The lumbar department of the spine in the course of life lasts a really heavy burden. It is not surprising that sooner or later, often at the end of the day, many are beginning to feel that from them it hurts down my back. But it should not be considered a normal phenomenon. Back pain have your cause, which often requires urgent treatment. And if you don't pay attention, and do not undertake the right steps, without knowing what to do, pain in the lower back can lead to a significant deterioration of your life and health.
Why it hurts down the back — likely causes
The most likely causes of lower back pain in the lower back, the head, which give on the legs, underbelly, connected with the fact that a person spends much time behind the wheel, the computer, engaged in physical labor, especially, if he must dramatically change the position of the body. To headaches in the lower back in the lower back can lead and excessive exercise in the sports hall, the obsession with work on the cottage, especially in the presence of excess weight. In the risk zone are and recently gave birth to a women, or those who have already entered into the period of menopause
If pain lower back pain in the lower back, it can talk about the presence of malignant and benign formations in the pelvic organs or in the pelvic cavity, prostate disease or chronic inflammation of the prostate gland. Pain in the back after long walks on foot usually point to the development of stenosis in the spinal channel. Another symptom serves a syndrome of spinal or pseudo-intermittendi limp.
Rheumatic polymyalgia — a fairly common disease of older age. At first the person feels pain in the lower back, gradually aggravated in the proximal part of the upper or lower extremities appear stiffness and restriction of motion.
A common cause of lower back pain shows pain. During the examination of the spine may also occur as a degenerative disease, such as osteoporosis, arthrosis and osteoarthritis. The distance between the vertebrates, discs gradually decreases, and it is a violation on the mechanical balance of the spinal column. This in turn leads to the fact that the pain in the lower back pain in the lower back. Finally, such pain can be the result of muscle spasms, in the implementation of unusual physical stress.
If it hurts down the back in the lower back — the nature of the pain and possible symptoms
The character of the lower back pain is completely dependent on its causes. If it is stretching, then the pain spread, mainly in the lumbar department of spine. In some cases, give to the buttocks and the back surface of the thigh. Mobility and the twists and turns of the body are significantly limited. When the interference of the nerve roots lower back pain from the restraint gradually descend to the feet. If it is the cause of lower back pain is one of the systemic diseases, such as sciatica, then his symptoms gradually.
Expresso nerve endings of the spinal cord herniation of the intervertebral disc, usually occur in men of older age. Usually the pain is in this case intensified when sneezing, coughing, laughing, slopes, extension of the spine in the department of the loins. Try lying on your back and raise the straight leg, upright. In the presence of hernia of the intervertebral disc you will definitely feel the pain in the lower back. This type of pain is called lumbago. In a standing position is better, and the supine position — giving way.
If it hurts down the back — the secondary causes of
- cancer of the vertebrae and the spinal cord;
- fractures of the vertebrae;
- infectious diseases, which may result beat the intervertebral disc and the vertebrae;
- metabolic lesions of bone tissue
- non-communicable diseases of inflammatory nature
- acute disorders of the spinal blood circulation, cerebral vascular accident;
- diseases of the gastrointestinal tract (intestinal obstruction, atypical acute appendicitis);
- diffuse pain, which may occur in various diseases of the organs of the pelvis (infectious gynecological diseases, renal colic).
What to do if you have pain in the lower part of the spin
Diseases that can cause lower back pain in the lower back enough and nearly all have similar symptoms. This is the reason why it is often necessary to make a differential diagnosis with the use of hardware and laboratory methodologies. Depending on the results of these studies and is intended for the treatment of pain, more precisely, those diseases which were the cause of their formation.
Why it hurts your back, in your lower spine?
Probably not the only person who at least one is not faced with the pain in the back. This problem is most relevant for people after 60 years, but even the young are becoming similar situation. It is known that physical activity limitations in working-age population most frequently occurs precisely because of the pain in the lower back. Why is this happening and what to do during his appearance, your doctor tells you. And the patient need only come on the advice of a specialist.
Every pain – is a signal of certain problems in the body. And its localization, usually shows the source of the problem. If it bothers your back, then most of the people rightly think about the pathology of the spine. It is true, damage to the axial skeleton constitute the most frequent reason for painful sensations in the lumbar-sacral area. These conditions should include:
- Osteochondrosis of the.
- Spondiloartrozom.
- Intervertebral hernia.
- Injury.
- Spondylosis.
- The Disease Ankylosing Spondylitis.
- Spondilolistezom.
- Osteoporosis.
- Spinal stenosis.
- Tumors.
While that may happen some patterns of the axial skeleton: the vertebrae, discs, joints, ligaments, tendons and muscles. And the disease process, the most common degenerative-dystrophic, inflammatory or traumatic in nature. This contribute to inactivity, sedentary work, heavy lifting and other types of loads on the spine. A significant part was also played by internal factors, related to exchange-metabolic, immune system cells and age-related changes in the body.
But the pain in the lower back is a symptom of not only diseases of the spine. And everybody knows about it doctors. Under this symptom may issue a fairly common disease of the internal organs in women and men. So the causes of painful sensations it is necessary to look at these conditions:
- Gynecological problems.
- Diseases of the kidneys and bladder.
- Urological pathology.
- Diseases of the intestines.
In addition, your back may ache during pregnancy, which increases the load on the lower back because of the displacement of the body center of gravity and are stretched inner ligaments of the female pelvis.
