Most of the people who are mainly middle-aged and older face back pain in the lower back, and both men and women suffer the same pain.Pain may occur after physical activities, hypothermia, weight lifting and carrying severity or due to a long stay in the fixed position."Enter the back", lower back pain in the lower back is characteristic.
reason
It should be noted that different intensities of pain are experienced mainly by people of active age who are over 60 years old.This is explained by the ongoing work of the muscles that support the spine and its naturally curved.Since a person is usually in an upright position, the muscles hardly rest.
The fragility of the waist area is due to the existence of its weakness: the bird's triangle and quadrilateral (Rhombus) Grunfeld-lesgaft.The poultry triangle has a gentle muscle layer and is a small gap between the broad and the end edge of the outer oblique muscle.The Grunfeld-Lesgft rhombus does not close the oblique abdominal muscles on the top, and it is poorly strengthened and is therefore subject to the formation of a lumbar hernia.
The lumbar muscle is the deepest in the body.It affects the work of internal organs and affects the flexibility, intensity, range of motion and joint mobility.It is this muscle that is responsible for maintaining a person's vertical position and actively lifting his legs while walking.
Proper operation of the waist muscles provides support to the entire upper body and forms a platform for the internal organs of the abdominal cavity.Due to frequent decreases caused by stress or overpressure, this muscle begins to shorten, which can lead to back pain, compression of nerve ends, deformation of vertebrae, and development of regression processes in joints.Chronic spasm of the lumbar muscles greatly negatively affects posture, breathing depth and important organ status.
Back pain like symptoms
The lower back is damaged due to the background of spinal problems or systemic disease.Several forms of pain syndrome are clinically different: local, projection, reflex, roying (radiation) and due to muscle spasms.
Local pain syndrome in the waist area is constant and its intensity depends on the position of the body.Additionally, movement and palpation in specific areas can increase pain.Due to this pain, the mobility of the body and lower limbs may be limited.
Projection pain syndrome is due to damage to vertebrates and the paracerebral (peripheral) structure.It can overflow or locally and occurs due to compression of the nerve ends that transmit signals to the corresponding areas of the brain.The pain sensation spreads along the affected nerves and increases with the body turning and tilting.During hard work or body movements, pulse pain is noted, and its origin is related to the axial load on the spine.
Rooser Pain Syndrome is surprising and obvious intensities: When the patient says the back is “catched”, that means it.The pain is so severe that a person cannot understand and is often forced to stay where he is occupied by the wildfires that shot.
In the absence of exercise, roying pain syndrome does not pass and obtains the characteristics of soreness.But the attempt to move is accompanied by the strongest cramps and bright, burning assholes.In most cases, it shoots not only at the bottom of the back, but also at the entire leg to the ankle.The unique feature of radiation pain is the feature when turning to one side, tilting and lifting straight legs from the lying position.
Reflex pain syndrome indicates lesions in internal organs.This is due to the fact that the lumbar spine and tissue near the pathological focus are innervated by the same nerves.Because the pain is vague, blurry, remains unchanged during movement and does not increase when pressed.
Lower back pain can be acute and chronic.If this symptom is troubled for no more than three months, they will talk about acute forms.If damaged tissue is not recovered during this period, you will enter the chronic category.
Classification
Lower back pain is classified according to the mechanism in which it occurs and can be nociceptive, neurotic and psychological.Nociceptive types experience stimulation of pain receptors - nociceptors and are tissue damage (stretching, bruis) due to mechanical trauma or local inflammation.
Hernia is one of the consequences of osteochondral toxins, which are manifested by the herniation of the disc between the vertebrae bodies.
Neuropathic pain is accompanied by the nerve roots of the vertebrae hernia.Their radiation (return) from the lower limbs is characterized and is combined with certain limitations of numbness and movement.This pain does not disappear on its own, and is usually chronic.
A psychological type is a rare phenomenon, and the cause may be a traumatic condition or a violation of nervous system function.
This classification is conditional, as most soreness usually leads to all three types or one degree.To determine the pain, doctors use several terms: waist a, lumbar spine and lumbar spine.
Cashews are sudden pain attacks that patients describe as “gaps”, “push” and compare them to lightning or electric shocks.Low back pain gradually begins, characterized by pain at the end of the spine, mainly at the bottom of the lower back.
In Lumbalia, the back will not be constantly hurt, and pain will occur after staying in a fixed position or tilting the body for a long time.It is difficult for patients to bend and perform simple actions such as washing, brushing or ironing.They are looking for the most profitable posture to reduce tension in the waist muscles and reduce the condition.
Lumbar behavior is a pain syndrome that covers the lower back, hips, and the area behind one leg.It can be aggravated in any movement, including coughing or sneezing.
Possible pathology
In most cases, the lower back is damaged by muscle overvoltage, especially in cases of excessively intense training or unusual physical exercise.In this case, the provocation of the cauldron is the rupture of the fibers where the muscles attach.
In the pathology that causes this symptom, attention should be paid to:
- Vertebral hernia.The main signs are unexpectedly severe pain, a feeling of stiffness, possessiveness in the back, weakness in the lower limbs.
