Lower back pain is familiar to almost everyone. It is difficult to find someone who at least once, faced with the very unpleasant symptom. Sometimes it is enough to sit in an uncomfortable position for a long time to have discomfort in the lumbar region of the spine. But it is not a serious problem, just a consequence of the prolonged stay in an uncomfortable position. But severe lower back pain almost always has a specific cause, and a reason to go to the doctor. It is not always the diagnosis is as expected, because the lower back pain is only one of the possible problems, lower back pain.
Why is it a pain in the low back and what to do in a situation such as this, it is not difficult to guess. The doctor who makes the diagnosis and identify the cause of the pain, and then you will have to start the treatment.
Pain syndrome – primary and secondary
Understanding why a low back pain, we must not forget that the causes of such pain is estimated in tens, and a lover will never be able to determine the true source of the problem.
In general, medicine classification separates the primary and the secondary pain syndromes that may affect the lumbar region.
Primary syndrome back pain occurs as a result of the skeletal changes. He is the cause of the great majority of cases of back pain in the lumbar region. The most significant of the category of cause – and- degenerative-dystrophic changes in different parts of the spine:
- osteochondrosis, which is an injury of bone and connective tissue, this disease has a dying character. When it affects the discs between vertebrae and the vertebrae adjacent, and begins to develop a chronic disease of the spine.
- inflammatory bowel disease is a form of osteoarthritis, the disease affects the joints between the vertebrae, which are responsible for the mobility of the spine, or articulationes synoviales.
Secondary pain syndrome has a much more several causes of pain:
- the scoliosis which is a curvature of the spine, as well as some other growing pains;
- inflammation with non-infectious nature. For example, rheumatoid arthritis, rheumatic diseases, etc.;
- a tumor located in the vertebra, in the spinal cord or in spatium retroperitoneale, regardless of whether it is primary or caused by metastasis;
- fracture of one or more of the spinal vertebrae. This is perhaps one of the most serious causes of back pain;
- several infectious diseases, which lead to the defeat of the vertebrae and the discs between them (tuberculosis, brucellosis, etc.);
- heart disease in which there is a serious alteration of the blood supply of the spinal cord. In this case it can also be a feeling that the back pain;
- diseases of the gastrointestinal tract. For example, appendicitis acute with atypical anastomosis leakage, ileus;
- often back pain are reflected in nature. The same problem may occur when some diseases of organs located in the pelvic zone. For example, renal colic, venereal diseases (gonorrhea, trichomoniasis, chlamydia, ureaplasmosis, adnexitis – all these diseases are the cause reflected pain in the lower part of the back).
What is acute and chronic pain
Back pain is also divided into acute and chronic, which can be caused by various problems and diseases such as the nerve endings and the spine. Often observed and the displacement of pain – the translation of the pain sensations of other organs, that is much more profound. In other words, a person thinks that a low back pain, even though in reality it is a problem in another part of the body. But most often in the lumbar region is projected the pain of the pelvis, organs, pancreas, kidneys, colon, or tumors located behind the peritoneum.
In general, people don't know what to do if a low back pain. But also I understand that you do not have to self-medicate . Causes of pain varied, the correct diagnosis can only specialist, and the continued use of analgesics (which many consider a treatment), we can return to hurt you.Causes of acute pain
Before you decide what to do when a very bad back, serious problems doctor first to determine the cause of pain appeared. The reasons may be diverse, but most of them are somehow connected with the spine.
One of the most simple and harmless of the causes of the acute pain of passing a strip of muscle. In this case, the source of the pain are long muscles in the attack. With this problem pain rarely "pays" in other parts of the body, severely restricts the mobility of the person. This cause is very common, often with his face to the athletes and people whose work is associated with a variety of physical activities.
Spinal injuries can be the cause of lower back pain.
Another common, but much more serious consequences, the source of the pain is the fracture of the spine, especially if we are talking about compressed fractures of the vertebrae. This often happens in the case of unsuccessful downs and other back injuries. But if a person is sick with a disease of the endocrine system, osteoporosis, disease Paget, or have tumors in the spinal region, the fracture may go undetected by the patient, as they say "out of the blue". And the people did not even know when the fracture happened.
Not less unpleasant situation, when there is a sharp pain in the lower part of the back is the compensation of the discs between the vertebrae of the lumbar spine. The symptoms of the problem are severe back pain that can limit mobility. Most often, the pain caused due to compression of the nerve roots. Signs of this type of compression are:
- disorders of sensation;
- the disappearance or significant reduction of the heel reflex;
- the absence or reduction in the intensity of the knee reflexes;
- unilateral pain radicular.
One of the bad trends in this problem is that this change can lead to pathology of the vertebrae down. As a result, the pain below the waist) can interfere with the function of the rectum and bladder. Localization of pain above the waist is also possible in some cases.
Acute back pain may appear as a result of osteoarthritis of the joints between the vertebrae. In this case, the cause of the pain is the compression of the spine to exit the spinal canal, the disc between the vertebrae is left intact. This syndrome normally occurs as a result of increasing top and bottom of the facets between the vertebrae of the articulation, resulting in a reduction between the vertebrae the hole.
Focal lesion of the area of the spine is one of the serious diseases that cause pain in the low back. This disease requires diagnosis and immediate treatment, and recommends any very effective measures, including the surgical procedure, the main thing quickly to eliminate the compression of the spinal cord.
Diseases of the hip joint often cause acute low back pain. For which is characterized by pain radiating in the lower part of the waist and the legs up to the knees.Causes of chronic low back pain
One of the causes of chronic pain is changing the spine. In this disease there is a change in the vertebrae of the lumbar spine. In the end, that limits the channel of the spine, and the bony spines beginning to put pressure on the nerve roots. Pain pain may be accompanied by numbness and weakness in the legs and other neurological symptoms. In any case, you will need a full exam, the results of which we will establish the final diagnosis.
Ankylosing spondylitis - a chronic systemic disease of the joints, it can also be the cause of chronic pain. Manifests itself, drawing pains in the lower part of the back, appears and quickly develops a curvature of the spine in the thoracic. The first symptoms are the limitation and reduction of movements of the chest during breathing.
Often cause low back pain, cancer and metabolic disorders. But benign tumors can cause chronic pain that is not accompanied by neurologic symptoms.
Osteomyelitis can also cause pain in the pain in the lower back pain, can be very long.
The spread of the pain of the disease
With the defeat of organs of small pelvis usually appears pain. The cause can be endometriosis, for example. In men, these pains can appear in the prostatitis chronic.
Different kidney diseases that cause pain to the call of the vertebral column and the ribs.
Problems of the gastrointestinal tract (tumors of the duodenum or of the stomach, the pancreas, the disease of an organ, empty) is called pain in the region of segments T10-L2.
The lower part of the back hurts also to the chronic disease of the membrane mucosa of the colon, a tumor of the colon and bowel disease.
Pain in the lumbar and thoracic can also occur due to dissection aortic.
As you can see, back pain can be caused many diseases. While very often people do not expect that the problem will not be there, "where it hurts". So even if you have a low back pain, not constantly, but occasionally – don't hesitate, contact your doctor . Any disease is easier to cope with at an early stage, not when it is in a very bad state and will pull in a lot of trouble.