Regular or persistent back pain occurs in almost every modern person.Almost no one is paying attention to discomfort or uncontrollable using painkillers if it is severe pain.This approach can cause serious illness and complications in the future.
If you are concerned about continuous back pain, we advise you to contact the Neurological Center for advice.Careful and qualified neurologists who are ready to save you from the disease in a short time take acceptance.
Why is the back pain?
This may be due to internal organ disease, spinal injuries (including fractures), neurological pain usually indicates osteochondrosis, and sometimes it is a symptom of pathological gastrointestinal tract, kidneys, and more.
In addition, returning to a certain level is injury and pain.The spine performs at least 4 functions: support, protector, depreciation and motor.Therefore, if the pain has arisen, this may be due to poor posture, a strong time load, sharp movement or turn.
What to do with back pain?
Consult your doctor, undergo an examination.Based on the diagnosis, it will be clear how to cure back pain, depending on the root cause.
The cause of back pain
Back pain means not only serious pathology.For example, pain in coughing or walking can be caused by a simple overvoltage.However, it is often a symptom of various diseases, manifestations that depend on many factors.
Why is the back pain after sleep?
Possible reasons why in the morning after sleep there is pain in the back:
- hypothermia;
- lifting weight during the day (or in 3-4 days), causing night pain;
- osteochondrosis;
- intervertebral hernia;
- the wrong body position when you lie;
- improper selected mattress;
- in women among reasons - pregnancy;
- spinal curvature, involving asymmetric muscle contraction;
- excess weight and muscle weakness;
- Pressure.
Diseases related to joints and vertebrates
Back pain in this case means that they may be present:
- osteochondrosis;
- Spondylolistz;
- Ankylosing spondylitis;
- Bekhterev disease;
- osteomyelitis;
- rheumatoid arthritis;
- intervertebral disc displacement;
- Reuters syndrome;
- Intervertebral disc hernia.
A muscle -related disease
Why is the back muscle sore?
Often, muscle aches are associated with large loads, fatigue, hypothermia.Cramps and seals may occur, as well as decreased mobility and pain (fibromyalgia).In addition, the back can hurt the following muscle pathology:
- Charcot disease, or bass;
- dermatomyositis (addition indicated by rash);
- Rabdomyolysis;
- polymiositis;
- muscle tissue infections, abscess;
- Rheumatic polymyalgia.
Spinal cord pathology
The spinal cord is an organ that provides connection between the body and the brain.Through a hole between the vertebrae of the spinal cord, the spinal cord has departed - there are 31 of them.Each nerve absorbs a certain part of the body.If you find skin numbness (local), muscle weakness, limbs, spinal cord or nerves are damaged.
More illnesses:
- Spinal cord compression (for example, with broken spondylosis or cervix, abscess, hematoma);
- spinal injury;
- Cavities are filled with liquid;
- The process of inflammation caused, for example, by acute horizontal myelitis;
- blood supply impaired blood;
- HIV;
- abscess;
- Copper deficiency, vitamin B;
- syphilis;
- good or malignant neoplasms;
- bleeding;
- Sclerosis is scattered.
Back pain as a result of psychosomatic
Psychological causes are formally recognized as drugs.Psychogenic factors can affect the process that causes dysfunction in a particular place.Therefore, chronic stress and prolonged depression, dissatisfaction with intimate life can cause persistent pain in the lower back.
Type of back pain
Various diseases cause various types of back pain.Consider the main pathology and the nature of pain with them.
