Regular or constant back pain occurs in almost every modern person.Almost nobody pays attention to symptoms or checked painkillers if intensive pain qualifies.This approach can cause serious diseases and complications in the future.
If you worry about constant back pain, we advise you to contact the center for neurology to get advice.Careful and highly qualified neurologists who are ready to save them from the illness in a short time accept the reception.
Why does the back hurt?
This can be due to diseases of the internal organs, a spine injury (including a fracture), neurological pain usually indicates osteochondrosis, and sometimes it is a symptom of the pathology of the gastrointestinal tract, kidneys, etc. etc.
In addition, the back is predisposed to a certain extent to injuries and pain.The spine carries out at least 4 functions: support, protection, depreciation and engine.When the pain appears, this can be the result of poor posture, a strong load, a sharp movement or a sharp rotation.
What to do with back pain?
Consult a doctor, undergo an exam.Based on the diagnosis, it becomes clear how one heals pain in the back depending on the basic cause.
The causes of back pain
Back pain does not only mean serious pathologies.For example, pain when coughing or walking can be caused by simple overvoltage.However, it is often a symptom of different diseases whose manifestations depend on many factors.
Why does the back hurt after sleep?
Possible reasons why there is pain in the back in the morning after sleep:
- Settlement;
- A sharp lifting of weights during the day (or in 3-4 days), which leads to night pain;
- Osteochondrosis;
- Intermediate hernia;
- The wrong body position when you lie;
- improperly selected mattress;
- In women below the causes - pregnancy;
- Craumatic of the spine with asymmetrical muscle contraction;
- Obesity and weakness of the muscles;
- Stress.
Diseases associated with joints and vertebrates
Back pain in this case means that you may be available:
- Osteochondrosis;
- Spondylolistz;
- Spondylitis Ankylosans;
- Bekhterev disease;
- Osteomyelitis;
- Rheumatoid arthritis;
- Shifting of intervertebral discs;
- Reuters syndrome;
- A hernia of the intermediate disc.
Diseases connected to muscles
Why do the back muscles hurt?
Very often muscle pain is associated with great load, tiredness and hypothermia.Cramps and seals can occur as well as a decrease in mobility and pain (fibromyalgia).In addition, the back can violate the following muscle pathologies:
- Charcot disease or bass;
- Dermatomyositis (additionally manifested by rash);
- Rabbomyolysis;
- Polymiositis;
- Infection of muscle tissue, abscess;
- Rheumatic polymyalgia.
Spinal cathologies
The spinal cord is an organ that establishes a connection between body and brain.Due to the holes between the vertebrae from the spinal cord, couples from spine nerves go away - there are 31 of them.Every nerve annoys a certain part of the body.If you find (locally) deafness, muscle weakness, limb, spinal cord or nerve is damaged.
Other diseases:
- Compression of the spinal cord (for example with a fracture or a cervix spondylose, abscess, hematoma);
- Spinal violation;
- Caves filled with liquid;
- An inflammatory process caused, for example, by acute transverse myelitis;
- Impaired body supply of blood;
- HIV;
- Abscess;
- Copper deficiency, vitamin B;
- Syphilis;
- good or malignant neoplasia;
- Bleeding;
- Scattered sclerosis.
Back pain due to psychosomatics
Psychological reasons are officially recognized as medicine.Psychogenic factors can affect processes that cause a functional disorder in a certain location.Thus, chronic stress and extended depression, dissatisfaction with an intimate life can lead to constant painful pain in the lower back.
Types of back pain
Different diseases cause different types of back pain.Consider the main pathologies and the nature of pain with them.
