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Back in the lower back

The condition when it hurts, the back aches in the lower back, occurs often.In most cases, a person turns to a specialist when pain becomes constant or is acute.In this case, one cannot avoid a long examination to clarify the cause of pain, long treatment and recovery.It is easier to prevent the development of possible diseases and consult a doctor at the very beginning, when the lower back has just begun to get sick, soreness is not constantly present and is not manifested in an acute form.

The causes of lower back pain

causes of back pain in the lower back

There can be many causes that cause pain and discomfort in the lumbar region.Factors provoking the state when the back hurts in the lower back, its causes can be divided into 2 main groups: primary and secondary.The primary group includes pathologies of the spinal column, the condition of the bone-muscular apparatus of the lumbar region, causing lower back pain:

  • Lesions of osteochondrosis, osteoarthritis of the lower back and sacrum;
  • Stretching of the muscles of the back of the back, which can lead to severe pain;
  • Damage, bruises, spinal injuries;
  • Hernia of intervertebral discs;
  • Overstrain of the spinal muscles of the lumbar region.

The secondary group combines diseases of the internal organs, a condition against which the lower back begins to get sick:

  • Pathology of the gastrointestinal tract.An ulcer of the stomach and duodenum, infectious intestinal lesions cause pain in the lower back.Not only the affected organ can hurt, the pain gives to the lumbar region, the painful syndrome is aching, pulling in nature;
  • Diseases of the urinary system (kidney disease, stones, cystitis);
  • Lesions of the organs of the reproductive system.Pathologies are manifested in pains of a different nature, localized in the lower abdomen, radiating to the lower back;
  • An attack of acute appendicitis, acute pain in the lower abdomen on the right gives the lower back;
  • Pancreatitis, in which the pain arises into the lower back on the left;
  • Liver diseases.The pain is localized in the right side, accompanied by bloating, pain in the lower back on the right;
  • Pathologies of the endocrine system;
  • Respiratory diseases.The pleurisy of the lungs often provokes the condition when the lower back begins;
  • The emergence of neoplasms.
  • Lumbar pains are often caused by pathologies inherent in one or another sex.

In women

In women, the state of the back, pulls the back in the lower back, cause the following diseases:

Why does the back pain occur in the lower back
  1. Cystitis, which is observed more often in women.In addition to pulling lower back pain, there is a burning sensation during urination, pain of the lower abdomen before and after it;
  2. Infectious processes in the vagina.Often, unexpressed lumbar pains cause infectious diseases: candidiasis (thrush), bacterial vaginosis, vaginitis;
  3. Adnexitis (the occurrence of inflammation of the appendages of the uterus), in most cases causes not only pulling pains not only in the lower abdomen, but also the back;
  4. Pain after childbirth localized in the lumbar and sacrum;
  5. Abortion.A stressful state, often arising endometritis, the reduction of the uterus cause pain in the lower abdomen and back.
  6. Menstrual cycle.The arising lumbar pains during menstruation, in most cases, are not a sign of pathology, since the uterus increasing during this period presses on the dorsal muscles, which causes pain and discomfort.

In connection with pregnancy, a woman may feel pain in the lumbar region.The lower back can hurt at any stage of bearing the baby.In the first weeks, the stomach, lower back can pull, the appearance of a small amount of bloody discharge is possible.Before childbirth, the center of gravity occurs, excessive pressure and load are on the lumbar region.In the premium period of pain in the lower back, they can be localized in the left or right part of the bottom of the back, in most cases, this signals the curvature of the spine.

In men

To answer the question “Why does the back hurt in the lumbar region in men” will help a number of the following diseases and conditions:

  1. Inflammation of the prostate gland.The pain is localized in the lower abdomen with return to the lumbar region, often in the groin;
  2. Inguinal hernia, which is characterized by acute pain syndrome (up to loss of consciousness), radiates to the lumbar region;
  3. Inflammation of the testicles and their appendages, accompanied by pain in the lower abdomen and back;
  4. Injuries and damage to the musculoskeletal apparatus of the lumbar region.Excessive loads associated with labor activity or sports hobbies can cause stretching, lumbar bruises;
  5. Fractures of the spine, the cause of which can serve not only serious damage, but seeming frivolous, injuries.

