Spine pain in the lumbar region

If a person has had back pain in the lumbar region, the reasons can be various, to kidney pathology. Most often it is a symptom that is caused by diseases of the lumbosacral spine. The lumbar moves, which causes more frequent injury region.

Why develop pain syndrome?

Loin

Back pain is the only symptom. Acute pain related disorders of the lumbar vertebrae and disks, which is called lumbago. Why back pain in the lower part, everyone should know. There are the following causes for this symptom:

  • osteochondrosis of the lumbosacral spine;
  • a hernia between vertebrae;
  • Bechterew's disease;
  • the shift of the vertebrae;
  • congenital malformations of (the presence of an extra lumbar vertebra, spina handles);
  • congenital disorders of the form of the vertebrae;
  • benign, malignant and vascular tumors;
  • rheumatism;
  • inflammation of muscles (myositis);
  • inflammation of the sciatic nerve;
  • fracture of the spine;
  • spondylolisthesis;
  • osteomyelitis;
  • fibrosis;
  • osteoporosis;
  • protrusion of the disk;
  • narrowing of the spinal canal;
  • arthritis;
  • renal disease (hydronephrosis, pyelonephritis, tumors).

The spine in the low back can be painful due to simple muscle spasm. It is possible, with a sharp turn or performing sports exercises. Back pain in the lumbar region is more common in people who lead a sedentary lifestyle and lift weights. Individuals involved in sports, this pathology is much rarer.

Lumbosacral osteochondrosis

If you are constantly on the pain in the lower back from behind, it can be a manifestation of osteochondrosis of the lumbosacral spine. This is a disease that primarily affects the discs between the vertebrae. Become thin, leading to friction between them and the reduction in mobility of the drive. There are the following predisposing factors in the development of this disease:

  • stay hours in an uncomfortable position;
  • long from the torso;
  • enough warm-up in the implementation;
  • weakness in the muscles and ligaments of the back;
  • wearing backpacks with 1 strap;
  • the presence of flat feet;
  • heavy physical work;
  • most static load;
  • the wrong organisation in the workplace.

Back pain is the main symptom of degenerative disc disease. If it is 1. the degree of the disease, the pain syndrome is absent. With the development of a disc protrusion develops lumbago. This is a suddenly appearing pain in the lower back. Some people consider it as a shock. This is displayed when there is a sharp change of posture or movement.

If back pain in the lumbar region, it may be the cause of lumbalgia. This is a chronic pain in osteochondrosis. His appearance is not dependent on motor activity. The pain is excruciating. Such people find it difficult to bend the body. In the position of a person lying on his back, the syndrome disappears or decreases.

Osteochondrosis 3 degrees developed radicular syndrome. It seems lumborum ischialgia. This is pain that is placed on the lower extremities down to the toes. It is often coupled with violations of sensitivity. Pain in the lumbar region, caused by compression of nerves, blood vessels and muscle spasms.

Symptoms of hernia

The doctor

If concerned about pain in the low back, the causes can be a herniated. This is a very common disease. The core of the plate bobbin. Often on the basis of this is the rupture of the fibrous ring. Prevalence of 150 cases per 100 thousand people. There are the following possible reasons for the occurrence of hernia:

  • injuries (bruises, falls);
  • osteochondrosis of the lumbosacral;
  • overweight;
  • curvature of the spine;
  • the sharp turns.

At risk include drivers and office workers, working on the computer. Pain when the hernia has the following characteristics:

  • is a local;
  • often radiates into the thighs, the buttocks and the lower part of the leg;
  • in combination with other symptoms (numbness, tingling);
  • increases during exercise.

The severity of pain is determined by the size of the hernia. If it is large, this can lead to sciatica. This is reflected in the sciatica. Is severe pain in the form of lumbagoes.

Most patients with a hernia developing pain on the type of lumbago. Additional symptoms of a hernia include a low power, limited mobility of the lower back, weakness in the legs. Sometimes broken urination.

Symptoms of ankylosing spondylitis

When back pain in the sacral region and lower back for extended periods of time, it is possible to suspect ankylosing spondylitis.

This is a chronic systemic disease that most often affects joints of the spine. The exact causes for this disease has not been established. There are the following possible etiological factors:

  • inflammation of the musculoskeletal system and connective tissue;
  • hypothermia;
  • bone injury;
  • genetic predisposition;
  • infection.

Ankylosing spondylitis occurs mostly in young people aged 15 to 40 years. This pathology is manifested not articular and articular symptoms. Pain in the back and stiffness of the spine, is considered to be the first symptom. The pain is felt in the lumbosacral region. In the early stages it is expressed poorly. Its appearance is due to inflammation.

The pain is bilateral. Many people say that pain is most pronounced on one side. It takes more than 3 months and it is not. The disease develops very slowly. Pain bother these people, in the main in the morning. Perhaps its appearance after prolonged static load.

