The causes of back pain in the lumbar

Pain in the back in the area of the lower back — a very common painful, which happens in a variety of pathologies, both the spine and the internal organs, or systemic diseases.


It can be a higher waist, bottom, be more to the right or to the left, and also it is often such pain is during pregnancy and how at the end, so even in the early stage. If the pain is very strong, accompanied by a reactionary rise in temperature, weakness, should cause the "quick help".

For intense pain, without temperature, in order to understand the causes of its formation, it is necessary to turn to a therapist, who on the basis of anamnesis, complaints of the patient, will refer to specialists, such as an osteopath, neurologist, urologist, gynecologist, gastroenterologist, cardiologist, surgeon, or pulmonologist. The definitive diagnosis is established by the doctor based on MRI, ULTRASOUND and other screening and diagnostic methods.

The main causes of pain in the lower back

The most obvious reason for the occurrence of pain in the lower back — it's lumbago and sciatica that is caused by lesions in the lumbar spine, osteochondrosis, as well as more serious pathologies in the spine — protrusions or intervertebral herniarum. These pains can occur when irritation of the nerves of the spinal pillar, the interference of the nerve roots, in the irritation of the ligaments and muscles, edema, and also in diseases of the internal organs, the pain can irradiate in the lower back.

In clinical practice at 60-30% of the urban population of developed countries, occur regularly recurrent pain in the back, between them in 80% of cases the person complains that it hurts your back, it's in the lower back. All ages of the population are susceptible to violations from the side of the spine, but in most cases similar to the disease plaguing the patients aged 30-60 years. In 66% of cases pain in the lower back due to degenerative disc disease, if the affected one of the roots of 1. sacral, 4, 5, and lumbar vertebra — it is the only monoarticular syndrome. If caught off guard right 2 the root that occurs in 33% of patients — it viridicornis syndrome, if 3 -then triadically syndrome, which occurs much less frequently.

Because the causes of back pain is not always is a degenerative disease of the disc, you can spend a couple of not complicated provocative tests to help you understand that is relative, whether the feelings of pain with the spine, or are symptoms of other diseases — cystitis, pyelonephritis, urinary disease, inflammation of the appendages of the uterus, pathology of the prostate, problems with bowel problems or light. These tests of the lumbar-sacral degenerative disc disease, which carry names according to the names of doctors who have proposed their use as a provisional diagnosis:

  • Symptom Dejerine — when straining the abdominal muscles, if you pay attention to the lower back, the pain intensifies, therefore it is a great probability of their occurrence — osteochondrosis.
  • Flag Neary — if at a sharp tilt of the head forward until you touch the breast you feel the pain in the lower back — it can also be because of the spine.
  • The symptom Of is the symptom if after that, how to alternately raise first one foot, then the other, lying on his back, the hall of the lower back and the pain irradiáta step on the sciatic nerve, it is also the problems of the spine.
  • Symptom Larrea — if the pain appear in the course of the sciatic nerve after what you from lying position on your back, try to lift the torso forward without bending at the knees, then sit down with stretched legs — it is also comes from degenerative disc disease.

Pain in the back — this is such a vague symptom that can be caused by a number of different reasons. From that, how intensely, strongly hurts your back in the lumbar, is constant or periodic, primary or secondary, can be also the reasons, which cause her:

Acute pain
  • Protrusion of the intervertebral disc in the lumbar
  • Osteochondrosis of the spine
  • Acute hernia of the intervertebral
  • Spondylitis
  • Pathology of the hip joint
  • Epiduritis spinal
  • Acute sprains, fractures of the vertebrae
  • Lumbago, sciatica
  • Acute disorders of the spinal stroke — stroke
  • Intestinal obstruction, atypical during acute appendicitis
  • Kidney stones disease
  • Acute pyelonephritis
Chronic pain
  • Bechterew
  • Deforming spondylosis
  • Osteomyelitis
  • Metabolic bone disease osteomalacia, osteoporosis
  • Primary tumors and metastatic tumors of the spinal cord, the vertebrae, retroperitoneal space.
  • Growth of pain — scoliosis
  • Infectious lesions of the intervertebral discs and vertebral (epidural abscess, tuberculosis of the spine, and brucellosis)
  • Non-communicable inflammatory diseases — rheumatoid arthritis, reiter's syndrome, ankylosing spondylitis
  • Tumors of the kidney
  • Atherosclerosis of the abdominal part of the aorta and its branches
Radiating pain in some diseases of the internal organs
  • Diseases of the stomach, the pancreas, the duodenum, the gallbladder
  • Diseases of organs of small pelvis. In women — inflammatory processes in the appendages of the uterus, endometriosis, uterine cancer, ovarian cancer, stds (chlamydia, ureaplasmosis, gonorrhea, trichomoniasis, etc.) At men — a prostatitis, prostate cancer
  • Kidney disease — renal colic, kidney stones
  • Bowel disease — inflammation of the diverticulum, ulcerative colitis, tumors of the colon
  • Frustrating aortic aneurysm