What can not be done with back pain

Only a specialist can identify the root cause of lumbar pain.If there is no way to visit a doctor immediately when painful sensations occur, it is worth observing a number of rules that will help prevent a deterioration in the condition.In a situation where the back hurts in the lower back for a long time, even if the pain is not acute and cutting, in no case:

Continue active physical activity.It is necessary to limit the intensity and time of movements as much as possible, to relax more and relax in a horizontal position.Do not panic and nervous, from this the condition may worsen - stresses enhance the pain syndrome, cause severe tension of the muscle apparatus.It is worth stopping sports, physical actions related to loads on the lumbar region (inclinations, lifting even small weights of inclination, long staying in the sitting position, standing, long walks. If it is not possible to lie down, you need to move very smoothly and slowly, the movements should not be sharp, jerky.

how to treat back pain in the lower back

Try to get rid of lower back pain by warming with heating pads, hot bathrooms.Such heating can aggravate a painful state, lead to an exacerbation of pathology.Heat, relieve pain with the help of warming compresses applied to the affected area.Among folk recipes, you need to pay attention to a mustard compress or lotion of yolks and alcohol.You can apply anesthetic, warming ointment to the place of pain.Compresses and ointments, having a warming and analgesic effect on the lower back, do not contribute to a deterioration in the condition, exacerbation of a possible disease, since they have a local effect.

Prescribe medications yourself.In no case should you diagnose yourself and prescribe drugs.Only a specialist can accurately diagnose the disease and prescribe adequate drug treatment.The uncontrolled medication can sharply worsen the condition, cause an exacerbation of the disease, and provoke complications.If a pronounced pain syndrome occurs, and the impossibility of visiting a doctor or calling an ambulance, you need to relieve pain.Analgesics with an anti -inflammatory effect will help this.

Delay the process of visiting a doctor.The longer the visit to the specialist, the longer the examination will be to clarify the root cause of the disease, the treatment and recovery period.At the first opportunity, you need to visit the therapist, who will conduct a physics inspection, send it to the necessary examinations.After a general diagnostic, therapist will direct the patient to a narrower specialist (neurologist, gastroenterologist, endocrinologist, gynecologist, surgeon).In some cases, redirection is already made on the basis of a physical inspection, tests and necessary studies that allow you to identify the root cause of pain in the lower back by a narrow specialist.

Draw an ambulance call.There are a number of cases when delaying and delaying with a call of an ambulance can lead to serious consequences:

  • The pain syndrome is acute, the pain cannot be tolerated.Similar sensations can cause acute inflammation of the appendix, inguinal hernia in men;
  • Medium -sized pain is persisted for a long time (for example, if the back hurts in the lower back for a whole week);
  • The lower back pains are accompanied by severe pain in the gastrointestinal tract, the pelvic organs (pain, “chop”, “cuts”, pulls the lower abdomen);
  • The pulling lumbar pain is accompanied by the absence of intestinal emptying for several days;
  • In the feces there are blood clots, feces acquire black.

Examination for back pain

When a patient appears to the specialist that the back in the lower back is very hurt, the doctor conducts an examination, a survey of the patient, paying attention to the following points:

Options for therapy of back pain in the lower back
  • Age criterion.Elderly patients are most susceptible to lesions of osteochondrosis and osteoarthritis.The older a person, the risk of neoplasms of a different nature (malignant and benign) in different parts of the body, which may be accompanied by pain in the lumbar region, increases.Young patients are often exposed to injuries of the bone-muscular apparatus of the lower back, chronic joint diseases (spondyl arthropathy), spinal diseases caused by overloads of the lumbar region is possible.In small patients (up to 10 years), it is worth excluding kidney diseases, organic lesions of the spinal column (osteomyelitis, tumors);
  • The side of the pain is left, right;
  • Concomitant symptoms (pain in the lower abdomen, pain in the umbilical region, pain in the right, left side);
  • The nature of the pain is acute, cutting, aching, pulling;
  • The rhythm of pain during the day.In most cases, diseases of the spine have a certain daily rhythm (subside, intensify).In cases with oncological neoplasms, osteomyelit does not subside.

Neurological examination

  • Testing is carried out to determine the infringed nervous end in the lumbar region;
  • Sensory testing, identification of pain, numbness, mobility disorders;
  • Motor testing that determines muscle weakness;
  • Laboratory and instrumental diagnostic methods;
  • Blood tests that allow you to determine the level of hemoglobin, the rate of settlement of red blood cells (ESR), calcium content;
  • General urine analysis;
  • Radiography.Pictures of different projections of the affected area are taken (pelvis, lumbar region is examined);
  • MRI and computed tomography.Studies make it possible to visualize the spinal canal in detail, identify compression disorders of the nerve processes.CT helps to identify pathologies and bone disturbances, MRI reveals pathological conditions of soft tissues;
  • Radioisotopic studies that allow you to qualitatively identify the localization of tumors, foci of infection;
  • Electromiographical studies (EMG) are carried out to confirm violations, lesions of the nerve roots of the affected area.
Massage for pain in the lower back

Additional tests and studies allow you to make an accurate diagnosis.If you suspect diseases of the organs of the reproductive system in women, additionally:

  • A vaginal smear is taken for a degree of purity, bacterial crops from a cervical canal;
  • Ultrasound studies (through the stomach or transvaginally);
  • A X -ray of the pelvic organs.