| The nature of the pain | Diseases that cause it |
|---|---|
| Pain pain (acute and chronic) | Lumbago (shooting in the lower back).The reason is hard physical work.It usually goes by itself after a few days. |
| Myositis, muscle detection, a sharp lifting of weights, hypothermia, a long maintenance of an unpleasant attitude, for example during work. | |
| Shifting of intervertebral discs.The most common cause is osteochondrosis, but a shift can also occur with a sharp lifting in weights and constant high physical exertion. | |
| Acute | Osteochondrosis.As a result, pain that is indicated in the leg leads to sneezing, coughing and tension. |
| Radiculitis.Constant acute (seams) or blunt pain.Usually it is located on one side, it can be in the thigh, the buttocks, the leg, the lower leg, sometimes causes numbness and itching.The pain also burns, increases when they move. | |
| Intermediate hernia.In such a pathology, pain occurs when it is tilted, raise weights, sneezing, coughing, movement, accompanied by weakness in the leg. | |
| Pulsating pain, serious, cannot continue after taking analgesics | Osteochondrosis, cracks in the vertebrae, Lumbago, Grandbrand Hernie, Spondylose. |
| Pitching | In the upper back and in the middle of the chest, it can talk about angina pectoris, myocardial infarction and thromboembolism of the lung artery.In the lower back - intestinal deflection, spondylarthrosis. |
| Pressure | Angina pectoris, myocardial infarction, problems with the gallbladder (pain after eating), atherosclerosis, hypertensive crisis. |
By localization
Consider the possible causes of pain in different parts of the back.
Pain in law
The back on the right side can occur with kidney problems, sometimes it speaks of inflammation of the appendix.In addition, there is a list of diseases that are characterized by pain in the right side:
- The curvature of the spine is the most common reason why the sides hurt;
- Shifting of intervertebral discs;
- Stomach -intestine diseases;
- Kidney stones (Pain back to the right side of the back under the ribs in the stomach);
- Obesity;
- Gynecological diseases, mostly inflammatory;
- Diseases of the respiratory system (if it hurts at the top right) with painful and blunt pain, the transition of pathology to the chronic stage is possible.
- Impaired function of the peripheral nervous system;
- Injuries;
- Muscles near the spine;
- Too strong physical activity;
- Village pregnancy.
Pain in the left side
When the pain is located At the back of the side on the left, under the ribs or in the lower backMaybe that:
- Pathology of the spine (inflammation, clamping, etc.);
- Diseases of kidney and urea systems (accompanied by swelling of the legs);
- Stomach -intestine diseases;
- Molic diseases.
In the left hypochondrium and above:
- Respiratory diseases;
- Cardiovascular diseases;
- Osteochondrosis;
- Interkostal -Neuralgia.
Pull pain On the left side from behind in the lower part Talks about the pathologies of the reproductive system.
Lumbar spine
When the back hurts in the lower back, such symptoms for osteochondrosis, hernia, radiculitis is characteristic.Pain in the muscles of the back in the lower back occur due to injuries and excessive stress.
Other causes of lumbar back pain:
- Rheumatoid arthritis;
- Reuters syndrome;
- Spine infections and intervertebral discs (brucellosis, tuberculosis, abscess);
- Tumor;
- Bones of the nerve;
- Osteochondrosis;
- Sciatica;
- Osteoporosis.
In the area of the blades
pain In the upper back (in the shoulder blades) on the left:
- Diseases of the musculoskeletal system;
- Problems with lungs (pneumonia, abscess, pleuritis);
- Impaired stomach function;
- Pathology in the cardiological profile (angina pectoris, myocardial infarction);
- Spinal diseases (osteochondrosis, hernia, scoliosis, spondylosis, spondylarthrosis);
- Muscle inflammation;
- Molic diseases.
pain Under the right spatula from behind:
- Injury;
- Infections;
- Osteomyelitis;
- Cholecystitis;
- Liver colic;
- Pancreatitis;
- Gallstone disease;
- Cirrhosis;
- Osteochondrosis of the cervix region;
- Scoliosis;
- Interkostal -Neuralgia;
- Vegetes -vascular dystonia.
Pain along the spine and back in the back
One of the main reasons why the spine hurts Compression of nerve processes.It can be accompanied by Hernie, scoliosis and vertebral shift.Other reasons:
- Osteoarthrosis;
- Myalgia;
- Osteochondrosis (pain in the spine can occur in the middle of the back in cervical or linner);
- Review of the muscles;
- Craumatic of the spine (scoliosis, kyphosis, lordosis);
- Spinal lead;
- Fracture, spine trauma;
- Inflammation of the sciatic nerve;
- Anomalies of the structure of the spine;
- Radiculitis;
- Bekhterev disease;
- Spondylose.
