We have already heard about the fact that the most terrible pains in the back and the neck can occur due to intervertebral hernia, and if there was a strong pain, we go to a doctor awaiting trial. However, the myths about impending pain at the hernia exaggerated: hernia often is not the cause of back and neck pain, although many of the older people in the picture are fixed at the same time, even a few 3-4 mm of hernias. And whence, then, arise strong painful sensations in the area of the back and neck, even in the young?
Causes of back and neck pain
The pain in the back and neck appear most frequently due to muscle spasms, and joint subluxations of the vertebrae. Unfortunately, the diagnosis of the muscles and joints is done in us is not well. The smallest of the hernia and propellant immediately identified by ct and mri, while the subluxations and displacement of the vertebrae remain often unnoticed. Electromyography same, allows to identify a clearly different tone of the muscles, often is not done at all.
How and why they can occur muscle cramps, abnormal or vertebral subluxations? It can be just the lifters of weights, or only occur after an injury or injuries of the spine?
In the event that this can happen to absolutely everyone and almost imperceptible.
Muscle spasms can grow throughout life, and of themselves cause shifts in the spinal column and the separations
Spasms in the muscles of the back and neck
Impulse to tremors in the muscles may serve as the pretty daily life of the things:
- Permanent uncomfortable postures tense in the sitting position
- The second reason is a rapid movement and disproportionate activity (applies especially to lovers of independent repairs and jealous cottagers): spasm of the muscles thoracolumbar back can occur from carrying loads in stretched in front of himself the hands; the pain and tension in the muscles of the lumbar-sacral area occurs due to attempts to raise the heavy tilt position
- The third cause is muscle inflammation (myositisfor the most basic reason of cold. Probably, everyone is familiar with low back pain in the neck or back, derived from the devastating currents of air. Interestingly, this happens more often in the summer than in the winter season. The cause of this is misplaced working with air conditioning and exposed in the same way wrong temperature (too large a difference between the outside and given temperatures)
The symptoms of pain in the neck and back
- Collar myositis (sometimes called a band for the neck sciatica) flame low back pain that go from one side, from the crown of the head through the ear to the shoulder and the arm
- Low back pain in the back is dan in the ribs in the form of intercostal neuralgia. Localization in the left part of the chest leads to the simulation of a heart attack
- Lumbar low back pain (lumbago) are given in the hip. To the inflammation of the same sciatic nerve produces a sharp pain attack of "sciatica", in which the pain spreads to the muscles of the buttocks and down the posterior part of the thigh and of the leg, literally, down to the soles of
The mechanism of onset of muscle pain
Why is the syndrome of pain appeared in the muscles, often it is not easy, taking into account that the first attack is able to get it for himself? And why hurt the muscles?
The pain is so perverse phenomenon that resembles that of the beast, that is magnificent. While he sleeps, all is well. But it is worth the waking up, the problems I am not caught.
If you come from a muscle spasm in the back area and the neck affects that pass through the muscles of the nerves, turns on the reflector mechanism of pain, resembles the infernal boomerang:
- Nerve multiply the spasm of the muscles (that is your natural protective of the painful reaction)
- To return to a spasm of the muscles irritating the nerve, and everything goes infinite circle
The pain simply can not decrease due to the constant reflex irritation.
The treatment of muscle pain in the back and neck
Contributes to the development of chronic pain syndrome and a wrong treatment of:
- Packs heat on the sore area, warm baths, friction to the principle leading to the seem relief, but then the swelling of the muscles of the back and neck even more grows and sharpens the pain
- The realization of gymnastics, medicinal, even, stretching exercises to intensify it can also lead to degradation, as well as the reaction of the already tense muscles under the influence of the additional load can be unpredictable. In some cases, they can relax in other to become even more tense
- Similar reaction can occur during the massage
We have classified the muscles very firm to the touch, and the man himself is very hard to bend-unbend, rotate the neck, to lift and give you on the side of the hand.
The treatment of muscle spasms and acute pains, must be presented in the quickest way to fix the pain syndrome
To do this, is assigned to a week of bed rest and carried out:
- Five to seven days, the course of anaesthesia non-steroidal medications
- When it is wide the area of the pain to make novocaine or Lidocainum lock
- The sessions post-isometric relaxation very effective static exercises to relieve the pain
- Chiropractic and iglorefleksoterapija, always performed by qualified personnel
- Myofascial massage with the stimulation of the trigger (pain) points
A gradient point and the area of the pain are not always the same:
- It hurts the waist, and the tightened muscle much smaller and not in the rear and front
The displacement of the joints of the vertebrae of the back and neck
The displacement (subluxation) of the joints of the vertebrae it is not so rare. Cause your can:
- The injury of the spine, even to the normal custom: the fall, a blow, a bad landing legs, etc
- A strong inclination, twist the neck and trunk with an angle too large
- Permanent spasm, compressing vertebrae
The diagnosis of dislocation of the joints
If subluxation occurs after the fall or the failure of the dynamics, diagnose, can suddenly rises and continues to not pass the pain. During the move, you can hear the snap or pop
- The surprise factor of the pain syndrome should alert your doctor, as well as osteochondrosis or herniated chronic pain and is present throughout several years
- If the subluxation is the fault of the muscles, thus more difficult to diagnose, since the movement develops gradually and manifests itself by the gradual increase of pain and immobility
The dislocation of the joints can give you the shiny box, clinical, except in those cases in which this occurs in areas of transition:
- Sheyno-the
- Gradolumbarm
- Lumbar-sacral
Each department has its own additional features of displacement of the vertebra:
In the cervical spine:
- It hurts and you turn your head to the floor unconscious state
- The darkening, to the point of view in front of the eyes, ringing in the ears
- The curvature of the neck
- The weakness in the hand, burning sensation and numbness in the fingers (syndrome of sheyno-humeral)
In breastfeeding:
- Knife pain between the shoulder blades, radiation of sternum and the abdominal region
These symptoms is the common cause of hospitalization of patients with suspected myocardial infarction, the plague, and even appendicitis.
