Periodic or persistent back pain occurs in almost every modern person.Almost no one pays attention to embarrassment or consumes uncontrollable soothing if it tries intense pain.This approach can cause serious illness and future complications.
If you are concerned about the constant back pain, we advise you to contact the Neurology Center for advice.Careful and highly qualified neurologists who are willing to save you from the disease within a short time are receiving the reception.
Why does your back hurt you?
This may be due to diseases of the internal organs, a spinal cord (including a fracture), neurological pains usually indicate osteochondrosis, and is sometimes a symptom of gastrointestinal tract pathology, kidneys, etc.
In addition, the back to some extent is predisposed to damage and pain.The back performs at least 4 functions: support, protective, depreciation and motor.Therefore, if the pain has appeared, this can be the result of poor behavior, a strong load with a time, a sharp movement or twist.
What to do with back pain?
Consult a doctor, undergo an examination.Based on the diagnosis, it will become clear how to cure back pain, depending on its root cause.
Causes of back pain
Back pain means not only serious pathology.For example, pain in coughing or walking can be caused by simple overvoltage.However, it is often a symptom of various diseases, whose manifestations depend on many factors.
Why does the back hurt after sleep?
Possible reasons why in the morning after sleep there is back pain:
- hypothermia;
- a sharp lifting of weights during the day (or in 3-4 days), causing night pain;
- osteochondrosis;
- intervertebral hernia;
- the wrong position of the body when lying;
- improperly selected mattress;
- In women among the causes - pregnancy;
- curvature of the spine, which includes the contraction of the asymmetrical muscles;
- overweight and muscle weakness;
- stress
Diseases related to joints and vertebrates
Back pain in this case means they may be present:
- osteochondrosis;
- Spondylolistz;
- Ankylosing spondylitis;
- Bakhterev's disease;
- osteomyelitis;
- rheumatoid arthritis;
- displacement of intervertebral discs;
- Reuters syndrome;
- A hernia of the intervertebral disc.
Muscle -related diseases
Why do the back muscles hurt?
Very often, muscle aches are associated with a high load, fatigue, hypothermia.Spasms and seals can occur, as well as a decrease in mobility and pain (fibromyalgia).In addition, the back can damage the following muscle pathologies:
- Charcot disease, or bass;
- dermatomyositis (also manifested by redness);
- Rabdomyoliza;
- Polimiosite;
- muscle tissue infection, abscess;
- Rheumatic polyimialgia.
Pathology of the spinal cord
The spinal cord is an organ that provides a connection between the body and the brain.Through the holes between the vertebrae from the spinal cord, the spinal nerve pairs leave - there are 31 of them.Eachdo inner nerve a certain part of the body.If you find skin numbness (instead), muscle weakness, limbs, spinal cord or any nerve is damaged.
More diseases:
- compression of the spinal cord (for example, with a fracture or cervical spondylosis, abscess, hematoma);
- spinal cord damage;
- liquid -filled cavities;
- an inflammatory process caused, for example, by acute transverse myel;
- damaged body supply with blood;
- HIV;
- abscess;
- lack of copper, vitamin B;
- syphilis;
- good neoplasms or malignant;
- hemorrhages;
- Scattered sclerosis.
Back pain due to psychosomatic
Psychological reasons are officially recognized as a medicine.Psychogenic factors can affect the processes that cause dysfunction in a given location.Thus, chronic stress and prolonged depression, dissatisfaction with an intimate life can lead to constant painful pain in the lower back.
Types of back pain
Various diseases cause different types of back pain.Consider the main pathologies and the nature of the pain with them.
