Back pain is a fairly common symptom. Everyone has experienced it in one way or another in their life.
Causes, incidence and risk factors for lower back pain
Let's take a look at why the lower back can hurt in the ground. Most often, lower back pain signals that you have:
- osteochondrosis and neuralgia;
- kidney disease;
- pancreatitis in the acute phase.
Let's consider each of the possible reasons in more detail.
Pain in the lower back can occur in various kidney diseases:
- glomerulonephritis - non-infectious kidney damage;
- pyelonephritis - purulent inflammation in the renal pelvis;
- formation and movement of stones in the kidneys and ureters.
Often hypothermia, cold or diet contribute to kidney disease; It's easy to confuse a torn lower back with kidney problems. However, there are symptoms that are characteristic of this type of disease:
- pain is not associated with movements and physical activity;
- body temperature often rises to more than 37. 5 degrees;
- light tapping with the edge of the palm in the area of the kidney causes severe pain;
- there are problems with urination - often or too rarely, painful;
- urine becomes cloudy, changes color.
When a person has kidney problems, the first thing they should do is call a doctor. This organ performs too important a function in the body to risk. As the doctor comes to your farmhouse, try to ease the patient's condition.
What can be done:
- lay the patient down or help him to a comfortable position;
- in the presence of temperature - give an antipyretic;
- give the sick antispasmodic, for example, no-shpu;
- monitor pressure, temperature;
- provide assistance if necessary if the person needs to turn.
It is often written that heating compresses or warm baths will help with kidney diseases. Remember!
If the pain is caused by pyelonephritis, heating will only make the situation worse, because the inflammation increases from the heat.
All further measures can be prescribed by a doctor after a professional examination.
Lumbar spine injury is the most common cause of lower back pain.
Pain in the lower back occurs in almost every person at least once in their life. It should be noted that the pain can be in any part of the back, but pain in the lumbar spine most often occurs. This is due to the fact that the lumbar vertebrae bear the maximum load from your body weight.
Lower back pain is the second most common cause of visits to the doctor, right after viral infections. You may feel pain in the lower back after lifting a heavy object, after a sudden movement, after a long stay in one position or after a spinal injury. Acute pain in the lumbar spine is most often caused by displacement of the intervertebral disc and trauma to the spine.
Conditions that can cause back pain:
- Osteochondrosis of the lumbar spine
- Intervertebral hernia and intervertebral disc protrusion
- Spondylarthrosis
- Spondylosis
- Spondylolisthesis
- Compression fracture due to osteoporosis, multiple myeloma, vertebral hemangioma
- Tumor in the lumen of the spinal canal
Destruction of the lumbar vertebra in tuberculosis is a rare cause of lower back pain.
- Fracture of the spine after injury
- Prolonged muscle tension
- Anatomically narrow spinal canal
- Curvature of the spine (scoliosis, kyphosis, kyphoscoliosis, Scheuermann's Mau disease)
- aortic aneurysm
- Rheumatoid arthritis, psoriatic arthritis, osteoarthritis
- Spinal infections - osteomyelitis, discitis, spinal tuberculosis
- Pyelonephritis, urolithiasis
- Complicated course of pregnancy
- Gynecological diseases (endometriosis, ovarian cyst, ovarian cancer, etc. )
back pain with pancreatitis
A tumor in the lumen of the spinal canal is a common cause of pain in the lower back.
The pain can be different: sharp, dull, pulling, burning, it can be accompanied by tingling and goosebumps, numbness. The intensity of pain in the lower back can vary significantly - from mild to unbearable pain that makes even a small movement difficult. The pain can be combined with pain in the thigh, pain in the lower leg, pain in the foot.
For lower back pain, don't start with a spine x-ray.
- Reduce physical activity in the first two days after the onset of the attack. This will help reduce the symptoms of the disease and swelling in the area of pain.
- Do not sit forward until the pain is completely gone.
- Take painkillers only if the pain is unbearable. It is better to make an intramuscular injection than to drink an anesthetic. This will protect your stomach wall from direct contact with the anti-inflammatory medication. Try to avoid taking too much medicine. Do not use hormonal drugs for treatment if lower back pain is not related to an autoimmune disease.
- Sleep in the fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow under your knees
- A common misconception is the idea that you should limit physical activity for long periods of time. Resting in bed is not recommended! If you don't have a fever, weight loss, involuntary urination and bowel movements, you should stay active as much as you can. You can reduce your activity only in the first two days after the onset of pain. Start with light aerobic exercise. Walking on the simulator, swimming will help improve blood flow in the muscles of your back. Consult your doctor about the choice of exercises so as not to cause an increase in pain.
A characteristic symptom of pancreatitis is pain in the waist, which starts under the ribs on the left side. It then spreads to the abdomen and back, forming a ring. Pain in the navel area can also indicate pancreatitis. In atypical forms of the disease, pain in the back, slightly above the waist, is not uncommon - it is usually mistaken for anything other than a symptom of pancreatitis.
Back pain in acute pancreatitis is very strong. First aid for pancreatitis includes:
- hunger (the patient must not eat before the examination);
- comfortable position (help the person to take it), peace and comfort;
- moderate drinking (you can gradually give plain water);
- control of the condition (do not leave the patient alone).
There are body positions that help reduce pain: the knee and elbow position and the fetal position.