| Pain | A disease that causes it |
|---|---|
| Back pain (acute and chronic) | Lumbago (shooting in the lower back).The reason is difficult physical labor.It usually runs on its own after a few days. |
| Myositis, muscle stretching, weight lifting, hypothermia, uncomfortable posture preservation, for example, during work. | |
| Intervertebral disc transfer.The most common cause is osteochondrosis, but also a displacement can occur with a sharp lift in weight and regular physical work. | |
| Acute | Osteochondrosis.It causes back pain, given to the feet, becoming stronger during sneezing, coughing, tension. |
| Radiculitis.Persistent acute (stitches) or tedious pain.Usually it is located on one side, it can be given to the thighs, buttocks, feet, lower legs, sometimes causing numbness, itching.The pain also burns, increasing as it moves. | |
| Intervertebral hernia.With such pathology, pain occurs when leaning, weight lifting, increasing when sneezing, coughing, movement, accompanied by weakness in the foot. | |
| Pulsating pain, severe, may not pass after taking analgesic | Osteochondrosis, cracks in vertebra, lumbago, intervertebral hernia, spondylosis. |
| Pitching | At the top and in the middle of the sternum - it can talk about angina pectoris, myocardial infarction, pulmonary artery thromboembolism.At the bottom - intestinal obstruction, spondylarthrosis. |
| Stress | Angina pectoris, myocardial infarction, problems with gall bladder (pain occur after eating), atherosclerosis, hypertension crisis. |
By localization
Consider the possible causes of pain in various back.
Pain on the right
The back on the back on the right can occur with kidney problems, sometimes it talks about the inflammation of the attachment.In addition, there is a list of diseases characterized by pain in the right side:
- Spinal curvature is the most common reason why the pain is;
- intervertebral disc displacement;
- gastrointestinal disease;
- Kidney stone (pain gives back to the right back, under the ribs, in the stomach);
- obesity;
- gynecological disease, most often inflammation;
- Respiratory system disease (if it hurts in the upper right), with pain and tedious pain, a pathological transition to a chronic stage;
- impaired function of the peripheral nervous system;
- injury;
- muscles located near the spine;
- physical activity that is too strong;
- Ectopic pregnancy.
Pain on the left
If the pain is localized on the back side on the left, below the ribs or in the lower back, maybe this:
- spinal pathology (inflammation, pinch, etc.);
- Kidney disease and urinary system (accompanied by swelling of the foot);
- gastrointestinal disease;
- Spleen disease.
In the left and above hypochondria:
- respiratory disease;
- cardiovascular disease;
- osteochondrosis;
- Intercostal neuralgia.
Attract the pain on the left side from behind at the bottom Talk about the pathology of the reproductive system.
Lumbar
If the back pain is lower, such discomfort is a characteristic of osteochondrosis, hernia, radiculitis.Pain in the back muscles at the bottom is due to injury, excessive load.
Causes of lumbar back pain:
- rheumatoid arthritis;
- Reuters syndrome;
- spinal infections and intervertebral discs (brucellosis, tuberculosis, abscess);
- tumors;
- pinching the nerves;
- osteochondrosis;
- Sciatica;
- osteoporosis.
In the blade area
Sore At the top (on the shoulder blade) on the left:
- disease of the musculoskeletal system;
- problems with the lungs (powdered, pleurisy, pleurisy);
- impaired gastric function;
- pathology in cardiological profiles (angina pectoris, myocardial infarction);
- spinal disease (osteochondrosis, hernia, scoliosis, spondylosis, spondil arthrosis);
- muscle inflammation;
- Spleen disease.
Sore under the correct spatula from behind:
- injury;
- infection;
- osteomyelitis;
- cholecystitis;
- Colic heart;
- pancreatitis;
- bile disease;
- cirrhosis;
- cervical area osteochondrosis;
- scoliosis;
- Intercostal neuralgia;
- Vegetables -vascular dystonia.
Pain along the spine and in the back
One of the main reasons why the spine hurts Compression of the nerve process.It may be accompanied by hernia, scoliosis, vertebral displacement.Other reasons:
- osteoarthrosis;
- myalgia;
- osteochondrosis (spinal pain can occur in the middle, in the cervix or lumbar);
- muscle hard work;
- spinal curvature (scoliosis, kyphosis, lordosis);
- spinal protrusion;
- fractures, spinal trauma;
- sciatic nerve inflammation;
- spinal column structure anomalies;
- radiculitis;
- Bekhterev disease;
- spondylosis.
