The back is called the part of the body that is located between the lower part of the back, and the department of the lower neck. The back pain that accompanies many diseases. And so often, by the number of visits to the health services occupy the second place after the optical character recognition.
Common causes of pain
What to do when it hurts your back? Of course, consult a doctor. The treatment of the back dealing with neurologists, podiatrists, general practice, manuals, medical. They will see the true cause of the disease, they will take a course of treatment. The cause of the pain can be:
- the osteochondrosis;
- spondiloarthrosis;
- ankylosing spondylitis (illness behtereva);
- low back pain;
- intercostal neuralgia;
- pregnancy;
- congenital and acquired curvature of the spine – scoliosis, kyphosis, lordosis;
- professionals of the factors;
- long physical load to the tension of the muscles of the back;
- tumor, metastases in the spinal column;
- the pain would shoot in the back to some diseases of internal organs.
The main diseases that cause back pain can be grouped into several groups: atrophic, inflammatory, myofascial, rare diseases. It examines separately the pregnancy, as the physiological state of the organism.
Degenerative diseases of the spine
The osteochondrosis and spondiloarthrosis frequent disease, accompanied by pains in the back. The reason lies in the pathological changes of the different structures of the spine. Differences and similarities of honey from two of the following diseases:
| The name of the disease | The pain cause | The causes of the |
| The osteochondrosis | The defeat of the cartilage, intervertebral discs, from the gelatinous core. Suffer vertebral bodies adjacent with the education osteophytes of hernias. | The injury, a fall, a physical and static load, the age. |
| Spondiloarthrosis or faceted arthropathy | The failure of the function of the small (facet) of the vertebrae with the formation of bone growths. The renaissance fibrous rings of the intervertebral disc, the pathology of the vocal cords. | The osteochondrosis, injuries, physical exercise, disorders of posture and foot function. |
The radiculitis, lumbago, intercostal neuralgia, radicular syndrome are synonyms of the same disease. It is a consequence of the osteochondrosis, complicated hernia. The hernia irritates, tighten the nerve roots, causing tension and spasm of the intercostal muscles. As a result, there are strong pains in the lower part of the back, which you can enroll in the legs. Not curing the disease leads to paresis. The patient feels "creeping chills, sensation of numbness, decreased sensation of the extremities. The foot is difficult to lift and straighten. Strong pains appear while sitting, try to lift or straighten the injured ankle.
If the back is ill because of the degenerative disc disease or spondylarthrosis, you need to seriously stubbornly to deal with treatment. In the initial phase, especially for young people, the disease is reversible. Otherwise, it takes the chronic duration with periods of exacerbations and remission. With time, the frequency of exacerbations increases and the back pain to increase.
The inflammatory disease
Ankylosing spondylosis
He same disease behtereva, – severe chronic of the joints of the spine. Has a genetic predisposition. Often surprising to the young people that worked for the men in the flower of life. Sooner or later the disease leads to the disability. Spondylosis begins with the changes in the disk. As the development of the disease comes in one of the vertebrae, which communicate one with the other connective tissue in a structure of bamboo stick). The spinal column completely enters the stationary state.
If in the morning, appears stiffness, dull pain in the back, you lose the flexibility of the spine, immediately consult your doctor. The development of the disease even you can pause and prolong the time of physical activity.
The Disease Of Kümmel-Top
As the disease behtereva, belongs to the group of non-specific spondylosis. Occurs only after injury. The tragic disease is the fact that traumatic that the pain soon passed. The disease of the "pause" for an indefinite time. The victim, a person is considered to be absolutely healthy. The disease is unexpectedly manifested necrotic changes, vertebral fractures, frequent relapses, a terrible pain.
Spondylitis
Specific and nonspecific inflammation of the spine caused by different reasons. Specific spondylitis is called:
- tuberculosis of the vertebrae the disease (Pott);
- syphilis;
- gonorrhea;
- malta fever;
- intestinal, the wand against typhoid fever.
The disease is accompanied by destruction of the vertebral bodies with very strong and persistent back pain, deformation of the spinal column.