Diagnostic methods
First you need to see a neurologist. The doctor will ask you questions about the nature of your pain, its frequency, recurrence. The doctor will try to determine the cause of the pain and start treatment with simple methods (ice, mild painkillers, physical therapy and necessary exercises).
MRI will determine the true cause of back pain in 95% of cases.
In most cases, these treatments lead to a reduction in back pain. During the examination, the doctor will determine the exact location of the pain, its radiation, neurological reflexes. Most people with lower back pain recover within 4 to 6 weeks. Diagnosis includes magnetic resonance imaging (eng.
MRI) of the lumbar spine, computed tomography of the lumbosacral spine, X-ray of the spine. Since the most common cause of lower back pain is a herniated disc in the lumbosacral spine, the first thing you should do is get an MRI of the lumbar spine.
This study will also help rule out most causes of pain, such as tumor in the lumen of the spinal canal, spinal tuberculosis, spinal fracture, multiple myeloma, anatomically narrow spinal canal, spondylolisthesis, various types of spinal curvature, spondylosis and spondylarthrosis.
If your neurologist did not order an MRI, do it yourself. The power of the MRI machine should be 1 Tesla or more. You should not start the diagnosis with X-ray and computed tomography, these methods are unsafe. They can only be done if a spinal fracture is suspected.
The diagnosis is made on the basis of the patient's complaints, his external examination, data from the anamnesis and the results of instrumental and biochemical studies. The most informative in detecting pathologies of the musculoskeletal system is radiography. The obtained images clearly visualize the deformed bodies of the vertebrae and the reduction of the distance between them, as well as the formed bone growths (osteophytes).
If hernial protrusion, protrusion, diseases of internal organs are suspected, MRI, CT, ultrasound are performed. These studies make it possible to detect the localization of the pathology, to assess the degree of the inflammatory process.
Carrying out general clinical tests of blood and urine is mandatory. If a systemic disease is suspected (gout, rheumatoid arthritis), biochemical and serological studies are indicated.
Pain in the lower back due to osteochondrosis
Osteochondrosis is a disease of the articular cartilage that connects the vertebrae. Due to its pathology, the roots of the spinal cord are compressed, which is the cause of pain. Every person over the age of 30 is at risk of osteochondrosis, and recently this diagnosis is often found in adolescents and very young people.
The main cause of back pain attacks is heavy lifting, prolonged work in an uncomfortable position (for example, weeding or gardening). The development of osteochondrosis is also caused by long car trips, when a person is constantly in a sitting position.
Such lower back pain can affect almost anyone. You will be able to recognize osteochondrosis by the following symptoms:
- the lower back hurts, the pain spreads to the leg;
- pain becomes stronger with movement, change of position, load;
- may be disturbed by burning or shooting pains - "lumbago";
- after a long stay in one position, it is difficult and painful to change it;
- the sensitivity of the legs and buttocks decreases, the feeling of "crowded skin" appears;
- feet are cold, sweating is disturbed.
There is no temperature in osteochondrosis.
Pain in osteochondrosis can take over at any time.
If you are absolutely sure that the matter is in the spine, the following measures will help the person:
- woolen belt or woolen scarf on the lumbar region;
- lie on a hard surface: board, table, hard mattress;
- taking non-steroidal anti-inflammatory drugs;
- local anti-inflammatory ointments.
If you are not sure about the diagnosis, consult a doctor - taking anti-inflammatory drugs for stomach or pancreatic problems can make the situation worse.
What not to do
In no case do not try to "adjust" your back yourself - this can increase pain and even damage your back.
With exacerbation of osteochondrosis, heating procedures are not recommended. Under no circumstances should you bathe in a hot bath or steam in a bathtub. After warming up, a person will feel temporary relief, and then the pain will increase significantly. If such pain often bothers you, it is necessary to do a magnetic resonance imaging (image of the lumbar spine) and consult a neurologist.
Important! If after taking anti-inflammatory drugs you feel relief or a complete disappearance of pain, you should not continue physical activity. The patient needs rest - until bed rest - for some time.
How to relieve pain if it is neuralgia
Neuralgia is inflammation of a nerve. The symptoms of neuralgic lumbar pain are similar to the signs of osteochondrosis: the back reacts to movements, the patient is afraid to move. But there are also specific points:
- the pain spreads along the inflamed nerve;
- the nature of the pain is "twitching", it can recede and appear suddenly even at rest;
- skin color and sweating may change, muscle tremors occur;
- if you press on the back, the pain occurs on both sides of the spine.
Neuralgic pains are difficult to cure, but it is necessary to try to alleviate them. Help a sick person:
- analgesic anti-inflammatory drugs;
- drugs that relieve spasm;
- complete rest.
In severe neuralgic pain, the patient is better hospitalized. Doctors in the hospital use novocaine blocks for neuralgia.
Remember! The use of medicines without medical advice and examination can endanger your health.
Timely access to the doctor will avoid serious complications of the disease.
Conditions in which you must see a doctor:
- Lower back pain associated with lower leg and foot pain
- Pain prevents you from taking care of yourself
- Pain associated with urinary and fecal incontinence
- A combination of pain in the lower back with numbness in the buttocks, thigh, leg, foot, groin
- If you have had back pain before
- If the pain lasts longer than 3 days
- If you are taking hormones
- If back pain occurs after an injury
- Previously diagnosed with cancer
- If you have recently lost weight for unknown reasons