Periodic or constant back pain occurs in almost all modern people.Almost nobody pays attention to the discomfort or consumes uncontrollably painkillers if intense pains.This approach can cause serious diseases and complications in the future.
If you are worried about constant back pain, we recommend that you contact the center for neurology for advice.Attentive and highly qualified neurologists who are ready to save you from the disease in a short time are taking the reception.
Why does the back hurt?
This may be due to diseases of the internal organs, a spinal lesion (including a fracture), neurological pain usually indicate osteochondrosis and is sometimes a symptom of the pathology of the gastrointestinal tract, kidneys, etc.
In addition, the back to a certain extent is predisposed to injuries and pain.The spine performs at least 4 functions: support, protection, amortization and engine.Therefore, if the pain appeared, this can be the result of a bad posture, a strong load of the past, a movement or an acute turn.
What to do with back pain?
Consult a doctor, undergo an exam.Based on the diagnosis, it will become clear how to treat pain in the back, depending on the main cause.
The causes of back pain
Back pain means not only serious pathologies.For example, pain in cough or walking can be caused by a simple overvoltage.However, it is often a symptom of various diseases, whose manifestations depend on many factors.
Why does the back hurts after sleeping?
Possible reasons why in the morning after sleep there are pain in the rear:
- hypothermia;
- A strong weight lifting during the day (or in 3-4 days), causing night pain;
- osteochondrosis;
- intervertebral hernia;
- the position of the wrong body when you lie;
- improperly selected mattress;
- in women among the causes - pregnancy;
- curvature of the spine, which involves an asymmetrical muscle contraction;
- overweight and weakness of the muscles;
- stress.
Diseases associated with joints and vertebrates
Back pain in this case means that they can be present:
- osteochondrosis;
- spondilolistz;
- Ankylosing spondylitis;
- Bekhterev disease;
- osteomyelitis;
- rheumatoid arthritis;
- movement of intervertebral discs;
- Reuters syndrome;
- A hernia of the intervertebral disc.
Diseases associated with muscles
Why are the back muscles bad?
Very often, muscle pains are associated with a large load, fatigue, hypothermia.Spasms and seals may occur, as well as a decrease in mobility and pain (fibromyalgia).In addition, the back can damage the following muscle pathologies:
- Charcot or low disease;
- dermatomosite (also manifested by rash);
- Rabdomiolisi;
- polymexitis;
- Muscle tissue infection;
- Rheumatic polymer.
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, they cover pairs of spinal nerves - there are 31 of them. Each nerve innervates a certain part of the body.If you find leather numbness (locally), muscle weakness, arts, spinal cord or some nerve is damaged.
Other diseases:
- spinal cord compression (for example, with cervical fracture or spondylosis, abscess, hematoma);
- spinal injury;
- cavities full of liquid;
- An inflammatory process caused, for example, by acute transversal myelitis;
- Compromised blood affirmation;
- HIV;
- abscess;
- copper deficiency, vitamin B;
- syphilis;
- good or evil neoplasms;
- hemorrhages;
- Scattered sclerosis.
Back pain due to psychosomatic
Psychological reasons are officially recognized as medicine.Psychogenic factors can influence the processes that cause dysfunction in a certain place.Therefore, chronic stress and prolonged depression, dissatisfaction with an intimate life can lead to constant painful pain in the lower back.
Types of back pain
Various diseases cause different types of back pain.Consider the main pathologies and the nature of pain with them.