| The nature of the pain | Diseases that cause it |
|---|---|
| Back pain (acute and chronic) | Lumbago (shooting at the bottom of the back).The reason is hard physical work.It usually goes on its own after a few days. |
| Myositis, muscle extension, a sharp lifting of weights, hypothermia, a long preservation of an unpleasant attitude, for example, during work. | |
| Displacement of intervertebral discs.The most common cause is osteochondrosis, but even a displacement can occur with a sharp lifter in weight and high constant physical exercise. | |
| Sharp | Osteochondrosis.It causes the back pain, which are given to the feet, become stronger when sneezing, coughing, tension. |
| Radiculite.Persistent acute pain (stitching) or dull pain.It is usually located on one side, can be given in thighs, buttocks, feet, lower legs, sometimes causes numbness, itching.The pain is also burning, intensifies when moving. | |
| Intervertebral hernia.With such a pathology, the pain occurs when it is steep, lifting weights, intensifies when sneezing, coughing, moving, associated with weakness in the legs. | |
| Pulsating, severe pain, may not pass after you have received analgesic | Osteochondrosis, cracks in the beads, lumbago, intervertebral hernia, spondylosis. |
| hum | In the upper back and in the middle of the sternum - it can talk about angina pectoris, myocardial infarction, pulmonary artery thromboembolism.At the bottom of the intestinal obstruction, spondillaarthrosis. |
| Pressure | Angina pectoris, myocardial infarction, gall bladder problems (pain occurs after eating), atherosclerosis, hypertensional crisis. |
Localization
Consider the possible causes of pain in different parts of the back.
Pain in the right
The back to the right can occur with kidney problems, sometimes talking about inflammation of the appendix.In addition, there is a list of diseases that are characterized by pain on the right side from the back:
- Curve of the spine is the most common reason why the parties damage;
- displacement of intervertebral discs;
- Gastrointestinal diseases;
- Kidney stones (pain gives back to the right side of the back, under the ribs, in the stomach);
- Obesity;
- Gynecological diseases, most often inflammatory;
- Diseases of the respiratory system (if it hurts to the upper right), with painful and dull pain, the transition of pathology to the chronic phase is possible;
- impaired function of the peripheral nervous system;
- injuries;
- muscles located near the spine;
- very strong physical activity;
- Ectopic pregnancy.
Pain in the left
If the pain is localized at the back to the side to the left, under the ribs or at the bottom of the back, maybe this:
- Spinal pathology (inflammation, pinch, etc.);
- Kidney disease and urinary system (associated with swelling of the feet);
- Gastrointestinal diseases;
- Spring diseases.
In left and above hypochondrium:
- respiratory diseases;
- cardiovascular disease;
- osteochondrosis;
- International neuralgia.
The withdrawal of pain on the left side from the back to the bottom Talks about the pathologies of the reproductive system.
Immediate
If the back hurts at the bottom of the back, such discomfort is characteristic of osteochondrosis, hernia, radical.Pain in the back muscles in the lower back occurs due to damage, excessive load.
Other causes of back pain:
- rheumatoid arthritis;
- Reuters syndrome;
- spinal infections and intervertebral discs (brucellosis, tuberculosis, abscess);
- tumor;
- Pinching of the nerve;
- osteochondrosis;
- sciatica;
- Osteoporosis.
In the blades area
Pain At the upper back of the back (in the shoulder blade) on the left:
- Diseases of the musculoskeletal system;
- lung problems (pneumonia, abscess, pleurisy);
- impaired stomach function;
- Pathology in the cardiological profile (angina pectoris, myocardial infarction);
- Spinal diseases (osteochondrosis, hernia, scoliosis, spondylosis, spondy arthrosis);
- muscle inflammation;
- Spring diseases.
Pain Below the right shoulder from the back:
- damage;
- infections;
- osteomyelitis;
- cholecystitis;
- Liver colic;
- pancreatitis;
- gallstone disease;
- cirrhosis;
- osteochondrosis of the cervical region;
- scoliosis;
- International neuralgia;
- Vegetables -Diston vascular.
Pain along the spine and in the spine
One of the main reasons why the spine's back is Compression of nerve processes.It can be associated with hernia, scoliosis, vertebral displacement.Other reasons:
- osteoarthrosis;
- Myalgia;
- Osteochondrosis (back pain can occur in the middle of the back, in the cervix or lumbar);
- excessive muscle work;
- curvature of the spine (scoliosis, kyfosis, lordosis);
- spinal extension;
- fracture, spine trauma;
- inflammation of the sciatica;
- abnormalities of the spinal column structure;
- radiculite;
- Bakhterev's disease;
- Spondylosis.
Causes of pain under the lower back
A significant percentage of cases of pain in the back of the back is:
- spondylarthrosis;
- Osteochondrosis.
