Lower back pain

Discomfort in this area is common to almost everyone. People face it at a young age, and at the age of 30-40, lower back pain becomes common.

However, only a specialist can determine why the lower back may be so painful that it is impossible to straighten, even lying down hurts, and pain appears in the lower back after every movement.

Cause

People want to know why and why the lower back hurts so much when you sit or stand, with any movement of the spine in the back gives pain, so that it cannot be straightened after sitting on a chair, and what to do with this symptom, howand what needs to be treated, which causes him to feel unwell. It is impossible to answer these questions clearly and without thorough research, because there are many causes.

Spine disease

When someone complains "I can't sit and it hurts to walk, " the lower back hurts when standing or sitting on a chair, often can't walk or stand for a long time, it's impossible to rest in a sitting position for a month, the cause of this isspinal disease.

In addition, pathology can be either congenital or acquired due to a wrong lifestyle, inclination or injury.

Common causes of pain in spinal diseases:

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

Change the shape

Before you decide how to treat back pain quickly and effectively, you need to understand why, when you get up from a sitting position, your back hurts so much that it is difficult to straighten. Acquired or congenital spinal deformities are often to blame.

Curvature occurs throughout life. Often a person himself creates a change in himself, does not notice his posture or prefers to sleep on a soft bed. As a result, the load on the bones, muscles and ligaments is not distributed physiologically, which leads to pain.

People with the established diagnosis should experience regular attacks:

1. Kyphosis.
2. Scoliosis.
3. Lordosis.
4. Flat back syndrome.

Strict adherence to the doctor's recommendations can help in this case. Even if a person was born with such a pathology, today it is possible to stop the development and live a full life.

Osteoporosis

Interestingly, aching pain that radiates to the chest may be the only sign of developing osteoporosis. At the same time, the unpleasant sensations are weak and appear irregular. More often, discomfort is felt after heavy physical exercise or when the weather changes.

Although the disease is not congenital, it can develop during life as a secondary disease after a number of negative influences, including drunkenness and improper use of drugs.

Pathological fractures are considered dangerous. It is accompanied by more severe pain than usual. At the same time, since there is no such injury and does not interfere with movement, it is often not diagnosed. Which after some time can lead to additional complications.

The question of how to quickly cure back pain is relevant for people with osteoporosis, because in their case, unpleasant attacks can be stopped easily and quickly.

injury

When thinking about why, when I sit or stand for a long time, my lower back in the spine area, often under the lower back, always hurts, try to remember if you hit this place.

Even a small bump or fall can cause serious injuries that may not be easily detected at first glance.The most common causes of traumatic back pain:

• Bruises on the spine.You can easily get it by falling unsuccessfully or bumping your back. It manifests itself as mild pain, sometimes the formation of swelling or bruising at the site of impact. Usually does not require special treatment. However, in severe cases it can trigger neurological symptoms.
• Compression fracture.More often it occurs with forced sharp bending of the torso. Then it manifests itself as severe pain when moving. The sharp processes of the vertebrae can be felt locally.
• Vertebral subluxationreveals itself not only with pain and swelling, but also with frequent numbness at the site of injury. The lower limbs also gradually began to go numb.

It is very important to be careful about impacts and falls in the spine area. Due to mild pain, it is easy to miss serious damage, which will then lead to greater restrictions in life.

Infection

The cause of severe chronic burning pain that always hurts, stabs, grips and does not go away in the lumbar region and lower back can be an infection.

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

1. Osteomyelitiscan be introduced into the body through injury, during surgery, or through contact with another infected person. The infection causes sharp, severe pain that occurs with every sudden movement. In this case, the chronic course of the infection is characterized by smooth pain manifestations. In addition, the person experiences hangovers, chills, and fever.
2. Epidural abscessleading to severe pain, combined with shivering and severe muscle tension.
3. Tuberculosis of the spinegrowing slowly but inevitably. At first it manifests itself only as periodic pain after physical exertion and stiffness of walking. As the bones degenerate, pain increases and the ability to fully move decreases.

Local inflammation

In addition to always spreading unpleasant sensations, sometimes people experience stabbing pain in the lower back, in the lower back, when sitting, what can and what is called is determined by experts based on the results of examinations and tests. 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 the touch. In the case of paranephritis, fever appears first, and severe pain, which prevents full movement and walking, develops on the 2nd-3rd day. This condition is considered serious and requires hospitalization.

