Many different diseases can cause low back pain.
The main diseases that cause back pain are joint injuries in the spine or hip joints.
Usually, this symptom is caused by diseases of the back spine.
The lumbar spine is mobile and often causes trauma to this particular area.
Causes of low back pain
Back pain is a signal that there is a problem in the body with the spine, hip joints, or internal organs near the lower back.
If your back hurts in the lumbar region, the reasons can be the following:
- pain may occur due to osteonecrosis of the dorsal spine;
- painful sensations may be caused by a herniated disc;
- ankylosing spondylitis;
- displacement of the vertebrae;
- Rheumatism;
- inflammation of the back muscles (myositis);
- sciatica;
- spine fracture;
- hip osteoarthritis and other diseases of the spine and hip joints.
In addition, pain in the lower back can be caused by muscle tension or spasm. Muscle spasms can occur if you perform sudden movements with a load on the lower back:
- turn a turn;
- sudden weight lifting;
- when playing sports.
Osteochondrosis of the lumbosacral spine
With osteosarcoma, low back pain may be associated with symptoms such as:
- increased urination;
- urinary incontinence;
- chronic and often exacerbating diseases of the bladder;
- diseases of the genital organs;
- rectal problems.
Typically, back pain caused by osteonecrosis is:
- hurting;
- boom;
- pulling;
- sometimes it hurts.
Usually, the pain in the low back in this case disappears when standing or lying down and increases when sitting, especially on hard surfaces, accompanied by coughing and exertion.
Causes of back pain due to osteonecrosis of the lymph nodes
The lumbar spine is characterized by great mobility and can withstand heavy daily loads.
This is the main cause leading to the development of lumbar osteonecrosis, which is manifested by dystrophy and deformation of the intervertebral discs.
Groups at high risk of developing radial osteonecrosis include:
- overweight person;
- lead an inactive lifestyle;
- have incorrect posture.
In addition, this disease can develop with excessive exertion in professional athletes and even with improper exercise at home.
Chronic stress and lack of sleep can contribute to the development of osteonecrosis.
People with rheumatoid arthritis, ankylosing spondylitis, and other inflammatory joint diseases often develop osteoarthritis of the spine.
Treatment of osteonecrosis
Treatment of lumbar spondylosis is aimed at slowing down the destruction of discs, restoring nerve root functions and eliminating pain.
To do this, apply:
- medicines;
- manual therapy;
- physical therapy methods;
- physical therapy;
- surgical methods.
In the treatment of osteonecrosis of lumbar osteosarcoma, such drugs are used as:
- chondroprotectors (to restore cartilage tissue);
- non-steroidal anti-inflammatory drugs;
- immunomodulatory drugs;
- steroid hormones;
- vitamin complex.
Extreme caution should be exercised when using nonsteroidal anti-inflammatory drugs and steroid hormones, as they have a lot of contraindications and side effects.
There are several other methods for treating osteonecrosis:
- Manual therapy helps to restore the functions of the lumbar spine and its anatomical structure. Osteoporosis massage strengthens the muscles in the lower back and improves metabolism in the tissues.
- Physiotherapy is performed after the acute phase of the disease has ended with the help of drugs. The most useful methods for osteonecrosis will be: electrophoresis, paraffin therapy, electrophoresis and magnetic therapy. To achieve a visible effect, it is recommended that you do 3 of the 10 sessions of physical therapy with a two-week break between them.
- One of the effective treatments for osteonecrosis is physical therapy exercises. Physical education should be undertaken after appropriate medical advice and preferably under the supervision of a specialist. A set of exercises specifically designed for the treatment of osteoarthritis will help strengthen the muscles of the back, helping to relieve some of the load from the discs.
- Spa therapy (radon bath, therapeutic mud, etc. ) has a good effect on osteonecrosis.
If you ignore the symptoms of osteonecrosis and don't go to the doctor, this will lead to the development of the disease and soon the back pain will become so severe that you still need to see a doctor for treatment. help.
Prevention of bone necrosis
For spine health, you need to eat right, monitor your posture and lead an active lifestyle.
When carrying weights and playing sports, care should be taken not to overextend the back, causing damage to the spine.
Back pain with herniated disc
Disc herniation, also known as herniated disc, is a disease in which the disc is deformed, the outer part of the disc ruptures along with the protrusion of the inner part of the disc to the outside of the vertebral body.
Lumbago
Usually low back pain occurs along with low back pain.
Low back pain is a sudden onset of acute low back pain during exertion, lifting weights.
Back pain in this case has character tearing, stabbing, shooting. It is associated with a sharp prolapse of the disc and irritation of the nerve endings located in the annulus.
