Back pain, lower back pain – not the person who would never in their life experienced. According to the world health organization (who) is the most common complaint and the most frequent cause of temporary disability.
What to do?
The phenomena of degenerative changes of the spine are often referred to as the outdated term "osteochondrosis". These phenomena are observed among the majority of people over the age of 18 years. The very word "osteochondrosis" includes everything, from the age norm on severe pathology. This term is reluctantly used by most neurosurgeons, and is not used in the international literature.
Back pain can be a separate problem ("grab", "gelidus back", etc), but it may indicate disease of the spine, on a variety of serious conditions, from pyelonephritis and influenza, spinal tumors or metastases in the vertebrae. So, back pain is a symptom that requires diagnosis.
Far diagnosis for pain in the back are needed in the following cases: the pain came after the injury, falls, traffic accidents; severe pain lasts a few days, stopping for a walk and/or sleep; the pain radiates into the leg/the leg (buttock, thigh, Shin/calf and foot); with torpor, and the feeling of pins and needles in the foot/leg; reduction in force in any part of the feet/legs, weight loss legs/feet; difficulty or frequent urination, bowel movements; severe pain in the older person; in severe pain in the back, from macie, weakened or the person with the temperature of the back pain in a patient with severe systemic diseases, such as osteoporosis, cancer, tuberculosis.
Clearly the desire to find out why the pain in the lower back. Best to start with a magnetic resonance imaging (MRI) of the lumbosacral spine. All other actions, including a visit to the doctor, then. On MRI, you have to spend a few thousand, but this, without a doctor referral.
The conclusion is that it is written by a specialist in radiodiagnostics, often scares the patient. This can be written: hernia / protrusion / stenosis / degenerative disc disease / herniated Smorlya / spondylosis. This can mean anything, including nothing. Only describes the Mr-phenomena. Must be interpreted by the clinician by taking into account the medical history of the disease, additional research and more. Conclusion is not written for a patient and another doctor.
Radiography and computed tomography in most cases, the additional studies prescribed by a doctor.
Making an MRI of the lower back, you should consult with a neurologist or neurosurgeon. Secondly, in my subjective opinion, better: the average neurosurgeons operate much better interpretiruya pictures, because every day I see the real picture on the activities and correlate with MRI and clinical picture. In some cases, about which I will say, a neurologist or a neurosurgeon, you need a podiatrist.
If the results of the review and evaluation MRI is not need surgery (the most common example), the treatment is carried out under the supervision of a neurologist. In typical cases, this includes nonsteroidal anti-inflammatory drugs, muscle relaxants and other medications. Sometimes other methods are necessary. If you want to determine the type and duration of the treatment can only a doctor.
Self-treatment of pain in the low back, especially without the MRI, an extremely unwise move. The use of alternative medicine, again – especially without the MRI, complete idiocy.
Sometimes the doctor says that you need to remove a herniated disk. Due to the use of endoscopic and microsurgical techniques in the right hands, this operation is very safe. I usually tell patients that the risk for paralysis or other serious complications in removing the disk herniation is approximately equal to the risk of death in a traffic accident on the way to advice.
Many fear that surgery on the spine can paralyze. It is almost impossible. There are dangerous procedures that are associated with this risk, for example, the removal of intramedullary tumors, surgery for fractures of the thoracic spine, etc If there is no such danger, he recalled. When you remove the disk herniation, the resolution of the stenosis in the spinal canal, the risk of these complications theoretical. Status of security is a trained neurosurgeon and the clinic has modern equipment.
There are diseases, which require stabilization of the spine – the installation of structures that hold the vertebrae with each other. Stabilization methods and systems to stabilize very much. Stabilization of the spine is performed only on strict indications. The need for this, you can only specify a neurosurgeon. Most often stabilization surgery is needed when spinal stenosis, spondylolisthesis, instability of vertebral segments, fractures of the vertebrae.
After most operations on the spine, not only do not have much time for a lie, but often the patient begins to walk alone the next morning after the surgery or even in the evening on the day of the operation.
What you need to do, not to hurt the lower back? In private hospitals you can find commercial programs to fight back on the price of the car. It is scientifically proven that in fact it is enough the basic things.
First, you need to be in the normal range of body weight in the other. You should have a well developed axial muscles – swimming and fitness. Finally, back pain is often the first symptom of depression, because depression is accompanied by a lower pain threshold. In General, it is necessary for the normal mood and stay in shape.