In case of suspicion of diseases of the digestive tract, they are prescribed:

  • Radiography that allows you to get images of organs, identify neoplasms, anomalies, ulcerative lesions;
  • Radioscopic studies that allow you to determine functional disorders;
  • Computed tomography;
  • Radioisotopic studies that allow you to study the processes of moving food masses along the digestive tract.Studies allow you to identify liver diseases, pancreas;
  • Ultrasound, allows you to evaluate all the necessary parameters of the digestive tract, detect tumor formations, stones, cysts, defects of the ducts, blood vessels.

How to treat lower back pain

When the specialist, based on diagnostic measures, found out why the back hurts in the lower back, he appoints a set of medical measures.In most cases, treatment unites:

  1. Medication.Preparations are prescribed depending on the cause of the disease: damage to the musculoskeletal apparatus eliminates NSAIDs (non-steroidal anti-inflammatory drugs), analgesics, drugs that stimulate the regeneration of bone-cherry tissue.Preparations are prescribed in the form of tablets, drops, ointments and gels.In cases of neuralgia (when pain occurs due to infringement of the nerve), drugs that have a relaxing effect are prescribed.In cases where pain syndrome occurs against the background of diseases of the digestive tract, drugs can be additionally prescribed to improve the work of organs that help their normal functioning, restoring organic disorders;
  2. Diet therapy.This type of treatment is optimal for any disease.Proper, balanced nutrition helps the body restore the necessary balance of vitamins, minerals necessary for its normal functioning.A specially designed diet allows the affected organ to recover faster, filling the necessary elements for its uninterrupted operation;
  3. Manual therapy and massage.In most cases, it is used for lesions of the spinal column.There are a large number of contraindications, so it is important to undergo a course of manual therapy and massage after agreeing with a doctor.Manipulations have a positive effect: blood circulation in the affected area is enhanced;Muscle cramps are removed, unexpressed pain;toxins are excreted;the necessary relaxation occurs;
  4. Physiotherapy.This direction is based on the use of natural forces and combines treatment with current, dirt, hydrotherapy, and treatment with a magnet.
  5. Therapeutic gymnastics.One of the most effective components in the treatment of any disease.The effect of gymnastic exercises is comparable to massage manipulations, but has a longer result.LFK can be performed when removing the pain syndrome, slowly and smoothly, in the recovery period.Particular attention when performing exercises is paid to breathing by the diaphragm.This respiratory technique is effective in combination with exercises that eliminate the lesions of the spine.The diaphragm breathing is effective in the treatment of various diseases of the internal organs, even without special physical exercises, having a soft stimulating effect and massage.
  6. Traditional medicine.Some recipes for non -traditional medicine can be used before visiting a doctor.When the lower back hurts or aches, you can not use hot baths, warming up with electric or rubber heating pads.This can lead to an exacerbation of the disease, increased pain.It is optimal to use warm -up compresses that have a local effect that do not have side effects (irritation may occur on components):
    • Mustard application.2 teaspoons are mixed with 1 spoon of almond oil and 100 ml.warm decoction of oak bark.A piece of gauze is wetted with this mixture and applied to the sore spot.Application has a mild warming effect, anesthetizes the affected area;
    • Alcohol compress with egg yolks.To prepare a compress, you need to take 50 ml of alcohol, in which 2 yolks are added.The ingredients are thoroughly mixed, applied to a bandage or piece of gauze and applied to the place of pain.The compress lasts about 2 hours, after which it is washed off with warm water.

The doctor prescribes herbalization, compresses as additional treatment, when the diagnosis is known:

  • One of the universal decoctions for oral administration is the infusion of chamomile, calendula.2 tablespoons of flowers are brewed with a glass of boiling water, the decoction is infused, filtered and taken inside twice a day;
  • Effective as anti -inflammatory, restoring, antibacterial agents pharmacy herbal fees (renal fee, gynecological collection, gastric);
  • Therapeutic phytochai, which carry a pronounced supportive and recovery effect, have a pleasant taste.