| The nature of pain | Diseases that cause it |
|---|---|
| Painful back pain (acute and chronic) | Lumbago (shoot in the lower back).The reason is hard physical work.Usually it goes alone after a few days. |
| Mosite, muscle elongation, a strong lifting of weights, hypothermia, a long conservation of an uncomfortable posture, for example during work. | |
| Movement of intervertebral discs.The most common cause is osteochondrosis, but a movement can also occur with a strong lifting of weights and constant high physical effort. | |
| Acute | Osteochondrosis.Due to back pain, which are administered in the leg, they become stronger when sneezing, cough, tension. |
| Radicolite.Acute constant (seam) or opaque pain.It is usually located on one side, it can be administered in the thigh, in the buttock, leg, lower leg, sometimes causes numbness, itching.The pain is also burning, it intensifies when it moves. | |
| Intervertebral hernia.With such a pathology, pain occurs when inclined, lifting weights, intensifies when sneezing, cough, movement, accompanied by weakness in the leg. | |
| The severe pain pain cannot pass after taking analgesic | Osteochondrosis, cracks in the vertebrae, lumbago, intervertebral hernia, spondylosis. |
| Pitching | In the upper part of the back and in the middle of the sternum - it can speak of angina pectoris, myocardial infarction, thromboembolia of the lung artery.In the lower part of the back - intestinal obstruction, spondularosis. |
| Pressure | Angina pectis, myocardial infarction, problems with gallbladder (pain occurs after eating), atherosclerosis, hypertensive crisis. |
For localization
Consider the possible causes of pain in various parts of the rear.
Pain on the right
The rear part on the back on the right can occur with kidney problems, sometimes it speaks of inflammation of the appendix.In addition, there is a list of diseases characterized by pain in the right side from the back:
- The curvature of the spine is the most common reason why the sides hurt;
- movement of intervertebral discs;
- gastrointestinal diseases;
- Renal stones (the pain returns to the right side of the back, under the ribs, in the stomach);
- obesity;
- Gynecological diseases, the most often inflammatory;
- The diseases of the respiratory system (if it hurts at the top right), with painful and boring pain, the transition of the pathology to the chronic stage is possible;
- compromised 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 located in the rear on the left side, under the ribs or in the lower back of the back, maybe this:
- pathology of the spine (inflammation, pinching, etc.);
- Diseases of the kidneys and urinary system (accompanied by swelling of the legs);
- gastrointestinal diseases;
- Milza diseases.
In the left hypochondrium and above:
- respiratory diseases;
- cardiovascular disease;
- osteochondrosis;
- Intercostal neuralgia.
Pour the pain on the left side from the back to the bottom It speaks of the pathologies of the reproductive system.
Lumbar
If the back hurts in the lower back, this discomfort is characteristic of osteochondrosis, of the Arnia, of the Radicolite.Pain in the back muscles in the lower back occurs due to injuries, an excessive load.
Other causes of lumbar back pain:
- rheumatoid arthritis;
- Reuters syndrome;
- Spinal infections and intervertebral discs (brucellosis, tuberculosis, abscess);
- tumor;
- pinching of the nerve;
- osteochondrosis;
- sciatica;
- osteoporosis.
In the area of the blades
Pain In the upper part of the back (in the shoulder blades) on the left:
- Diseases of the musculoskeletal system;
- Problems with lungs (pneumonia, abscess, pleurisia);
- altered gastric function;
- pathology in the cardiological profile (Angina pectis, myocardial infarction);
- Spinal diseases (osteochondosis, hernia, scoliosis, spondylosis, spondy arthrosis);
- muscle inflammation;
- Milza diseases.
Pain Under the right spatula from behind:
- accident;
- infections;
- osteomyelitis;
- cholecystitis;
- liver colic;
- pancreatitis;
- Bile stone disease;
- cirrhosis;
- osteochondrosis of the cervical region;
- scoliosis;
- intercostal neuralgia;
- Vegetations -Vascular stonia.
Pain along the spine and in the rear part
One of the main reasons why the spine hurts Compression of the nerve processes.It can be accompanied by hernia, scoliosis, vertebral shift.Other reasons:
- osteoarthritis;
- myalgia;
- osteochondrosis (spine pain can occur in the middle of the rear, in the cervical or lumbar parts);
- overload of muscles;
- curvature of the spine (scoliosis, cifosi, lordosis);
- spinal protrusion;
- fracture, trauma of the spine;
- Inflammation of the sciatic nerve;
- anomalies of the structure of the spinal column;
- roots;
- Bekhterev disease;
- spondylosis.
The causes of pain in the lower back of the back
A considerable percentage of pain in the back of the back is:
- spondylartosis;
- osteochondrosis.
Other reasons:
- scoliosis;
- Infections of the vertebrae and intervertebral discs;
- inflammation of a non -infectious nature;
- gastrointestinal diseases;
- muscle elongation;
- movement of intervertebral discs.
