Back pain, pain in lower back – there is no Person who have never experienced in your life. According to the world health organization, is the most common complaint and the most common cause for inability to work.
What can I do?
The manifestations of the degenerative changes in the spine often out of date by the term "osteochondrosis". These phenomena can be found in the absolute majority of the people older than 18 years. Even the word "osteochondrosis" includes everything from the old standard to severe pathology. This term is not used by the most reluctant to neurosurgeons and generally in the international literature.
Back pain can be a Problem itself ("grab", "gelidus the back", etc.), but it can also signal disease of the spine, a variety of serious diseases, renal pelvis inflammation, and the flu to tumors of the spine, or metastases to the vertebrae. Thus, back pain is a Symptom that requires diagnosis.
Clear diagnosis for back pain is required in the following cases: the pain occurred after injuries, falls, accidents; severe pain lasts a few days to go bother and/or sleep; pain in the lower back to the foot/leg (buttock, thigh, lower leg/calf and foot); torpor, sensation of the needle, the reduction of the forces of stitches in the legs/feet; in any part of the leg/the legs; remove legs/feet, difficulty or frequent water bowel movements; in the case of severe pain in the elderly; in the case of severe pain in the lower back at macie, debilitated, or people with the temperature; in the case of the back in a patient with severe system, for example osteoporosis, cancer, tuberculosis of pain disorders.
It is clear the desire to find out why your back hurts. It is best to start with the help of nuclear spin tomography (MRI) of the lumbosacral spine. All other actions, including a visit to the doctor, then. On the MRT or a few thousand rubles, but without the direction of a physician.
Conclusion written by a specialist for beam diagnostics, often patients scares. There can be written: hernia / protrusion / stenosis / back pain / herniated disc Smorlya / spondylarthrosis. This can mean anything, including nothing. Easy MR describes the phenomena. You need to perform is interpreted by clinicians, taking into account the medical history, symptoms, other tests, and much more. Conclusion spelt is not for patients but for a different doctor.
X-ray and computed tomography in the majority of cases, are additional examinations that the doctor.
By MRI loin you contact the surgeon to a neurologist or neurosurgeon. The second, in my subjective opinion, is preferable: in the average operating neurosurgeons significantly better images to interpret, because every day can see the real images on the operations and compared them with the MRI and the clinical picture. In some cases, the neurologist or neurosurgeon, to say orthopedist needs.
If the results of the inspection and the assessment of the MRI did not undergo surgery (usually the case), the treatment is under the supervision of a neurologist. In typical cases, the steroidal anti-inflammatory drugs, muscle relaxants, and other drugs-includes. Sometimes other methods require. Determine the and the duration of treatment only the doctor can type.
Self-treatment of pain in the lower back, especially without MRI – an extremely unwise step. The application of alternative medicine – especially without MRI, shaped idiocy.
Sometimes the doctor says that you need to have the hernia of the disc to remove. Through the application of endoscopic and micro-surgical technologies in the right hands, this Operation is quite safe. I usually tell the patient that the risk of paralysis or other serious complications in the removal of the intervertebral disc cost of the incident is approximately equal to the fatal accident on the way to advice.
Many are afraid that surgery can paralyze the spine. It is virtually impossible. There are dangerous operations in connection with such danger, to warn how to delete intramedullârnyh tumors, surgery for fractures of the thoracic spine, etc., If this is a danger. In the removal of disc herniation, the removal of stenoses of the spinal canal, the risk of these complications theoretical. A prerequisite for the security of the qualification of the surgeon and the availability of modern equipment in the clinic.
There are diseases in which a stabilization of the spine – Installation of special constructions requires attaching the vertebrae to each other. The possibilities of the stabilization and systems for the stabilization very much. Stabilization of the spine is carried out only under strict conditions. The need for this, only a neuro surgeon can recognize. Usually stabilization surgery for spinal stenosis, Spondylolisthesis, instability of the vertebrae, fractures of the spine.
After most of the operations on the spine not only long, but often the Patient begins to walk by himself the next morning after the surgery, or the evening of the day of the Operation.
What you must do so, in order not to get sick loin? In private hospitals you will find commercial programs to combat back pain, according to the value of the vehicle. It is scientifically proven that there is actually enough basic things.
First of all, you must be in the normal range of body weight, different. It is a well-developed axial muscles should be swimming and in the gym to do. Finally, pain is a frequent first Symptom of the Depression, for Depression is accompanied limit of a decrease in pain. Usually you have the normal mood and keep Fit.