Periodic or constant back pain occurs in almost all modern people.Almost no one pays attention to discomfort or uncontrollably consumes painkillers if it is intense.This approach can cause serious illness and future complications.
If you are concerned about constant back pain, we recommend that you contact the Neurology Center for advice.Careful and highly qualified neurologists who are ready to save it from the disease in a short time are taking the reception.
Why does the back hurt?
This may be due to internal organs, a spine injury (including a fracture), neurological pain usually indicates osteochondrosis and is sometimes a symptom of gastrointestinal tract pathology, kidneys, etc.
In addition, the return to some extent is predisposed to injury and pain.The column performs at least 4 functions: supporting, protector, depreciation and motor.Therefore, if the pain appeared, this may be the result of a bad posture, a strong load of a time, a clear or turned movement.
What to do with back pain?
Consult a doctor, go through an exam.Based on the diagnosis, it will be clear how to heal back pain, depending on its root cause.
The causes of back pain
Back pain means not only severe pathologies.For example, coughing or walking pain can be caused by simple overtension.However, it is usually a symptom of various diseases, whose manifestations depend on many factors.
Why do the back hurt after sleep?
Possible reasons why, in the morning after sleep, there is back pain:
- hypothermia;
- an accentuated survey of weights during the day (or 3-4 days), causing night pain;
- osteochondrosis;
- intervertebral hernia;
- The position of the wrong body when you lie;
- inadequately selected mattress;
- in women between causes - pregnancy;
- curvature of the spine, implying asymmetrical muscle contraction;
- overweight and weakness of the muscles;
- stress.
Diseases associated with joints and vertebrates
Back pain in this case means that they may be present:
- osteochondrosis;
- Spondylolistz;
- Ankylosing spondylitis;
- Bekhterev's disease;
- osteomyelitis;
- Rheumatoid arthritis;
- displacement of intervertebral discs;
- Reuters Syndrome;
- An intervertebral hernia.
Diseases associated with muscles
Why do the muscles of the back hurt?
Often muscle aches are associated with large load, fatigue and hypothermia.Spasms and seals can occur as well as a decrease in mobility and pain (fibromyalgia).In addition, the back can damage the following muscle pathologies:
- Charcot disease, or bass;
- dermatomyositis (also manifested by rash);
- Rabdomyolysis;
- Polymiciositis;
- Infection of muscle tissue, abscess;
- Rheumatic polymalgia.
Spinal cord pathologies
The spinal cord is an organ that provides a connection between the body and the brain.Through the holes between the spinal cord vertebrae, spinal nerve pairs depart - there are 31 of them.Each nerve innervates a certain part of the body.If you find skin numbness (locally), muscle weakness, limbs, spinal cord or some nerve will be damaged.
More diseases:
- Compression of the spinal cord (eg with cervical fracture or spondylosis, abscess, hematoma);
- spine injury;
- caries full of liquid;
- An inflammatory process caused, for example, by acute transverse myelitis;
- Impaired blood supply of blood;
- HIV;
- abscess;
- Copper deficiency, vitamin B;
- syphilis;
- good or malignant neoplasms;
- bleeding;
- Sclerosis dispersed.
Back pain due to psychosomatic
Psychological reasons are officially recognized as medicine.Psychogenic factors may affect processes that cause dysfunction in a given place.Thus chronic stress and prolonged depression, dissatisfaction with an intimate life can lead to constant painful pain in the lower back.
