The lumbar spine withstands the in the course of life very great burden. No wonder, to feel that sooner or later, often at the end of the day, many of the start that hurts the lower back. But you must not believe it is normal. Back your cause, which often requires the explicit treatment of pain. And if you don't take care of them and they both want to take the right steps, without knowing what to do, pain in the lower back to a significant deterioration of life and health.
Why hurts the lower back — possible causes
The most likely causes of pain, the back pain in the lower back, the pain, the giving away in the leg, abdomen, connected with the fact that the man spends a lot of time behind the wheel, the Computer, busy with physical work, especially when him need to drastically change Position of the body. To pain that back pain can result in lower back and excessive stress in the sports hall, the fascination of the work on the land, especially if you have overweight. At risk women or those who are already effective in the change of years and recently released
If it hurts, back pain in the lower back, it can talk about the existence of the cave of malignant and benign masses in the pelvis or in the pelvic, diseases of the prostate or chronic Prostatitis. Pain in the back after a long walk on foot usually refers to the development of the stenosis of the spinal canal is located. Additional Symptom is used syndrome spinal or pseudo-inter-mittendi lameness.
Polymyalgia rheumatica — a fairly common disease for older people. First, the person feels pain in the back, and they will be reinforced, on the proximal upper or lower extremities, stiffness and limited mobility appears.
Common cause for pain in the back turns out to be osteochondrosis. On examination, the spine can be seen, even such degenerative diseases, such as osteoporosis, osteoarthritis and Osteoarthritis. The distance between vertebrates slices is gradually reduced, and it breaks the spine of the mechanical balance. This in turn leads to pain, the back pain in the lower back. Finally such pain can cramps the result of muscle when running, the unaccustomed strain.
If a wound to the lower back of the loin — the kind of pain and symptoms
The character of the back pain is totally dependent on its cause. If this strain, pain, extending mainly to the lumbar spine. In some cases, you may give in the buttocks and the back of the thigh. The mobility and the twists and turns of the body is significantly impaired. In the case of tension in the nerve roots pain back gradually from the waist to the feet to rise. If the cause of the back pain is one of the systemic diseases, such as sciatica, its symptoms gradually progressed.
Expresso nerve endings of the spinal cord, herniated intervertebral discs, in General, it is in older men. In General, pain can be amplified in this case, when you sneeze, cough, laugh, bend over, straightening of the spine in the division of the loin. You try to lie on your back and lift straight vertical leg. In the presence of a hernia of the intervertebral disc, you will be back to feel pain. This type of pain is called lumbago. In the stand has increased, and the stomach is reduced.
If a wound to the lower back secondary causes
- Tumor of the spine and spinal cord diseases;
- vertebral fractures;
- Infectious diseases, occur in consequence of lesion of the intervertebral disc and the vertebra itself;
- metabolic lesions of bone tissue
- non-communicable diseases of an inflammatory nature
- acute disturbances of the spinal blood circulation disorders, stroke;
- Diseases of the gastro-intestinal tract (intestinal obstruction, acute atypical appendicitis);
- the reflected pain, which can occur in various diseases of the organs of the pelvis (infectious gynecological diseases, renal colic)
What to do if you have a sore lower back
Diseases cause, to back what is pain in the lower back quite a lot and almost all of them have similar symptoms. Here, therefore, is often necessary the differential diagnosis with the use of Hardware and laboratory techniques. Depending on the results of these studies and pain are treated, more precisely, those diseases, the cause of its formation.
Why hurts the back in the lower area of the spine?
Perhaps there is no Person, the pain at least once collided with the back. This Problem is particularly relevant for people aged 60 and over, but also in young to pass in such situations. It is known that the restriction of physical activity in working age often occurs because of the back pain. Why this is so and what to do, when it appears, says the doctor. And the Patient only needs to come to the consultation of the specialist.
Any pain is a Signal about certain disorders in the body. And their localization, in General, indicates the source of the problem. If you are worried about Spin, most of the people are right to think about the pathology of the spine. Correctly, damage to the axial skeleton are the most common cause of pain in the lumbosacral Region. Such conditions include:
- Osteochondrosis.
- Spondylarthrosis.
- Foramina Hernia.
- Injuries.
- Spondylosis.
- Ankylosing Spondylitis.
- Spondylolisthesis.
- Osteoporosis.
- Spinal canal stenosis.
- Of The Tumor.
It can be affected all the structures of the axial skeleton: vertebrae, disc brakes, joints, ligaments, tendons and muscles. And the disease usually has degenerative-degenerative, inflammatory or traumatic in nature. This includes the inactivity, fit to bear the end of work, carrying heavy loads and other types of load on the spine. An important role is also played by internal factors related to metabolism-metabolism, immune-and age-related changes in the body.play
But back pain a sign of not only diseases of the spine. And all the doctors know. This Symptom is fairly common diseases of the internal organs in women and men can be masked. Therefore, the causes of the pain should search under these conditions:
- Gynecological Problems.
- Diseases of the kidneys and the urinary bladder.
- Urologic Pathology.
- Diseases of the intestine.
It can also back pain in pregnancy when the load on the lower back due to the displacement of the center of gravity stretched and the inner ribbons of the small pelvis increases.
Why pain at the bottom of the back, know you after medical examination and additional diagnostics.
