Lower back pain is familiar to almost everyone. It's hard to find someone who at least one is not faced with this very unpleasant symptom of. Sometimes it is enough to sit in an uncomfortable position for some time, appeared to discomfort in the lumbar area of the spine. But it is not a serious problem, and as a result of a prolonged stay in an uncomfortable position. And here a significant pain in the lower back almost always has a specific cause and is an opportunity to go to the doctor. It is not always a diagnosis would be expected, because osteochondrosis – is the only one of the potential problems, pain in the lower back.
Why it hurts the shoulders and what to do in such a situation – not hard to guess. The doctor will put a diagnosis and reveal the cause of the pain, after which it will be necessary to proceed to treatment.
Pain syndrome – primary and secondary
Разбираясь in it, why it hurts the shoulders, we must not forget that the causes of such pain are counted by dozens, and a fan will never be able to determine the actual source of the problem.
In general the same health classification divides the primary and secondary pain syndromes that may have an impact on поясничную area.
The primary syndrome of the pain in the lower back pain occurs due to muscle-skeletal changes. He is the cause of the vast majority of cases of back pain in the lumbar. The most important of the reasons – дегенеративно-дистрофические changes that are taking place in different parts of the spine:
- osteochondrosis, which represents the defeat of bone and fibrous tissue, this disease has a dying character. When it поражается of the disc between the vertebrae and the adjacent vertebrae, begins to develop chronic diseases of the spine.
- pelvic inflammatory disease is a form of joint arthrosis, when the disease affects the joints between the vertebrae, which are responsible for mobility of the spine, or articulationes synoviales.
Secondary pain syndrome has a much more diverse causes of the emergence of pain:
- scoliosis, which represents a pathological curvature of the spine, as well as some other diseases growth;
- various inflammations, which have неинфекционный character. For example, rheumatoid arthritis, ревматическое disease and so on;
- the tumor, which is located on the позвонках, in the spinal cord or in spatium retroperitoneale, no matter it is primary or caused by метастазами;
- fracture of one or more of the spinal vertebrae. This is perhaps one of the most serious reasons for the emergence of pain in the lower back;
- various infectious diseases, which lead to the defeat of the vertebrae and the discs between them (tuberculosis, brucellosis, etc.);
- heart disease, in which there are serious violations of blood supply to the spinal cord. In this case, may also appear to feel that it hurts the shoulders;
- diseases of the gastrointestinal tract. For example, acute appendicitis with атипичным flow, obstruction of the intestines;
- often pain in the lower back appear indirect in nature. A similar problem can occur when some diseases of organs located in the pelvic area. For example, renal colic, sexually transmitted diseases (gonorrhea, trichomoniasis, chlamydia, уреаплазмоз, adnexitis – all these diseases is used the reason manifested by pain in the lower back).
What is acute and chronic pain
Pain in the lower back also divided into acute and chronic, which may be caused by a variety of problems and diseases, such as nerve endings and the spine. Are often observed and displaced pain – occurs broadcast of painful sensations from other organs, which are located much deeper. In other words, man seems to hurt the shoulders, when in fact the problem in a completely different part of the body. But most often in the lumbar show pain from the pelvic organs, pancreas, kidney, colon, or tumors, that are located behind the брюшиной.
Usually people don't know what to do, when it hurts the shoulders. But well to understand before getting involved is not worth it – it is self-heal . Causes of pain are diverse, to put a correct diagnosis can only specialist, and the constant use of painkillers funds (what many consider to be treatment), it may damage even more.Causes of acute pain
Before it determines what to do if strongly hurts the shoulders, no serious the doctor first finds out the cause of their pain. The reasons may be different, but most of them are one way or another associated with the spine.
One of the most simple and harmless causes of pain – acute passage of stretching the muscles. In this case, is the source of the pain are long muscles in the attack. When this is the problem pain rarely "deals" in other parts of the body, but strongly restricts the mobility of the person. This cause is very frequent, often with her encounter athletes and people whose work is associated with various physical exertion.
