Back pain in the lumbar region is common.By the age of 30, these sensations arise in 70% of people, regardless of the type of employment, lifestyle and physical activity.Ignoring back pain is fraught with undesirable health consequences, as these symptoms already indicate disturbances in the functioning of the body.
In a consultation with a neurologist:
- Perform an inspection;
- Listens to patient complaints;
- Make a preliminary diagnosis;
- If necessary, it will be referred for additional research;
- will prescribe an individual course of treatment.
Causes of back pain
The causes of back pain in the lumbar region differ in the etiology of origin and require the determination of the area of pain and the analysis of the character.It is customary to distinguish:
- epicritic pain - severe back pain in the lower back with a special focus;
- protopathic pain - nagging pain, pain that is a reflection of diseases of other anatomical areas.
Frequency of occurrence, duration of pain and affected area are important.Often the rear part fails due to:
- age-related changes that reduce the spine's ability to perform shock-absorbing functions;
- stress when carrying a child;
- vertebral displacement, trauma and compression fractures;
- spinal deformities;
- intervertebral hernia, osteochondrosis, compression of the nerve roots of the spinal cord.
If pain in the lower back limits mobility and prevents you from bending over, then we are talking about a sprain.A feeling of numbness, increased pain when coughing, sneezing, the spread of sensation in the lower extremities - these are nerve-radicular syndromes.The increase in long-term pain is explained by problems with internal organs.
Back pain in the lumbar region on the right occurs due to muscle spasm, irritation of nerve fibers, problems with the musculoskeletal system or the spine.Problems with the liver, right kidney, right ovary (in women), intestines and gall bladder affect.Similar reasons lead to a person having back pain in the lumbar region on the left.However, in this case, with protopathic pain, you should pay attention to the left kidney, left ovary (in women), stomach, intestines and pancreas.
If the left side hurts from the back to the lower back or the right side in the morning after sleep and long immobility, then this indicates spondyloarthrosis.Sharp pain when the temperature changes (in the shower or due to hypothermia) is a manifestation of acute lumbago.
In case of painful pain, it is recommended that men first consult a urologist, while for women - a gynecologist.You will need to do an ultrasound of the internal organs, blood and urine tests.When examining the spine, MRI of the lumbar region gives good results.
Protopathic back pain over the lower back is caused by a number of reasons:
- kidney disease;
- heart disease (angina pectoris, myocardial infarction);
- pleurisy;
- pneumonia;
- diseases of the esophagus;
- appendicitis;
- inflammation of the gallbladder.
Acute back pain over the lower back with:
- radiculitis;
- osteochondrosis with disc displacement;
- spine and rib injuries;
- myositis (muscle inflammation).
Back pain under the lower back is caused by morphofunctional musculoskeletal changes - osteochondrosis or spondyloarthrosis.In this case, patients experience severe back pain under the lower back.
How to relieve back pain
If you've been experiencing sharp pains in your lower back, you can ease the discomfort with simple steps.You should lie down on a horizontal surface and relax.Please note that a soft feather bed that flexes too much under your weight will not work.The legs should be placed at a height, relieving the load from the spine.
After the discomfort has stopped, you should carefully roll onto your side and get on all fours.The purpose of such "gymnastics" is to minimize the load on the back.You should straighten up and stand using a support, holding it with your hands.A back belt for back pain allows you to adjust this area of the body, which also reduces pain.At the same time, it should capture not only the diseased area, but also the part of the body above and below it.At the same time, analgesics can be used to relieve pain and reduce inflammation.They can be used in the form of tablets or as injections for back and back pain (in this case, blockade injections are performed only in a clinical setting).
After eliminating the symptoms, you should definitely go to the clinic.Self-medication is unacceptable.Using ointment for back and back pain and belt, the patient can endure the pain for a long time, aggravating his condition.As a result, the back muscles weaken and the pain goes into a chronic phase.Abuse of analgesics can cause addiction.
Treatment of back pain in the lumbar region
If your lifestyle causes periodic muscle spasms (this can be caused by sports or physical work), then you should have muscle relaxants in your home medicine cabinet.But these medications should also be prescribed by the doctor after consultation.During the treatment of back pain, depending on the diagnosis, different measures are used:
- Reflexology. Includes acupuncture (injections with special needles in specific areas) and electroacupuncture (use of electrical impulses).It can also be applied in the form of transcutaneous electrical neurostimulation (suppression of the pain signal entering the brain).
- Physiotherapy. Magnetic and laser therapy techniques are used, as well as medicinal electrophoresis and phonophoresis, which increase the effectiveness of medication use.
- Therapeutic exercises and massage. These measures are effective for diseases of the spine and rehabilitation after injuries.Requires specialized supervision.
- Surgical intervention. It may be necessary for hernias that cause compression of the spinal cord or spinal root.
Treatment is often complex, combining different approaches.The duration and effectiveness of therapy depends on the duration of treatment.