Periodic or constant back pain occurs in almost all modern people.Almost no one pays attention to discomfort or consumes analgesics uncontrollably if intense pain torments.This approach can cause serious diseases and complications in the future.
If you are concerned about constant back pain, we recommend that you communicate with the Neurology Center to obtain advice.Careful and highly qualified neurologists who are ready to save it from the disease are in a short time taking the reception.
Why does your back hurt?
This may be due to diseases of internal organs, a spinal injury (including a fracture), neurological pains usually indicate osteochondrosis, and sometimes it is a symptom of the pathology of the gastrointestinal tract, kidneys, etc.
In addition, the back to some extent is predisposed to injuries and pain.The column carries out at least 4 functions: support, protection, depreciation and motor.Therefore, if the pain has appeared, this may be the result of a bad posture, a single -time strong load, an acute movement or turn.
What to do with back pain?
Consult a doctor, undergo an exam.According to the diagnosis, it will be clear how to cure pain in the back, depending on its root cause.
The causes of back pain
Back pain means not only serious pathologies.For example, coughing or walking pain can be caused by a simple overwrite.However, it is often a symptom of various diseases, whose manifestations depend on many factors.
Why does the back hurt after the dream?
Possible reasons why in the morning after sleep there is back pain:
- hypothermia;
- an acute weightlifting during the day (or in 3-4 days), causing night pain;
- osteochondrosis;
- intervertebral hernia;
- the position of the wrong body when you lie;
- incorrectly selected mattress;
- in women among the causes: pregnancy;
- Curvature of the column, implies asymmetric muscle contraction;
- overweight and weakness of the muscles;
- stress.
Diseases associated with joints and vertebrates
Back pain in this case means that they can be present:
- osteochondrosis;
- Spondylolistz;
- Ankylosing spondyl artis;
- Bekhterev's disease;
- osteomyelitis;
- rheumatoid arthritis;
- displacement of intervertebral discs;
- Reuters syndrome;
- An intervertebral disc herniation.
Diseases associated with muscles
Why do back muscles hurt?
Very often, muscle aches are associated with a great load, fatigue, hypothermia.Spasms and stamps may occur, as well as a decrease in mobility and pain (fibromyalgia).In addition, the back can damage the following muscle pathologies:
- Charcot or bass disease;
- dermatomyositis (additionally manifested by eruption);
- Rhabdomyolysis;
- polymiositis;
- Muscle tissue infection, abscess;
- Rheumatic Polymalgia.
Spinal cord pathologies
The spinal cord is an organ that provides a connection between the body and the brain.Through the holes between the vertebrae of the spinal cord, spinal nerve pairs appear: there are 31 of them.Each nerve innervates a certain part of the body.If you find skin numbness (locally), muscle weakness, limbs, spinal cord or some nerve are damaged.
More diseases:
- Compression of the spinal cord (for example, with fracture or cervical spondilosis, abscess, hematoma);
- column injury;
- cavities full of liquid;
- An inflammatory process caused, for example, by acute transverse myelitis;
- Blood -deteriorated body supply;
- HIV;
- abscess;
- Copper deficiency, vitamin B;
- syphilis;
- good or evil neoplasms;
- hemorrhages;
- Sclerosis dispersed.
Back pain due to psychosomatic
Psychological reasons are officially recognized as medicine.Psychogenic factors can affect the processes that cause dysfunction in a given place.Therefore, chronic stress and prolonged depression, dissatisfaction with an intimate life can lead to constant painful pain in the lower back.
Types of back pain
Several diseases cause different types of back pain.Consider the main pathologies and the nature of pain with them.
