With pain in the lower back pain knows almost everyone. Such diseases as sciatica, lumbago, - very frequent reasons of temporary incapacity, especially in people engaged in physical labor. Most often back pain is associated with changes in the lumbar-sacral spine, which should be taken very seriously. Although painful sensations in the area of the lower back can be the result of congenital anomalies of the spine and its ligamentous apparatus, acute and chronic infections, intoxication, or even a tumor.
Pain in the lower back are sometimes very strong, but sometimes a person carries quite easily. The fact is, that the reaction to the pain of the individual, impaired mental and age-related factors. In old age the feelings of pain in the rheumatic the pain is very strong, although usually it is the perception of pain in people of advanced age is weakened. And in patients with mental illness sensitivity to pain is substantially reduced, including and in pain sacral rheumatic pains.
Pain - a complex adaptive mechanism, it is sometimes called "companion dog" health. Caused by external influence or a problem in the body, it signals danger. After receiving the pain signal that the body contains mechanisms of protection from adverse influences. Thanks to the pain of a variety of pathological processes are finding themselves before there are any outward signs of the disease. So the feelings of pain plays a positive role: they give to know about it, that is the time to act. If you have pain in the lower back and the sacrum, do not hesitate to appeal to the doctor. Remember the eastern wisdom: "Treat the disease is easier to have to treat severe".
In a third of patients lumbar pain are caused by dystrophic changes in the spine, which bear the common name of "osteochondrosis". Osteochondrosis - complex changes of the bones and ligaments of the spine, conditioned degeneration of the intervertebral disc. In addition, when osteochondrosis in the spine can create bone growths - osteophytes, which irritate the nerve roots and the sensitive nerve endings of the spine and its ligaments, which causes dull aching pain in the back.
The intervertebral discs constitute a lenticular lens, in the form of the corresponding small grooves on the surface of the vertebrae. With age the disks lose moisture, dry up, in the them cracks, cracks and crevices. As a result the vertebrae becomes movable and can slide from the disc, which will lead to a narrowing of the intervertebral foramen and the massage passing here, the spinal nerve root. The vertebrae of the lumbar are the most moving and along with this occurs the maximum load when lifting weights. Therefore, the disks are between them the most susceptible to deformation.
Suffering from lumbar osteochondrosis have a strong pain, and because of this is not only a mechanical irritation of the nerve roots: in the rupture of the membranes and partitions of the intervertebral discs are relieved of a substance, irritating the pain receptors.
At a later stage of the disease drives the bumps, forming the so-called mezhpozvonkovuyu hernia, which usually occurs in middle-aged people and the elderly. Most commonly affects the discs of the lumbar spine because of intervertebral holes between the IV and V bederníu the vertebrae and between The lumbar vertebrae and the sacrum - these are narrow, but you go in them the nerve roots - most massive. mezhpozvonkovaya hernia is very dangerous. And it's not just in the fact that she pushes the nerve roots, causing pain according to the type of lumbar-sacral back pain. Massive herniated disc pushing on the spinal cord, which can lead to loss of sensitivity, or even paralysis of the legs and also to disorders of urination.
For of herniated lumbar disc are characterized by the following symptoms: "strut" - the patient rises forced to lean with my hands on my knee or a chair, to reduce the load on the affected disc; "pillows" - the inability to lie down on your stomach, is not enclosed under it a pillow, "the landing" - sick of trying to pick up something from the floor, not leaning, and crouching down on his haunches.
One of the main reasons is the degenerative disc disease of the spine - disorders of lipid and salt replacement substances. Sometimes osteochondrosis arises as a consequence of abnormal development of the intervertebral disc, their innate inferiority. To external factors, which causes the development and aggravation of lumbar degenerative disc disease include: high humidity, sudden temperature fluctuations, drafts, significant and long-lasting muscle tension and pain the ligamentous apparatus of the lumbar-sacral spine; his mechanical trauma and chronic infection.
The most common diagnosis in the strong lower back pain - sciatica. A long time it was believed that this disease has an infectious origin. In practice, however, shows that in patients is usually not rising the temperature of the body, is not increased the number of leukocytes in the blood and cerebrospinal fluid. Sciatica nearly sick children. This means, in most cases it is unlikely that the cause of back pain can be infection.
Really, sciatica - one of the most common manifestations of degenerative disc disease. Pain in the lumbar-sacral region when this disease can be both acute and obtuse. It is usually one-sided, gives to the buttocks, rear thighs and the outer surface of the tibia. Pain rheumatic pain can attest when changing body position, walking, coughing, sneezing, straining. Sometimes it is combined with your sensations of numbness, tingling, crawling chills, burning, itching. Increased sensitivity of the skin, painful muscles of the lower back, buttocks, lower extremities.
The symptoms of back pain are pretty significant. In a patient with a changing gait, posture, appear the characteristic movements and posture. When walking it tips the body forward and towards healthy feet. In the standing position the patient's leg is bent, that reduces the tension nerve trunks. The movements of the body in the lumbar spine are limited. On the sick side of the back muscles are strained. In rheumatic pains often twisted spine. The patient sits down for a healthy buttocks, throwing the torso back, with a tilt toward healthy feet. If he needs to lift an object off the floor, crouching on his haunches or tips torso forward, bending at the injured leg. In the supine position the patient's leg is usually bent.
