional diagnosis doctor draws conclusions based on what he sees in the picture.But he did not examine the patient personally.Therefore, the results of the picture do not equal diagnosis.
We will analyze the examples.If you take a completely healthy person in the 20-year-old, a hernia in the disc can be detected almost half of it.But that doesn't mean they need to have in-depth examinations or surgery on the spine to eliminate the defect.
In most cases, clinicians with nonspecific pain syndrome have improved clinical recommendations for the standards of health and social assistance in Great Britain, with only X-ray or CT/MRI at most, with many exceptions.
Isn't this a hernia causing pain?Only 1 out of 10 cases.In all other cases, the disc and hernia of back pain are not connected.
First, the history of pain development, the first event, the situation (injury, load) is clarified, and other symptoms have appeared and seem to be irrelevant to back pain.
During the examination, spinal bending, limiting mobility, and muscle tone were evaluated.Location of pain, signs of root compression (legs "given", violating the sensitivity of the limbs).
Only in this way, CT/MRIS was performed according to these instructions, and general and biochemical blood tests were performed.
Therefore, a doctor should be diagnosed.He needs to determine the type of pain, the necessary research, rule out the dangerous symptoms of a specific pain before prescribing treatment.
treat
first aid.You can help yourself even before taking the pills.It is necessary to remove the spine and give a chance to relax.For this we lay on the flat and hard surfaces on the back (floor, dining table, plywood).Under your feet, you need to put a large pillow, roller, stool to get the angle between your body and hips to a 90 degree.
We breathe slowly and try to relax as much as possible with each exhale.You can lie as you like.The most important thing is that the surface is not cold.Soft sofa, bed is not suitable.
poison.Typically, treatment begins with nonsteroid anti-inflammatory drugs (NSAIDs), which will help relieve pain and inflammation.These drugs can be purchased without a prescription, but cannot be taken uncontrollably.
Their intake can cause erosion, intestinal ulcers and stomach, bleeding.If the gastrointestinal tract already has problems, this increases the risk of complications.They may have toxic effects on the liver.The cardiovascular system with bronchial asthma is at risk.
Traditional NSAID has more side effects, especially on the digestive system.But they are affordable.
Selective NSAIDs have much lower destruction effects on the digestive tract, but are more expensive.
Meanwhile, the drug choice is better for entrusting a physician to relate risks and interests in each case.Maybe a medication was prescribed to protect the stomach.
Another group of medications is muscle relaxants, which help relieve muscle cramps.
Cartilage protectors are also used.
Life. Back pain doesn’t mean you need to lie down all the time.Bed rest, corsets and other devices that restrict movement are not recommended.This only leads to a weakening of the muscles that keep us in an upright position.
It is necessary to maintain reasonable activity to maintain tone and keep blood circulation normal.Light walking, gymnastics, and physical therapy exercises are suitable.
You also need to sleep on a hard orthopedic mattress.Take a break and walk.Drink enough liquid.
prevention
For prevention, it is necessary to strengthen the back to form a strong muscle corset.Physiological directions such as swimming, Pilates and yoga are suitable.
Sleeping on a flat, stiff surface is recommended.The pillow is small and comfortable.
Lift the bag over 3 kg and have the strength of the legs on the lower back.The load is evenly distributed to 2 lots.
Replace the bag with a backpack and wear it on two belts
To reduce impact load on the spine, wear shoes with thicker spring soles.Weight loss is recommended.