Periodic or constant back pain occurs in almost all modern people.Almost no one pays attention to discomfort or consumes uncontrolled analgesics if intense pain turns.This approach can cause serious illnesses and complications in the future.
If you are concerned with constant back pain, we advise you to contact the Center for Neurology for Advice.Prudent and highly qualified neurologists who are ready to save you from the disease in a short time take the reception.
Why does the back hurts?
This may be due to the diseases of the internal organs, a vertebral lesion (including a fracture), neurological pain generally indicates osteochondrosis, and sometimes it is a symptom of the pathology of gastrointestinal tract, kidneys, etc.
In addition, the back to some extent is predisposed to injuries and pain.The spine exerts at least 4 functions: support, protection, depreciation and engine.Therefore, if the pain has appeared, it can be the result of a bad posture, a load at a strong time, a movement or a net turn.
What to do with back pain?
Consult a doctor, undergo an exam.Based on the diagnosis, it will become clear how to cure pain in the back, according to its deep cause.
The causes of back pain
Back pain does not only mean serious pathologies.For example, pain in cough or walking can be caused by a simple overvoltage.However, it is often a symptom of various diseases, whose manifestations depend on many factors.
Why does the back hurts after sleeping?
Possible reasons for which in the morning after sleep, there is pain in the back:
- hypothermia;
- a strong lifting of weights during the day (or in 3 to 4 days), causing night pain;
- osteochondrosis;
- intervertebral hernia;
- Poor body position when you lie;
- badly selected mattress;
- in women among causes - pregnancy;
- curvature of the spine, resulting in asymmetrical muscle contraction;
- Overweight and weakness of the muscles;
- Stress.
Diseases associated with joints and vertebrates
Back pain in this case means that they can be present:
- osteochondrosis;
- spondylolistz;
- Ankylosing spondylarthrite;
- Bekhterev's disease;
- osteomyelitis;
- rheumatoid arthritis;
- displacement of intervertebral discs;
- Reuters syndrome;
- An hernia of the intervertebral disc.
Diseases associated with muscles
Why do back muscles hurt?
Very often, muscle pain is associated with a large load, fatigue, hypothermia.Spasms and seals can occur, as well as decrease in mobility and pain (fibromyalgia).In addition, the back can harm the following muscle pathologies:
- Charcot disease, or bass;
- dermatomyosite (also demonstrated by rash);
- Rabomyolysis;
- Polymiosite;
- Infection of muscle tissue, abscess;
- Rheumatic polymyalgia.
Spinal cord pathologies
The spinal cord is an organ that provides a link between the body and the brain.Through the holes between the vertebrae of the spinal cord, pairs of vertebral nerves leave - there are 31. Each nerve innervates a certain part of the body.If you find a numbness of the skin (locally), muscle weakness, limbs, spinal cord or nerve is damaged.
More diseases:
- Compression of the spinal cord (for example, with a fracture or cervical spondylosis, an abscess, a hematoma);
- injury of the spine;
- cavities filled with liquid;
- an inflammatory process caused, for example, by an acute transverse myelitis;
- alteration of body blood supply;
- HIV;
- abscess;
- Copper deficiency, vitamin B;
- syphilis;
- Good or clever neoplasms;
- hemorrhages;
- Scattered sclerosis.
Back pain due to psychosomatics
Psychological reasons are officially recognized as drugs.Psychogenic factors can affect processes that cause dysfunction in a certain place.Thus, chronic stress and prolonged depression, dissatisfaction with an intimate life can cause constant pain in the lower back.