The causes of pain under the lower back
A considerable percentage of cases of pain in the back of the back is:
- Spondylarthrosis;
- Osteochondrosis.
Other reasons:
- Scoliosis;
- Infections of the vertebrae and intervertebral discs;
- Inflammation of non -infectious nature;
- Stomach -intestine diseases;
- Muscary stretch;
- Shifting of intervertebral discs.
Symptoms that accompany pain in the back
Episodic pain, which even tighten with the load, are not impressive.However, if there is no improvements within 3 to 5 days and the pain in the back is intensified, you urgently need to consult a doctor.
Consider the symptoms of back pain in the spine.
Lumbar spine:
- Weakness in the legs;
- Daubiness or pain of the buttocks, hips, legs, fingers of the feet, feet;
- Fast urination or vice versa is very rare;
- Reduction of sensitivity during defecation and urination.
Signs of back pain in the neck:
- Frequent headache;
- Weakness in the hands;
- sharp changes in blood pressure;
- increased or reduced blood pressure;
- Dust and pain in the hands, shoulders, fingers, hands.
The Brustregion:
- Pain under the shoulder blade (possibly worsening the pain during movement);
- Burn in the sternum or between the shoulder blades.
Situations in which you have to consult a doctor as soon as possible
Pain in the back lasts 3-4 days if it is not related to serious pathologies.If this does not happen, you definitely have to visit a doctor.In addition, the reasons for urgent contact with a specialist are:
- very intense pain;
- Pain that intensifies at night;
- If it hurts in a position of the body and you cannot take a pose in which relief appears;
- Pain that was suddenly and for the first time in his life;
- If a person suffers from pain syndrome either younger than 20 years or older than 55;
- most recent back injury;
- Fever;
- Acceptance of body weight for no obvious reason;
- advanced disorders on the profile of neurology;
- general weakness;
- Gear change;
- Long -term recording of corticosteroids;
- An increase in pain in a month, the lack of improvements against the background of therapy;
- Pain radiates in the leg, especially under the knee;
- In one or both legs there is a weakness, numbness of the skin, tingling.
Diagnosis
In order to make a diagnosis for back pain, you must make an appointment with a neurologist if necessary, take tests and also be subjected to a hardware study below the purpose of the specialist.
- Blood tests.
They enable you to determine the presence of infections, ESR (increased erythrocyte settlement that indicates inflammation, infections).If an increased level of leukocyte is determined, this is also a sign of inflammation and infections.The anemia of iron deficiency, the cause of which can be oncological, can also be determined by blood.
- Hardware diagnostics.
- Duplex and triplex UZ scanning vessels of the neck and brain.It enables you to determine the structure and continuousness of blood vessels, the presence of narrowing or expansion, plaques, blood clots and the correspondence of blood flow with standards.It is used to diagnose the causes of headache, dizziness, increased pressure and for suspected cerebrovascular accident, with the early diagnosis of conditions before the intelligence is diagnosed.
- MRI (magnetic resonance imaging). The most accurate and effective examination method.Allows you to present tumors on the vertebrae, hernia of the intervertebral discs, the compression (and their degree) of the vertebral nerves and the spinal cord, the narrowing of the vertebral canal, inflammatory changes, including post -tumatic.The MRI is necessarily carried out before operation and in the postoperative period.
- CT (computer tomography). It shows the fractures of the vertebrae and their character and enables them to find very small fragments when they were formed during the injury.Based on the data obtained, you can create a 3D image of the desired area.Ct "sees" what remains unnoticed by radiography.
- Radiography. Allows you to evaluate the condition of the bone structures.It is carried out to diagnose fractures, arthritis, spondylolisthesis, degree of posture disorders.It can be carried out with functional samples, i.e. if the patient bends and expands the spine during the examination.Visualizes the inflammation of the joints in the spine and helps to identify the localization of the compression of nerve processes according to indirect signs.The degree of intensity of coloring the vertebrae in the picture enables you to evaluate your fortress (with osteoporosis you are "more transparent" and if you are healthy).
- Electromyography (EMG). A study on determining the condition of the nerve tissue.In the course of the IT, electric towels that are carried out by nerves are assessed as well as the reaction of the muscles to them.Electromyography helps to recognize the compression of the nerve, which occurred due to the stenosis (narrowing) of the vertebral canal or the swinging heritage.
