The pain in the lower part of the back in English-speaking sources call it pain in the lower back (low back pain). The pain is often contributes to the tension in the lumbar area of the spine, restriction of motion, and antalgic scoliosis. The acute pain in the lower back can last from a few days up to several weeks.
The causes, frequency and risk factors of low back pain
Back pain is common almost every person has at least once in life. It should be noted, that the pain can be in any part of Your back, but, however, the pain in the lumbar region of the spine occurs more often. This is because in the lumbar vertebrae falls maximum load weight of Your body.
Low back pain is the second by the number of visits to the doctor, immediately after viral infections.
You may feel pain in the lower back after the lifting of gravity, the sudden movement after sitting for a long time in the same posture or after injury of the spinal column.
The acute pain in the lumbar region of the spine is often caused by the displacement of the intervertebral disc and injury of the spine.
The causes of pain in the lower part of the back:
- The osteochondrosis of the lumbar spine
- An Intervertebral hernia and protrusion of the intervertebral disc
- Spondiloarthrosis
- Spondylosis
- Spondylolisthesis
- A compression fracture due to osteoporosis, myeloma disease, hemangiomas vertebral
- The tumor in the lumen of the spinal canal
- The fracture of the spine after injury
- Length of the muscle tension
- Anatomically narrow spinal canal
- The curvature of the spine (scoliosis, kyphosis, kyphoscoliosis, the illness of The president of the Mau)
- Aneurysm of the aorta
- Rheumatoid arthritis, psoriatic arthritis, osteoarthritis
- The infection of the spinal column (osteomyelitis, discitis, tuberculosis of the spine
- The pyelonephritis, urolithiasis
- Complicated during pregnancy
- Gynecological diseases (endometriosis, ovarian cysts, ovarian cancer, etc)
The symptoms of low back pain (pain in the lower back)
The pain can be most varied: sharp, dull, pulling , burning, can be accompanied by tingling and tingling, the numbness.
The intensity of pain in the low back can vary from mild to unbearable pain, prevents you from doing even a small movement. The pain can be combined with pain in the hip, pain in leg, pain in the foot.
The diagnosis of low back pain
You should first consult a doctor-nevrologu. The doctor Will ask you questions about the nature of Your pain, its frequency of repetition. The doctor will try to determine the cause of the pain and begin the treatment of simple methods (ice, moderate pain relievers, physiotherapy and exercises).
In most cases, these treatments reduce the back pain. During the examination, the doctor determines the exact position of the pain, their irradiation, reflexes neurological. The majority of people with pain in the lumbar region of the spinal column are retrieved in a period of 4-6 weeks.
The diagnosis includes magnetic resonance imaging (angl. MRI) of the lumbar spine, the lumbar ct scan-part of sacral spine, x-rays of the spine.
Given that the most frequent cause of pain in the lower back is a herniated lumbar Intervertebral-part sacrum of the vertebral column, the first thing you have to do an mri of the lumbar spine. This study will also help to eliminate most of the causes of the pain syndrome, such as a tumor in the lumen of the spinal canal, tuberculosis of the spine, fracture of the spine, myeloma disease, anatomically narrow spinal canal spondylolisthesis, different shape of the curvature of the spine, spondylosis and spondiloarthrosis. If Your neurologist has not given a magnetic resonance, do-it-yourself. The power of a mri device must be of 1 tesla and more.
Not worth starting the diagnosis with x-ray and computed tomography, these methods are not safe. It can be done in the first place only if there is a suspected fracture of the spine.
Here are some tips on what to do when back pain:
- Reduce the physical activity in the first two days after the start of the attack. This will help to reduce the symptoms of the disease and the swelling in the area of pain.
- Is not sitting with leaning forward, until the pain completely, not extinguished.
- Take the pain medications only in the case of unbearable pain. It is best to do intramuscular injection that enjoy drug anesthetic. This will protect the wall of Your stomach from direct contact with the environment anti-inflammatory. Try to avoid the excess of receipt of the drugs. Do not apply for the hormonal treatment of the tool, if the pain in the low back is not related to an autoimmune disease.
- He sleeps in a fetal position, place a pillow between the legs. If you normally sleep on your back, place a pillow under the knees
- A common error is the idea that You should limit your physical activity for a long time. Bed rest is not recommended!!! If you do not have fever, weight loss, involuntary urination and defecation, you need to stay active as much as you can bear. You can reduce your activity only in the first two days after the onset of pain. Start to do light aerobic exercise. Walking in the simulator, swimming helps to improve blood flow to the muscles of Your back. Check with your doctor for the selection of the exercises, to not call the gain of the pain syndrome.
Prognosis:
The majority of people feel much better after the first week of treatment. Through 4-6 weeks most of the patients, the pain disappears completely.
In what cases it is necessary to consult a doctor immediately:
- The pain in the lower back combined with pain in the leg and pain in the foot
- The pain does not allow Him to serve himself
- The pain combined with incontinence of urine and feces
- The combination of pain in the lower back with numbness in the buttock, thigh, leg, foot, groin
- If You was already a pain in the back before
- If the pain lasts more than 3 days
- If You are taking hormones
- If the pain in the lower back arose after the injury
- Previously, he was diagnosed with cancer
- If You lose weight and at the last moment for reasons unresolved