Lighter forms of back pain practically limiting the patient in motion. If the disease progresses, muscle tone decreases, there is muscle weakness, patients troubled by itch, a feeling of "crawling fever". Lying in bed, sick hours can not find a comfortable position. Often feel cold weather, drought or, on the contrary, moisture of the feet. Skin to stop fading or acquires a cyanotic hue, and the narrows. But when these symptoms occur, it is not necessary to make hasty diagnosis of "sciatica". A similar picture give pannikulez - inflammation of the subcutaneous adipose tissue on the soil of the violation of metabolism in the adipose tissue, as well as the destruction of the joints of the feet.
In addition to recurrent back pain is very common the acute form of the disease the lumbar spine, such as lumbago or lumbago. When lumbago irritated nerve roots and appear sharp severe pain. It most often occurs in people involved in heavy physical work, as a consequence of the-tension of the lumbar muscles, and often and during hypothermia. But sometimes an attack of lumbago may cause acute and chronic infection, it can also be one of the manifestations of sciatica. The pain is usually terminated within a few days, but sometimes last two to three weeks. Until the attack let the patient is better on bed rest.
A special form of lumbago, when it develops after a heavy physical load occurs tear of the muscle bundles, tendons, or bleeding into the muscle. This variety is lumbagoa manifested by soreness of the back along the entire length of the spine and a sense of overall muscle fatigue.
It is necessary to especially emphasize: if you have sick shoulders, it does not mean that it is overwhelmed by the spine. The cause of lumbar pain can be myositis (inflammatory process) of the lumbar muscles. The disease takes a long time. Muscle pain is not so strong, as in the lumbago, and the dull, nagging. When this muscles are sealed, they are painful when the feeling and stretching. In patients with chronic infections and metabolism disorders myositis of the lumbar muscles may be combined with pain in the joints.
Hurts the shoulders: what to do?
Back pain occur in so tight that without treatment can not do. Regardless of the reasons, which a heart attack, in the first days it is necessary to stay in bed. In the following days, according as the pain settles, the patient is allowed to walk, taking first it is advisable to crutches, to get rid of the spine. The bed should be rigid - thin mattresses are on a wooden shield.
For local heating in the zone of greatest soreness apply an irritant ointment, as well as mustard or pepper band-aid. Bring relief to the warm woolen scarf, electric warmer, a pouch with heated sand, a leech. Well helps the friction as the anti-inflammatory and pain medication means. When myositisax help warm compresses.
Analgesic actions have elektroprotsedury: transcutaneous elektroanal'geziya, sine-modulated currents, diadynamic currents, electrophoresis with novocaine and other. With the same purpose to use reflex therapy (acupuncture, cautery of, electroacupuncture, laser) and novocaine blockade. With rheumatic pains, caused by a shift of the intervertebral disc, applying traktsionnuyu therapy - traction of the torso on the bed or under the water. These procedures should be performed in a hospital environment). Effective balneotherapy - chloride, sodium, radon, zheleznovodsk, turpentine, bromine baths, naftalan, mud wraps low temperatures.
One of the actively-growing species therapeutic effects for pain in the back has become a method of "biofeedback". His principle justify the outstanding domestic physiologist P. Pk Anokhin still in the 30-ies of the last century. The method provides a training management function of your body. Here is how it looks like its use for the treatment of pain in the back. Before the sick, is given the task of maximum relax the muscles of the back. The patient sees his own elektromiogrammu, reflecting the tension of the muscles, on the screen of the monitor, and when to tighten strongly, they hear a sound signal. During relaxation the amplitude of the electromyogram is falling, the sound disappears. As a result, the patient arose the motivation to reduce the muscle tone disorders. As usual, the results are achieved, not right away. That the patient has learned to relax and manage the tone of the muscles, it is necessary to perform five to six sessions. Furthermore, it is ill able to control the muscles relaxed, your back yourself.
Important significance for the elimination of pain and prevention of heart attacks is wearing the outer supporting products - orthoses: corset corrector posture; reklinatora (a special corset, it removes the slope), braces, and also waistband: elasticated, belt weightlifter or technicians. All warn of the deformation of the spine, improve venous and lymphatic drainage, they supply the physique slimness. Well, if it is in the composition of the material from which is made the belt, rolled up the coat.
It is only necessary to take into account that if it does not adhere to the medical recommendations, then the regular wearing of a brace can cause damage. First of all, wear need to be through the laundry, to prevent scuffs. Too tight crossing of the brace makes it difficult to breathing, digestion and blood circulation in the lower half of the body. If to say goodbye to them either in the daytime or at night, can to atrophy of the muscles in the lumbar spine. Orthoses are useful in prolonged sitting at a desk, an intensive physical loads, driving in public transport. In the rest of the time it is better to dispense with them - the muscles have to work. The perfect remedy against back pain were and remain the physical therapy sessions. Own muscular "corset" does the artificial "propping" for the spine unnecessary.
Sometimes, in order to alleviate the pain of a heart attack, patients resort to taking an anti-inflammatory and pain medication resources. When very strong headaches are more effective in the form of intramuscular injections. Usually prescribe analgesics and nonsteroidal anti-inflammatory agents . Anti-inflammatory non-steroidal means of abuse too, not worth it. Contraindications to their use are peptic ulcer and 12-earthy intestine in the phase of exacerbation, the expressed disturbances of liver function. To avoid complications, it is necessary to take only one medication, short courses of 5-7 days, the pre-pull it with regard to the individual characteristics of the organism.
At an advanced age (over 65 years) with arterial hypertension, heart failure, or peptic ulcer disease non-steroidal medicines it is better to replace the so-called inhibitors of cyclooxygenase-2. These drugs practically does not irritate the digestive tract and have no other side effects. Nice to keep the rate of injection of vitamins, especially group b.