The cause of pain under the lower back
A large number of cases of pain in the back are:
- Spondylarthrosis;
- osteochondrosis.
Other reasons:
- scoliosis;
- vertebral and intervertebral disc infections;
- inflammation of the non -recent nature;
- gastrointestinal disease;
- muscle stretch;
- Intervertebral disc transfer.
Symptoms that accompany pain in the back
Episode pain, though increasing at load, is not.However, if there is no improvement within 3-5 days, and back pain is intensified, you should consult your doctor immediately.
Consider symptoms of back pain in the spine.
Lumbar:
- weakness in the feet;
- numbness or back pain, hips, feet, toes, feet;
- Rapid events or, on the other hand, are extremely rare;
- Reduces sensitivity during water and urination.
Signs -The back pain in the neck:
- frequent headaches;
- weakness in hand;
- sharp changes in blood pressure;
- increase or reduce blood pressure;
- Numbness and pain in the hands, shoulders, fingers, hands.
Thoracic Region:
- pain under the shoulder blade (may worsen pain during movement);
- Burning in the sternum or between the shoulder blades.
A situation where you should consult a doctor as soon as possible
Back pain, if not related to serious pathology, takes 3-4 days.If this is not the case, you must visit a doctor.In addition, the reasons for the immediate contact are:
- very intense pain;
- the increasing pain at night;
- When it hurts wherever the body position and you cannot take the pose where the discharge occurs;
- The pain that arises suddenly and for the first time in his life;
- when a person suffers from the pain syndrome either younger than 20 years or more than 55;
- new back injury -recently;
- fever;
- lose weight for no apparent reason;
- progressive disorders of neurological profiles;
- general weakness;
- Changes are running;
- long intake of corticosteroids;
- increased pain for a month, lack of improvement in the background of therapy;
- Pain emits the feet, especially below the knee;
- In one or both feet, weakness occurs, skin numbness, tingling.
Diagnostics
To make a diagnosis for back pain, you will need to make an appointment with a neurologist, if necessary, take tests, and even under the purpose of a specialist study.
- Blood test.
They allow you to determine the presence of infection, ESR (an increase in erythrocyte solution rate, which shows inflammation, infection).If increased levels of leukocytes are detected, then this is also a sign of inflammation, infection.Also, iron deficiency anemia, a cause that can be oncology, can be determined by blood.
- Hardware diagnostics.
- Duplex and triplex uz-scanning neck and brain vessels.Allows you to determine the structure and patency of blood vessels, the presence of narrowing or development, plaques, blood clots, and blood flow correspondence with norms.It is used in the diagnosis of headaches, dizziness, increased stress, and also for suspicion of cerebrovascular accidents, with the early diagnosis of pre -intelligence conditions.
- MRI (magnetic resonance imaging). The most accurate and effective examination method.Allows you to visualize tumors on vertebrae, intervertebral disc hernia, compression (and degree) spinal cord and spinal cord, narrowing the spinal cord, changes in inflammation, including post -traumatic.MRI should be conducted before operation and during the postoperative period.
- CT (Tomography is calculated). It reveals the fractures of the spine and the character, allowing you to find very small debris if they are formed during the injury.Based on the data obtained, you can create a 3D image of the desired area.CT "sees" what radiography is still unaware of.
- Radiography. Allows you to evaluate the state of the bone structure.It is performed to diagnose bone fractures, arthritis, spondylolisthesis, level of posture disorders.It can be done with a functional sample, that is, when the patient bends and extends the spine during the examination.Describes inflammation of the joints in the spine, helping, according to indirect signs, to identify compression of the nerve process.The level of vertebral dye intensity in the picture allows you to evaluate their forts (with their osteoporosis more "transparent", and when bright white is bright).
- Electromyography (EMG). A study aimed at determining the state of the nerve tissue.On the way, electromed towels were evaluated, performed by nerves, as well as muscle reactions to them.Electromyography helps detect nerve compression caused by stenosis (narrowing) the spinal canal or intervertebral hernia.
