The pain is almost always a sign of. Such ailments as sciatica, lumbago, is a very common cause of temporary disability, in particular people engaged in physical work. Most often back pain is associated with changes in the lumbosacralis spine, which should be treated very seriously. Although painful sensations in the lumbar region can be the result of congenital disorders, the spine, the tendons, acute or chronic infections, poisoning, or tumors.
Lower back pain sometimes very strong, sometimes people tolerate them quite easily. The fact that the reaction to the pain of the individual concerned, mental, age-related factors. The old pain with sciatica is very strong, although usually the pain sensations in elderly, weakened. And patients with mental illness, sensitivity, pain significantly reduced, including when the sciatica.
Pain is a complex adaptive mechanism, sometimes called the "watchdog" of health. Caused by external impacts or malfunctions in the body, it signals danger. After receiving the pain signal, the body includes defense mechanisms against the adverse effects. The pain is due to a number of pathological processes reveal themselves before any external symptoms. So painful feelings have a positive role to play: they give to know that it is time to act. If the pain in the lower back, buttocks, do not delay the treatment of a doctor. Remember the Eastern wisdom: "treat the disease light, for which the treatment is difficult."
A third of the patients with lumbar pain caused by degenerative changes in the spine, which are collectively called "osteochondrosis". Osteochondrosis is a complex of changes in the bones, ligaments of the spinal problems caused by inter-vertebral discs. In addition, osteochondrosis of the spine to create bony outgrowths - joint, which irritates nerve roots, sensory nerve endings in the spine, the tendons, which is a dull ache, your back hurts.
The intervertebral discs constitute the lenticular lens, the shape corresponding to the small indentations on the surface of the vertebrae. With age, the discs lose moisture and get dry, there are cracks, gaps, crevices. As a result, the spine becomes movable, and slide it down the disk, narrowing of the inter vertebral foramen, compression takes place here spinal nerve root. The lumbar vertebrae are the most mobile yet under pressure, if the weight lifting. Therefore, between the plates, is most susceptible to deformation.
Suffering from lumbar degenerative disc disease severe pain, but the reason is not just the mechanical irritation of the nerve roots: the rupture of the membranes, walls, the intervertebral disc released substances, irritating pain receptors.
At a later stage of the disease the drives protrude, which is called mezhpozvonkovuyu hernia, which is usually middle-aged or elderly. Often affects the discs of the lumbar spine, as the inter-vertebral foramen between the fourth and fifth lumbar vertebrae and between the fifth lumbar vertebra and the sacrum is very narrow, passing them in the nerve roots - the most powerful. mezhpozvonkovaya hernia is very dangerous. It's not just to steal the nerve roots, causing pain to what type of sciatica. Huge herniated disc pressing on the spinal cord can cause loss of feeling or even paralysis of the legs, urinary tract diseases.
The lumbar herniated disc is characterized by the following symptoms: the "shock absorbers" - when standing the patient is forced to lean a hand on the knee or a chair, to reduce the load on the affected disc; "cushion" - the inability to lie on the belly, I don't have you under his pillow; the "landing" - the patient, I tried to pick something up from the ground, no leaning, squatting.
One of the main causes of osteochondrosis - a violation of lipid, and mineral metabolism. Sometimes osteochondrosis arises is a consequence of abnormalities in the intervertebral discs, congenital inferiority. The external factors, which encourage the development and aggravation of lumbar degenerative disc disease include: high humidity, extreme temperature changes, drafts; significant or persistent tension in the muscles, the bones, ligaments of the lumbosacralis spine; mechanical injury, chronic infection.
The most common diagnosis for severe back pain - sciatica. For a long time it was believed that this disease is of infectious origin. However, practice shows that patients don't usually the body temperature rises, don't increase the number of white blood cells in the blood, cerebrospinal fluid. Sciatica almost never affects children. So in most cases it is unlikely because the sciatica can be the infection.
Indeed, the sciatica is one of the most common manifestations of degenerative disc disease. Pain in the lumbar-sacral region, that the disease can be both acute and obtuse. It is usually unilateral, radiates to the buttocks, rear thighs, and the outer surface of the tibia. Pain, sciatica is exacerbated by changes in body position, walking, coughing, sneezing, straining. Sometimes with feeling of numbness, tingling, tingling, burning sensation, itching. Increased sensitivity of the skin, painful muscles, lower back, buttocks, the lower leg.
The symptoms of sciatica or severe. Patient's change in gait, posture, appears in the characteristic movements of the means. When you walk up to her in the tribe forward, to the side of the healthy leg. Standing in one of the legs of the curve, which reduces the tension on the nerve trunks. Exercise the lumbar spine is limited. The patient's side back muscles tense. Sciatica is often curved spine. The patient sits on a healthy face, throwing the trunk of a tilt towards the healthy leg. If you need to lift the object from the ground, squatting, or leaning the torso forward while bending the affected leg. Lying down, one leg is usually bent.
