When a loved one, it hurts the lower back, all tend to suggest something: grandmother heated a brick and rubbing, aunt — with urgency to pass a urine test. What can really cause pain in this area of the body, what are their causes?
Characteristics of the pain syndrome.
When patients speak of "back", you need to specify that the area of each of them. This is usually all that is located below the rib cage (loin and rump) along the spine and the right and left of him.
Back pain can have different intensity, duration, irradiation and different location. Often patients associate the maximum manifestation of the pain:
- strong movements;
- the rotation of the body;
- by tilting the spine forward;
- the increase of the legs.
Dull pain can harass constantly, to grow in the night. Sudden acute pain, literally, it breaks people, it is accompanied by pal.lidesa, rapid heart rate, high blood pressure to rise.
Possible radiating to the leg, shoulder blade, groin, abdomen, or local tenderness of the lower part of the back to palpation, tap.
The pathogenesis of pain
Why is there pain? The answer is simple: "So that the person feels irritation of pain receptors (nerve endings of fibers) in the tissue or on motion of a pulse".
Nerve endings located in the capsules of all the organs (kidney, pancreas, intestinal wall). Therefore, any disease process can cause a reaction painful. Often there is a stretching of the capsule due to inflammation and swelling of the internal organs.
What can you pinch a passing nerve trunk?
The roots extend from the spinal cord, in accordance with the segments. Can be deformed and injured in the problems of the vertebrae (the bone spikes growing osteochondrosis, herniated disc, hernia, curvature in scoliosis, the destruction of the joint surfaces).
I advise you to read:What to do in case of back pain?
Injuries to the lumbar region and the sacrum, are accompanied by:
- fractures of the lower ribs and the pelvic bones;
- swelling of the soft tissues;
- the formation of hematomas.
There are also negative effect on the nearby nerves.
Benign or malignant tumors of internal organs or spine can cause destruction of the bones, the mechanical pressure on the nerve endings. The same process occurs when specific tuberculous lesions of the vertebrae.
If the cause is in the spine
Any increase of the load on the spine can be the cause of the pain. These include:
- lift heavy objects (especially jerk) bottom up;
- incorrect posture while working at a Desk;
- immobility prolonged posture in the car.
Incorrect height of table and chair in the workplace can cause muscle pain
Awkward body position slowly leads to constant back pain due to muscle tension. It is important to take measures to normalize the work place, monitoring your posture, and activity breaks with uneven traction. This pain can be removed independently.
Acute low back pain, to the left or to the right occurs when lifting weights with one hand. There is a strong compensatory curve of the spine in the opposite direction.
Osteochondrosis leads to the destruction of bodies of vertebral and growth processes. The result is a strong pain radicular. According to its irradiation neurologists are judged on the localization of the lesion in the lower part of the spine. The same symptoms of compression gives the loss of the herniated disc.
The table shows the main direction of irradiation of the pain
|Site of compression of the spine (vertebra)||The spread of the pain|
|lumbar 3-4||to the rear of the buttocks and thigh down to the heel, in the area above the knee|
|lumbar 4-5||on the posterolateral side of the buttocks and thigh down to the calf|
|lumbar sacral 5-1||down from the buttocks and the back of the thigh, calf, foot goes to the side of the foot and of the leg|
In addition, neurologists are discovering the characteristic numbness of the skin with osteochondrosis of the lumbar region to the hip down the back right or left depending on the side of the lesion. Pain in the upper part of the lumbar vertebrae of sensitivity is in the region of the gastrocnemius muscle and the lateral surface of the foot.
Throughout the course of the disease there is weakness in the hip and the muscles of the foot. Measurement of the volume at the level of the thigh, show a decrease from the patient side. This is because of the muscle atrophy.
Special inflammation of the vertebrae in ankylosing spondylitis, psoriasis causes stiffness and movement disorders.
The gravity recommended to carry in both hands, distributing the weight equally
What diseases cause lower back pain
The kidney disease occur with pain. It is characterized by:
- pain in the lumbar region on palpation of the kidneys and blow up;
- the increase of the body temperature;
- disturbed urination (cramping, increased urination);
- irradiation to the groin area;
- changes in urine (appearance of red blood cells, protein, leukocytosis).
Inflammatory diseases of the kidneys accompanied by severe constant pain. For kidney stones typical paroxysmal acute low back pain radiating to tailbone, and the groin. The attack appears every time the stone moves.
Pancreatic tail division is on the side of the spine. Therefore, it is the inflammation (pancreatitis) causes serious encircling episodes of pain prolonged. They are usually associated with the diet (eating fatty foods, alcohol consumption). Accompanied by vomiting, cold sweats.
Diseases of the colon (ulcerative colitis, tumors, hemorrhoids, abscess) are the cause of the pain in the abdomen and back. Accompanied by stool disorders intestinal bleeding, weight reduction.
Often back pain in pregnant women occur as a result of changes in the sacrum, the pressure of the uterus
Pain in the functional disorders
Known the pain that occurs in girls and women before and during menstruation. While, by nature, can be pain or cramps.
