The lumbar spine, throughout life, can withstand greater loads. It is not surprising that sooner or later, often at the end of the day, many feel that they are sick down the back. But we should not assume this is a normal occurrence. Pain may be their cause, which often require emergency treatment. And if you do not pay attention to them and do not take appropriate measures, which do not know what to do, pain in the lower back may be significant to the deterioration of your life and health.
Why it hurts down the back — likely causes
The most likely causes for low back pain, lower back pain, in the legs, lower abdomen, due to the fact that a person who spends a lot of time behind the wheel, the computer is performing physical work, especially if he has to drastically change the position of the body. For pain in the lower back the lower back and may cause excessive load in the gym, the obsession with work on the house, especially in the presence of excess weight. At risk are women who have recently given birth or those who have already entered menopause
If a sore lower back in the lower part of the back, this may indicate the presence of malignant and benign tumors in the pelvic organs or in the pelvic cavity, diseases of the prostate or chronic prostatitis. Back pain after a long walk usually indicate the development of stenosis in the spinal canal. Another problem is the syndrome of the spine or pseudo-claudication intermittendi.
In rheumatic polimialgia is a very common disease of the elderly. First, the person feels the pain in the low back, are gradually intensified in the proximal upper or lower extremities are sharp and limited mobility.
A common cause for low back pain is low back pain. During the investigation of the spine is possible to detect even such degenerative diseases, such as osteoporosis, osteoarthritis and osteoarthritis. The distance between the vertebrates, the discs gradually decreases, and this disrupts the mechanical balance of the spine. However, this also causes pain in the lower back at the waist. Finally such pain can be a result of muscle spasm during the performance of unaccustomed physical activity.
If it hurts down the back to the waist — the nature of pain and possible symptoms
The nature of low back pain depends entirely on its cause. If this stretching, the pain spread mainly in the lumbar spine. In some cases, give them in the buttocks and hamstring. Mobility and the body turns quite limited. With the pinching of the nerve roots, low back pain from the waist down gradually on its own feet. If the cause for low back pain is one of the systemic diseases, such as sciatica, its symptoms progress gradually.
Expresso nerve endings of the spinal cord herniated discs usually occur in older men. Usually pain in this case is aggravated by sneezing, coughing, laughing, bending, straightening of the spine in the lumbar Section. Try to lie on your back and lift your legs straight vertically. In the presence of a herniated disc, you will feel pain in the lower back. This type of pain is called lumbago. In a standing position it is rising, and lying down — abates.
If it hurts down the back — the secondary causes of
- neoplastic diseases of the vertebrae and the spinal cord;
- fractures of the vertebrae;
- infectious diseases that may occur damage to the intervertebral discs and vertebrae themselves;
- metabolic lesions of bone
- non-inflammatory infectious
- acute disorders of the spinal blood circulation, cerebral stroke;
- diseases of the gastrointestinal tract (intestinal obstruction, atypical acute appendicitis);
- reflective pain, which can occur in various diseases of the pelvic organs (infection of gynecological diseases, renal colic).
What to do if you have pain below the back
Diseases that can cause low back pain in the lower back very much and almost all have similar symptoms. This is the reason why it is often necessary to differential diagnosis with the use of hardware and laboratory techniques. According to the results of this study will be assigned and the treatment of pain, or better, by those diseases, which caused their creation.
Why back pain in the lower part of the spine?
Probably not one person who at least once faced with the pain in the back. This problem is most pressing for people after 60 years but the young these cases happens. It is known that the restriction of physical activity in working age are most likely to occur precisely because of the pain in the low back. Why is this happening and what to do with her appearance, tell the doctor. And the patient only needs to come to the consultation of the specialist.
Every pain is a signal of some errors in the body. And its location generally indicates the source of the problem. If worried about the back, most people only think about the pathology of the spine. It is true, the injuries to the axial skeleton are the most common cause for pain in the lumbosacral region. These conditions include:
- Pain in the low back.
- Spondiloarthrosis.
- The intervertebral hernia.
- Injury.
- Spondylosis.
- Bechterew's Disease.
- Spondylolisthesis.
- The development of osteoporosis.
- The spinal stenosis.
- Of the tumor.
This can influence the structure of the axial skeleton: the vertebrae, discs, joints, ligaments, tendons and muscles. A pathological process, it is often degenerative, inflammatory or traumatic in nature. It is easier for the inactivity, sedentary work, carrying of heavy loads and other loads on the spine. The important role of internal factors, associated with metabolic-metabolic, immune and age-related changes in the body.
However, low back pain is a symptom, not only because of diseases of the spine. And I know that all doctors. Under this symptom may be masked fairly common diseases of the internal organs in women and men. Therefore, causes of pain should be looked for among such Countries:
- Gynecological problems.
- Diseases of the kidney and bladder.
- Urologic pathology.
- Bowel disease.
In addition, the back can be a pain during pregnancy, when the increased load on the lower back due to the passage of the centre of gravity of the body and stretch the internal ligaments of the pelvis.
Why is there pain in the lower back, can be found after medical examination and additional diagnostics.