Injuries of the spine may be the cause of pain in the lower back.
Another often встречающимся, but much more serious on the consequences of the source of pain is fracture of the spine, especially if it is a compressed fracture of the vertebrae. Most often it happens at unsuccessful downs and other back injuries. But if a person is sick diseases of the endocrine system, osteoporosis, disease Paget, or there is a tumor in the area of the vertebrae, a fracture can occur and imperceptibly for the patient, as the saying goes "the same place". And the man did not even understand when this turning point occurred.
No less unpleasant situation, when it comes to which will appear the acute pain in the lower back – this is the offset of the discs between the vertebrae in the lumbar spine. Symptoms of this problem are strong sharp pain in the lower back, which severely limit mobility. Most often the pain arises due to compression of the nerve roots. The symptoms of such a compression are:
- disorders of sensitivity;
- disappearance or significant reduction of пяточного reflex;
- the absence or reduction of the intensity of the knee reflex;
- unilateral корешковые pain.
One of the unfortunate trends of the problem is that such a shift can cause патологию that are below the vertebrae. As a result, appear pain under the lower back, can нарушиться function of the rectum and bladder. Localization of pain is higher backrest, is also possible in some cases.
Acute back pain can occur due to osteoarthritis of the joints between the vertebrae. In this case, is the cause of the pain serves the compression корешка at the exit from the spinal canal, he alone of the disk between the vertebrae remains intact. This syndrome usually occurs due to an increase in the upper and lower фасеток between the bones of the joint, narrowing between the vertebrae of the hole.
Очаговое defeat the space of the spinal pillar is one of the severe diseases, провоцирующих severe pain in the lower back. This disease requires prompt diagnosis and immediate treatment, and are recommended, no effective measures, and up to the surgery, the main thing – to quickly remove the squeezing of the spinal cord.
Disease of the hip joint is also often become the cause of acute pain in the lower back. For them are characteristic of the pain, отдающие at the bottom of the lower back, legs to the level of the knee.Causes of chronic pain in the lower back
One of the causes of chronic pain is изменяющий spine. In this disease, there is a change in the vertebrae of the lumbar. Eventually narrows the channel of the spine and bone отростки begin to put pressure on the nerve roots. Gnawing pain may be accompanied by онемением and weakness in the legs, and other neurological symptoms. In any case, it will be necessary to complete the examination, on the basis of the results of which will be determined by definitive diagnosis.
Disease ankylosing Spondylitis - a chronic systemic disease of the joints, can also be the cause of chronic pain. It manifests itself тянущими pain in the lower back, turns around and quickly develops a curvature of the spine in the thoracic region. The first symptoms are restriction of mobility and the reduction of the movements of the chest during breathing.
Often cause pain in the lower back онкологические disease and metabolic disorders. But even benign tumors can cause chronic pain, which will be followed by neurological симптоматикой.
Остеомиелит also can become a cause of ноющей pain in the lower back, while this pain may be very long-term.
The dissemination of pain – addiction disease
When damage to the organs of small pelvis usually occurs pain in the lower back. The cause may be endometriosis, for example. In men this pain may occur during long-term exposure to простатите.
Various diseases of the kidneys provoke pain on стуках of the spine and ribs.
Problems of the gastrointestinal tract (tumors of the duodenum or of the stomach, the pancreas, the disease of a hollow organ) to cause feelings of pain in the area of segments T10-L2.
The bottom department of a back pain also in chronic diseases of the mucous membrane of the colon, tumors of the colon and bowel disease.
Pain in the lumbar and thoracic segments can also occur because the volumes of the aorta.
As you can see, pain in the lower back can occur due to many diseases. In this case, quite often the person don't even expect that the problem will be there, "where it hurts". So even if you have pain in the shoulders, not permanently, but from time to time – do not pull, contact your doctor . With any disease of the better deal at an early stage, and not when it will be in a state of neglect and dragging behind a lot of complications.