Lower back pain

Anxiety in this area is familiar to almost everyone. People experience it at a young age, and in their 30s and 40s, back pain becomes common.

However, only a specialist can determine why the lower back can hurt so much that it is impossible to fix it, even when lying down, pain in the lower back appears after every movement.

Reasons

People want to know why and why the lower back hurts so much when sitting or standing, the spine behind the back hurts with any movement, pain so that they cannot stand up after sitting in a chair, and what to do about it. symptoms that make him feel bad, how and with what to treat. It is impossible to answer these questions without an unambiguous and thorough investigation, because there may be many root causes.

Spine diseases

When a person complains, "I can't sit and it hurts to walk, " the back hurts when he gets up or sits in a chair, he often can't walk or stand for a long time, it's impossible to rest in a sitting position. in the month, the reason for this is diseases of the spine.

Moreover, pathologies can be acquired either from birth or due to a wrong lifestyle, inclination or injury.

Common causes of pain in spinal diseases:

• Congenital anomalies.
• Poor blood circulation in the spinal cord.
• Degenerative changes.
• Secondary nerve damage that develops against the background of changes in the position of the spinal bones.

Deformation

Before deciding how to treat back pain quickly and effectively, you need to understand why your back hurts so much when you get up from a sitting position that it is difficult to fix. Acquired or congenital deformities of the spinal bones are often to blame.

Curvature occurs throughout life. Often, a person himself causes changes in himself, does not look at his posture or prefers to sleep on a soft bed. As a result, the load on the bones, muscles and ligaments is not distributed physiologically, which causes pain.

People with established diagnoses will have to face regular attacks:

1. Kyphosis.
2. Scoliosis.
3. Lordosis.
4. Flat back syndrome.

Strict adherence to the doctor's recommendations can help in this situation. Even if a person is born with such pathologies, today it is possible to stop development and live a full life.

Osteoporosis

A pulling, aching pain radiating to the chest may be the only symptom of advanced osteoporosis. At the same time, unpleasant sensations are weak and appear irregular. More often, discomfort is felt after heavy physical exertion or when the weather changes.

Even if the disease is not congenital, it can develop during life as a secondary disease after a number of adverse effects, including intoxication and improper use of drugs.

A pathological fracture is considered dangerous. It is accompanied by more severe pain than usual. At the same time, since there is no such injury and it does not hinder movement, it often remains undiagnosed. Which may cause additional complications after a while.

The question of how to quickly treat lower back pain is relevant for people with osteoporosis, because in their case unpleasant attacks can be stopped easily and quickly.

Injuries

When I sit or stand for a long time, in the lumbar region, often below the waist, constantly thinking that it will hurt, try to remember that you hit this place.

Even a small bump or fall can cause serious injuries that are not easily detected at first glance.The most common causes of traumatic back pain are:

• Spinal contusion.You can easily get it by falling down or bumping your back. It manifests itself as mild pain, sometimes swelling or bruising occurs at the site of impact. Often does not require special treatment. However, in severe cases, it can cause neurological symptoms.
• Compression fracture. It occurs more often with forced sharp bending of the trunk. Then it manifests itself as severe pain when moving. The sharp processes of the vertebrae can be felt locally.
• Vertebral subluxationit manifests itself not only with pain and swelling, but also with frequent numbness at the site of injury. The lower limbs also begin to gradually become numb.

It is extremely important to be extremely careful against bumps and falls in the spine. Because of mild pain, it is easy to miss serious damage that will cause greater limitations later in life.

Infections

Infections can be the cause of chronic severe burning pain in the lower back and lower back that is constantly aching, stabbing, holding and does not go away.

There are pathologies that affect the spine. Without treatment, these diseases will quickly make a person disabled.Spread of infection:

1. Osteomyelitiscan enter the body through injury, surgery, or contact with another infected person. The infection causes sharp, severe pain with every sudden movement. In this case, the chronic course of the infection is characterized by smoothed manifestations of pain. In addition, the person suffers from intoxication, shivering and fever.
2. Epidural abscesscausing severe pain along with tremors and severe muscle tension.
3. Tuberculosis of the spineit develops slowly but inevitably. At first, it manifests itself only as periodic pain after physical exertion and stiffness of walking. As the bones deteriorate, the pain increases and the ability to move is completely reduced.

Local inflammation

In addition to constantly spreading unpleasant sensations, sometimes people experience stabbing pains in the lower back, lower back, when sitting, what it can be and what it is called is determined by a specialist based on the results of examinations and analyzes. The cause is local inflammation.

Boils, carbuncles and paranephritis are easily recognized. The first two phenomena are lumps on the skin that react painfully to touch. In the case of paranephritis, fever first appears, and on the 2nd-3rd day, there are severe pains that prevent full movement and walking. The condition is considered serious and requires hospitalization.

