Back pain is a symptom, the disease is often the muscles of the back and the spine. In this article we look at why back pain.
The problem in the lower back may be the result of diseases of the bone tissue of the spine, the lumbar discs between the vertebrae, ligaments around the spine and discs, spinal cord, nerves, muscles of the low back, internal organs, pelvis, abdomen, and the skin covering the lumbar area. The upper back can be painful as a consequence, the diseases of the aorta, breast tumor or inflammation of the spine.
A sudden, short pain in the lower back also called lumbago, and gradually developed chronic lumbalgia. If you hurt your lower back (the coccyx) coccygodynia.
In most cases, back pain is due to musculoskeletal diseases (micro damages to the joints, ligaments of the spine after heavy loads of them, tension or spasm of muscles). Some of the less common causes of pain in stronger changes of the spine, such as herniated disks or vertebra displacement (spondylolisthesis). Finally, in rare cases, back pain may be associated with serious diseases (tumors and inflammatory processes of the spine, spinal cord, diseases of the internal organs, kidney, heart, pancreas, pelvic organs, etc.).
Usually, back pain, lasting nature, aggravated by movement, physical exertion, and is accompanied by the limited mobility of the spine, and a feeling of stiffness in the back. In most cases, typically the latent, of course, in which episodes of exacerbations, usually, intense physical activity, long-term presence in an awkward position, or hypothermia, is replaced by more or less long time, during which the pain is absent or minimally expressed.
In the majority of cases of back pain do not represent a direct threat to the life, health, human, and often their own (without treatment). However, sometimes the back pain may be due to serious diseases of the spine, or internal organs.
Following are the features of the back pain, which are associated with severe disease. If any of these symptoms contact a doctor immediately, but in any case not to self-medicate.
Very often, when these studies show degenerative changes in the intervertebral discs, vertebral bodies makes the diagnosis "osteochondrosis". It should be noted that the degenerative disc disease is not in itself a disease, which reflects the age-related changes of the spine. Certain changes in the intervertebral discs (including the hernia) show, almost every man of Mature age, including the never experienced pain. In other words, identification sign of osteoarthritis on x-rays or a herniated disc is magnetic resonance imaging does not give us reason to believe that the back pain associated with them (such a decision can only be made by the doctor based on the results of the clinical investigation).
To fully recover from the back pain a lot of times you don't succeed, at the same time reducing the exacerbations frequency of the corresponding lifestyle, drug therapy. The treatment of pain depends on the cause of the appearance. Choose the treatment that suits You can be a doctor.
The effect of therapeutic interventions take time so you need patience, perseverance. The main goal of the treatment is not only for the relief of acute pain, but also to prevent exacerbation of the disease in the future.
Bed rest can contribute to the transition of acute pain in the back chronic. With this in mind, when moderate pain is not necessary in bed, when severe pain, limit duration (1-3 days).
If you have back pain should be limited at this time, the physical activity, in particular, avoid heavy work, long stay in position; it is important that the movement without increasing the load on the spine.
Get rid of the spine to relax it is advisable to use a special belt or corset.
The treatment depends on the cause of the back pain, and appoint the doctor after the test.
The pain relief with non-steroidal anti-inflammatory drugs, manufactured in the form of tablets, ampoule forms for injections, creams, gels and pain medications or combination of medications. Drugs in both groups prescribed a short course (usually 3-5 days). In addition to eliminating the pain, apply compresses with a solution of local anesthetics, pharmacological blockade (which can be done only by the doctor).
The pain associated with muscle tension, drugs, to eliminate the muscle spasm (muscle relaxants of Central action 1-2 weeks). This drug only with prescription.
Currently, the treatment of back pain associated with degenerative changes in the spine (osteochondrosis), I recommend special drugs, drugs, which stimulate the production of the main components of cartilage tissue, and thus inhibits the destruction. The effectiveness of these drugs, the diseases of the spine there is no evidence the same can be said of the many widely advertised supplements (usually containing herbs, biological products, vitamins, etc.) and homeopathic remedies. Despite the fact that these devices are freely dispensed in pharmacies without a prescription, do not take them without consulting a doctor.
To reduce the severity of the pain you can apply a dry warm (but not deep heat), and other physiotherapy treatments, but only after consulting the doctor.
After the end of the acute period of useful therapeutic exercise for special complexes (back muscles strengthening, abdomen) and massage.
Manual therapy may be prescribed only by a doctor after carrying out x-ray and/or magnetic resonance imaging, which allows to objectively assess the condition of the spine and the surrounding tissues. The proper implementation of manual therapy (effect the joints, the spine, the tendons, muscles) allows you to set the local disturbances (e.g., muscle tension, subluxations of the joints) which sometimes allows you to quickly and effectively eliminate back pain.
Manual treatment contraindications, limitations:
If improperly performed chiropractic can lead to serious complications, so should only be performed by a trained professional (doctor, specialist). Totally unacceptable behaviour manual therapy average health care professionals and persons without medical education!
Acupuncture (acupuncture) is often a positive impact of moderate back pain, especially that caused by muscle tension, combined psycho-emotional disorders. Although, according to the ideas of traditional Chinese medicine, acupuncture can be used in any disease, it is considered that acupuncture is contraindicated in the following cases.
The yoga not only help relieve pain but also relieve tension in the back muscles, reduces inflammation. Just 5 minutes a day to devote to the practice, soon you will see the results.