Why is the pain occurring from the bottom of the back, you can learn after a medical examination and other diagnostic procedures.
When a patient turns to the doctor, he wants to get comprehensive information on the origin of unpleasant sensations and other tactics. And for this it is necessary to pass inspection. And the primary phase becomes a clinical examination, during which he will be found of subjective and objective signs of pathology.
If we talk about the complaints, then the largest concern in patients causing just pain. May have different coloring, but most often are characterized by the following properties:
- The acute or chronic.
- Radiating, gnawing, throbbing, pulling, stitching.
- Varying intensity, from mild to strong.
- Localized in the lumbar-sacral area.
- Give to the lower extremities, the groin zone, belly.
- Worsen when the movements of the body, sitting, walking.
However, pain in the lower back is not the only symptom of the disease – the clinical picture also includes the other symptoms by which it is possible to assume the probable source of the problem.
Diseases of the spine
If patients troubled by his back in the lumbar-sacral region, it is necessary to seek confirmation of vertebrogenic nature of similar feelings. Pain are often associated with muscular tension or compression of the nerve roots. Therefore, may have the following character:
- Lumbago – acute lumbago in the lower back.
- Lumbalgie – dull and deep pain.
- Sciatica – pain, gives in the lower limb in the course of the sciatic nerve.
Sometimes first appear unpleasant sensations in the legs, and spin is beginning to disturb some of the later. In addition to pain in the composition root syndrome (radiculopathy) are characteristic of neurological disorders associated with damage to sensory, motor and autonomic fibers. To them include:
- The oppression of the tendon reflexes.
- The decline in strength in the lower extremities.
- Weakening of sensitivity.
- Numbness, tingling, "crawling fever", burning.
- Discoloration of the skin sheets.
Such disorders appear in the relevant dermatomes – body segments, innervating was hit by the spine. And local signs of pathology of the spinal pillar include muscle tension and soreness paravertebral points in lumbar-sacral department, the smoothness of the physiological lordosis, and limitation of active movements.
Vertebrogenic diseases as well often occur in men and women, with age only thrive and often lead to a decrease in functional abilities of the person.
Gynecological problems
If you have lower back pain in women, then you need to be alert to the possibility of pathology in the field of gynecological. Most often these are inflammatory diseases or dysfunctional states. In such cases, the following symptoms may appear:
- An irregular menstrual cycle.
- Vaginal discharge.
- An increase in temperature.
Sharp processes in the uterus and the appendages can go into a chronic form, or you will end up complications in the form of inflammation of the peritoneum. In addition, the cause of the pain could be an ectopic pregnancy or spontaneous abortion. Then there is the big risk of internal bleeding and shock.
Diseases of the kidneys and bladder
Feelings of back pain are considered to be one of the symptoms of kidney pathology – jade. In general, that have a permanent character, and in the case of urinary disease may be amplified when the shaking driving or running. When inflammation of the bladder these sensations localized in the suprapubic region and may irradiate in sacrum. The inflammatory process is accompanied by other symptoms:
- Dysuric disorders: cutting, burning sensation during urination.
- Change the color of the urine.
- Fever, malaise.
Chronic pathology is accompanied by a progressive decline in the functional ability of organs, which has grown into the kidneys of the kidneys.
Urological pathology
If the men's back hurts in the lower part of the back from the bottom, the differential diagnosis should be carried out and with urological and diseases. First exclude diseases of the prostate – prostatitis and adenoma. These pains are felt in the pubic region and perineum, the colon and the sacrum. Are often observed other symptoms:
- Discharge from the urethra.
- Difficulty in urination.
- A decrease in potency.
In acute inflammation of the prostate gland can be a common manifestation in the form of fever, weakness, malaise. And chronic inflammatory processes have a slow character and fragmentary symptomatology.
Diseases of the intestines
Considering the question of the origin of pain in the lumbar-sacral zone, it is necessary to mention various departments of the pathology of the colon. Appendicitis, ulcerative colitis, proctitis – conditions, which require different approaches in diagnosis and treatment, but may be accompanied by a share similar symptoms. To these must be added:
- Pain in the abdomen or the hips.
- Change in bowel movements – constipation or diarrhea.
- Fever.
When colitis is often identified pathological admixtures in the stool: blood, mucus or pus. And an objective examination with palpation of the abdomen and the rectal study provides more information about the disease.
Nonvertebral pathology sufficiently varied, so that from a doctor, it is required a careful differential diagnosis of pain in the back.
Diagnosis
In order to understand why the patient has pain in the lower back, it is necessary to undergo further examination. The doctor will prescribe a comprehensive laboratory and instrumental methods, the results of which will help you make the right conclusion. These include, for example, a study:
- Common blood and urine tests.
- Biochemistry of the blood (markers of inflammation, rheumatology test, urea, creatinine, etc.).
- Analysis of urine on Nechiporenko, General.
- Analysis of the discharge from the genital organs, cal.
- Radiography of the spine.
- Magnetic and computed tomography.
- ULTRASOUND of the internal organs.
- Endoscopy of the large intestine.
If necessary, a list of diagnostic procedures expands. They are used all the options for setting the source of the pain.
Treat vertebrogenic diseases is necessary due to the nature of the failure process and the individual characteristics of the patient's body. Distinguish and the possibility of related conditions, which also require a corresponding correction. If these are the causes of pain that are not associated with the spine, eliminate, treatment deals with the spine, the neurologist or the orthopedist-traumatologist.