Symptoms that accompany back pain
The episodic pains, even intensified to the load, are not hazardous.However, if there are no improvements within 3-5 days and the pain in the rear is intensified, it is necessary to urgently consult a doctor.
Consider the symptoms of back pain in the spine.
Lumbar:
- weakness in the legs;
- numbness or pain of buttocks, hips, legs, toes, feet;
- Quick urination or, on the contrary, is very rare;
- Reduce sensitivity during defecation and urination.
Signs of back pain in the neck:
- frequent headache;
- weakness in the hands;
- strong changes in blood pressure;
- Augmented or reduced blood pressure;
- Numbness and pain in the hands, shoulders, fingers, hands.
The thoracic region:
- pain under the scapula (possibly exacerbation of pain during movement);
- Burn in the sternum or between the shoulder blades.
Situations in which it is necessary to consult a doctor as soon as possible
The pain in the rear, if it is not related to serious pathologies, requires 3-4 days.If this does not happen, you must definitely visit a doctor.In addition, the reasons for the urgent contact of a specialist are:
- very intense pain;
- pain that intensifies at night;
- When it hurts in any position of the body and you cannot get relief in which relief occurs;
- pain that suddenly got up and for the first time in his life;
- When a person suffers from pain syndrome under the age of 20 or more than 55 years;
- recent back injury;
- fever;
- decrease in body weight for no apparent reason;
- progressive disorders on the profile of neurology;
- general weakness;
- Change of pace;
- Long -term intake of corticosteroids;
- an increase in pain during a month, the lack of improvements against the background of therapy;
- The pain radiates in the leg, especially under the knee;
- In one or both legs, weakness occurs, numbness of the skin, tingling.
Diagnostics
To make a diagnosis for back pain, you need to make an appointment with a neurologist, if necessary, take tests and also according to the purpose of specialist to undergo a hardware study.
- Blood tests.
They allow you to determine the presence of infection, ESR (increase in the erythrocyte settlement rate, which indicates inflammation, infection).If an increase in the level of leukocytes is detected, this is also a sign of inflammation, infection.In addition, iron deficiency anemia, the cause of which can be oncology, can be determined by the blood.
- Hardware diagnostics.
- Duplex and triplex-scanning of the neck and brain vases.It allows you to determine the structure and patency of the blood vessels, the presence of narrowing or expansion, plates, blood clots and correspondence of the bloodstream with the standards.It is used in the diagnosis of the causes of headaches, dizziness, increase in pressure and suspicions of cerebrovascular accident, with early diagnosis of pre -cane states.
- MRI (magnetic resonance imaging). The most accurate and effective exam method.It allows you to view the tumors on the vertebrae, the hernia of the intervertebral discs, the compression (and its degree) of the spinal nerves and the spinal cord, narrowing of the spinal canal, inflammatory changes, including post -traumatic ones.Magnetic resonance imaging is necessarily carried out before the operation and in the postoperative period.
- CT (computerized tomography). It reveals the fractures of the vertebrae and their character, it allows you to find even very small fragments if they have been formed during the injuries.Based on the data obtained, it is possible to create a 3D image of the desired area.CT "sees" what remains unnoticed by X -ray.
- X -ray. It allows you to evaluate the status of bone structures.It is carried out to diagnose fractures, arthritis, spondylolisthesis, degree of posture disorders.It can be performed with functional samples, or when the patient bends and extends the spine during the exam.View inflammation of the joints in the spine, it helps, according to indirect signs, to identify the location of the compression of the nerve processes.The degree of intensity of the coloring of the vertebrae in the photo allows you to evaluate their fortress (with osteoporosis are more "transparent" and when healthy are bright whites).
- Electromyography (EMG). A study aimed at determining the state of the nervous tissue.During it, electrom towels are evaluated, which are performed by the nerves, as well as the reaction of the muscles.Electromyography helps to detect the nerve compression that occurred due to the stenosis (narrowing) of the spinal canal or intervertebral.
- Bone scan. This study is necessary if the doctor suspects the tumor on the bones or a compression fracture against the background of osteoporosis.