Other reasons:
- scoliosis;
- vertebrae infections and intervertebral discs;
- inflammation of a non -infectious nature;
- Gastrointestinal diseases;
- Muscle stretching;
- Displacement of intervertebral discs.
Symptoms that accompany back pain
Episodic pain, even intensifying in the load, are not dangerous.However, if there is no improvement within 3-5 days, and back pain intensifies, you should consult a doctor urgently.
Consider the symptoms of back pain in the back.
Lumbar:
- weakness in the legs;
- numbness or pain of buttocks, buttocks, toes, toes, toes;
- Rapid urination or, conversely, is very rare;
- Reduction of sensitivity during defecation and urination.
Signs of back pain in the neck:
- frequent headaches;
- weakness in the hands;
- sharp changes in blood pressure;
- increase or decrease in blood pressure;
- The sharpness and pain in the hands, shoulders, fingers, hands.
Chest region:
- pain under the shoulder blade (probably deteriorating pain during movement);
- Burning in the sternum or between shoulder edges.
Situations in which you should consult a doctor as soon as possible
Removal on the back, if it is not related to serious pathology, lasts 3-4 days.If this does not happen, you should definitely visit a doctor.Moreover, the reasons for urgent contact for a specialist are:
- very severe pain;
- pain that intensifies at night;
- When it hurts in every position of the body and you cannot get a position in which relief occurs;
- The pain that suddenly risen and for the first time in his life;
- when a person suffers from pain syndrome whether younger than 20 years or older than 55;
- the latest damage to the back;
- fever;
- lowering body weight without any obvious reason;
- progressive disorders over the profile of neurology;
- general weakness;
- Change of walking;
- long -term corticosteroid intake;
- an increase in pain over a month, lack of improvements in the background of therapy;
- Pain radiates in the legs, especially below the knee;
- In one or both feet, weakness, numbness of the skin, tingling tingling occurs.
Troubleshooting
To make a diagnosis of back pain, you need to make an appointment with a neurologist, if necessary, do tests, and also under the purpose of the specialist to undergo a hardware study.
- Blood tests.
They allow you to determine the presence of infection, ESR (increased rate of erythrocyte resolution, indicating inflammation, infection).If an increased level of leukocytes is detected, then this is also a sign of inflammation, infection.Also, the anemia of iron deficiency, the cause of which may be oncology, can be determined by the blood.
- Hardware diagnostics.
- Duplex and Triplex UZ-Sanification of neck and brain vessels.It allows you to determine the structure and patent of blood vessels, the presence of narrowing or enlargement, plaques, blood clots, and blood flow correspondence with norms.It is used in the diagnosis of the causes of headaches, dizziness, increased pressure, and for suspicion of cerebrovascular accident, with early diagnosis of pre -intelligence.
- MRI (magnetic resonance imaging). The most accurate and effective method of exam.It allows you to visualize the tumors in the beads, the hernia of the intervertebral discs, the compression (and its degree) of the spinal nerves and the spinal cord, the narrowing of the spinal canal, the inflammatory changes, including those -traumatic ones.MRI was necessarily performed before surgery and in the post -surgery period.
- CT (calculated tomography). It detects the fractures of the vertebrae and their character, allows you to find even very small fragments if they are formed during damage.Based on the data obtained, you can create a 3D image of the desired area.CT "sees" what is left unnoticed by radiography.
- Radiography. Allows you to evaluate the state of bone structures.It is performed to diagnose fractures, arthritis, spondylolisthesis, degrees of behavioral disorders.It can be performed with functional samples, that is, when the patient bends and extends the spine during examination.Visualizes inflammation of the joints in the spine, helps, according to indirect signs, identify the localization of compression of nerve processes.The degree of intensity of bead coloring in the picture allows you to appreciate their castle (with osteoporosis they are more "transparent", and when healthy are bright white).
- Electromography (EMG). A study aimed at determining the condition of nerve tissue.During it, electromic towels, which are performed by the nerves, as well as the muscle response to them are evaluated.Electromography helps detect the compression of the nerve due to the stenosis (narrowing) of the spinal canal or intervertebral hernia.
