Periodic or constant back pain occurs in almost every modern person.Almost no one pays attention to the discomfort or uncontrollably consumes painkillers if the intense pain expires.This approach can cause serious illnesses and complications in the future.
If you are concerned about constant back pain, we advise you to contact the neurology center for advice.Careful and highly qualified neurologists who are ready to save you from the disease for a short time, take intake.
Why does the back hurt?
This can be due to diseases of the internal organs, damage to the spine (including fracture), neurological pain usually shows osteochondrosis, and sometimes this is a symptom of pathology of the gastrointestinal tract, kidneys, etc.
In addition, the back is to some extent predisposed to injury and pain.The spine performs at least 4 functions: maintenance, protective, depreciation and engine.Therefore, if pain occurs, it may be the result of poor posture, heavy single load, sharp movement or turn.
What should I do with back pain?
Consult a doctor, have a examination.Based on the diagnosis, it will be clear how to cure back pain, depending on its root cause.
The causes of back pain
Back pain means not only serious pathologies.For example, cough or walking pain can be caused by a simple overvoltage.However, this is often a symptom of various diseases, the manifestations of which depend on many factors.
Why does the back hurt after sleep?
Possible reasons why in the morning after sleep there is a back pain:
- hypothermia;
- abrupt weight lifting during the day (or 3-4 days) causing night pain;
- osteochondrosis;
- intervertebral hernia;
- the wrong position of the body when you lie;
- Improperly selected mattress;
- In women among the reasons - pregnancy;
- spinal curvature, including asymmetrical muscle contraction;
- overweight and muscle weakness;
- Stress.
Diseases associated with joints and vertebrates
Back pain in this case means that they may be present:
- osteochondrosis;
- Spondylolistz;
- Ankylosing spondylitis;
- Bicetv's disease;
- osteomyelitis;
- rheumatoid arthritis;
- displacement of intervertebral discs;
- Reuters Syndrome;
- Hernia on the intervertebral disc.
Muscle -related diseases
Why do the posterior muscles hurt?
Very often, muscle pain is associated with high exercise, fatigue, hypothermia.Spasms and seals may occur, as well as reduce mobility and pain (fibromyalgia).In addition, the back can harm the following muscle pathologies:
- Sharkot or bass disease;
- Dermatomyositis (additionally manifested by a rash);
- Rhabdomyolysis;
- polymyositis;
- infection of muscle tissue, abscess;
- Rheumatic polymyalgia.
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 from the spinal cord, pairs of spinal nerves start - there are 31 of them.Each nerve innervates a particular part of the body.If you find numbness of the skin (locally), muscle weakness, limbs, spinal cord or any nerve is damaged.
More diseases:
- spinal cord compression (such as fracture or cervical spondylosis, abscess, hematoma);
- injury to the spine;
- fluid -filled cavities;
- an inflammatory process caused, for example, by acute transverse myelitis;
- impaired blood supply from the body;
- HIV;
- abscess;
- Copper deficiency, vitamin B;
- syphilis;
- good or malignant neoplasms;
- hemorrhage;
- Sclerosis scattered.
Back pain due to psychosomatics
Psychological reasons are officially recognized as a medicine.Psychogenic factors can affect the processes that cause dysfunction at a particular place.Thus, chronic stress and prolonged depression, dissatisfaction with intimate life can lead to constant pain in the lower back.
Types of back pain
Various diseases cause different types of back pain.Think of the basic pathologies and the nature of the pain with them.