Types of back pain
Various 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 it |
|---|---|
| Back pain (acute and chronic) | Lumbago (shot in the lower back).Reason is hard physical work.He usually goes alone after a few days. |
| Myositis, muscular stretching, a strong lifting 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 high increase in weight and high physical effort. | |
| Acute | Osteochondrosis.It causes pain on the back, which is given in the leg, become stronger during sneeze, cough, tension. |
| Radiculitis.Acute constant (sewing) or dull pain.Usually, it is located on one side, it can be given in the thigh, the buttocks, the leg, the lower leg, sometimes causes numbness, itching.The pain also burns, intensifies during movement. | |
| Intervertebral hernia.With such a pathology, pain occurs when tilted, lifting weights, intensified during sneeze, cough, movement, accompanied by a weakness of the leg. | |
| Pulsating pain, severe, may not pass after taking pain relievers | Osteochondrosis, cracks in the vertebrae, lumbago, intervertebral hernia, spondylosis. |
| Pitch | In the upper back and in the middle of the sternum - it can speak of angina, myocardial infarction, thromboembolism of the pulmonary artery.In the lower back - Intestinal obstruction, spondylarthrosis. |
| Pressure | Pectoralis chest, myocardial infarction, problems with gallbladder (pain occurs after eating), atherosclerosis, the hypertensive crisis. |
By location
Consider the possible causes of pain in various back parts.
Pain on the right
The back on the rear right can occur with kidney problems, it sometimes speaks of inflammation of the annex.In addition, there is a list of diseases characterized by pain in the right side of the rear:
- The curvature of the spine is the most common reason for which the sides hurt;
- displacement of intervertebral discs;
- gastrointestinal diseases;
- Recaller claiss (pain makes the right side of the back, under the ribs, in the stomach);
- obesity;
- Gynecological diseases, most often inflammatory;
- Diseases of the respiratory system (if it hurts at the top right), with painful and dull pain, the transition of pathology to the chronic stage is possible;
- altered function of the peripheral nervous system;
- injuries;
- muscles located near the spine;
- Too strong physical activity;
- Extra-Uterine pregnancy.
Pain on the left
If the pain is located In the back in the left side, under the ribs or in the lower back, maybe this:
- pathology of the spine (inflammation, pinching, etc.);
- Kidneys of the kidneys and the urinary system (accompanied by swelling of the legs);
- gastrointestinal diseases;
- Sail diseases.
In the left hypochondrium and above:
- respiratory diseases;
- cardiovascular disease;
- osteochondrosis;
- intercostal neuralgia.
Pain drawn in the left side of the rear in the lower part Talk about the pathologies of the reproductive system.
Lumbar
If the back hurts in the lower back, such discomfort is characteristic of osteochondrosis, hernia, radiculitis.The pain in the back of the back in the lower back occurs due to injuries, an excessive load.
Other causes of back -back ills:
- rheumatoid arthritis;
- Reuters syndrome;
- vertebral infections and intervertebral discs (brucellosis, tuberculosis, abscesses);
- tumor;
- pinching of the nerve;
- osteochondrosis;
- sciatica;
- osteoporosis.
In the blades area
Pain In the upper back (in the shoulder blades) on the left::
- diseases of the musculoskeletal system;
- problems with lungs (pneumonia, abscess, pleurisy);
- Altered gastric function;
- pathology in the cardiological profile (pectoralis angina, myocardial infarction);
- Vertebral diseases (osteochondrosis, hernia, scoliosis, spondylosis, spondyl arthritis);
- muscle inflammation;
- Sail diseases.
Pain Under the right rear spatula::
- injury;
- infections;
- osteomyelitis;
- cholecystitis;
- Liver colic;
- pancreatitis;
- bile disease;
- cirrhosis;
- osteochondrosis of the cervical region;
- Scoliosis;
- intercostal neuralgia;
- Vascular-Dystonia.
Pain along the spine and in the back
One of the main reasons why the spine hurts is Nervous processes compression.It can be accompanied by hernia, scoliosis, vertebral displacement.Other reasons:
- osteoarthrosis;
- Myalgia;
- osteochondrosis (pain in the spine can occur in the middle of the back, in cervical or lumbar parts);
- overwork of muscles;
- curvature of the spine (scoliosis, cyphosis, lordosis);
- vertebral projection;
- Fracture, trauma of the spine;
- inflammation of the sciatic nerve;
- anomalies of the structure of the spine;
- radiculitis;
- Bekhterev's disease;
- spondylosis.
Causes of pain under the lower back
A considerable percentage of pain in the back of the back is:
- spondylarthrosis;
- osteochondrosis.