- Bone scan. This study is needed if the doctor suspects the bone tumor or a compression fracture in the background of osteoporosis.
Treatment of back pain
Most often, patients do not know which doctor to contact.A neurologist is engaged in a complex treatment of back pain.It is for him that you should contact problems with the spine.However, before the arrival of a specialist or a visit to him, you need to provide first aid for back pain.
How to relieve or relieve pain at home?
The most important thing is to relax.To do this, you need to lie on the stomach on a solid and even surface.Best of all - on the floor.After a few minutes, you need to roll carefully on your back and raise your feet, adjusting them so that the hips are at an angle of 90 degrees.So you remove the load from the spine.
You can use anti -inflammatory drugs in the form of ointments and creams.Once you have removed the pain syndrome, you should stand gently and adjust the painful area, for example, bandage with a scarf or towel.
How to anesthesia if there is no sedatives against sedatives?
You can relieve severe pain with such a simple tool as a cold compression.It will not give complete liberation, but it will ease the situation.This can be a product from the refrigerator, an ice package, etc.Also, pain help can be provided by applying a heat compress or heat pillow.It is only important not to overheat a sore spot.
What else helps?
Mild physical activity that aims to cook muscles, increase blood circulation will help relieve disturbance.It can be a free walk, muscle stretch exercises.
Pain medicine: Methods of medical intervention
First of all, the disease that caused pain and its treatment begins.Along the way to relieve discomfort, treatment of chronic pain, medicines are used:
- analgesic, NSAIDs, in rare cases - sedatives of narcotic pain;
- B vitamins;
- Musorelaxants.
A person is prescribed bed rest, coated with a fixing corset (for example, in neuralgia).
An important stage of treatment is physiotherapy.Its main methods:
- electrophoresis with medication;
- phonophoresis;
- Laser therapy;
- Magnetic therapy.
Also performed reflexology:
- electroneurostimulation;
- Acupuncture techniques.
Massage, osteopathy, manual therapy and exercise therapy are effective for back pain.These methods are used when pain is caused by muscle and spinal diseases, during post -damage rehabilitation.
PREVENTION
Clinical recommendations for Prevention of intervertebral and osteochondrosis hernias:
- Move more, make gymnastics in the morning, engage in yoga;
- Take a contrast shower followed by friction with a towel to improve metabolic processes;
- Once every six months, pass a massage course (up to 10 sessions);
- maintain liver health because collagen production depends on it;
- enhances immunity;
- Avoid stress, set a psychological background;
- Weight monitoring, because each additional 10 kg is about 0.5 kg additional load for vertebra, which leads to fast clothing.
In addition, it is important:
- Stay correctly and walk.The exact stay is when you get up on the wall and touch it with a nap, shoulder blades, buttocks and heel.When walking and standing, you should try to maintain this situation.
- Sit in the right position: do not throw back back, do not bend ahead.You need to press your back tightly against the back of the chair, have support under the bottom of your back and neck.Everyone 15 minutes - change your leg position, stretch.
- Sleep on anatomically accurate or orthopedic mattress.
- Once you wake up, even in bed, do simple exercises with your feet and hands, stretch before you get up (you have to do this without sudden movements).
- Do not wear heavy bags in one hand.It is better to distribute purchases evenly by two packages.
- Do not wear a bag on my shoulder.More useful for the back - a two -striped backpack.
- A small child should be worn with a straight back, so as not to bend.Completely is better better to wear a baby on his chest in a special, and slightly adult hobe - after.
- When transferring heavy objects, do not bend and rotate the body.
- Do not bend when cleaning - use an additional cord for a cleaner handle with vacuum and a mop (do not wash the floors with just one cloth, kneeling).
- Most often eat grapes, apples, strawberries, pears, lentils, hazelnuts, squash, green salad, raspberry.
- Follow the balance of magnesium and potassium in the diet.Eat nuts, fish, seafood, spinach, cabbage, beans, peas.
- Exclude bad habits - alcohol and smoking.
- Commit to swimming, jogging (but only with a bed to suck and in special sports shoes), ski.
Be sure to visit doctors for preventive examinations in order to prevent a deterioration of the situation in the presence of a disease and start treatment in time.