Lower back pain

Almost everyone is familiar with complaints in this area. People start experiencing it at a young age, and by the age of 30 to 40, lower back pain is commonplace.

However, only a specialist can determine why the lower back hurts so much that it is impossible to sit up, hurts even when lying down, and the pain shoots into the lower back after every movement.

causes

People want to find out why and why the lower back hurts so much when sitting or standing, that the spine behind the back causes pain with every movement, so that it cannot straighten up after sitting in a chair, and what to do about itmay symptoms, how and what to treat, that made her feel unwell. It is impossible to answer these questions clearly and without thorough research as there can be many causes.

Spinal diseases

When a person complains: "I can't sit and walking hurts, " the lower back hurts when standing up or sitting in a chair, he often cannot walk or stand for a long time and it is impossible to relax while sitting per month, the cause of this is diseases of the spine.

In addition, pathologies can be either congenital or acquired due to an incorrect lifestyle, predisposition or injury.

Common causes of pain in spinal diseases:

• Congenital anomalies.
• Poor blood flow to the spinal cord.
• Degenerative changes.
• Secondary nerve damage that develops against the background of changes in the position of the spinal bones.

deformation

Before deciding how to quickly and effectively treat lower back pain, you need to understand why your back hurts so much when you get up from sitting that it is difficult for you to sit up. Acquired or congenital deformities of the spinal bones are often to blame.

Curvatures occur throughout life. Often a person provokes changes in himself by not paying attention to his posture or preferring to sleep in a soft bed. As a result, the load on the bones, muscles and ligaments is not distributed physiologically, which leads to pain.

People with a confirmed diagnosis have to suffer regular attacks:

1. Kyphosis.
2. Scoliosis.
3. Lordosis.
4. Flat Back Syndrome.

In this case, strict adherence to the doctor's recommendations can be helpful. Today, even if a person is born with such pathologies, it is possible to stop development and live a full life.

osteoporosis

Drawing, aching pain radiating to the chest may be the only sign of developed osteoporosis. At the same time, the unpleasant sensations are weak and occur irregularly. Complaints occur more often after heavy physical exertion or when the weather changes.

Even if the disease was not congenital, it can develop later in life as a secondary disease following a number of negative influences, including poisoning and improper use of medications.

A pathological fracture is considered dangerous. It is accompanied by more pain than usual. However, since there is no injury as such and movement is not affected, it often goes undetected. Which can lead to further complications after some time.

The question of how to quickly cure lower back pain is relevant for people with osteoporosis, since unpleasant attacks for them can be stopped easily and quickly.

Injuries

When I think about why my lower back constantly hurts in the spine area, often below the lower back, when sitting or standing for a long time, try to remember if you hit this spot.

Even a small blow or fall can lead to serious injuries that are not immediately apparent at first glance.The most common causes of traumatic back pain:

• Bruise of the spine.You can get it easily by unsuccessfully falling or colliding with your back. It manifests itself as mild pain, sometimes swelling or bruising at the site of impact. In most cases, no special treatment is required. However, in severe cases, neurological symptoms may occur.
• Compression fracture.More often it occurs with forced strong flexion of the trunk. Later it becomes noticeable as severe pain when moving. Sharp projections of the vertebrae can be felt locally.
• Vertebral subluxationis manifested not only by pain and swelling, but also by frequent numbness at the site of the injury. The lower limbs also gradually begin to go numb.

Extreme caution is required in the event of impacts and falls in the spine area. Due to mild pain, serious damage can easily be overlooked, which subsequently leads to greater restrictions in life.

Infections

The cause of burning, chronically severe pain that is constantly aching, stabbing, gripping and does not go away in the lumbar and lower back areas can be infections.

There are pathologies that affect the spine. Without treatment, these diseases quickly turn a person into a disabled person. Spread of infection:

1. Osteomyelitiscan enter the body through injury, during surgery, or through contact with another infected person. The infection causes sharp, severe pain that occurs with any sudden movement. In this case, the chronic course of the infection is characterized by smoothed pain symptoms. In addition, the person suffers from intoxication, chills and fever.
2. Epidural abscessleads to severe pain, associated with chills and severe muscle tension.
3. Tuberculosis of the spinedevelops slowly but inevitably. At first it manifests itself only as periodic pain after physical exertion and stiffness in gait. As bones deteriorate, pain increases and the ability to move fully decreases.

Local inflammation

In addition to the constant spread of unpleasant sensations, people sometimes feel stabbing pains in the lower back, lower back, when sitting, what it could be and what it is called is determined by a specialist based on the examination and test results. The cause is local inflammation.

Boils, carbuncles and paranephritis are easy to recognize. The first two phenomena are lumps on the skin that react painfully to touch. In paranephritis fever occurs first and on the 2nd - 3rd. Severe pain develops every day, preventing full movement and walking. The condition is considered serious and requires hospitalization.