Other reasons:
- Scoliosis;
- infections of the vertebrae and intervertebral discs;
- inflammation of a non -infectious nature;
- gastrointestinal diseases;
- muscle stretch;
- Displacement of intervertebral discs.
Symptoms that accompany pain in the back
Episodic pains, even intensifying at the expense, are not -HAZARD.However, if there is no improvement within 3 to 5 days and the pain on the back is intensified, you should urgently consult a doctor.
Consider the symptoms of back pain in the spine.
Lumbar:
- weakness of the legs;
- numbness or pain of the buttocks, hips, legs, fingers of the feet, feet;
- Rapid urination or, conversely, is very rare;
- Reduce sensitivity during defecation and urination.
Signs of back pain in the neck:
- Frequent headache;
- weakness in the hands;
- net changes in blood pressure;
- increase in blood pressure or reduced;
- Numbness and pain in the hands, shoulders, fingers, hands.
The chest region:
- Pain under the shoulder blade (possibly exacerbation of the pain during movement);
- burning in the sternum or between the shoulder blades.
Situations in which you should consult a doctor as soon as possible
Pain in the back, if it is not linked to serious pathologies, takes 3 to 4 days.If this does not happen, you must certainly visit a doctor.In addition, the reasons to contact an urgent specialist are:
- very intense pain;
- pain that intensifies at night;
- When it hurts in any position of the body and you cannot take a pose in which relief occurs;
- The pain that appeared suddenly and for the first time in his life;
- When a person suffers from pain syndrome under the age of 20 or over 55;
- recent back injury;
- fever;
- decrease body weight for no apparent reason;
- progressive disorders on the profile of neurology;
- general weakness;
- Change of approach;
- long -term contribution of corticosteroids;
- An increase in pain over a month, lack of improvements in relation to the context of therapy;
- The pain radiates in the leg, especially below the knee;
- In one or both legs, weakness occurs, numbness of the skin, tingling.
Diagnosis
To make a diagnosis for back pain, you must make an appointment with a neurologist, if necessary, take tests, and also under the purpose of the specialist, undergo a material study.
- Blood tests.
They allow you to determine the presence of an infection, ESR (increased rate of erythrocytes regulation, which indicates inflammation, an infection).If an increased level of leukocytes is detected, it is also a sign of inflammation, of infection.In addition, iron anemia, the cause of which can be an oncology, can be determined by blood.
- Material diagnostics.
- Duplex vessels and Triplex Uz -scanning from the neck and brain.Allows you to determine the structure and permeability of blood vessels, the presence of narrowing or expansion, plates, blood clots, as well as the correspondence of blood flow with standards.It is used in the diagnosis of the causes of headaches, dizzy, increased pressure, as well as suspicion of cerebrovascular accident, with an early diagnosis of pre-intelligence states.
- MRI (magnetic resonance imaging). The most precise and effective examination method.Allows you to visualize tumors on the vertebrae, the hernia of the intervertebral discs, the compression (and its degree) of the vertebral nerves and the spinal cord, the narrowing of the vertebral canal, inflammatory changes, including post-traumatic changes.MRI is necessarily carried out before the operation and during the postoperative period.
- CT (Tomodensitometry). It reveals fractures of the vertebrae and their character, allows you to find even very small fragments if they were formed during the injury.Based on the data obtained, you can create a 3D image of the desired area.CT "sees" what remains unnoticed by radiography.
- X -ray. Allows you to assess the state of bone structures.It is carried out to diagnose fractures, arthritis, spondylolisthesis, the degree of posture disorders.It can be carried out with functional samples, that is to say when the patient folds and extends the spine during the examination.Visualize the inflammation of the joints in the spine, helps, according to indirect signs, to identify the location of the compression of nervous processes.The degree of intensity of the coloring of the vertebrae in the image allows you to assess their fortress (with osteoporosis, they are more "transparent", and when they are in good health, are a shiny white).
- Electromyography (EMG). A study to determine the state of the nervous tissue.During this one, the electromian towels are evaluated, which are carried out by nerves, as well as the reaction of the muscles.Electromyography helps detect compression of the nerve which occurred due to the stenosis (narrowing) of the vertebral canal or the intervertebral hernia.