Infectious diseases

Sometimes the explanation of why the back can hurt, it constantly gets into it, it catches when standing for a long time, and sometimes the back starts to hurt as if it will soon fall, and what to do and what to do. can be infectious diseases to treat.

Increased temperature, intoxication, the need to seek a more comfortable position, pain in muscles and joints - these are the signs of an infected person. It often occurs in severe cases of ARVI or influenza.

Similar symptoms may indicate an infection:

• Ebola fever.
• Human foot and mouth disease.
• Severe course of the coronavirus.
• Generalized forms of viral or fungal infections.

If such symptoms appear, you should immediately consult a doctor, because the condition can worsen within a few hours.

Muscle damage

When understanding why the lower back hurts and pulls, why it grabs the back in the spinal region, why when you sneeze, it radiates to the back, which hurts more often, you need to determine the cause in advance. to decide what to do.

In addition to direct spinal problems, muscle injuries can also hinder a person. This problem is often faced by professional athletes, people who do a lot of strength training or engage in physical labor. After a few days of overexertion, painful sensations appear in the lower back muscles, which disappear under the influence of drugs, warming ointments and massage.

However, there are also chronic changes in muscle tissue that often occur against the background of serious diseases and are the result of them. If they are detected, complex therapy is carried out, sometimes even surgical intervention is required.

Types of pain

To understand what contributes to lower back pain and how to get rid of it, you need to pay attention to the characteristics of the symptom.

If unpleasant sensations appeared suddenly and recently, then the stage is called acute, if you suffer for more than 3 months, it is called chronic.

Depending on the intensity and variety of feelings, there are:

• Mechanic.It occurs after heavy physical activity, often in the afternoon, along with a feeling of fatigue. It heals easily with rest. Most often, this is the result of the degradation of the bone structures of the spine or its severe curvature.
• Inflammatory.Strengthens after rest, period of inactivity. After some time, it weakens due to constant movement or taking anti-inflammatory painkillers.
• local.The result of direct damage to muscles, joints or ligaments. Concentrates directly at the point of damage.
• Koreshkova.It appears when nerves are compressed due to injury, tumors, or tears. Simultaneously with the occurrence of pain, the sensitivity of the injured area decreases.
• Reflex.The most dangerous type because it deceives people. The patient thinks that he has back pain, but in fact these reflect the sensations caused by a disease of the internal organs.
• Myofascial.A protective mechanism as seen due to muscle spasm when bones are injured.

Depending on the description of the feelings, the doctor will be able to understand what kind of disease the person who came into contact with him has in the first minutes.

Which doctor should I see?

If there is an unpleasant shot in the lower back, constant pain or discomfort, the question arises of consulting a doctor.

Since this part of the body is specific because it contains not only the spine and muscles, but also a large number of internal organs that can cause discomfort if the disease develops, it is not recommended to treat yourself. homeSince the source of the pain cannot be determined, the condition may worsen.

Initially, it is better to consult a general practitioner with such symptoms. Taking into account the visible symptoms, the characteristics of the pain and the location of the lesion, he will be able to determine which specialist should deal with the problem.You may be referred to:

1. Neurologist.
2. The surgeon.
3. Urologist or gynecologist.
4. Nephrologist.

After the examination, they will prescribe the necessary tests to determine the exact cause of the discomfort.

If you decide to go to a specialist without first consulting a therapist, you risk making an inaccurate diagnosis and losing valuable time.

Diagnostics

Often, patients consult a doctor when they have hellish pains in the back, so severe that it hurts to get up and walk, even without straightening, why does it hurt in the center or in the lower back, what can bother you in the spine?, what causes the condition and what to do, what treatment for back pain.

Diagnostics:

• Patient interviewcollecting information about the symptoms and development time of the disease. It is also important to study your medical history and identify chronic diseases that may affect the development of attacks.
• Neurological examination.The doctor checks whether reflexes are preserved, how much muscle strength and reaction speed are affected, and how much movement is restricted. In addition, the degree of superficial and deep sensitivity is investigated.
• X-ray of the affected area of the back.The image will show injuries, pathological reduction in the intervertebral space, curvature and the beginning of degenerative processes. New growths are also detected.
• CT or MRIused to refine the obtained data. They even help to locate small hernias or processes in the spine, help to understand where the compressed nerves are located and why this happens.
• Functional studiesaimed at determining the condition of the muscles and the degree of nerve tissue damage, the speed of the nerve impulse.
• Laboratory tests.A blood sample is necessary to determine whether the inflammation is infectious in nature.

In addition, depending on the indications, an X-ray of the internal organs located near the painful area may be prescribed. This is done to prevent exacerbation of chronic diseases of the kidneys, gastrointestinal tract or genitourinary system.

Treatment

It is extremely important to properly provide first aid to the patient and get him to the medical facility without further injuries. During an attack, place the person on something hard or lighten the load on their back, then take them to the hospital.