| The nature of the pain | Diseases that cause it |
|---|---|
| Back pain (acute and chronic) | Lumbago (firing at the lower back).The reason is hard physical labor.It usually lasts alone in a few days. |
| Myositis, muscle stretching, sharp weight lifting, hypothermia, long preservation of uncomfortable posture, such as during work. | |
| Shifting intervertebral discs.The most common cause is osteochondrosis, but displacement with a sharp lifting of weights and constant high exercise can also occur. | |
| Acute | Osteochondrosis.This causes the back pain, which is given in the legs, become stronger when sneezing, coughing, tension. |
| Radiculitis.Constant acute (suturing) or dull pain.It is usually located on one side, can be given in the thigh, butt, legs, lower legs, sometimes causes numbness, itching.The pain also burns, intensified by movement. | |
| Intervertebral hernia.With such pathology, the pain occurs when inclination, weight lifting, increased by sneezing, coughing, movement accompanied by weakness in the leg. | |
| Pulcating pain, strong, may not go away after taking analgesic | Osteochondrosis, cracks in the vertebrae, lumbago, intervertebral hernia, spondylosis. |
| Landing | In the upper back and in the middle of the sternum - it can talk about angina, myocardial infarction, pulmonary artery thromboembolism.In the lower back - intestinal obstruction, spondylartrosis. |
| Pressure | Angina pectoris, myocardial infarction, gallbladder problems (pain occurs after eating), atherosclerosis, hypertensive crisis. |
By localization
Consider the possible causes of pain in different parts of the back.
Pain on the right
The back to the right can occur with kidney problems, sometimes talking about inflammation of the appendix.In addition, there is a list of diseases that are characterized by pain on the right side at the rear:
- Spinal curvature is the most common reason why the sides hurt;
- displacement of intervertebral discs;
- gastrointestinal diseases;
- The kidney stones (the pain returns to the right side of the back, under the ribs, to the stomach);
- obesity;
- gynecological diseases, most often inflammatory;
- Diseases of the respiratory system (if it hurts at the top to the right), with pain and dull pain, the transition of pathology to the chronic stage is possible;
- impaired function of the peripheral nervous system;
- Injuries;
- muscles located near the spine;
- too strong physical activity;
- Ectopic pregnancy.
Pain on the left
If the pain is localized back to the side to the left, under the ribs or at the lower back. Maybe this:
- spinal pathology (inflammation, pinching, etc.);
- Diseases of the kidneys and the urinary system (accompanied by leg swelling);
- gastrointestinal diseases;
- Dalan diseases.
In the left hypochondrium and above:
- respiratory diseases;
- cardiovascular diseases;
- osteochondrosis;
- Metostal neuralgia.
Pain in the left side from the back at the bottom Talk about the pathologies of the reproductive system.
Lumbar
If the back hurts in the lower back, such discomfort is characteristic of osteochondrosis, hernia, radiculitis.Pain in the back muscles in the lower back appear due to injuries, excessive loading.
Other causes of lumbar back pain:
- rheumatoid arthritis;
- Reuters Syndrome;
- Spinal infections and intervertebral discs (brucellosis, tuberculosis, abscess);
- tumor;
- nerve pressure;
- osteochondrosis;
- sciatica;
- Osteoporosis.
In the area of the blades
Pain At the top of the back (in the shoulder blades) on the left:
- diseases of the musculoskeletal system;
- lung problems (pneumonia, abscess, pleurisy);
- impaired stomach function;
- Pathology in a cardiology profile (angina, myocardial infarction);
- Spinal diseases (osteochondrosis, hernia, scoliosis, spondylosis, spondyl arthrosis);
- muscle inflammation;
- Dalan diseases.
Pain under the right spatula at the rear:
- Injury;
- infections;
- osteomyelitis;
- cholecystitis;
- liver colic;
- pancreatitis;
- gallstone disease;
- cirrhosis;
- osteochondrosis of the cervical region;
- scoliosis;
- Metostal neuralgia;
- Vegetable -vascular dystonia.
Spine pain and back
One of the main reasons why the spine hurts is Compression of nervous processesSIt can be accompanied by hernia, scoliosis, displacement of the vertebrae.Other reasons:
- osteoarthrosis;
- myalgia;
- Osteochondrosis (spinal pain can occur in the middle of the back, in cervical or lumbar parts);
- fatigue of muscles;
- spinal curvature (scoliosis, kyphosis, lordosis);
- spinal convexity;
- fracture, spine trauma;
- sciatic nerve inflammation;
- Abnormalities of the structure of the spine;
- radiculitis;
- Bicetv's disease;
- spondylosis.