- Bone sparkle. This study is necessary if the doctor suspects the tumor on the bones or a compression fracture in the context of osteoporosis.
Back pain treatment
Most often, patients do not know which doctor contacting.A neurologist is engaged in a complex treatment of back pain.It is for him that you must contact with problems with the spine.However, before the arrival of a specialist or a visit to him, you must provide first aid for back pain.
How to relieve or relieve home pain?
The most important thing is to relax.To do this, you must lie on your stomach on a solid surface and even.The best of all - on the ground.After a few minutes, you should ride carefully on your back and raise your legs, staring at them so that the hips are at a 90 -degree angle.You therefore remove the load of the spine.
You can use anti-inflammatory drugs in the form of ointments and creams.After withdrawing pain syndrome, you must raise yourself slowly and fix the painful area, for example, by hiding with a scarf or towel.
How to anesthetize if there are no pain relievers?
You can relieve intense pain with a tool as simple as a cold compress.It will not give complete deliverance, but will attenuate the condition.It can be a freezer product, a package with ice, etc.In addition, pain aid can be provided by applying a heating compress or a heating cushion.It is only important not to overheat a painful stain.
What else helps?
Easy physical activity aimed at kneading muscles, increasing blood circulation will help relieve discomfort.It can be a quiet 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, treatment of chronic pain, drugs are used:
- analgesic, NSAIDs, in rare cases - narcotic pain relievers;
- B vitamins;
- Musorelaxants.
A person is prescribed in bed, wearing a fixing corset (for example, in neuralgia).
An important step in treatment is physiotherapy.Its main methods:
- electrophoresis with drugs;
- phonophoresis;
- Laser therapy;
- Magnetic therapy.
Also made reflexology::
- Electriculation;
- Acupuncture techniques.
Massage, osteopathy, manual therapy and exercise therapy are effective for back pain.These methods are used when pain is caused by muscles and spine diseases during rehabilitation after injuries.
Prevention
Clinical recommendations for prevention of intervertebral hernias and osteochondrosis::
- Move more, do gymnastics in the morning, get into yoga;
- Take a contrast shower followed by friction with a towel to improve metabolic processes;
- Once every six months, take a massage lesson (up to 10 sessions);
- Maintaining liver health because the production of collagen depends on it;
- increase immunity;
- Avoid stress, establish a uniform psychological context;
- Weight monitoring, because each additional 10 kg is approximately 0.5 kg of additional load per vertebra, which causes rapid wear.
In addition, it is important:
- Stay properly and walk.The correct posture is when you go up to the wall and touch it with a cloud, shoulder blades, buttocks and heels.When you walk and stand, you should try to maintain this situation.
- Sit in the right installation: do not reject back, do not lean forward.You should tighten your back closely to the back of the chair, have support under the lower back and neck.Every 15 minutes - change the position of the legs, stretch.
- Sleep on an anatomically correct or orthopedic mattress.
- After waking up, even in bed, do simple exercises with your feet and hands, stretch before getting up (you have to do it without sudden movements).
- Do not carry heavy bags in one hand.It is preferable to uniformly distribute purchases by two packages.
- Do not wear a bag on the shoulder.It is more useful for the back - a backpack with two straps.
- A small child must be worn with a straight back, so as not to fall back.It is quite better to wear a baby on his chest in a special scarf, and a little adult - behind.
- When transferring heavy objects, do not fold and do not turn the body.
- Do not lean when you clean - use an extension to a handful of vacuum cleaner and a mop (do not wash the floors with only a cloth, kneeling).
- Most often, eat grapes, apples, strawberries, pears, lenses, hazelnuts, pumpkin, green salad, raspberry.
- Follow the balance of magnesium and potassium in the diet.Eat nuts, fish, seafood, spinach, cabbage, beans, peas.
- Exclude bad habits - alcohol and smoking.
- Start swimming, run (but only with interior soles absorbing shocks and special sports shoes), skiant.
Make sure you visit doctors for preventive examinations to prevent a deterioration in the situation in the presence of a disease and start treatment in time.