The lumbar region of the spine, throughout life, can withstand more load. It is not surprising that sooner or later, often at the end of the day, many begin to feel sick in the back. But we can't assume that this is a phenomenon normal. The pain can have its cause, which often requires treatment. And if you don't pay attention to them and not take the proper steps, not knowing what to do, pain in the lower part of the back can lead to a significant deterioration of their life and health.
Why it hurts down the back — likely causes
The most likely causes of low back pain low back pain, which they give to the leg, lower abdomen, due to the fact that a person spends a lot of time behind the wheel, the computer is dedicated to physical work, especially if you have to drastically change the position of the body. The lower back pain, lower back and excessive load can cause in the gym, the obsession with the work of the house, especially in the presence of excess weight. At risk are women who have given birth recently or those who have already entered menopause
If a lower back pain in the lower back, this can indicate the presence of tumours-malignant and benign tumors of the pelvic organs or in the pelvic cavity, diseases of the prostate or prostatitis chronic. Back pain after a long walk in foot often indicate the development of stenosis of the spinal canal. An additional symptom is a syndrome of spinal or pseudo-claudication intermittendi.
The rheumatic polimialgia is quite common disease for the elderly. In the first place, a person feels low back pain, which gradually intensified in the proximal upper or lower extremities appears stiffness and limitation of mobility.
A common cause of back pain is low back pain. During the exploration of the vertebral column can be detected, also this type of degenerative diseases such as osteoporosis, arthrosis and osteoarthritis. The distance between the vertebrate and disks gradually reduced, and this alters the mechanical equilibrium of the spine. This, in turn, also causes a back ache in the waist. Finally, this pain can be the result of muscle spasm during the performance of unaccustomed physical activity.
If it hurts in the back of the waist — the nature of pain and possible symptoms
The nature of low back pain depends entirely on its cause. If this stretching, the pain spread mainly in the lumbar region of the spine. In some cases, occur in the buttocks and hamstring. The mobility and the body becomes significantly restricted. With the pinching of the nerve roots lower back pain from the waist down, slowly the feet. If the cause of low back pain is one of the systemic diseases such as sciatica, its symptoms, progress slowly.
Espresso in the nerve endings of the spinal cord, herniated discs usually occur in older men. Usually the pain in this case aggravated by sneezing, coughing, laughing, bending, to straighten the spine in the lumbar Department. Try to lie on your back and raise the leg straight vertical. In the presence of a herniated disc will feel pain in the lower back. This type of pain is called lumbago. In the position is growing, and lying down — abates.
If it hurts in the back — secondary causes
- neoplastic diseases of the vertebrae and of the spinal cord;
- vertebral fractures;
- infectious diseases, which may occur damage of the intervertebral discs and vertebrae themselves;
- metabolic lesions of the bone
- non-infectious inflammatory diseases
- acute, disorders of the spinal blood circulation, stroke;
- diseases of the gastrointestinal tract (intestinal obstruction, atypical appendicitis acute);
- reflective pain, which can occur in different diseases of the organs pelvic (infection of gynecological diseases, renal colic).
What to do if you have pain below the back
Diseases that can cause low back pain in the lower part of the back lot and almost all of them have similar symptoms. For this reason, it is often necessary to make a differential diagnosis with the use of hardware and laboratory techniques. Based on the results of these studies will be assigned and the treatment of pain, or, rather, the diseases that caused its appearance.
Why back pain in the lower part of the spine?
There is probably not one person who at least once faced with the back pain. This problem is most pressing for people after 60 years of age, but young people of these situations to happen. It is known that the restriction of the physical activity in working age is more likely to occur precisely because of low back pain. Why this happens and what to do with their appearance, say the doctor. And the patient only has to come to the consultation of a specialist.
Any pain is a sign of certain malfunctions in the body. And its location generally indicates the source of the problem. If worried about the rear, most people just think about the pathology of the spine. True, the injuries to the axial skeleton represents the most common cause of pain in the lumbosacral region. These conditions include:
- Low back pain.
- Spondiloarthrosis.
- Intervertebral hernia.
- The injury.
- Spondylosis.
- Bechterew's Disease.
- Spondylolisthesis.
- Osteoporosis.
- The stenosis spinal.
- Of the tumor.
This can affect any structure of the axial skeleton: the vertebrae, discs, joints, ligaments, tendons and muscles. A pathological process often has a degenerative, inflammatory or traumatic in nature. This is facilitated by the inactivity, sedentary work, carrying heavy loads and other loads on the spine. The important role played by internal factors related to metabolic-metabolic, immune and age-related changes in the body.
But low back pain is a symptom, not only of the diseases of the spine. And I know all the doctors. Under this symptom may be masked fairly common diseases of the internal organs in women and men. Therefore, the causes of pain should be sought between these States:
- Gynecological problems.
- Diseases of the kidneys and the bladder.
- Urologic pathology.
- Bowel disease.
In addition, the back may ache during pregnancy, when the increase of the load on the lower back, due to the displacement of the center of gravity of the body and stretch the internal ligaments of the pelvis.