Set, that hurts in the chest, not the heart, it is very easy: After the reception of validol or nitroglycerin pain attack does not pass
In the lumbar spine:
- Acute low back pain of the viewer in the thigh, the lower part of the belly and the groin, This occurs when a subluxation of the top vertebra, in the department of the waist with a pinched femoral nerve
- Low back pain along the posterior surface of the leg, from the buttocks
- Numbness, feeling, which reduces the legs or deductthe phenomena that speak of jam of the sciatic nerve when subluxation of the lower vertebrae of the lumbar area of the back
The treatment of subluxations of the joints
The best treatment of the dislocation of a vertebra is its reduction, which is performed with the help of osteopathy and manipulative therapy. Hurt won't stop until the vrtebra lace in its authentic place
Unfortunately, the true explanatory of osteopaths and manual generalists, able to give a good repositioning of the vertebra, very little.
- Begin treatment is necessary, likewise, be required by the defiance of pain syndrome non-steroidal anti-media
- Then, it is advisable to make a competent session of manipulative therapy
- But chiropractic is not self-sufficient method of treatment, and for saving their effects, the measures are needed to strengthen the diseased area of the spine. This can be achieved, at the same time that will strengthen the muscles and the restoration of their balance with the help of:
- Strengthens the physical culture medical
- Massage
- Electro-miostimulyatsii
The osteochondrosis of cervical and lumbar
With the time, the chronicle of collar myositis leads to osteochondrosis, and he, unlike the hernia, it is quite a common cause of pain in the neck and is quite common among the very young.
- The symptoms of osteochondrosis of cervical includes vegetovascular of the violation, when the pain in the neck and the lowest in the shoulder-scapular area, hands, added to signs of a disorder of the cerebral circulation
- The pain and muscle spasms in Degree-the lumbar region in the form of a brand new, in the form of chronic pain pain is intermingled with the feeling of as if you are removed from the feet. The gait becomes uncertain: the person in the literal sense of the walk in bent
If the cervical spine osteochondrosis people tend to go to the doctor with the complaint that it hurts the head, the lumbar spine the alleged cause is already a lot more down and already beginning to complain about the "paralysis of the legs".
The muscle spasm in the lumbar area causes muscle spasms and narrowing of the blood vessels, which worsens the blood flow to all organs located below the problematic of the plot, including the legs. Hence arises the feeling of numbness in the extremities
If the pain in the area of the back and neck, despite treatment, it has not happened in the course of the week, there is reason to suspect more serious diseases: the displacement of the joints of the spine or herniated intervertebral disc.
The pain of the herniated intervertebral
Finally, we have come to intervertebral hernia - the most intense of pain in the cervical spine and the lumbar area and the neck even more dangerous phenomenon, in the exclusive account of the function of the neck as a priority "of the pipe to the vertebral artery.
Syndrome pain when the hernia and the most painful and long, as well as is called pinched spinnomozgovogo of the nerve. But this disease never occurs in a vacuum and always new
As a general rule the pathology of the preceding:
- The long-dystrophic processes in the spine, e.g. osteochondrosis
- The violation of muscle function (the pain and cramps in certain muscle groups)
- Injury and other diseases
Therefore, the expression "I have suddenly, there was a hernia of evil, while the output of the victim is often a surprise. But, and here is the coincidence of a number of external factors:
- The elevation of the gravity in an awkward position
- A strong movement of "no"
- The fall in the legs or the tail bone, etc
The formation of a hernia, does not always translate into the pain:
- This hernia point in the opposite direction of the spinal cord and never touch the nerve
- The herniated Schmorl, who want to scare the doctors, often absolutely no symptoms, because when it passes the vertical indentation of the hyaline cartilage or intervertebral of the unity in the body of the vertebra. It is also impossible to contact with the nerve
They are a danger only to the rear of the hernia
If it hurts the back and the neck, passes a thorough diagnosis.
Very frequent, when the man is cured of the hernia, and in the image it really is, but to be the cause of the pain can not, because it does not have the main reason: the relationship of nerve compression. The location of the hernia eliminates the possibility of
But the man is suffering from back pains, and it is hard to heal, "hernia", and even operate. And the causes of pain can actually be a subluxation, and locking of the vertebrae or muscle spasm.