Back pain treatment
Very often, patients don't know which doctor to contact.A neurologist is engaged in a complex back pain treatment.It is for him that you have to contact with problems with the spine.However, before the arrival of a specialist or a visit, it is necessary to provide the emergency room for back pain.
How to relieve or relieve pain at home?
The most important thing is to relax.To do this, you have to lie down on the stomach on a solid and even surface.Above all - on the floor.After a few minutes, you have to roll on the back care and lift the legs, repairing them so that the sides are at a 90 degree corner.Then remove the load from the spine.
You can use anti -inflammatory drugs in the form of ointments and creams.After removing the pain syndrome, it is necessary to lift gently and fix the painful area, for example, giving with a scarf or a towel.
How to anesthetize if there are no painkillers?
You can alleviate severe pain with such a simple tool as a cold compress.It will not give complete liberation, but will relieve the condition.This can be a product of the freezer, a pack with ice, etc.In addition, it is possible to provide help with pain by applying a heating compress or heating bearing.It is only important not to overheat a sore point.
What else helps?
Easy physical activity aimed at kneading muscles, increasing blood circulation will help relieve discomfort.It can be a pleasant walk, muscle stretching exercises.
Medicine against pain: medical intervention methods
First of all, the disease that caused pain is established and its treatment begins.Along the way to relieve the discomfort, the treatment of chronic pain, medicines are used:
- Analgesics, fans, in rare cases - narcotic painkillers;
- B vitamins;
- Musorelassanti.
A person is prescribed to bed rest, wearing a fixing corset (for example, in neuralgia).
An important phase of the treatment is physiotherapy.His main methods:
- electrophoresis with drugs;
- sounds;
- laser therapy;
- Magnetic therapy.
Also made reflexology:
- electroneurostimulation;
- Acupuncture techniques.
Massage, osteopathy, manual therapy and exercise therapy are effective for back pain.These methods are used when the pain is caused by the diseases of the muscles and the spine, during rehabilitation after injuries.
Prevention
Clinical recommendations for Prevention of intervertebral and osteochondous hernias:
- Move more, do gymnastics in the morning, engaged in yoga;
- Take a contrast shower followed by rubbing with a towel to improve metabolic processes;
- Once every six months, undergo a massage course (up to 10 sessions);
- maintain liver health, because collagen production depends on it;
- increase immunity;
- Avoid stress, establish even a psychological background;
- Weight monitoring, because every 10 kg more is about 0.5 kg of additional load for vertebra, which leads to quick wear.
Also, it's important:
- Stay correctly and walk.The correct posture is when you get up to the wall and touch with a neck, shoulder blades, buttocks and heels.When you walk and find, you have to try to keep this situation.
- Sit in the pose on the right: do not throw back far away, do not lean forward.You should strictly press your back against the back of the chair, have support under the lower back and neck.Every 15 minutes - the position of the legs changes, stretch.
- Sleep on anatomically correct or orthopedic mattress.
- After waking up, even in bed, do simple exercises with your feet and hands, stretch before getting up (you have to do it without sudden movements).
- Don't wear heavy bags in one hand.It is better to distribute purchases evenly with two packages.
- Do not wear a bag over the shoulder.It is more useful for the back: a backpack with two straps.
- A small child must be worn with a straight back, do not bend back.It is completely better to wear a child on the chest in a special slingshot and a little grew - behind.
- When you transfer heavy objects, do not bend and do not rotate the body.
- Do not bend during cleaning: use an extension for a handle for vacuum cleaner and a MOP (do not wash the floors with only one rag, on the knees).
- More often he eats grapes, apples, strawberries, pears, lentils, hazelnuts, pumpkin, green salad, raspberry.
- Follow the balance of magnesium and potassium in the diet.Eat nuts, fish, seafood, spinach, cabbage, beans, peas.
- Exclude bad habits - alcohol and smoke.
- Engaged in swimming, in the race (but only with the sunshine that absorbs shocks and special sports shoes), skiing.
Make sure to visit doctors for preventive exams in order to prevent a deterioration of the situation in the presence of a disease and start treatment in time.