Types of back pain
Several 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 |
|---|---|
| Pain in the painful back (acute and chronic) | Lumbago (shooting in the lower back).The reason is a hard physical work.It usually continues on its own after a few days. |
| Myositis, muscle stretching, a sharp survey of weights, hypothermia, a long preservation of an uncomfortable posture, for example, during work. | |
| Displacement of intervertebral discs.The most common cause is osteochondrosis, but also a displacement can occur with a clear weight survey and high constant physical exertion. | |
| Acute | Osteochondrosis.This causes back pain, which is given in the leg, is stronger when sneezing, coughing, tension. |
| Radiculitis.Constant acute pain (sewing) or bland.It is usually located on one side, can be delivered to the thigh, buttock, leg, leg, sometimes causes numbness, itching.The pain is also burning, intensifies when moving. | |
| Intervertebral hernia.With such pathology, pain occurs when sloping, raising weights, intensifies when sneezing, cough, movement, accompanied by weakness in the leg. | |
| The pulsating, severe pain cannot pass after taking analgesic | Osteochondrosis, cracks in the vertebrae, lumbago, intervertebral hernia, spondylosis. |
| Pitch | In the upper back and in the middle of the sternum - you can talk about angina pectoris, myocardial infarction, pulmonary artery thromboembolism.In the lower back - intestinal obstruction, spondylartrosis. |
| Pressure | Angina Pectoris, myocardial infarction, gallbladder problems (pain occurs after eating), atherosclerosis, hypertensive crisis. |
By location
Consider the possible causes of pain in various parts of the back.
Right pain
The back on the back on the right can occur with kidney problems, sometimes speaks of inflammation of the appendix.In addition, there is a list of diseases that are characterized by pain on the right side on the rear:
- The curvature of the spine is the most common reason why the sides hurt;
- displacement of intervertebral discs;
- gastrointestinal diseases;
- kidney stones (the pain returns to the right side of the back, under the ribs, in the stomach);
- obesity;
- gynecological diseases, most often inflammatory;
- Diseases of the respiratory system (it hurts in the upper right corner), with painful and opaque pain, the transition from pathology to the chronic stage is possible;
- impaired function of the peripheral nervous system;
- injuries;
- muscles located near the spine;
- Very strong physical activity;
- Ectopic pregnancy.
Left pain
If the pain is located on the back side on the left, under the ribs or in the lower back, maybe that:
- Pathology of the spine (inflammation, pinch, etc.);
- Kidney Diseases and Urinary System (accompanied by leg swelling);
- gastrointestinal diseases;
- Spleen diseases.
In the left and above hypochondrium:
- respiratory diseases;
- cardiovascular disease;
- osteochondrosis;
- Intercostal neuralgia.
Pulling pain on the left side of the back Talks about the pathologies of the reproductive system.
Lumbar
If the back hurts in the lower back, this discomfort is characteristic of osteochondrosis, hernia, radiculitis.Pain in the back muscles in the lower back occurs due to lesions, excessive load.
Other causes of back pain pain:
- Rheumatoid arthritis;
- Reuters Syndrome;
- infections in the spine and intervertebral discs (brucellosis, tuberculosis, abscess);
- tumor;
- pinching the nerve;
- osteochondrosis;
- sciatica;
- Osteoporosis.
In the area of the blades
Pain On the upper back (in the shoulder blades) on the left:
- musculoskeletal diseases;
- Problems with lungs (pneumonia, abscess, pleurisy);
- impaired gastric function;
- Pathology in the cardiological profile (Angina Balk, myocardial infarction);
- spine diseases (osteochondrosis, hernia, scoliosis, spondylosis, spondyl arthrosis);
- muscle inflammation;
- Spleen diseases.
Pain under the right spatula from behind:
- wound;
- infections;
- osteomyelitis;
- cholecystitis;
- hepatic colic;
- pancreatitis;
- biliary calculation disease;
- cirrhosis;
- osteochondrosis of the cervical region;
- scoliosis;
- Intercostal neuralgia;
- Vegets -Vascular dystonia.
Pain along the spine and back
One of the main reasons why the spine harms it is Compression of nerve processes.It can be accompanied by hernia, scoliosis, vertebral displacement.Other reasons:
- osteoarthritis;
- myalgia;
- Osteochondros (spine pain may occur in the middle of the back in cervical or lumbar parts);
- over work on the muscles;
- spine curvature (scoliosis, kyphosis, lordosis);
- Spinal protuberance;
- Fracture, trauma of the spine;
- inflammation of the sciatic nerve;
- Anomalies of the spine structure;
- radiculitis;
- Bekhterev's disease;
- Spondylosis.