Through the middle of the day is decreasing. Pain syndrome increases at rest and disappears during the operation. On the stage in the midst of pain occurs at night and during the work. In the later stages of the development of sciatica. Pain in ankylosing spondylitis in combination with the deterioration of the General health of a person, chest tightness, shortness of breath, drooping of the head, pain in the muscles and chest. Often affects the eyes.

Kidney disease

Back

If back pain in the lower back, the cause may be disease of the kidney (hydronephrosis or pyelonephritis). The kidneys are retroperitoneal. When the inflammation (pyelonephritis) lower back pain is the most common complaint of patients. This is a disease often diagnosed in children and young girls. Pyelonephritis often develops on the basis of kidney stones.

The disease is contagious in nature. The most clear is acute pyelonephritis. It is characterized by pain in the lower back, nausea, fever, chills, nausea, weakness, frequent urination. Often edema. The pain is often unilateral, dull and constant. The irradiation can be in the region of the hypochondrium, of the abdomen and the navel.

If there is pain in the lower back, the reasons may lie in hydronephrosis. This is a disease in which the expansion of the renal calyx and pelvis. Often, this pathology develops in young children. The basis for the development of hydronephrosis is a violation of the outflow of urine, disorders in the functioning of the valve and obstruction of the urinary tract.

Hydronephrosis appears sharp pain in the back. She is irradiating. This happens in the page, slightly above the hip bone. The pain is paroxysmal, resembling renal colic. Pain syndrome in combination with nausea, vomiting, appearance of blood in the urine.

Manifestations of sciatica

If strong hurt the spine in the lumbar region, the cause may be inflammation of the sciatic nerve. This condition is called sciatica. The risk group includes older persons. Sciatica (sciatica), often develops in the background, a herniated disc, infectious diseases (flu, malaria, tuberculosis), and osteoarthritis of the poison. Sciatica is often observed in pregnant women.

Pain when sciatica has the following characteristics:

  • sharp (dagger);
  • penetrating;
  • intense;
  • burning or shooting;
  • originally appears in the lower part of the back and then it goes down (top-down in nature);
  • extends into the buttocks, thighs and lower leg;
  • worried constantly in the form of attacks;
  • it has a different effect;
  • often one-sided.

Pain accompanied by tingling, numbness and motor disturbance. Other symptoms of sciatica refers muscle atrophy, impaired sweating, dryness and thinning of the skin.

The plan of examination of patients

Not everyone knows what to do when back pain in the lumbar region. You need to go to the doctor and be tested. You may need the following investigations:

  • computed tomography;
  • x-rays of the lumbosacral spine;
  • An ultrasound of the kidney;
  • magnetic resonance imaging;
  • electroneuromyography;
  • vascular Doppler;
  • General and biochemical blood analysis;
  • urine;
  • cystourethrography.

Always perform inspection and palpation of the lumbar region and the spine. The need to consult with a neurologist or vertebrologist. In the review, the doctor can assess the mobility of the spine, reflexes, muscle strength, range of motion in the limbs. Almost always the cause of back pain are diseases of the spine. They are easy to identify with the image.

Therapeutic measures

The spine

If the sore back, the treatment must be directed at the underlying cause of pain. The following treatment methods:

  • systemic treatment with medications;
  • the use of local anaesthetic in the form of gels and ointments;
  • physiotherapy;
  • chiropractic;
  • acupuncture;
  • blockages;
  • surgical treatment;
  • LFK.

Such patients need to be engaged in gymnastics and to follow a high protein diet. All work must have a high amplitude. If lower back pain is a symptom of pyelonephritis, it is necessary to comply with bed rest, painkillers and antibiotics. In chronic inflammation of the additionally appointed diuretics. Antibiotics preference for fluoroquinolones and penicillins.

In addition, called immunomodulators, and vitamins. In the case of hydronephrosis may require surgical treatment. When pain on the background of the sciatica used analgesics (Analgin), tool combination, nonsteroidal anti-inflammatory drugs. In severe cases, novocaine blockade. In the scheme of treatments include massage, exercises, acupuncture.

To eliminate the pain can be a distraction therapy. Apply the ointment with bee or snake venom. When the hernia is shown nonsteroidal anti-inflammatory medications, spinal traction, massage and therapeutic exercise. In severe cases, surgery is necessary. When pain on the background of the sciatica treatment includes immobilization of the spine, the use of painkillers and intramuscular administration of the anesthetic. In addition to this, named of the B vitamins (Combilipen).

Effective and physical therapy. Upon detection of osteoarthritis, have shown physiotherapy, massage, pain, physical therapy. Also referred to as chondroprotectors. Such patients need to move more and to spend less time standing or sitting. In the scheme of treatment involving manual therapy and blockages. Thus, the emergence of pain in the lower back is the reason for the departure in the hospital.

21.09.2018