Back pain, lower back pain – there is no person ever in your life experienced. According to the world health organization, is the most frequent complaint and the most frequent cause of temporary disability.
What do you do?
Phenomena of degenerative changes of the spine are often referred to as the obsolete term "osteochondrosis". These phenomena are observed among the majority of people over 18 years old. For him, the word "osteochondrosis" includes any thing, from the age norm to serious pathology. This term already used by most neurosurgeons, and is not used in the international literature.
Back pain can be a separate problem ("grab", "gelidus again", etc.), but it may also indicate diseases of the spine, on a variety of serious diseases, from pyelonephritis and influenza, spinal tumors or metastasis in the vertebrae. Therefore, back pain is a symptom that requires diagnosis.
By far, the diagnosis of back pain are needed in the following cases: the pain came after the injury, falls, accidents; severe pain lasts a few days, stopping to walk and/or sleep; the pain radiates to the feet/legs (buttocks, thighs, Shin/calf and foot); torpor, sensation of pins and needles in the foot/feet; the reduction of the force in any part of the feet/legs; the weight loss of feet/legs; difficulty or frequent urination, bowel movements; severe pain in an elderly person; in severe back pain from macie, weakness or a person with a temperature; with back pain in a patient with severe systemic disease, such as osteoporosis, cancer, tuberculosis.
Clearly the desire to know why a lower back pain. Better to start with the magnetic resonance imaging (MRI) of the lumbosacral spine. All other actions, including a visit to the doctor, then. In the MRI you will have to spend a few thousand euros, but without a physician referral.
The conclusion, written by a specialist in radiodiagnostics, often frightens the patient. Can be written: hernia / output / stenosis / degenerative disc disease / herniated Smorlya / spondylosis. This could mean anything, including nothing. Only describe the Mr-phenomena. Must be interpreted by the Clinician with consideration of medical history, diseases, and more research, and more. Conclusion is not written for the patient, and another doctor.
The x-ray and computed tomography in the majority of cases, additional studies prescribed by a doctor.
Do a MRI of the lower back, you need to consult a neurologist or neurosurgeon. Second, in my opinion subjective, better: the average neurosurgeons operate much better interpretiruya pictures, because daily to see the real image of the transactions and correlate them with magnetic RESONANCE imaging and the clinical picture. In some cases, on which I would like to say a neurologist or a neurosurgeon, you need a podiatrist.
If the results of the inspection and evaluation of magnetic RESONANCE imaging is not need surgery (most often the case), the treatment was carried out under the supervision of a neurologist. In typical cases this includes nonsteroidal anti-inflammatory drugs, muscle relaxants and other medications. Sometimes, other methods are needed. To determine the shape and duration of the treatment can only a doctor.
Self-treatment of lower back pain, especially without an MRI, an extremely prudent move. The use of alternative medicine, once more – and, above all, without an MRI, total idiocy.
Sometimes the doctor says that you need to remove the herniated disc. Thanks to the use of endoscopic and microsurgical techniques of the right hand side of this operation is very safe. I usually tell patients that the risk of paralysis or other serious complications in to remove a herniated disc is approximately equal to the risk of death in a traffic accident on the way to the ministry.
Many fear that the surgery of the spine can paralyze. It is almost impossible. There are hazardous operations associated with this risk, for example, the removal of intramedullary tumors, surgery of fractures of the spine thoracic, etc. If there is a danger, he warned. When you remove the disc herniation, the resolution of the stenosis of the spinal canal, the risk of these complications theoretical. Security status is a qualified neurosurgeon and the clinic has modern equipment.
There are diseases that require stabilization of the spine – the installation of structures that hold the vertebrae with each other. Stabilization of methods and systems to stabilize a lot. Stabilization of the spine is performed only on strict indications. The need to you can only define a neurosurgeon. Most often stabilize the surgery is necessary when stenosis cord, spondylolisthesis, instability of the vertebral segments, the vertebral fractures.
After the majority of operations on the spine, not only do not have time for lying, but often the patient begins to walk alone the next morning, after surgery or even in the evening the day of surgery.
What you need to do, not to hurt your back? In private hospitals you can find commercial programs to combat back pain in the cost of the car. It is scientifically proven that, in fact, it is enough the basic things.
First of all, you have to be in the normal range of body weight, in others. You must have a good development axial muscles – swimming and fitness. Finally, back pain is a frequent first symptom of depression because depression is accompanied by the decrease of the threshold of pain. In General, it is necessary to have a state of being normal and staying in shape.