The causes of pain below the lower back
A considerable percentage of cases of pain in the back of the back is:
- spondylartrosis;
- osteochondrosis.
Other reasons:
- scoliosis;
- vertebrae and intervertebral discs infections;
- inflammation of a non -infectious nature;
- gastrointestinal diseases;
- muscle stretching;
- Displacement of intervertebral discs.
Symptoms that accompany back pain
The episodic pains, even intensifying in the load, are not illegal.However, if there are no improvements within 3-5 days, and back pain is intensified, you will need 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, fingers, feet;
- Fast urination or, inversely, is very rare;
- Reducing sensitivity during defecation and urination.
Signs of back pain in the neck:
- frequent headaches;
- weakness in the hands;
- clear changes in blood pressure;
- increased or reduced blood pressure;
- Numbness and pain in the hands, shoulders, fingers, hands.
The thoracic region:
- pain under the shoulder blade (possibly exacerbation of pain during movement);
- burning in the sternum or between the shoulder blats.
Situations where you need to consult a doctor as soon as possible
The back pain, if not related to serious pathologies, takes 3 to 4 days.If this does not happen, you should definitely visit a doctor.In addition, the reasons for contacting a specialist are:
- Very intense pain;
- Pain that intensifies at night;
- When it hurts in any body position and you cannot make a pose where relief occurs;
- Pain that suddenly emerged and for the first time in your life;
- When a person suffers from pain syndrome, under 20 years or more than 55;
- Recent back injury;
- fever;
- decreased body weight for no apparent reason;
- Progressive disorders about the profile of neurology;
- General weakness;
- Change of march;
- Long -term corticosteroid intake;
- An increase in pain for a month, lack of improvements from the therapy background;
- The pain radiates in the leg, especially below the knee;
- In one or both legs, weakness, skin numbness, tingling.
Diagnosis
To make a diagnosis of back pain, you need to make an appointment with a neurologist, if necessary, to make tests and also under the goal of the expert undergoes a hardware study.
- Blood tests.
They allow you to determine the presence of infection, ESR (increased erythrocyte settlement rate, which indicates inflammation, infection).If an increased level of leukocytes is detected, this is also a sign of inflammation, infection.In addition, iron deficiency anemia, the cause of which may be cancer, can be determined by the blood.
- Hardware diagnosis.
- Duplex and triplex scanning vessels of the neck and brain.It allows to determine the structure and forgness of the blood vessels, the presence of narrowing or expansion, plates, blood clots, as well as the correspondence of blood flow with the norms.It is used in the diagnosis of causes of headaches, dizziness, increased pressure, as well as for suspected cerebrovascular accident, with early diagnosis of pre -intelligence states.
- Magnetic resonance imaging (magnetic resonance imaging). The most accurate and effective exam method.Allows you to visualize tumors in the vertebrae, intervertebral disc hernia, compression (and their degree) of spinal nerves and spinal cord, spinal canal narrowing, inflammatory changes, including post -traumatic.Magnetic resonance imaging is necessarily performed before the operation and in the postoperative period.
- CT (computed tomography). It reveals the vertebra fractures and their character, allows you to find very small fragments if they are formed during the lesion.Based on the data obtained, you can create a 3D image of the desired area.CT “sees” what remains unnoticed by the radiography.
- Radiography. Allows to evaluate the state of bone structures.It is performed to diagnose fractures, arthritis, spondylolisthesis, degree of posture disorders.It can be performed with functional samples, ie when the patient doubles and extends the spine during the exam.Visualizes inflammation of the joints in the spine, helps, according to indirect signs, to identify the location of compression of nerve processes.The degree of intensity of the color of the vertebrae in the image allows you to evaluate your fortress (with osteoporosis, they are more "transparent" and, when healthy, are bright white).