- Bone scanning. This study is necessary if the doctor suspects the tumor on the bone or a compression fracture against the background of osteoporosis.
Treatment of back pain
Most often, the patients do not know to whom the doctor applied.A neurologist is involved with a complex treatment of back pain.For him you have to contact the spine with problems.Before the arrival of a specialist or a visit to him, however, you have to provide first aid for back pain.
How do I relieve or relieve pain at home?
The most important thing is to relax.To do this, you have to lie on the stomach on a solid and even surface.The best of everyone - on the floor.After a few minutes you have to roll carefully on your back and lift your legs and repair them so that the hips are at an angle of 90 degrees.How to remove the load from the spine.
You can use anti -inflammatory drugs in the form of ointments and creams.After removing pain syndrome, you have to gently raise and repair the painful area to connect with a scarf or a towel.
How can you anesthetize if there are no pain relievers?
You can relieve severe pain with such a simple tool as a cold compress.There will be no complete exemption, but will alleviate the condition.This can be a product from the freezer, a package with ice cream, etc.Aid can also be provided with pain by applying a heating compress or a heating pillow.It is only important not to overheat a aching point.
What else helps?
A simple physical activity that aimed at kneading the muscles helps to facilitate the increase in blood circulation.It can be a leisurely walk, muscle detection exercises.
Medicine for pain: Methods of Medical Intervention
First, the disease that caused pain is determined and its treatment begins.Medicines are used on the way to relieving complaints, the treatment of chronic pain:
- Analgetics, NSAIDS, in rare cases - narcotics pain;
- B vitamins;
- Musorelaxants.
One person has a prescribed bed rest and wears a corset (for example in neuralgia).
An important stage of treatment is Physiotherapy.Your main methods:
- Electrophoresis with medication;
- Phonophoresis;
- Laser therapy;
- Magnet therapy.
Also executed Reflex zone massage:
- Electroneurostimulation;
- Acupuncture techniques.
Massage, osteopathy, manual therapy and training therapy are effective for back pain.These methods are used when pain caused by diseases of the muscles and spine during rehabilitation after injuries.
prevention
Clinical recommendations for Prevention of hernia and osteochondrosis:
- Do more, do gymnastics in the morning, take part with yoga.
- Take a contrast shower, followed by rubbing with a towel to improve the metabolic processes.
- Once every six months, they undergo a massage course (up to 10 sessions);
- Keep up the health of the liver because collagen production depends on it;
- Increase immunity;
- Avoid stress, find an even psychological background.
- Monitoring of the weight, since each additional 10 kg is around 0.5 kg of additional load per vertebrae, which leads to quick wear.
It is also important:
- Stand right and go.The correct posture is when you stand on the wall and touch it with neck, shoulder blades, buttocks and paragraphs.When walking and standing, you have to try to maintain this situation.
- Sit in the right pose: Do not throw back much back, do not refuse.You should press your back close to the back of the chair and have support under the lower back and the lower neck.Every 15 minutes - change the position of the legs, stretch.
- Sleep on anatomically correct or orthopedic mattress.
- After waking up, also in bed, simple exercises with feet and hands, stretch before you get up (you have to do this without sudden movements).
- Do not wear heavy bags in one hand.It is better to distribute purchases evenly by two packages.
- Do not wear a bag over your shoulder.It is more useful for the back - a backpack with two straps.
- A small child has to be carried with a straight back so as not to bend back.It is best to wear a baby in a special noose on your chest and a little grown up - behind it.
- Do not bend heavy objects when transferred and do not turn the body.
- Do not bend when cleaning - use an extension cable for a vacuum cleaner handle and a mop (wash the floors not only with a rag, kneeling).
- Eat grapes, apples, strawberries, pears, lentils, hazelnuts, pumpkin, green salad, raspberry.
- Follow the balance of magnesium and potassium in nutrition.Eat nuts, fish, seafood, spinach, cabbage, beans, peas.
- Exclude bad habits - alcohol and smoking.
- Swimming, running (but only with shock absorbers and in special sports shoes), skiing.
Be sure to attend doctors for preventive examinations to prevent the situation in the presence of an illness and to start treatment in good time.