Infectious diseases

Sometimes the explanation of why the lower back hurts is that it constantly moves in when standing for a long time, and sometimes the back starts to hurt, as if it is about to fall off, and deciding what to do andwhat To treat can be infectious diseases.

Increased temperature, intoxication, the need to look for a more comfortable position, pain in muscles and joints - these are signs of an infected person. Often occurs in severe cases of ARVI or influenza.

Similar symptoms can also indicate an infection:

• Ebola fever.
• Human-type foot and mouth disease.
• Severe course of the coronavirus.
• Generalized forms of viral or fungal infections.

If such signs occur, you should seek medical attention immediately as the condition may worsen within a few hours.

Muscle damage

To find out why the lower back hurts and pulls, why it captures the back in the spine area, why it radiates into the back when sneezing, which began to hurt much more often, you need to determine the cause before deciding what to do.

In addition to problems directly with the spine, muscle damage can also hinder a person. This problem often occurs in professional athletes, people who do a lot of strength training or physical labor. After excessive tension for several days, painful sensations appear in the lower back muscles, which disappear under the influence of medications, warming ointments and massage.

However, there are also chronic changes in muscle tissue that often occur against the background of serious illnesses and are the result of these. If they are discovered, complex therapy is carried out, sometimes even surgical intervention is required.

Types of pain

To understand what helps with lower back pain and how to get rid of it, you need to pay attention to the features of the symptom.

If the unpleasant sensations appeared suddenly and recently, the phase is called acute, and if you suffer for more than 3 months, it is called chronic.

Depending on the intensity and variety of sensations, there are:

• Mechanically.Occurs after vigorous physical activity, often in the afternoon, associated with a feeling of fatigue. Easily cured with rest. Most often this is the result of a breakdown of the bone structures of the spine or their severe curvature.
• Flammable.Intensifies after rest, a period of immobility. Over time, it becomes weaker with constant exercise or taking anti-inflammatory painkillers.
• Local.The result of direct damage to muscles, joints or ligaments. Concentrates directly on the damage site.
• Koreshkovaya.Occurs when nerves become pinched due to injury, tumor, or hernia. Simultaneously with the appearance of pain, the sensitivity of the injury site decreases.
• Reflex.The most dangerous guy because he deceives people. The patient thinks that he has pain in the lower back, but in fact these are sensations arising from a disease of the internal organs.
• Myofascial.A protective mechanism such as occurs in muscle spasms caused by bone damage.

Depending on the description of the sensations, the doctor can understand in the first minutes what kind of illness the person who contacts him has.

Which doctor should I contact?

As soon as there is an unpleasant stinging sensation in the lower back area, persistent pain or discomfort, the question of visiting a doctor arises.

Since this part of the body is special because, in addition to the spine and muscles, there are also a large number of internal organs that can also cause problems in the event of illness, self-treatment is strongly discouraged. Due to the inability to determine the source of pain, the situation may worsen.

If you have symptoms like these, it is better to see a family doctor first. Based on the symptoms that occur, the pain characteristics and the location of the lesion, he can determine which specialist should deal with the problem.You can be referred to:

1. Neurologist.
2. To the surgeon.
3. Urologist or gynecologist.
4. Nephrologist.

After the examination, the necessary tests are prescribed to determine the exact cause of the complaints.

If you decide to see a specialist on your own without first consulting a therapist, you risk making an incorrect diagnosis and wasting valuable time.

diagnosis

Very often, patients turn to the doctor when they experience excruciating pain in the back, which is so severe that it hurts to get up and walk without even straightening up. Why does it hurt in the middle or lower back, what can bother you in the spine?, what causes the disease and what to do, what treatment is available for lower back pain.

Diagnosis:

• Patient interviewCollection of data on signs and timing of development of the disease. It is also important to learn your medical history and identify chronic illnesses that may influence the development of seizures.
• Neurological examination.The doctor checks whether reflexes are preserved, how severely muscle strength and reaction speed are impaired and how severely movement is restricted. In addition, the degree of superficial and deep sensitivity is examined.
• X-ray of the affected back area.The picture shows the injuries sustained, a pathological reduction in the intervertebral space, a curvature and the beginning of degenerative processes. New growths are also noted.
• CT or MRIused to clarify the data obtained. They help to determine the location of even small hernias or processes on the spine, help to understand where the pinched nerves are and why this happened.
• Functional studiesare aimed at determining the condition of the muscles and the degree of damage to nervous tissue, as well as the speed of passage of the nerve impulse.
• Laboratory tests.To determine whether the inflammation is infectious in nature, a blood sample is required.

In addition, depending on the indication, an X-ray of the internal organs near the painful area may be prescribed. This is done to prevent exacerbation of chronic diseases of the kidneys, gastrointestinal tract or genitourinary system.

Treatment

It is extremely important to correctly provide first aid to the patient and transport him to a medical facility without additional injuries. In the event of a seizure, place the person on something hard or support their back and then take them to the hospital.