When the patient goes to the doctor, wants, to get detailed information about the origin of the discomfort and the further tactics. And it has to be examined. And the basic step is a clinical examination, during which clarify the subjective and objective signs of pathology.
If we are talking about complaints, the greatest concern in patients that cause pain. You can have different colors, but most often are characterized by the following properties:
- Acute or chronic.
- Shooting, aching, throbbing, drawing, stitching.
- With varying degrees of intensity, from mild to severe.
- Localized in the lumbosacral region.
- In the lower limbs, the groin, the stomach.
- Exacerbates the movement of the torso, sitting, walking.
However, low back pain is not only symptom of pathology – clinical picture also includes the other symptoms, which point to the probable source of the problem.
Diseases of the spine
When patients worry about the back in the lumbosacral region, you will need to look for confirmation of vertebrogenic nature of these feelings. Pain is often associated with muscular tension or compression of nerve roots. So that can have the following characters:
- Lumbago – acute lumbago in the lower back.
- Lumbalgia – dull and deep pain.
- Sciatica – pain radiating in the lower limb in the context of the sciatic nerve.
First sometimes there are unpleasant sensations in the legs and back starts to bother later. But the pain in radicular syndromes (radiculopathy) are specific to the neurological disorder associated with damage to sensory, motor and autonomic fibres. These include:
- The depression of the tendon reflexes.
- Reduced strength in the lower extremities.
- The worse the sensitivity.
- Numbness, tingling, "pins and needles", burning sensation.
- Discoloration of the skin.
Such violations are recorded in the appropriate dermatomes of the body segments innervating the affected spine. And local signs of pathology of the spine are muscle tension and pain paravertebral points in the lumbosacral region, the smoothed physiological lordosis, and limitation of active movement.
Vertebrogenic disease is equally common in men and women, with age it only gets worse and often lead to reduced functional abilities of the person.
Gynecological problems
If it is lower back pain in women, then you need to be alert to the possibility of diseases in the gynecological field. Most often we are talking about inflammatory diseases or dysfunctional States. In such cases, you may see the following signs:
- Irregularities of the menstrual cycle.
- Vaginal discharge from the vagina.
- The increase in temperature.
Acute processes in the uterus and appendages can become chronic or the complication of peritonitis. In addition, the cause of pain can be ectopic pregnancy or miscarriage. Then there is the risk of internal bleeding and shock.
Diseases of the kidneys and bladder,
Pain in the lower back, is considered as one of the symptoms of kidney disease – nephritis. As a rule, have permanent character, and in the case of kidney stones can be aggravated by a bumpy ride or running. Cystitis, these sensations are localized in the suprapubic region and can radiate to the sacrum. The inflammatory process is accompanied by other symptoms:
- Dysuric disorders: convulsions, burning sensation when urinating.
- The change in color of urine.
- Fever, General malaise.
Chronic pathology accompanied by the gradual loss of functional abilities of the body, that develops in kidney failure.
Urological pathology
If men have back pain in the lower back bottom, then the differential diagnosis should be done of urological and diseases. First exclude diseases of the prostate – prostatitis and adenoma. So he felt pain in the region of the pubic and perineum, placing in the rectum and the sacrum. There are often additional characters:
- Discharge from the urethra.
- Difficulty in urinating.
- Reduced potency.
In acute prostatitis can be General presentations fever, weakness, nausea. And chronic inflammatory processes are slow and bad symptoms.
Bowel disease
In regard to the source of pain in the lumbosacral area, it should be noted pathology of the various compartments in the intestine. Appendicitis, ulcerative colitis, proctitis, a condition that require different approaches to diagnosis and treatment, but similar symptoms. These include:
- Pain in the abdomen or flanks.
- Changes in the stool – constipation or diarrhea.
- Fever.
Colitis, are often present pathological impurities in the stool: blood, mucus or pus. But an objective examination palpation of the abdomen and rectal examination provides additional information about the disease.
Nonvertebral pathology is quite varied, which is why the doctor requires a thorough differential diagnosis of low back pain.
Diagnosis
In order to understand why the patient has pain in the lower back, which you need to pass additional tests. The doctor will prescribe a complex of laboratory and instrumental methods, the results of which will help you become a real finish. These include the following studies:
- General blood and urine.
- Blood biochemistry (markers of inflammation and rheumatology tests, urea, creatinine, etc).
- Urine analysis according to Nechyporenko, zimnitskiy.
- Analysis of the secretions from the genitals, excrement.
- Radiography of the spine.
- Magnetic resonance imaging and computed tomography.
- Ultrasound of the internal organs.
- Endoscopy in the intestine.
If necessary, a list of diagnostic procedures, which are spread. Opportunities for the establishment of the source of the pain.
For the treatment of vertebrogenic disease, should be based on the nature of the pathological process and the individual characteristics of the patient. Take into account the possibility that the associated conditions, which also requires an appropriate correction. If the cause of pain which are not associated with the spine are excluded, the treatment deals with the spine, neurologists, or orthopedic trauma.