If the Patient to a doctor, he wants a significant amount of information about the origin of the complaints and further treatment. And must pass an examination. And a primary stage, the clinical examination, during which the subjective and objective features of the pathology studied.
If you cause pain on complaints, the biggest fear in patients. You can have a different color, but most commonly by the following features:
- Acute or chronic.
- Stinging, aching, throbbing, pulling, stabbing.
- Of different intensity: from weak to strong.
- Localized in the lumbosacral Region.
- Enter in the lower extremities, inguinal Zone, belly.
- Increasingly during the movement of the hull, sitting, walking.
However, back pain is the only sign of the pathology, the clinical picture includes and other symptoms, according to which it is reasonable to assume probable cause of the problem.
Diseases of the spine
If patients are concerned about Spin in the lumbosacral Region, are looking for confirmation of vertebrogenic nature of such sensations. Pain is often due to muscle tension, or compression of a nerve root. So you may have the following character:
- Lumbago – acute back pain in the lower back area.
- Low back pain – dull and deep pain.
- * Sciatica – pain radiating to the lower extremities along the sciatic nerve.
Sometimes the first symptoms are in the leg and the back starts to interfere with something later. In addition to the pain, which are in the composition of the arrangement of the edge syndrome (radiculopathy), the characteristic neurological diseases associated with damage to the sensor, motor and autonomic fibers. These include:
- Depression of tendon reflexes.
- The decrease in strength in the lower extremities.
- The weakening of the sensitivity.
- Numbness, tingling, "crawl", to burn.
- Discoloration of the skin.
Such disturbances appear in the corresponding dermatomes segments of the body, innervating the affected with the spine of the book. And local signs of pathology of the spine include muscle tension and pain in the paravertebral points in the lumbosacral, flattening of the physiological lumbar lordosis, and limitation of active movements.
Vertebral disease with equal frequency in men and women, with age you will only progress and often lead to a reduction in the functionality of the people.
Gynecological Problems
If the back pain in women, then you need to pay attention to the possibility of pathology in the gynaecological area. The most common cause of inflammatory diseases or dysfunctional States. In such cases, the following symptoms may occur:
- Irregularity of the menstrual cycle.
- Vaginal secretions.
- An increase in the temperature.
Acute processes in the uterus and fittings can pass in the chronic Form, or the ends of a complication in the Form of Peritonitis. In addition, the cause of the pain can birth an ectopic pregnancy or miscarriage. Then there is a high risk for internal bleeding and shock.
Diseases of the kidneys and the urinary bladder
Lower back pain is considered to be one of the symptoms of kidney disease – Nephritis. Usually, you will have a permanent character, and in the case of Urolithiasis, if bumpy ride may be aggravated, or run. Inflammation of the bladder, these sensations are localized in the suprapubic area, and may radiate to the sacrum. Inflammation and other symptoms accompanied:
- Dizuriceskie disorders: convulsions, burning sensation during urination.
- You can change the color of the urine.
- Fever, General Malaise.
Chronic pathology is accompanied by a gradual decline in the functioning of the institution, which grows in kidney failure.
Urologic Pathology
If in men back pain in the lower back area from below, then the should be differential diagnosis and and urological diseases. Especially diseases of the prostate to exclude the Prostatitis and the adenoma. To feel such pain in the pubic area and Perineum, and enter in the rectum and the sacrum. Often, other symptoms occur:
- Discharge from the urethra.
- Difficulty urinating.
- Low Potency.
In acute Prostatitis, the General symptoms such as fever, weakness, malaise. And chronic inflammatory processes by the end of the tow and hardly any symptoms.
Disease of the intestines
Not to mention considering the question of the origin of the pain in the lumbosacral area, and the pathology of the various departments of the intestine. Appendicitis, ulcerative colitis, proctitis – States, which will require different approaches in the diagnosis and treatment, but can have similar symptoms. Among them are:
- Pain in the abdomen or flanks.
- Change in the stool – constipation or diarrhea.
- Fever.
In the case of colitis often pathological found admixtures in the stool: blood, mucus or pus. And objective investigation by means of Palpation with the abdominal and rectal examination provides additional information about the disease.
Nonvertebral pathology is very varied, therefore, from the doctor to have a clear differential diagnosis of back needed pain.
Diagnosis
To understand why the Patient hurts the lower back, you need to additional inquiries. The doctor is a complex of laboratory and instrumental methods, the results of which will help to arrive at a conclusion. Such studies include:
- General blood and urine tests.
- Biochemistry of blood (a Marker of inflammation, rheumatology test, urea, creatinine, etc.).
- The analysis of urine after netschiporenko, Bouillon.
- Analysis of discharge from the genitals, Cala.
- Radiography of the spine.
- Magnetic resonance and computed tomography.
- Ultrasound of the internal organs.
- Endoscopy of the intestine.
If necessary, the list of diagnostic procedures expanded. Uses all the possibilities, to the source of the pain.
Treat vertebral disease must be due to the nature of the pathological process and the individual peculiarities of the organism of the patient. Taken into account and the possibility of associated conditions, which also require an appropriate correction. If the causes of pain, not excluded in connection with the spine, deals with the treatment wertebrolog, neurologist, or orthopedic surgeon.