Mild forms of sciatica does not restrict the patient's movement. If the disease progresses, decreased muscle tone, muscle weakness, patients concerned about the itching sensation of "tingling". Lying in bed, suffering for hours I can't find a comfortable position. I often feel, cold, dryness, or, conversely, the humidity of the feet. Skin of the leg becomes pale or bluish in color, becomes thinner. But these symptoms do not need to set yourself a quick diagnosis of "sciatica". Image like pannikulez - inflammation of the subcutaneous fat on the basis of violations of metabolism in the adipose tissue, lesions of the joints of the feet.
In addition to the recurrent sciatica is very common that the acute form of the disease the lumbar spine, lumbago, or cross. The lumbago irritated nerve roots and seems to be sharp pain. Often occurs in people engaged in heavy physical labor, as the result of the tired, the low back muscles, often in the cold. But sometimes an attack of lumbago may cause acute or chronic infection also can be symptoms of sciatica. The pain usually stops after a couple of days, but sometimes it takes two or three weeks. While the attack, the patient is better to stay in bed.
A special form of lumbago, after formed when hard physical exertion, the strain of the muscle bundles, tendons, or bleeding in the muscles. This is the kind of back pain manifests itself as pain in the back throughout the length of the spine, a feeling of general muscle fatigue.
It should be particularly emphasized: if a patient in the lower part of it, this does not mean that the affected spine. Because the lumbar pain can be a myositis (inflammation) in the lumbar muscles. The illness lasts for a long time. Muscle pain is not as strong as the lumbago, dull, aching. When the muscle is compressed, painful to the touch, the tension. Patients with chronic infection, metabolic disorders myositis of the lumbar muscles combined with pain in the joints.
Aching back: what do I do?
Back the pain is so strong that without treatment won't work. Regardless of the cause of the attack on the first day, you must stay in bed. In the next few days, as the pain subsides, the patient is free to walk, first on crutches, it is desirable to unload the spine. The bed should be hard - a thin mattress laid on a wooden Table.
The local heating in the area of the greatest pain used irritating ointments, mustard or capsicum plaster. Relief from a warm wool scarf, electric heating pad, a pouch full of heated sand, leeches. Well helps rubbing, including anti-inflammatory, analgesic. The myositis help hot packs.
Analgesic effect elektroprotsedury: percutaneous electro want a'geziya, sinusoidal modulated currents, diadynamic currents, electrophoresis of novocaine, and all the rest. With the same purpose, reflexology (acupuncture, moxibustion, electroacupuncture, laser therapy), and novocaine blockade. Sciatica is caused by inter-vertebral disc displacement, apply traktsionnuyu therapy - traction, in the trunk, under the bed or in the water. These procedures should be carried out in the hospital. Effective therapy - sodium chloride, radon, sulfide, turpentine, iodine-bromine bath, Naftali, mud at low temperatures.
One of the fast developing type of therapeutic effects on the pain in the back became a method of "biological feedback". The principle is substantiated, the outstanding Russian physiologist P. K. Anokhin in the 30-ies of the last century. The method includes training for management functions of the organization. Here the use of the treatment of pain. Before the patients, the goal is to maximally relax the back muscles. The patient sees his own elektromiogrammu reflects the muscle tension on the screen, when you're stressed, it's hard, you hear a beep. During relaxation the amplitude of the electromyogram is reduced, the sound is gone. As a result, the patient formed the motivation to reduce pathological tension in the muscles. Typically, the results are immediately. The patient learn to control the muscle tone, you have to spend five or six sessions. In the future, the patient is able to manage the relaxation of the back muscles themselves.
It is equally important to manage the pain, preventing the attacks wear external supports - ortho -: corset corrector posture; reklinatora (special corset that eliminates tilt), bracket, seat belt: flexible belt for lifting or installation. These prevent the diagnosis of the spine, improving the venous and lymph flow, so the figure slim. Well, if the composition of the material from which the belt is wool.
Just consider that if you don't follow the doctor's advice, then the regular wearing of ortho-damage. First, you have to wear underwear, to avoid the wear. Too tight tightening the braces, heavy breathing, digestion, circulation, the lower half of the body. If you do not leave them, day or night, muscle atrophy of the lumbar spine. Ortho-useful in prolonged sitting at the table, intense physical exertion, riding on public transport. The rest of the time, it's better without them - the muscles have to work. The best cure for back pain is exercise therapy. The muscular "corset" artificial "props" of the spine is unnecessary.
Sometimes, in order to relieve the pain attack, patients are forced to take anti-inflammatory and analgesic agents. The very strong pain, or more efficient in the form of intramuscular injection. Usually prescribe pain relievers, nonsteroidal anti-inflammatory drugs . Anti-inflammatory nonsteroidal means that abuse is not worth it. Contraindications to the use of peptic ulcer 12 duodenal ulcer in acute phase, the human liver. To avoid complications, you need to only drug to short courses of 5-7 days, the pre-arranging of the individual characteristics of the organism.
The elderly (over 65 years) high blood pressure, heart failure, or peptic ulcer nonsteroidal preparations it is better to replace the so-called cox-2 inhibitors. These drugs are practically non-irritating to the gastro-intestinal tract, no other side effects. It's good to have an injection of vitamins, especially the B group