| The nature of pain | Diseases that cause it |
|---|---|
| Pain pain (acute and chronic) | Lumbago (shooting in the lower back).Reason is hard physical work.It usually goes on your own after a few days. |
| Myositis, muscle stretching, acute peso lifting, hypothermia, a long preservation of an awkward position, for example, during work. | |
| Intervertebral disc displace.The most common cause is osteochondrosis, but a displacement with an acute elevator in weights and a high constant physical effort can also occur. | |
| Sharp | Osteochondrosis.It makes back pain, which occur in the leg, strengthens when sneezing, coughing, tension. |
| RadiculitisConstant acute pain (sewing) or opaque.Usually, it is located on one side, it can be given in the thigh, the buttock, the leg, the lower part of the leg, sometimes it causes numbness, itching.The pain is also burning, intensifies when it moves. | |
| Intervertebral hernia.With such a pathology, pain occurs when leaning, lifting weights, intensifies when sneezing, coughing, movement, accompanied by weakness in the leg. | |
| The pressing, severe pain may not pass after taking analgesic | Osteochondrosis, cracks in the vertebrae, lumbago, intervertebral hernia, spondyosis. |
| Pitching | At the top of the back and in the middle of the sternum, you can talk about angina pectoralis, myocardial infarction, thromboembolism of the pulmonary artery.In the lower back - intestinal obstruction, spondilartrosis. |
| Pressure | Angina pectoris, myocardial infarction, problems with gallbladder (pain occurs after eating), atherosclerosis, hypertensive crisis. |
By location
Consider the possible causes of pain in various parts of the back.
Right pain
The back in the back to the right can occur with kidney problems, sometimes it speaks of inflammation of the appendix.In addition, there is a list of diseases that are characterized by pain on the right side from behind:
- The curvature of the column is the most common reason why the sides hurt;
- displacement of intervertebral discs;
- gastrointestinal diseases;
- kidney calculations (pain returns to the right side of the back, under the ribs, in the stomach);
- obesity;
- gynecological diseases, more often inflammatory;
- Respiratory system diseases (if it hurts in the upper right), with painful and boring pain, the transition from pathology to the chronic stage is possible;
- deteriorated function of the peripheral nervous system;
- wounds;
- muscles located near the column;
- physical activity too strong;
- Ectopic pregnancy.
Pain in the left
If the pain is located On the back on the side of the left, under the ribs or in the lower back, maybe this:
- column pathology (inflammation, pinch, etc.);
- Kidneys and urinary system (accompanied by leg swelling);
- gastrointestinal diseases;
- Spleen diseases.
In the left hypochondrium and up:
- respiratory diseases;
- cardiovascular disease;
- osteochondrosis;
- Intercostal neuralgia.
Pulling pain On the left side from the back at the bottom Talk about reproductive system pathologies.
Lumbar
If the back hurts in the lower back, such discomfort is characteristic of osteochondrosis, hernia, radiculitis.The pain in the back muscles in the lower back occurs due to injuries, excessive load.
Other causes of lumbar back pain:
- rheumatoid arthritis;
- Reuters syndrome;
- spinal infections and intervertebral discs (brucellosis, tuberculosis, abscess);
- tumor;
- Nervous Pellizco;
- osteochondrosis;
- sciatica;
- osteoporosis.
In the area of the blades
Pain At the top of the back (in the shoulder blades) on the left:
- Musculoskeletic system diseases;
- lung problems (pneumonia, abscess, pleurisy);
- deteriorated gastric function;
- Pathology in cardiological profile (Angina pectoris, myocardial infarction);
- spinal diseases (osteochondrosis, hernia, scoliosis, spondylosis, arthrosis of spondy);
- muscle inflammation;
- Spleen diseases.
Pain Under the right spatula from behind:
- injury;
- infections;
- osteomyelitis;
- cholecystitis;
- liver colic;
- pancreatitis;
- bile stone disease;
- cirrhosis;
- osteochondrosis of the cervical region;
- scoliosis;
- Intercostal neuralgia;
- Vegetos -Sistonia vascular.
Pain along the column and on the back
One of the main reasons why the column hurts is Nervous Process Compression.It can be accompanied by hernia, scoliosis, vertebral displacement.Other reasons:
- osteoarthrosis;
- myalgia;
- osteochondrosis (pain in the column can occur in the middle of the back, in cervical or lumbar parts);
- Excessive muscles work;
- Curvature of the column (scoliosis, kyphosis, lordosis);
- spinal protuberance;
- fracture, column trauma;
- Inflammation of the sciatic nerve;
- anomalies of the structure of the spinal column;
- Radiculitis;
- Bekhterev's disease;
- spondyosis.