The myofascial pain
Name of the company indicates that the disease affects the muscles and fascia of the back. The excessive tension of the muscles, injuries, disorders of posture, osteochondrosis in the fascia and muscles form trigger point. It is dense and painful education in the form of lumps or shots. When they are pressed on the points and the massage will lead to strong pains.
Trigger zone can be active and passive. Assets of the zone is the place of increased sensitivity and excitability of the muscles, the fascia. Sharply reacting to the slightest movement of the muscles. In the liabilities of the pain zones appears only after the press.
Internal of the disease
Pneumonia, pleurisy cause plaintive laments of back pain. In diseases of the heart, the pain can be under a spatula. Diseases of the kidneys, accompanied by long pain in the lower part of the back, in the back. But for the somatic diseases, in addition to the pain in the first place, are the other symptoms. For example, pneumonia, pleurisy appears cough, fever, shortness of breath, etc
Physiological pain
Pregnancy – the physiological state of the woman, loaded frequent back pain. In the period of the gestation of a child is the body of the woman little radical hormone of the restructuring. Increases the pressure on the organs of the system, without prejudice to the spine. Changes the state of stress of the pregnant woman.
Low back pain in early pregnancy occur when the threat of abortion. That pull, plaintive laments, sometimes cramps. The pain in that term, are associated with an increased load on the muscles of the back and spine. The woman changes of posture, increased lumbar lordosis – another cause of pain of the pregnant woman.
When you run the risk of miscarriage, in need of emergency assistance. To reduce the load on the spinal column, it is recommended to use prenatal smooth. In this manager, the period is important for everyone, up to the height of the heel, it must be small.
Other causes
Neoplasms
Benign and malignant, metastases in the vertebral column of the adenoma of the prostate, myeloma, the disease are the cause of unbearable excruciating pains of the spine and the back.
Vertebral osteomyelitis
It is a rare disease caused by the infection and inflammation of the vertebrae of the microbes: staphylococcus, pseudomonas wand, and streptococcus. Am amazed at the different departments of the spinal column. More often develops in men after 40-50 years. The disease happens with acute pain of the victim of the division, high temperature, intoxication.
Paget's Disease
Or osteodystrophy, occurs when the violation of the synthesis and of the bone restoration. Appears on the background of autoimmune diseases, when the ankylosing the espondilosise, after fractures. It is characterized by the fragility and the increased fragility of the bones of the spine.
The diagnosis
If you suffer from back pains, always fully evaluated. First, the doctor carefully examined by the patient. More, the diagnosis is based on the clinical instruments and indicators.
During the inspection, clarifies the nature of pain, location, time of occurrence of a night, to change the position of the body during physical exertion, in peace, etc, takes into Account the presence of comorbidities that can lead to back pain, – pneumonia, pleurisy, cancer, mental illness, back injuries. Below are made other studies:
- biochemistry and general analysis of blood;
- the x-ray in two or more projections;
- The ct scan of the spine – ct scan;
- Magnetic resonance imaging of the spine – magnetic resonance imaging;
- scintigraphy of the bones – to obtain a 2-dimensional image after the introduction of the radioactive isotopes and other types of surveys.
The doctor better painful know, what types of diagnosis do. Sometimes, to find the cause of the disease, enough of the x-ray. Sometimes we use other, more descriptive type survey.
The tactic of treatment
Depending on the type of disease and severity, select the method of conservative or surgical treatment. Patients with acute pain and severe course of the disease are treated in hospital, the rest as outpatients. Spine surgery is rare. The preference for conservative treatment, which affects the underlying disease. When the pain shows:
- medications;
- synthetic hormones of the adrenal glands;
- the muscle relaxants;
- chondroprotectors;
- synovial prosthesis.
The acute pain removed novocain blockades, injections of hydrocortisone-the-counter pain relievers. Outside the aggravation shown ointments, massage, therapeutic exercise, physiotherapy, manual of reflexology. Good results gives the stay in the sanatorium. To temporarily relieve sick from the spinal column, are special to the attachment of the braces.
The pain is not only the source of the unpleasant sensations. In the initial period of the disease acts as a protective reaction, suggests that in the body occurs bad, and you need to take action.