Why is there pain in the lower back, can be found after medical examination and additional diagnostics.
When the patient goes to a doctor, he wants to get detailed information about the origin of the discomfort and, beyond tactics. And must be examined. And the primary step is a clinical examination, during which clarified the subjective and objective signs of pathology.
If we speak of complaints, the greatest concern in patients which causes pain. You can have different colors, but most often are characterized by the following features:
- Acute or chronic.
- Shooting, aching, throbbing, drawing, stitching.
- Of varying intensity from mild to severe.
- Localized in the lumbosacral region.
- Give to the lower extremities, the area, the groin, the stomach.
- Aggravated by movements of the trunk, sitting, standing.
However, low back pain, it is not only the symptom of a pathology – clinical picture that includes other symptoms, which suggests that the likely source of the problem.
Diseases of the spine
When the patients concerned about the back in the lumbosacral region, it is necessary to seek the confirmation of vertebrogenic nature of these sensations. The pain often associated with muscular tension or compression of a nerve root. So that you can have the following characters:
- Lumbago – acute lumbago in the lower part of the back.
- Lbp – dull and deep pain.
- Sciatica – pain radiating in the lower limb in the course of the sciatic nerve.
First sometimes there are unpleasant sensations of the legs and the back begins to bother you later. But the pain, in the syndromes (radiculopathy) are characteristic of a neurological disorder associated with damage to sensory, motor and autonomic fibers. These include:
- The depression of tendon reflexes.
- Decreased strength in the lower extremities.
- A weakening of sensitivity.
- Numbness, tingling, "pins and needles", burning sensation.
- Discoloration of the skin.
This type of violations appear in the corresponding dermatomes of the body segments, innervating the affected spine. And the local signs of pathology of the spine include muscle tension and pain paravertebral points in the lumbosacral region, smoothed physiological lordosis, and limitation of active movements.
Vertebrogenic disease is less common in men and women, with age they only get worse and, often, reduce the functional capacity of the person.
Problems gynecological
If there is lower back pain in women, then you need to pay attention to the possibility of disease in the gynaecological field. Most often we are talking about inflammatory diseases or dysfunctional States. In these cases, you can see the following signs:
- The irregularity of the menstrual cycle.
- The Vaginal secretion.
- The increase of the temperature.
Acute processes in the uterus and appendages can become chronic or be a complication of peritonitis. In addition, the cause of the pain could be an ectopic pregnancy or miscarriage. Then, the risk of internal bleeding and shock.
Diseases of the kidneys and the bladder
Pain in the lower back are considered as one of the symptoms of kidney disease – nephritis. As a general rule, have a permanent nature, and in the case of kidney stones can be aggravated by a bumpy ride or running. Cystitis, these sensations are localized in the suprapubic region and may radiate to the sacrum. The inflammatory process is accompanied by other symptoms:
- Dysuric disorders: cramps, burning sensation when urinating.
- Change the color of the urine.
- Fever, General malaise.
Chronic disease is accompanied by a progressive decrease of the functional capacity of the organ that develops in the kidney failure.
Urology pathology
If men have back pain in the lower part of the back the funds, and after the differential diagnosis has to do with urology and diseases. First of all, rule out prostate disease – prostatitis and adenoma. This type of pain is felt in the pubic region and the perineum, giving at the rectum and the sacrum. There are often other signs:
- Discharge from the urethra.
- Difficulties when urinating.
- Reduced power.
In prostatitis acute possible General manifestations of fever, weakness, bad. And chronic inflammatory processes are slow and poor symptoms.
Bowel disease
In considering the origin of pain in the lumbosacral area, we must mention the pathology of the different areas of the intestine. Appendicitis, ulcerative colitis, proctitis, a condition that require different approaches to diagnosis and treatment, but include similar symptoms. These include:
- Pain in the abdomen or flanks.
- Change in the stool – constipation or diarrhea.
- Fever.
Colitis are often pathological impurities in the stool: blood, mucus or pus. But an objective examination with the palpation of the abdomen and rectal examination provides additional information about the disease.
Nonvertebral pathology is very varied, which is why the doctor requires a thorough the differential diagnosis of back pain.
Diagnosis
To understand why the patient has pain in the lower back, you need to pass additional tests. The doctor will prescribe a complex of laboratory and instrumental methods, the results of which will help you make the right conclusion. These include the following studies:
- General blood and urine.
- Blood biochemistry (markers of inflammation and rheumatology of the test, urea, creatinine, etc.).
- Urine analysis according to Nechyporenko, zimnitskiy.
- The analysis of the secretions of the genitals, of the stool.
- The x-ray of the spine.
- Magnetic resonance imaging and computed tomography.
- Ultrasound of the internal organs.
- Endoscopy of the intestine.
If necessary, the list of diagnostic procedures is expanding. Opportunities to establish the source of pain.
To treat vertebrogenic diseases must be based on the nature of the pathological process and the individual characteristics of the patient. Take into account the possibility of associated conditions, which also require an adequate correction. If the cause of pain, not related to the spine, are excluded, the treatment deals with the spine, neurologists or orthopedic trauma.