- Compression fracture of the spine.Osteoporosis and tumors occur during injury;
- Equestrian tail syndrome.This symptom complex is caused by a huge nerve bundle compression between the first lumbar vertebra and the coccyx.It is manifested by severe pain on the right or left side of the back, waist and below.Pain syndrome radiates to one or both limbs and groin areas.The progression of the disease leads to violations of touch sensitivity and obvious weaknesses in the legs.In the absence of treatment, severe complications can lead to disability;
- Acute aneurysm of the abdominal aorta.Pain and heavyness in the lower back are usually the only signs of this state.Most people are often diagnosed with atherosclerosis and complain about the harshness of night pain.
- Infectious lesions.Lower back pull and dull pain in the back caused chronic bacterial skin infections, damage to the urogenital and respiratory system, and taking hormone medications.In addition to the pain, discomfort in the abdomen and groin areas are felt behind the sternum.
- Tumor.The soreness disturbed the day and night, gradually aggravated.Usually, weight loss is dramatic and there is no obvious reason.Tumors are usually diagnosed in people over the age of 50 who have oncology disorders.
With the pathology of the gastrointestinal tract, surrounding pain may occur.The feeling of pulling down the back is usually accompanied by gynecological problems.Congenital bone defects and metabolic diseases can also be the cause of back pain.
attention:If the lower back is severely ill and the pain is painful and unbearable, then we can assume that urolithiasis is aggravated when the stone formed moves along the urinary tract.
treat
Low back pain treatment of any origin is one of the most complex medical areas.All modern research on this topic involves one thing: acute pain in the back and lower limbs should be eliminated as soon as possible.If you do not anesthetize on time and allow the chronicle of pain syndrome, then a prerequisite for the development of mental illness will be created.Installed on clinical symptoms, they slow down the treatment process and weaken its outcome.So first, the pain will be eliminated regardless of its intensity.
To get rid of pain, anti-inflammatory non-replacement drugs and pain medications are needed.In severe cases, a therapeutic blockade is used when a person is in great pain to walk and his lower back is greatly damaged.
The analgesics are weak, average and strong.The latter allows you to relieve pain quickly, but it can have many side effects.If compression of the intervertebral disc and nerve ends is severely damaged, their use is reasonable.
Modern Pharmacology provides therapeutic plasters with different ingredients - anti-inflammatory, warming, cartilage protection and plant dietary supplements.
If the pain is characterized by weak or moderate, a doctor will be present for prescription pain medication.If the 1-time structure is damaged, the non-replacement anti-inflammatory drug with triple effects is most commonly used.They not only stop pain syndromes, but also inhibit inflammation and lower body temperature.
NSAID is used in the form of tablets or injections and ointments or gels.
Using the plate shows good results.B vitamins prescribed by doctors in injections or tablets can help heal lower back pain.
Muscle cramps can often cause severe pain syndromes, and muscle relaxants can help you well from it.Severe pain and pulsation caused by inflammation are blocked by hormone medications.
Therapeutic lockdown
Sometimes the only remedy to eliminate pain is therapeutic lockdown.By injection, a link to the pathological chain is closed so that the pain impulse does not reach the posterior, legs and internal organs.Blocks can be used for diagnostic purposes to establish the true cause of pain.
After the injection, the pain occurs within a few minutes, and the surgery itself is similar to a capture puncture.The signs of their behavior are as follows:
- Osteochondrosis and its complications - herniation and hernia of intervertebral discs;
- Myositis;
- Neurological pain;
- Spinal arthritis (calcification of the vertebrae).
attention:Blocks are performed only under sterile conditions in the hospital.This is due to the fact that the spinal cord is susceptible to penetration of various pathogenic microorganisms.When it is infected with a virus, death is not ruled out.
Therapeutic lockdown is no more than four times a year, and 10 or more injection courses can be offered if necessary.Between them, you need to rest for 5-7 days.The solution to block injections consists of multiple components, the main component being painkillers.To relieve inflammation, corticosteroids were added.The composition of the injection may also include vitamins, thrombolysis and enzymes.To normalize neurowhey propagation, ATP is introduced into the solution.
Ovariation
What to do after eliminating acute symptoms depends on the type and severity of the disease.Patients may receive massage, exercise therapy, and physical therapy.
The most effective pain in the waist area is:
- Electrophoresis with special drugs;
- Wrapped in therapeutic mud;
- Paraffin and OZOKRITIC applications;
- Turpentine and pearl baths;
- Amplipulsterrapy;
- Electric muscle stimulation;
- acupuncture.
To stabilize the vertebrae and reduce the load on the lower back muscles, doctors recommend using an orthopedic corset.They are particularly effective in chronic pain caused by vertebrate damage.The use of the applicator allows you to speed up recovery.
The positive effects of such products are as follows:
- Pain is eliminated or significantly reduced;
- The state of the nervous system is standardized;
- Important tone and performance improvement;
- The metabolic process in vivo is accelerated;
- Spastic muscles relax.
Only during remission, treatment exercises can be performed with minimal or no pain at all.A strong muscular corset is an excellent prevention for most musculoskeletal disorders.
attention:Legs for high power loads, sharp turns of the body, jumping, running and swinging are prohibited.
Therefore, lower back pain is an unfavorable signal in the spine or internal organs.To prevent the chronologicalization of the pathological process and to prevent possible complications, it is necessary to consult an expert.