How and with what to treat the back and what to do if the back is very strong in the middle of the spine and constantly hurts in the lumbar region and lower back, the doctor decides the treatment only after finding out the reasons for thisIn this case, it is prescribed both conservatively and in the form of surgical intervention.

It is not recommended to take medication to suppress symptomatic pain before the examination; only a single dose of painkillers is allowed.

After examination and diagnostic measures, the doctor will prescribe appropriate treatment, which is complex for back diseases.Therapy includes:

1. Taking medication.
2. Physical therapy.
3. Use of external medications.
4. Lifestyle changes.

In difficult cases, surgical intervention is also performed.

Different types of medications are used to treat back pain:

• NSAIDs are pain relievers and anti-inflammatory medications.At the first visit, an injection by injection is possible; in the future, doctors recommend a combination of tablets and ointments with a similar effect.
• Local anestheticsUsed to create a blockage when pain becomes unbearable.
• B vitaminsenhance the effects of other medications and stimulate improved blood supply to the affected back area.
• physical therapyis performed after relief of acute pain. As soon as the attack ends, a special therapy is chosen that has a positive effect on the condition of the spine. In addition, a number of physiotherapeutic exercises are prescribed.

Surgery is an undesirable option for the development of the situation. The spine is one of the most complex organs in the human body. There are many points nearby that affect the functioning of the body. Therefore, doctors try to carry out surgical procedures as rarely as possible. However, there are hopeless situations in which restoring health is impossible without a surgeon's scalpel.

Surgical intervention is required:

• In case of tumor formation.They are removed regardless of whether they are benign or malignant, as a gradual increase brings severe pain and can provoke the onset of paralysis.
• intervertebral hernias,They gradually destroy the space around them. They are the culprits of constant, never-ending pain.
• Narrowing of the intervertebral canal.
• Instability of the spinal elements,serious injuries requiring additional fixation of bones in their places.

After treatment or surgery, the patient must be prepared for the fact that there is still a lot to do to finally get rid of the pain.

rehabilitation

Depending on the reasons why the spine hurts in the lumbar region and the intensity of the pain, treatment is prescribed. However, taking medication and possible surgery are not enough to return to a full, healthy life.

More often, additional rehabilitation includes physiotherapeutic procedures.Frequent appointments:

1. Massage.In addition, it is not recommended to choose this procedure yourself.
2. physiotherapy course,which is carried out under the supervision of an experienced trainer who knows at what speed and intensity the exercises must be performed. It is also possible to use special simulators.
3. Manual therapy.
4. Acupuncture.
5. Physical therapy,is aimed at the additional use of painkillers: electrophoresis, magnetic therapy, laser treatment.

When treating severe, acute or aching back pain in the lumbar region, the doctor determines what to do if the spine is constantly aching and aching, the muscles are tense and stiff, additional treatment is prescribed depending on the cause. A series of restorative procedures are also prescribed in detail, which help to improve well-being and restore a healthy state. Patients should be prepared for the fact that if there is severe damage to nerve endings or vertebrae, the rehabilitation period may last longer than a month.

Follow

If you turn to friends with a complaint: "If the lower back suddenly hurts for no reason, the back drops, then what to do in such a situation? "The only response you hear is the suggestion to take a painkiller. Don't hesitate to follow this advice.

The most important consequences of untreated spinal diseases:

• Greater spread of painIntensification of attacks due to the fact that healthier tissue suffers from a gradually growing problem area.
• A sharp deterioration in the functioning of the cardiovascular system.And problems in this area can lead to the development of chronic diseases of any organ, including deterioration in brain function.
• Worst case scenario is possibletemporary or permanent paralysis of the limbs.

Self-medication without a prior diagnosis or doctor's prescription can also lead to a deterioration in well-being. And as a result, the course of treatment and recovery becomes lengthy and complex.

prevention

The main medical direction that helps maintain health and avoid unpleasant days when you are deprived of the opportunity to live a full life is prevention. It helps to avoid inflammation or the occurrence of many lower back diseases.

You must follow several rules and tips:

1. Choose a medium-firm mattress for the bedroom.
2. If you move little throughout the day but spend a lot of time sitting at the computer, take a few minute breaks every hour to briefly warm up your lumbar spine.
3. Give up bad habits.
4. Try not to make sudden, rash body movements.
5. Do sports regularly. Even a short 15-minute exercise in the morning has a positive effect on the condition of the spine. After 30, it's best to find a hobby that allows you to get the physical activity you need and keeps your risk of injury low. Consider yoga or swimming in the pool to stay in shape.
6. Control your posture.
7. Avoid severe hypothermia in the lower back.
8. Treat identified diseases in a timely manner.
9. Get regular preventive examinations.
10. If you experience back pain, contact the clinic immediately for advice.

Pain sensations in the spine are among the most unpleasant. In addition to the direct pain, they also bring stiffness of movement that prevents them from living a full, normal life.

The earlier professional treatment for back problems begins, the faster a person can return to a fulfilling life. And neglecting your health in this case can lead to disability.