- Electromyography (EMG). A study designed to determine the state of nervous tissue.In the course, electronic towels are evaluated, which are performed by the nerves, as well as the reaction of the muscles to them.Electromyography helps detect nerve compression that occurred due to spinal canal stenosis (narrowing) or intervertebral hernia.
- Bone scan. This study is necessary if the doctor suspects the bone tumor or a compression fracture against the bottom of osteoporosis.
Back pain treatment
Most of the time, patients do not know which doctor contact.A neurologist is involved in complex back pain treatment.It is for him that you need to contact problems with the spine.However, before the arrival of an expert or a visit to him, you need to provide first aid for back pain.
How to relieve or relieve pain at home?
The most important thing is to relax.To do this, you need to lie in the stomach on a solid and uniform surface.The best of all - on the floor.After a few minutes, you need to roll your back carefully and lift your legs, fixing them so that the hips are at an angle of 90 degrees.Then you remove the load from the column.
You can use anti -inflammatory drugs in the form of ointments and creams.After removing pain syndrome, you need to get up and gently fix the painful area, for example, flag with a scarf or towel.
How to anesthetize if there are no painkillers?
You can relieve intense 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 freezer product, an ice package etc.In addition, pain with pain can be provided by applying a heating or heating pillow compaction.It is only important not to overheat a painful point.
What else does it help?
Easy physical activity designed to knead muscles, increasing blood circulation will help alleviate discomfort.It can be a leisure walk, muscle stretching exercises.
Pain Medicine: Medical Intervention Methods
First of all, the disease that caused pain is established and its treatment begins.Along the way to relieve discomfort, the treatment of chronic pain, the medications are used:
- painkillers, nastine, in rare cases - narcotic painkillers;
- Vitamins B;
- Muslaxantes.
One person is prescribed bed rest, using a fixing corset (for example, neuralgia).
An important stage of treatment is physiotherapy.Its main methods:
- Electrophoresis with medicines;
- phonophoresis;
- laser therapy;
- Magnetic therapy.
Also realized Reflexology:
- electroneurosthimulation;
- Acupuncture techniques.
Massage, osteopathy, manual therapy and exercise therapy are effective for back pain.These methods are used when pain is caused by muscle and spine diseases during rehabilitation after injury.
Prevention
Clinical recommendations for Prevention of intervertebral hernias and osteochondrosis:
- Move more, do gym in the morning, get involved in yoga;
- Take a contrast bath followed by rubbing with a towel to improve metabolic processes;
- Once every six months, it goes through a massage course (up to 10 sessions);
- Maintain liver health because collagen production depends on it;
- increase immunity;
- Avoid stress, establish a psychological uniform context;
- Monitoring the weight, because every 10 kg extra is about 0.5 kg of additional cargo per vertebra, which leads to fast wear.
In addition, it is important:
- Stay correctly and walk.The correct posture is when you get up to the wall and touch it with a nape, omplates, buttocks and heels.When walking and standing, you need to try to maintain this situation.
- Sit down in the right pose: Do not throw back, do not lean forward.You must firmly press your back against the back of the chair, have support under the lower back and the neck.Every 15 minutes - change the leg position, stretch.
- Sleep in anatomically correct or orthopedic mattress.
- After waking up, even in bed, do simple exercises with your feet and hands, stretch before you get up (you need to do it without sudden movements).
- Do not use heavy bags in one hand.It is better to distribute purchases evenly through two packages.
- Do not use a bag over the shoulder.It is more useful for the back - a backpack with two strips.
- A small child needs to be used with straight back, not to bend.It is completely better to use a baby on the chest in a special and slightly grown foundation - behind.
- When transferring heavy objects, do not bend and do not rotate the body.
- Do not bend when cleaning - use an extension cable for a powder strap and a mop (do not wash the floors with just one cloth, kneeling).
- More often eat 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.
- Delete bad habits - alcohol and smoke.
- Wrap yourself in swimming, running (but only with shock absorption insoles and special sports shoes), skiing.
Be sure to visit doctors for preventive examinations in order to avoid deterioration in the situation in the presence of a disease and start treatment on time.