Contagious disease

Sometimes the explanation why the lower back may hurt, it always goes into it, grips when you stand for a long time, and sometimes the back starts to hurt as if it will soon fall, and the decision about what to do andwhat to treat for can be an infectious disease.

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

Similar symptoms may also indicate an infection:

• Ebola fever.
• Human foot and mouth disease.
• Severe coronavirus disease.
• A common form of viral or fungal infection.

If such signs appear, you should immediately see a doctor, because the situation can worsen in a few hours.

Muscle damage

When thinking about why the lower back hurts and pulls, why it grips the back in the spine area, why when you sneeze it radiates to the back, which starts to hurt more often, you need to determine the cause before deciding what to do.

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

However, there are also chronic changes in muscle tissue, which often occur against the background of serious diseases and their consequences. If they are detected, complex therapy is carried out, sometimes 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 characteristics of the symptoms.

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

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

• mechanical.Occurs after heavy physical activity, often in the afternoon, along with a feeling of fatigue. Easy to heal with rest. Often this is the result of deterioration of the bone structure of the spine or its severe curvature.
• Inflamed.Intensify after a rest, a period of immobility. After some time, it becomes weak due to constant movement or taking anti-inflammatory painkillers.
• Local.As a result of direct damage to muscles, joints or ligaments. Focus directly on the point of damage.
• Koreshkova.Occurs when a nerve is pinched due to injury, tumor, or hernia. At the same time as pain occurs, the sensitivity of the injury site decreases.
• Reflex.The most dangerous type because of deceiving people. The patient thinks that he has back pain, but in fact this is a reflected sensation that arises as a result of diseases of internal organs.
• Myofascial.Protective mechanisms, such as those that appear due to muscle spasms when bones are damaged.

Depending on the description of the sensations, the doctor will be able to understand in the first minute what kind of illness the person who contacted him has.

Which doctor should I contact?

As soon as there is an unpleasant shooting in the lower back, persistent pain or discomfort, the question arises to see a doctor.

Since this part of the body is special due to the fact that there is not only the spine and muscles, but also a large number of internal organs, which can also cause discomfort if the disease develops, it is strongly not recommended to treat yourself at home. Due to the inability to determine the cause of the pain, the situation can become worse.

Initially, it is better to consult a general practitioner with such symptoms. Based on the symptoms that appear, the characteristics of the pain and the location of the lesion, he will be able to determine which specialist should deal with the problem.You may be referred to:

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

After the examination, they will prescribe the necessary tests to determine the true cause of the discomfort.

By deciding to go to a specialist yourself without consulting a therapist, you risk making an inaccurate diagnosis and wasting valuable time.

Diagnostics

Often, patients turn to the doctor when hellish pain appears in the back, so bad that it hurts to get up and walk, without straightening, why it hurts in the middle or lower back, what can bother you in the spine, what causes the condition, and what to do, what is the treatment for back pain.

Diagnostics:

• Patient interviewcollection of data on signs and time of disease development. It is also important to know your medical history and identify chronic diseases that can influence the development of attacks.
• Neurological examination.The doctor checks whether reflexes are maintained, how much muscle strength and reaction speed are affected, and how much movement is restricted. In addition, the level of superficial and deep sensitivity is examined.
• X-ray of the affected area on the back.The image will show the injuries received, the pathological decrease in the intervertebral space, the curvature, and the beginning of the degenerative process. New growth is also detected.
• CT or MRIused to explain the data obtained. They help to determine the location of a hernia or even a small process on the spine, help to understand where the pinched nerve is and why this happens.
• Functional studiesaims to determine the condition of the muscles and the level of damage to the nerve tissue, the speed of the passage of nerve impulses.
• Lab test.Blood sampling is necessary to determine whether the inflammation is infectious.

In addition, depending on the symptoms, an x-ray of the internal organs located 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 very important to properly provide first aid to the patient and get him to a medical facility without additional injuries. In case of an attack, place the person on something hard or lighten the load on the back, and then take him to the hospital.

How and with what to treat the back and what to do when the back in the middle of the spine is very bad and always hurts in the lumbar region, the lower back, the doctor decides only after knowing the reason why this happens, the treatment in this case is prescribed bothconservative and in the form of surgical intervention.

Before the examination, it is not recommended to use drugs to suppress symptomatic pain; only one dose of analgesic is allowed.