- Bone scanning. This study is needed if the doctor suspects the tumor in the bone or the compression of the background of the osteoporosis.
Back pain treatment
Often, the patient does not know where the doctor is to contact.Neurologists are involved in complex treatment of back pain.It is to him that you should contact the problem with the spine.However, before the arrival of a specialist or visit to him, you should provide first aid for back pain.
How to relieve or relieve pain at home?
The most important thing is to rest.To do this, you need to lie on the stomach on a solid and even surface.Best of all - on the floor.After a few minutes, you need to be careful to roll behind you and raise your feet, fixing it so that the hips are at 90 degrees.So you remove the load from the spine.
You can use anti -inflammation in the form of ointments and creams.After removing the pain syndrome, you need to climb and improve the painful area, for example, a bandage with a scarf or towel.
How to finance if there are no painkillers?
You can relieve severe pain with simple tools like cold compress.It will not provide complete release, but will reduce the situation.This can be a product from the refrigerator, package with ice, and more.Also, helping with pain can be provided by using heating or heating pads.It's just important not to be too hot.
What else is helping?
Easy physical activity aimed at kneading the muscles, improving blood circulation will help relieve discomfort.It can be relaxed, muscle stretching exercises.
Medicine against pain: a method of medical intervention
First of all, the disease that causes pain is established and the treatment begins.Throughout the journey to relieve discomfort, chronic pain treatment, medications used:
- analgesics, NSAIDs, in rare cases - narcotic painkillers;
- V Vitamins;
- Musorelaxants.
A person is a bed rest, wearing a fixed corset (for example, in neuralgia).
An important level of treatment is Physiotherapy.The main method is:
- Electrophoresis with drugs;
- Phonophoresis;
- laser therapy;
- Magnetic therapy.
Is also carried out Reflexology:
- electroneurostimulation;
- Acupuncture techniques.
Massage, osteopathy, manual therapy, and exercise therapy are effective for back pain.This method is used when pain is caused by muscle and spinal disease, during recovery after injury.
Prevention
Clinical suggestions for Prevention of intervertebral hernia and osteochondrosis:
- move more, do gymnastics in the morning, engage in yoga;
- Take a contrast bath followed by rubbing with a towel to improve the metabolic process;
- Once every six months, through a massage course (up to 10 sessions);
- maintaining liver health, as collagen production depends on it;
- increase immunity;
- Avoid stress, create a better psychological background;
- Monitor weight, as every 10 kg additional is about 0.5 kg of additional load per vertebra, leading to rapid clothing.
In addition, important:
- Stand properly and walk.The right posture is when you get to the wall and touch it with nape, shoulder blades, buttocks and heels.When walking and standing, you should try to maintain this situation.
- Sit on the right: Don't throw it away, don't lean forward.You need to press your back to the back of the chair, having support under the back and neck.Every 15 minutes - change foot position, stretch.
- Sleep on the right or anatomical orthopedic mattress.
- After waking up, even in bed, do simple exercises with your feet and hands, stretch it before you wake up (you need to do this without a sudden movement).
- Don't wear heavy bags in one hand.It is best to distribute purchases evenly with two packages.
- Do not wear a bag on the shoulder.It is more useful for back - backpack with two ropes.
- A small child needs to be used straight, not to bend back.It is best to wear a baby on his chest in a special sling, and a little adult - in the back.
- When moving heavy objects, do not bend and do not rotate the body.
- Do not bend during cleaning - use an advanced cord for vacuum and mop cleaners (do not wash the floor with just cloth, kneel).
- More often eat wine, apples, strawberries, pear, lentils, hazelnut, pumpkin, green salad, raspberries.
- Follow the balance of magnesium and potassium in the diet.Eat beans, fish, seafood, spinach, cabbage, nuts, nuts.
- Exclude bad habits - alcohol and smoking.
- Involved in swimming, running (but only with the surprise of absorbing insoles and special sports shoes), skiing.
Be sure to visit a doctor for a preventive examination to prevent deterioration in the presence of illness and start treatment on time.