Back pain in the lumbar region — a very common pain syndrome, which happens in case of various pathologies, such as the spine and the internal organs or systemic diseases.
It may be above the waist, below, to be greater than the right or the left, but also often in such pain sometimes in pregnancy as in the later, and in the early stages. If the pain is very acute, accompanied by fever, weakness, call an ambulance.
When not in intense pain, without temperature, in order to understand the causes for their occurrence, you should be a therapist on the basis of the anamnesis, complaints of patients direct to specialists like osteopaths, neurologist, urologist, gynecologist, gastroenterologist, cardiologist, surgeon, or pulmonologist. The final diagnosis is by doctors on the basis of MRI, ultrasound and other Tests and diagnostic methods.
The main causes for lower back pain
The most obvious cause for pain in the lower back-lumbago and sciatica, which is due to the defeat of the lumbar spine, osteoarthritis, but also of severe pathologies of the spine — protrusions or intervertebral herniarum. Such pain can roots arise in case of irritation of the nerves of the spine, tension in nerves, in irritation of the ligaments and muscles, swelling, as well as in diseases of the internal organs pain may radiate in the lower back.
In clinical practice, at 60-30% of the urban population of the developed countries, recurring pain arise periodically in the back, among them in 80% of cases, the man complained of back pains in the lower back. All age groups of the population prone to interference on the part of the spine, but in most cases, similar complaints and disturb patients in the age of 30-60 years. In 66% of cases of back pain arise due to the degenerative disc disease, if the affected one of the roots of 1. sacral, 4, and 5 lumbar vertebrae is called a mono-articular syndrome. If the affected spine 2 book, that in 33% of patients with a viridicornis syndrome, if 3-triadically syndrome, which occurs much less frequently.
Since the causes for the emergence of back pain is always an osteochondrosis, can be a little complicated, provocative Tests help to find out whether the pain associated with the spine, or signs of other diseases such as cystitis, Pyelonephritis, Urolithiasis, inflammation of the uterus, the pathology of the prostate gland, problems with the intestines or the lungs. This Tests for lumbosacral degenerative disc disease, which carry the title after the names of the doctors who suggested their use as Pre-diagnosis:
- Symptom therapy in the case of tension of the abdominal press when you hear, back pain, pain intensified, so that a high probability of their occurrence — the osteochondrosis.
- Symptom Neri — if in strong tilting the head forward to touch the chest, pain in the lower back — it can also be because of the spine.
- Symptom Lasegue — if after them one at a time, lift first one foot, then the second, lying on the back, wrung out the lower back and pain irradiáta in the leg from sciatica nerve, it is also a Problem of the spine.
- Symptom Larrea — if the pain along the sciatic nerve, after you try from a lying Position on your back, lift the torso forward bend in the knees, that is, a seat with stretched legs — this also happens from the osteochondrosis.
Pain in the back — it is so non-specific Symptom, which, through a mass of different causes. No matter how intense, strong back pain in the lumbar region, it is constant or recurring, primary or secondary, can the reasons that cause it:
| Acute Pain |
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| Chronic Pain |
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| Radiating pain in some diseases of the internal organs |
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Pain above the waist
If back pain right above the waist - so liver pain may radiate, in the case of certain pathological changes in the liver - Hepatitis, liver failure, ingestion of toxic drugs. Pain is often localized in the right upper quadrant. If the pain is the reason for diseases on the right or on the left just over the loin, very possible, that in acute renal. Many chronic kidney diseases such as polycystic, malignant neoplasms of the kidney, chronic renal pelvis inflammation by small symptoms, the kidney capsule is stretched gradually.
Edema in acute Pyelonephritis, as well as the blocking of the ureter pain is intense, but dull, aching character. The pain is constant, sometimes radiating to the area of the navel, lower abdomen, and pain in the left or the right upper quadrant, depending on the diseased kidney. Also in the case of chronic kidneys, the ingestion of diseases, certain drugs for the emergence of this pain. Increased load on the kidneys, as the Organ where the toxic effect of some medications is causing pain, the withdrawal to drugs.
Why is it painful to the back of the bottom sirloin
In the case of back loin pain bottom, in addition to the obvious diseases of the spine (sciatica, lumbago, bulbosus herniated disc, ankylosing spondylitis, etc.), possible causes are recurring pain during Menstruation in women, disorders of the female reproductive organs, e.g. inflammation of the Appendix, the uterus, Oophoritis, Salpingitis (pelvic inflammatory disease), and diseases of the pelvic Peritoneum, bowel, inflammation of the Appendix (Appendix of the blind intestine) structures, in men, the prostate, the bladder and urinary diseases.
Pain in the lower back to the right or to the left
If such pain appear and at the same time, to the right and to the left in the lower back this can also be the symptoms of Pyelonephritis, Hepatitis, cholecystitis, inflammation of the uterus or the prostate, lung inflammation or pleurisy. In the case of the spread of pain in Boca causes of intestinal obstruction, atypical history of appendicitis. Pain in the lower back to the right or to the left, there is the case of the following diseases:
- Diseases of the spine
Attributed to the acquired diseases, tumors, degenerative pathologies, such as spondylarthrosis, spondylosis, inflammation, Osteomyelitis, Spondylitis, and traumatic injuries, bulbosus herniated disc, lumbago, sciatica. Among the congenital pathologies of Sacra-lization, spondylosis, lucido, Spondylolisthesis differ.
- Diseases of the internal organs
In inflammatory diseases of the organs of the small pelvis - parametral ballast of the urinary bladder, the prostate, the uterus and its appendages substances. In the case of pathological processes in the abdominal cavity - intestines, kidneys.
- Disease of the nervous system in the lumbosacral
When the nerve-press roots, nerve-pillars, in a variety of neurological disorders - hysteria, neurasthenia, Neuritis, neuralgias, sciatica, metabolic disorders, gout, Diabetes, developmental disorders of the nervous system.
Pain in tension in the sciatic nerve and lumbago
Inflammation or tension in the sciatic nerve, sciatica back pain in the lower back can be very diverse. It's like a stinging, lumbago, tingling, with numbness or tingling, it can both moderate and long-term or short-term. The sciatic nerve is the strongest, longest nerve in the human body and manifests itself only in one half of the body, usually in women right, men left.
There is a certain theory as to why the place has such a distinction, the legitimacy of the inflammation of the sciatic nerve in both men and women - we can know in our article, the symptoms of contusion of the sciatic nerve. Such a pain in the buttocks or on the back of a leg is usually worse when there is a change of the Position of the body, particularly painful area, under the knees and in the field of bone protrusions below the buttocks, the person can self-identify, on the muscles of the lower leg or the back of the thigh, painful nodules that when touched particularly sensitive.
Lumbago is a disease that popularly commonly known as sciatica, a lot of people don't know about the pain from the hear say. This is a sudden bout of lumbago, which appears on the background of the physical strain with hypothermia, working in a design or in a specific prolonged awkward position, when a sudden movement.
Paroxysmal pain, drilling the lower back causes a Person to take a forced situation, in which the pain subsides, this pain syndrome is delayed by at least a week, pain relievers, tepidus medium and Massage usually help to deal with the disease. Even after such a lump sum attacks of the disease a physician should be consulted, because this bell is the presence of pathological changes in the lumbosacral spine.