How and with what to treat the back and what to do when the back in the middle of the spine is very severe and there is constant pain in the lumbar region, the lower back, the doctor decides only after finding the reasons for this occurrence, the treatment. this case is prescribed both conservatively and surgically.

Before the examination, it is not recommended to use drugs to suppress symptomatic pain, only one dose of analgesics is allowed.

After the examination and diagnostic measures, the doctor will prescribe the appropriate complex treatment for back diseases.Therapy includes:

1. Take medicine.
2. Physiotherapy.
3. The use of foreign drugs.
4. Lifestyle changes.

In difficult cases, surgical intervention is also performed.

Several types of drugs are used to treat back pain:

• NSAIDs are pain relievers and anti-inflammatory drugs.At the first visit, it is possible to administer it by injection, in the future, doctors recommend a combination of tablets and ointments with a similar effect.
• Local anestheticsit is used to create a blockade in cases where the pain becomes unbearable.
• B vitaminsenhance the effect of other drugs, stimulate improved blood supply to the affected area of the back.
• Physiotherapyit is carried out after the elimination of acute pain. As soon as the attack ends, a special therapy is selected that has a positive effect on the condition of the spine. In addition, a number of physical therapy exercises are prescribed.

Surgical intervention is an undesirable option for developing the condition. Because the spine is one of the most complex organs of the human body. There are many points near it that affect the functioning of the body, so doctors try to perform surgical intervention as little as possible. However, there are desperate situations where it is impossible to restore health without a surgeon's scalpel.

Surgical intervention is required:

• In case of tumor formation.They are removed regardless of whether they are benign or malignant, because gradual growth causes severe pain and can lead to the onset of paralysis.
• Intervertebral hernias,gradually destroying the space around them. They are the culprits of constant, never-ending pain.
• Narrowing of the intervertebral canal.
• Instability of spinal elements,severe injuries that require additional fixation of bones in their places.

After a course of treatment or surgery, the patient must be prepared that there is still a lot to say goodbye to pain.

Rehabilitation

Treatment is prescribed depending on the causes of pain in the spine in the lumbar region and the intensity of the pain. However, all it takes to get back to a full, healthy life is taking medication and a possible course of surgery.

More often, additional rehabilitation includes physiotherapeutic procedures.Frequent meetings:

1. Massage.Moreover, it is not recommended to choose this procedure for yourself.
2. Physiotherapy course,Exercises are performed under the supervision of an experienced trainer who knows what speed and intensity should be performed. It is also possible to use special simulators.
3. Manual therapy.
4. Acupuncture.
5. physiotherapy,directed to the additional use of pain relievers: electrophoresis, magnetic therapy, laser treatment.

When deciding how to treat severe, sharp or aching back pain in the lower back, the doctor determines what to do in case of persistent pain and pain in the spine, muscle stiffness and stiffness, and additional treatment is prescribed depending on the cause. Here, a course of restorative procedures that will help improve well-being and return to a healthy state is additionally prescribed in detail. Patients should be prepared that the rehabilitation period may last more than a month if the nerve endings or vertebra are seriously damaged.

Results

If you turn to friends with a complaint: "If it suddenly hurts for no reason, if the back falls, what to do in such a situation? ", in response you hear an offer only to take painkillers, do not hesitate to follow this advice.

The main consequences of untreated spinal diseases:

• More widespread painintensification of attacks, as healthier tissue will suffer from a gradually expanding problem area.
• Acute deterioration in the work of the cardiovascular system.And problems in this area can lead to the development of chronic diseases of any organ, including deterioration of brain function.
• In the worst cases possibletemporary or permanent paralysis of limbs.

Also, self-medication without a preliminary diagnosis or a doctor's prescription can lead to deterioration of well-being. And then the course of treatment and recovery will be long and complicated.

Prevention

Prevention is the main medical direction that helps to maintain health and avoid unpleasant days when you will be deprived of the opportunity to live a full life. This will help prevent inflammation or many back ailments.

You should follow a number of rules and recommendations:

1. Choose a mattress of medium hardness for the bedroom.
2. If you move little during the day, but sit a lot at the computer, then take a few minutes every hour to warm up your back.
3. Give up bad habits.
4. Try not to make sudden, thoughtless body movements.
5. Exercise regularly. Even a small exercise of 15 minutes in the morning has a positive effect on the condition of the spine. After age 30, it's best to find a hobby that will allow you to get the physical activity you need, less likely to get injured. Consider doing yoga or swimming in the pool to stay in shape.
6. Control your posture.
7. Avoid severe hypothermia in the lower back.
8. Treat detected diseases in time.
9. Have regular preventive examinations.
10. If you feel pain in your back, go to the clinic immediately for advice.

Pain in the spine is one of the most unpleasant sensations. In addition to direct pain, they also bring stiffness in movements, which prevents them from leading a full, normal life.

The sooner professional treatment for back problems begins, the sooner a person can return to a full life. And in this case, neglecting your health can lead to disability.