The pain of restraint


If the back hurts, the right side above the lower part of the back - so can radiation treatment liver pain, in any of pathological changes in the liver - hepatitis, liver failure, use of toxic drugs. The pain in this case, often localized in the right hypochondrium. If the pain on the right side or on the left side just above the waist, it is very possible that the reason lies in the acute diseases of the kidneys. Many chronic diseases of the kidney, such as polycystic disease, malignant neoplasms of the kidney, chronic pyelonephritis accompanied by small signs, because the renal capsules stretched slowly.

When edema during acute pyelonephritis, as well as when blockage of the ureter the pain is more intense, but it is the stupid, aching character. When the feelings of pain are constant, sometimes radiating to the in the area of the navel, the lower part of the abdomen, and also occurs pain in the left hypochondrium or right, depending on the diseased kidneys. Also chronic renal disease, use of certain drugs contributes to the emergence of these pains. The increased burden on the kidneys, as a filter body in the toxic action of certain drugs causes pain that take place after discontinuation of the drug.

Why it hurts your back, under your lower back

If it hurts your back, under your lower back, in addition to the obvious diseases of the spine (sciatica, lumbago, intervertebral hernia, Bechterew, etc.), possible causes are a recurrent pain during menstruation in women, diseases of the female genital organs such as inflammation of the appendages of the uterus - oophoritis, salpingo-ovaries (adnexitis), as well as disorders of the pelvic peritoneum, bowel, appendicitis (the appendix to the intestine), in men the disease the prostate, bladder.

Back pain right or left

If these pains occur at the same time and to the right and to the left in the lower back, it can also be the symptoms, pyelonephritis, hepatitis, cholecystitis, inflammation of the appendages of the uterus or prostate, pneumonia or pleurisy. When radiating pain in boca the reasons may be bowel obstruction, atypical course of appendicitis. Pain in the lower back on the right side or on the left hand side occur in the following diseases:

  • Diseases of the spine

The acquired diseases can be attributed - tumors, degenerative diseases, such as spondiloartrozom, spondylosis, inflammatory processes - osteomyelitis, spondylitis, as well as traumatic injuries of the intervertebral hernia, lumbago, sciatica. Among the congenital diseases of the secrete sacralization, spondylosis, lucido, spondilolistezom.

  • Diseases of the internal organs

In inflammatory diseases of organs of small pelvis - parametral fiber, bladder, prostate, uterus and its appendages. During pathological processes in the abdominal organs - the intestines, kidney.

  • Diseases of the nervous system, pain, sacral department

When squeezing the roots, the nerve of columns, in a variety of neurological diseases - hysteria, neurasthenia, neuritis, neuralgias, rheumatic pains, in violation of metabolism, gout, diabetes, when the evil development of the nervous system.

Pain in the disturbance of sciatica and lumbago

When inflammation or disturbance of the sciatic nerve, when the pain in the sacral rheumatic pains, back pain in the lower back can be very diverse. It's like a burning sensation, lumbago, armor, with elements of numbness, or chills, may be both mild, and the long-term or short-term. The sciatic nerve is the strongest, the longest nerves in the human body and it manifests itself only on one side of the body, as a rule, women right, men left.

There is a certain theory, why has the place of such a difference, the pattern of inflammation of the sciatic nerve in men and women - you know about it in our article the symptoms of the pinch points of the sciatic nerve. These pain in the buttocks or on the back side of one leg usually worsens when you change the position of the body, especially on the painful spot below the knee and in the area of bone protrusion at the bottom of the buttocks, also a person himself can appear on the muscles of the lower limbs or on the back side of the thigh, painful nodules that when touched particularly sensitive.

Lumbago - a disease that is popularly called sciatica, a lot of this pain they don't know on hearsay. Is it a sudden lumbago, which appears on the background of physical loads with hypothermia, work on drafts, or in a prolonged awkward position, when a sharp movement.

Paroxysmal pain, penetrating lower back pain, compels a person to take a forced situation, when the pain subsides, it is such a painful delayed by at least a week, analgesics, tepidus remedies and massages in general help to cope with the suffering. Even after such a flat-rate attacks of the disease should seek medical help, because it is the bell of the presence of pathological changes in the lumbar-sacral spine.