The causes of pain below the lower back
A significant percentage of cases of back pain is:
- spondylartrosis;
- Osteochondrosis.
Other reasons:
- scoliosis;
- vertebral infections and intervertebral discs;
- inflammation of non -infectious nature;
- gastrointestinal diseases;
- muscle stretching;
- shifting intervertebral discs.
Symptoms that accompany back pain
The episodic pain, even enhancing loads, are not -sick.However, if there are no improvements within 3-5 days and the back pain is increased, you should consult a doctor urgently.
Consider the symptoms of back pain in your spine.
Lumbar:
- Weakness in the legs;
- numbness or tenderness of the ass, hips, legs, toes, legs;
- Rapid urination or, conversely, is very rare;
- Reducing sensitivity during bowel movements and urination.
Signs of back pain in the neck:
- Frequent headache;
- Weakness in the hands;
- Acute changes in blood pressure;
- increased or decreased blood pressure;
- Tingling and tenderness in the hands, shoulders, fingers, hands.
The thoracic region:
- soreness under the shoulder blade (probably exacerbation of pain during movement);
- burning in the sternum or between shoulder blades.
Situations you should consult a doctor as soon as possible
Rear soreness, if not associated with serious pathologies, takes 3-4 days.If this does not happen, you should definitely see a doctor.In addition, the reasons for emergency contact with a specialist are:
- very intense pain;
- pain that increases at night;
- When it hurts in any position of the body and you cannot take the posture in which relief arises;
- Pain that arose suddenly and for the first time in his life;
- when a person suffers from pain syndrome or more than 20 years or more than 55;
- Recent back injury;
- fever;
- reducing body weight for no apparent reason;
- progressive disorders of the profile of neurology;
- general weakness;
- Change of gait;
- Long -term intake of corticosteroids;
- Increasing pain in a month, lack of improvements in the background of therapy;
- The pain radiates in the legs, especially below the knee;
- In one or both legs there is weakness, numbness of the skin, numbness.
Diagnostics
To diagnose back pain, you should arrange an encounter with a neurologist, if necessary, take tests and also under the goal of a specialist to undergo a hardware study.
- Blood tests.
They allow you to determine the presence of infection, ESR (increased percentage of the erythrocyte settlement, which indicates inflammation, infection).If an increased level of leukocytes is detected, it is also a sign of inflammation, infection.Also, iron deficiency anemia, the cause of which may be oncology, can be determined by blood.
- Hardware diagnostics.
- Duplex and Triplex UZ scanning vessels of the neck and brain.Allows you to determine the structure and patency of blood vessels, the presence of narrowing or expansion, plaques, blood clots, and compliance of blood flow to norms.It is used to diagnose the causes of headache, dizziness, increased pressure, and suspicion of a cerebrovascular incident, with early diagnosis of conditions before intelligence.
- MRI (magnetic resonance). The most accurate and effective method of examination.Allows you to visualize vertebral tumors, intervertebral disc hernia, compression (and its degree) of the spinal nerves and spinal cord, narrowing of the spinal canal, inflammatory changes, including post -traumatic ones.MRI is necessarily performed before surgery and in the postoperative period.
- CT (computed tomography). It reveals the breaks of the vertebrae and their character, allows you to find even very small fragments if they have been formed during injury.Based on the data obtained, you can create a 3D image of the desired area.CT "sees" what goes unnoticed by radiography.
- Radiography. Allows you to evaluate the condition of bone structures.It is performed to diagnose fractures, arthritis, spondylolisthesis, degree of posture disorders.It can be performed with functional samples, that is, when the patient bends and expands the spine during the examination.Visualizes inflammation of the joints in the spine, helps, according to indirect signs, to identify the localization of the compression of nerve processes.The degree of intensity of the color of the vertebrae in the photo allows you to evaluate their fortress (with osteoporosis they are more "transparent" and when healthy are bright white).
- Electromyography (EMG). A study aimed at determining the condition of the nerve tissue.In the course of it, the electronic towels that are performed by nerves are evaluated, as well as the reaction of the muscles to them.Electromyography helps to detect the nerve compression due to stenosis (narrowing) of the spinal canal or intervertebral hernia.