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

1. Take medications.
2. Physiotherapy.
3. External drug use.
4. Lifestyle change.

In severe cases, surgical intervention is also performed.

Several types of medication are used to treat back pain:

• NSAIDs are pain relievers and anti-inflammatory drugs.At the first visit, it is possible to administer it by injection, in the future, the doctor recommends a combination of tablets and ointment with the same effect.
• Local anestheticused to create restrictions in cases where the pain becomes unbearable.
• B vitaminsenhances the effect of other drugs, stimulating a better blood supply to the affected area of the back.
• Physiotherapycarried out after acute pain relief. As soon as the attack ends, a special therapy is selected that has a positive effect on the condition of the spine. In addition, a set of physical therapy exercises is prescribed.

Surgical intervention is an undesirable option for developing the condition. Because the spine is one of the most complex organs in the human body. There are many points near it that affect the functioning of the body, so doctors try to do as little surgical intervention as possible. However, there are hopeless situations where it is impossible to restore health without a surgeon's scalpel.

Surgical intervention is required:

• In the case of tumor formation.They are removed regardless of whether they are benign or malignant, because a gradual increase brings serious pain and can trigger paralysis.
• intervertebral hernia,gradually destroying the space around them. They are the cause of constant and endless pain.
• Narrowing of the intervertebral canal.
• Instability of spinal elements,severe injuries that require additional fixation of the bone in place.

After undergoing treatment or surgery, the patient must be prepared for the fact that there is still a lot to be done to finally say goodbye to pain.

Restoration

Depending on the reasons why the spine hurts in the lumbar region and the intensity of the pain, treatment is prescribed. However, taking a course of medication and possibly surgery is not all that is needed to return to a healthy and full life.

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

1. massageMoreover, it is not recommended to choose this procedure for yourself.
2. physical therapy courses,which is carried out under the supervision of an experienced trainer who knows the speed and intensity of the training that must be done. It is also possible to use a dedicated simulator.
3. Manual therapy.
4. Acupuncture.
5. physiotherapy,intended for the additional use of painkillers: electrophoresis, magnetic therapy, laser treatment.

When deciding how to treat severe, acute back pain or pain in the lumbar region, the doctor determines what to do if the spine is always sore and painful, the muscles are seized and stiff, depending on the reasons, additional treatment is prescribed. Where the course of rehabilitation procedures is also set in detail that will help improve well-being and return to a healthy state. Patients should be prepared that the recovery period may last more than a month if nerve endings or vertebrae are severely damaged.

Consequences

If, turn to a friend with a complaint: "If the lower back suddenly hurts for no reason, the back falls, then what to do in such a situation? "In response you only hear recommendations to take painkillers, do not hesitateto follow this advice.

The main consequences of untreated spinal disease:

• Greater spread of painthe intensification of the attack is due to the fact that more healthy tissue will experience the gradually growing problem area.
• Sudden deterioration in the function of the cardiovascular system.And problems in this area can lead to the development of chronic diseases of any organ, including the deterioration of brain function.
• In the worst case is possibletemporary or permanent paralysis of a limb.

Also, self-medication without prior diagnosis or doctor's prescription can lead to deterioration in well-being. And further, the course of treatment and rehabilitation will be long and complex.

Prevention

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

You must follow some rules and tips:

1. Choose a medium hard mattress for the bedroom.
2. If you move little throughout the day, but sit a lot in front of the computer, then take a break for a few minutes every hour to do a short warm-up on the lumbar spine.
3. Leave bad habits.
4. Try not to make sudden and thoughtless body movements.
5. Exercise regularly. Even a small exercise of 15 minutes in the morning already has a positive effect on the condition of the spine. After 30, it is best to find a hobby that will allow you to get the physical activity you need, with a low chance of injury. Consider doing yoga or swimming in the pool to stay in shape.
6. Control your posture.
7. Avoid severe hypothermia in the lower back.
8. Treat diseases that are detected in time.
9. Get regular preventive checkups.
10. If you experience back pain, contact the clinic immediately for advice.

A painful sensation in the spine is one of the most unpleasant. In addition to direct pain, they also carry with them stiffness in movement, which prevents them from living a full and normal life.

The sooner professional treatment for back problems is started, the sooner a person can return to a full life. And neglecting your health in this case can lead to disability.