The causes of pain under the lower back
A considerable percentage of pain cases on the back of the back is:
- spondilartrosis;
- Osteochondrosis.
Other reasons:
- scoliosis;
- infections of vertebrae and intervertebral discs;
- inflammation of a non -infectious nature;
- gastrointestinal diseases;
- muscle stretching;
- Intervertebral disc displace.
Symptoms that accompany back pain
Episodic pains, even intensified in the load, are non -hydratic.However, if there are no improvements within 3-5 days, and the pain in the back intensifies, it should urgently consult a doctor.
Consider the symptoms of back pain in the spine.
Lumbar:
- leg weakness;
- nalgae, hips, legs, feet, feet;
- Fast urination or, on the contrary, is very rare;
- Reduction of sensitivity during defecation and urination.
Signs of back pain in the neck:
- frequent headaches;
- weakness in the hands;
- acute changes in blood pressure;
- increased or reduced blood pressure;
- Numbness and pain in the hands, shoulders, fingers, hands.
The thoracic region:
- pain under the shoulder blade (possibly exacerbation of pain during movement);
- burning in the sternum or among the shoulder blades.
Situations in which you should consult a doctor as soon as possible
The pain on the back, if not related to serious pathologies, has been 3-4 days.If this does not happen, you should definitely visit a doctor.In addition, the reasons to urgently contact a specialist are:
- very intense pain;
- pain that intensifies at night;
- When it hurts in any position of the body and you cannot take a pose in which relief occurs;
- pain that arose suddenly and for the first time in his life;
- When a person suffers from pain syndrome under 20 years of age or more than 55 years;
- recent back injury;
- fever;
- decrease in body weight without apparent reason;
- progressive disorders in the profile of neurology;
- general weakness;
- Change of march;
- long -term corticosteroid intake;
- An increase in pain for a month, the lack of improvements in the context of therapy;
- Pain radiates in the leg, especially under the knee;
- In one or both legs, weakness, skin numbness occurs, tingling.
Diagnosis
To make a diagnosis of back pain, you must make an appointment with a neurologist, if necessary, take evidence, and also under the purpose of the specialist undergoing a hardware study.
- Blood test.
They allow you to determine the presence of infection, ESR (higher erythrocyte settlement rate, which indicates inflammation, infection).If a higher level of leukocytes is detected, then this is also a sign of inflammation, infection.In addition, iron deficiency anemia, whose cause can be oncology, can be determined by blood.
- Hardware diagnosis.
- The duplex and triplex UZ scan vessels of the neck and brain.It allows you to determine the structure and permeability of blood vessels, the presence of narrowing or expansion, plates, blood clots, as well as the correspondence of the blood flow with the standards.It is used in the diagnosis of the causes of headaches, dizziness, increased pressure, as well as for the suspicions of stroke, with the early diagnosis of pre -intelligence states.
- MRI (magnetic resonance image). The most accurate and effective exam method.It allows you to visualize tumors in the vertebrae, hernia of the intervertebral discs, compression (and their grade) of the spinal nerves and the spinal cord, narrowing the spinal channel, inflammatory changes, including posttraumatic.Magnetic resonance is necessarily carried out before the operation and in the postoperative period.
- CT (computerized tomography). It reveals the fractures of the vertebrae and their character, allows you to find even very small fragments if they formed during the lesion.According to the data obtained, you can create a 3D image of the desired area.Ct "see" what remains unnoticed by radiography.
- Radiography. It allows you to evaluate the status of bone structures.It is carried out to diagnose fractures, arthritis, spondylolistesis, degree of posture disorders.It can be carried out with functional samples, that is, when the patient bends and extends the column during the exam.Visualize the inflammation of the joints in the column, according to the indirect signs, to identify the location of the compression of the nerve processes.The degree of color intensity of vertebrae in the image allows you to evaluate your strength (with osteoporosis, they are more "transparent", and when they are healthy they are bright white).
- Electromyography (EMG). A study aimed at determining the state of nerve tissue.In the course, electromal towels are evaluated, which are carried out by the nerves, as well as the reaction of the muscles towards them.Electromyography helps detect the compression of the nerve that occurred due to the stenosis (narrowing) of the spinal channel or the intervertebral hernia.