- Bone scanning. This study is necessary if the doctor suspects the tumor on the bones or the breakage of compression against the background of osteoporosis.
Treatment of back pain
Most often, patients do not know which doctor to contact.A neurologist is involved in complex treatment of back pain.You should contact your spine problems.However, before the arrival of a specialist or a visit to him, you 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 need to lie on the stomach on a firm and even surface.The best of all - on the floor.After a few minutes, you should carefully roll on your back and lift your legs, fixing them so that the hips are at an angle of 90 degrees.So you remove the load from the spine.
You can use anti -inflammatory drugs in the form of ointments and creams.After removing the pain syndrome, you should slightly rise and straighten the painful area, for example, turning to a scarf or towel.
How to anesthetize if there are no painkillers?
You can relieve intense pain with such a simple tool as a cold compress.He will not give full release, but will relieve the condition.This can be a freezer product, an ice pack, etc.Also, pain help can be provided by applying a heating compress or a heating pad.It is only important not to overheat an inflamed area.
What else helps?
Easy physical activity aimed at mixing muscle, enlarging blood circulation will help relieve discomfort.This can be a peaceful walk, muscle stretching exercises.
Medicine against pain: Medical intervention methods
First, the disease that causes pain is established and its treatment begins.On the way to relieve discomfort, treatment of chronic pain is used, medicines:
- Analgesics, NSAIDs, in rare cases - narcotic painkillers;
- B vitamins;
- Mussorelaxants.
One is prescribed a rest on the bed wearing a fixing corset (for example in neuralgia).
An important stage of treatment is physiotherapySIts main methods:
- electrophoresis with drugs;
- phonophoresis;
- laser therapy;
- Magnetic therapy.
Also carried out Reflexology:
- Electricostimulation;
- Acupuncture techniques.
Massage, osteopathy, manual therapy and exercise are effective for back pain.These methods are used when pain is caused by diseases of the muscles and spine during rehabilitation after injury.
Prevention
Clinical recommendations for Prevention of intervertebral hernias and osteochondrosis:
- Move more, do gymnastics in the morning, participate in yoga;
- Take a contrast shower followed by rubbing with a towel to improve your metabolic processes;
- Once every six months, they pass a massage course (up to 10 sessions);
- Maintain liver health as the production of collagen depends on it;
- increase in immunity;
- Avoid stress, identify even psychological origin;
- Weight monitoring, as each additional 10 kg is about 0.5 kg of additional vertebra load, resulting in rapid wear.
It is also important:
- Stand properly and walk.The right stand is when you get up to the wall and touch it with the nape, shoulder blades, ass and heels.When walking and standing, you should try to maintain this situation.
- Sit in the right posture: Do not throw yourself far back, do not bend forward.You should press your back tightly to the back of the chair, to have support under the lower back and neck.Every 15 minutes - change the position of the legs, stretch.
- He sleeps an anatomically correct or orthopedic mattress.
- After you wake up, even in bed, do simple exercises with your feet and hands, stretch before you get up (you have to do this without sudden movements).
- Do not carry heavy bags in one hand.It is better to distribute purchases evenly with two packages.
- Do not carry a bag over the shoulder.It is more useful for the back - a backpack with two straps.
- A young child should be worn with a straight back, not bend back.It is perfectly best to carry a baby on his chest in a special sling and a little grown up - behind.
- When you transfer heavy objects, do not bend or rotate the body.
- Do not bend when cleaning - use an extension cable for a vacuum cleaner handle and mop (do not wash the floors with a rag, kneeling).
- Eat grapes, apples, strawberries, pears, lentils, hazelnuts, pumpkin, lettuce, raspberry.
- Follow the balance of magnesium and potassium in the diet.Eat nuts, fish, seafood, spinach, cabbage, beans, peas.
- Turn off bad habits - alcohol and smoking.
- Participate in swimming, running (but only with insoles that absorb shock and in special sports shoes), skiing.
Be sure to visit doctors for preventive examinations to prevent the situation from worsening in the presence of a disease and to start treatment on time.