A reflex is activated, as a result, the tone of the lumbar muscles is significantly increased. The patient lies still in a monotonous position, unable to straighten his back and turn around.
This lumbar disc herniation is most common in men between the ages of 30 and 40.
Sciatica body pain
Sciatica (sciatica) - irritation of the sciatic nerve due to compression of the condyle of the spinal roots.
Sciatica causes pain, burning, tingling, and numbness that radiates from the back down the back of the leg.
These symptoms are usually unilateral, according to the location of the herniated disc.
Symptoms of back pain when herniated disc
| Main symptoms | Specifics |
|---|---|
| Chronic pain in the lower back. | It can take up to several months. They carry a stinging, pulling, burning characteristic. |
| Dysfunction of the pelvic organs. | Urinary incontinence or urinary retention. Violation of defecation. In men, hernias can affect potency. |
| Weakness of leg muscles, decreased sound, decreased reflexes. | Compression of motor nerves at spinal roots. |
| Paralysis (complete lack of movement) or paralysis (partial lack of movement) in the legs. | Compression and injury to the spinal cord. |
| Pale skin, increased sweating, white or red spots. | Compression of nerves in spinal roots, regulation of blood vessels, sweat glands and other autonomic functions. |
With a herniated disc, in most cases, pathological changes develop in the lumbar spine.
Identify herniated discs
Statistics for detecting disc herniation:
- 48% of herniated discs occur between the last (fifth) lumbar vertebra and the sacrum.
- 46% are located between the fourth and fifth lumbar vertebrae.
The reason for the development of herniated disc
A herniated disc develops due to:
- Degenerative changes in the vertebrae and discs. A herniated disc is often a complication of osteonecrosis.
- Delayed spinal injury: compression fracture of the vertebrae, compression.
- Increased load on the spine: due to continuous sitting or standing in a monotonous position, improper weight bearing, overexertion, overtraining in athletes.
- Sedentary lifestyle.
- Infectious diseases in which the spine is affected.
- Overweight.
- Congenital malformations of the spine.
- Vibration action. Usually this is due to industrial hazards. Under the influence of vibration, the structure of the intervertebral disc is disturbed, becoming weakened.
- Movement in the wrong posture, curvature of the spine.
Herniated disc treatment
According to statistics, in most cases of herniated disc, all the symptoms disappear after 6 weeks from the first attack and go into remission.
The body can repair itself after 24 weeks. Therefore, surgical intervention is not always indicated.
Herniated disc medications are intended to relieve back pain.
Hernias are mainly treated with the following drugs:
- non-steroidal anti-inflammatory drugs;
- steroid hormones.
Physiotherapy for herniated disc is used as prescribed by the doctor.
There are non-surgical treatments for herniated discs:
- Manual therapy. Chiropractor is trying to remove herniated disc with his hands.
- Kinesitherapy. This is a type of physical therapy exercise. It normalizes muscle tone, restores blood circulation and increases tissue regeneration.
- Hirudotherapy.
- Cryotherapy method. This is a low temperature processing technique. Liquid nitrogen is placed over the affected area. This improves blood circulation in the tissues.
Herniated disc surgery
Surgical treatment of herniated disc is prescribed in the presence of:
- severe back pain in the low back for a long time does not go away, despite continuous conservative treatment;
- serious neurological disorders: decreased sensitivity, muscle tone and strength, paralysis and paralysis;
- Urinary incontinence, impotence in men (if it is due to herniated disc pressing on the spinal cord).
Treatment of back pain with blockade
Hernia repair is a procedure that aims to numb the affected area and relieve muscle spasms.
The block is done by injecting anesthetic.
The therapeutic effect of blockade is characterized by:
- fast pain relief - pain relief in 1-2 minutes;
- eliminates muscle spasms, increases pain sensations;
- reduce inflammation, especially when corticosteroids are used;
- reduce soft tissue edema, which causes compression of nerve fibers.
Contraindications to blockade:
- an infectious lesion of the spine;
- fever;
- mental illness;
- cardiovascular failure stage 2-3;
- weak;
- blood clotting disorders;
- kidney and liver failure;
- tendency to convulsions;
- pregnancy.
Diagnosing back pain
If your back is painful in the lumbar region, the first step is to consult your doctor and get examined.
Your doctor may order a spine exam with the help of:
- Computerized tomography;
- X-ray of the spine;
- magnetic resonance imaging;
- electromechanical;
- vascular dopplerography, v. v.
It is imperative to examine and palpate the lumbar region and spine. A consultation with a neurologist or a chiropractor is required.
So, most likely the cause of lower back pain is vertebrae displacement, muscle spasm, or intercostal neuralgia.