- Bone scan. This study is necessary if the doctor suspects the tumor in the bones or a compression fracture against the context of osteoporosis.
Back pain treatment
Most of the time, patients do not know which doctor contact.A neurologist is dedicated to complex back pain treatment.It is for him that you must contact problems with the spine.However, before the arrival of a specialist or a visit to him, he must 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 must lie on your stomach on a solid and uniform surface.Best of all, on the floor.After a few minutes, you must carefully shoot on your back and lift your legs, fixing them so that the hips are at an angle of 90 degrees.Then remove the load from the spine.
You can use anti -inflammatory medications in the form of ointments and creams.After eliminating pain syndrome, you must get up gently and fix the painful area, for example, bandage with a scarf or towel.
How to anesthetize if there are no analgesics?
You can relieve severe pain with a tool as simple as a cold compress.It will not give a complete release, but will relieve the condition.This can be a freezer product, an ice package, etc.In addition, help with pain can be provided by applying a heating compress or a heating pad.It is only important not to overheat a painful place.
What more helps?
Easy physical activity aimed at kneading muscles, increasing blood circulation will help relieve discomfort.It can be a quiet walk, muscle stretching exercises.
Pain Medicine: Methods of Medical Intervention
First, the disease that caused pain is established and its treatment begins.On the way to relieve discomfort, chronic pain treatment, medications are used:
- analgesics, NSAID, in rare cases: narcotic analgesics;
- B vitamins;
- Musorelaxantes.
A person is prescribed in bed, with a fixed corset (for example, in Neuralgia).
An important stage of treatment is physiotherapy.Its main methods:
- drug electrophoresis;
- phonoforesis;
- laser therapy;
- Magnetic therapy
Also carried out Reflexology:
- Electroneuro -stimulation;
- Acupuncture techniques.
Massage, osteopathy, manual therapy and exercise therapy are effective for back pain.These methods are used when pain is caused by muscles diseases and spine, during rehabilitation after injuries.
Prevention
Clinical recommendations for Prevention of intervertebral hernias and osteochondrosis:
- Move more, Gymnastics in the morning, participate in yoga;
- Take a contrast shower followed by rubbing with a towel to improve metabolic processes;
- Once every six months, it undergoes a massage course (up to 10 sessions);
- Keep the liver health, because collagen production depends on it;
- increase immunity;
- Avoid stress, establish a uniform psychological background;
- Weight monitoring, because every 10 additional kg is approximately 0.5 kg of additional load per vertebra, which leads to fast wear.
In addition, it is important:
- Stop correctly and walk.The correct posture is when you reach the wall and touch it with a neck, shoulder blades, buttocks and heels.When walking and standing, you must try to maintain this situation.
- Sit in the right possession: don't go back, don't lean forward.You must firmly press your back against the back of the chair, have support under the lower back and neck.Every 15 minutes: change the position of the legs, stretch.
- Sleep in anatomically correct or orthopedic mattress.
- After waking up, even in bed, do simple exercises with your feet and hands, stretch before getting up (you must do it without sudden movements).
- Do not use heavy bags in one hand.It is better to distribute purchases uniformly in two packages.
- Do not wear a bag on the shoulder.It is more useful for the back: a backpack with two straps.
- A small child needs to be used with a straight back, not to bend back.It is completely better to use a baby in the chest in a special and a bit growing deep, behind.
- When transferring heavy objects, do not double and do not turn the body.
- Do not bend when cleaning: use an extension cable for a vacuum handle and a mop (do not wash the floors with just one cloth, kneeling).
- More often eat grapes, apples, strawberries, pears, lentils, hazelnuts, pumpkin, green salad, raspberry.
- Follow the balance of magnesium and potassium in the diet.Coma nuts, fish, shellfish, spinach, cabbage, beans, peas.
- Exclude bad habits: alcohol and smoking.
- Participate in swimming, race (but only with shock absorbent templates and special sports shoes), skiing.
Be sure to visit doctors for preventive exams to avoid deterioration in the situation in the presence of a disease and start treatment on time.