The location is usually on the back of the rear to the right and to the bottom left, lower part of the abdomen. Gynecologists believe that they are caused by hormonal failure, violation of the ratio of estrogen and androgen.
At the same time women feel nausea, salivation, weakness.
Particular importance back pain during pregnancy. You can indicate the increase of tone of the uterus and cause abortion. Therefore, to tolerate and bear the pain it is impossible. You should call an Ambulance.
Pain in the benign fibroid of the uterus accompanied by bleeding.
Experience as a physician, he prescribes the treatment of the pain syndrome only after the study and clarification of the reasons why. Categorically it is forbidden to heat up the back, to RUB with ointment, to undergo physiotherapy. Only a specialist can determine the correct therapy in a particular case.
Causes of lower back pain in women
Different pain below the waist in women may be a symptom of many diseases, from mild to deadly. Sometimes, women feel a pulling pain at sharp movements. Common – back pain during menstruation.
But these symptoms are usually transient. But the chronic pain in the lumbar region of the spine is already talking about some kind of apparent illness.
It is important to identify the characteristic symptoms of diseases dangerous or harmless, and in any unclear situation to visit the local therapist.
What can be the causes of lower back pain in women? There are many different diseases. Constant pain in the lumbar region in women – a bad sign. Because lower back pain of this type usually does not bode well.
Increase of the load
The guilt some pulling pain in the lower back in women are very little physical effort.
If the girl was familiar with the sports and make a strong increase of the load on the back – the chance of muscle strain.
If pain pain in the lower back, not leaving for 3-4 days, you should consult a doctor. After the load may be damaged not only the muscles but also the discs, and this is a good reason.
- I advise you to read: what to do if it was booting again
Osteochondrosis and intervertebral hernia
The cause of low back pain in women can be low back pain. For this pathology there is a change in the structure of intervertebral disks, destruction of cartilage. Previously, the elastic disc becomes rigid, loses properties of damping.
- Please, read: a low back pain after lifting weights
The next stage of the pathological changes in the compression of the intervertebral discs, that is a bulge. What spinal nerves are compressed, the blood circulation and the coordination of movements, the pain increases.
The final stage of osteoarthritis – the emergence of intervertebral hernia. This pathology is another reason why back pain in women.
As a general rule, pain in the lumbar region is very pronounced , which radiates to the limbs and other parts of the back.
In this state, the ridge can whine almost any position of the body (except lying).
Gynecological diseases often causes pain below the waist in women. You can get sick at the bottom of the back and face areas.
There is disease:
- The formation of tumors (cysts) in the ovaries;
- Pathology of the uterus;
- Varicose veins of the organs surrounding the pelvic floor;
- Benign neoplasm in the interior of the wall of the uterus;
- The rupture of the tissue of the ovary.
It is for these reasons often pulls the waist in women. Have discomfort, lack of energy, irritability and other symptoms. However, it can be a lot of really dangerous consequences: problems with the birth of children, the violation of the menstruation cycles.
If there is pain in the lower back to the right or to the left, or even girdle lower back pain – high probability of renal abnormalities, one of which is pyelonephritis.
During the exacerbation of these types of infectious diseases is the inflammation of the kidney (one or two). Back pain, on the right – not the only symptom of this disease.
The person feels a number of negative phenomena:
- The increase of the body temperature;
- Increased sweating;
- Dysfunction of the system, urogenital;
- Loss of appetite;
- Exudative discharge.
Many of the women who decide to have children and got pregnant, there is often pain in the lower back. Associated with physiological changes in the structure of the hip belt back pain are absolutely normal and require no treatment.
Pain pain in the lower back caused by a strong increase in body weight and of the location of the fetus in the region of the lumbar region. In the last months of pregnancy can be misused, as in the lower part of the back and the lower part of the abdomen.
These symptoms are not uncommon, but if you want to discuss the matter with your doctor.
Another of the causes of pain in the lower back in women – excessive coating of the epithelium. In this disease the top skin layer of the uterus that covers the excess area of the pelvis.
Endometriosis not only causes pain in the lower lumbar, the disease can lead to serious consequences. In early treatment, the ignoring of the disease is disturbed reproductive function.
And the back pain below the waist can cause infertility.
If the pain in the lower back in women can have their period. This phenomenon is repeated periodically, so that the girls know what to expect.
Back pain right lower back pain and left lower abdomen arise as a result of the contractions uterine, and a strong increase in the body mass of stagnant water in the body.
Some women with 4-5 breast sizes may experience pain in the lower back.
In addition, the load on the thorax increases and you may receive an osteochondrosis of the thoracic, and the load on the lower back comes from the unnatural curve of the spine.
In a situation such as this, for back pain, mainly due to bad posture, slouching posture. Do exercises to strengthen the muscles – extender muscles along the spine and taking the active lifestyle, this back pain can be avoided.
Another reason for back pain in women, long-term use of shoes with high heel. When walking the pelvis slightly up and down from the back appears unusual bending. The load increases and occurs pain pain in the low back.
Some back pain on the right back connected with a period in the life of every woman.
During menopause occurs hormonal failure and the circulation of the blood in the pelvis is broken. As a result, the spine is not getting the proper amount of nutrients.
And, directly, the cause of the pain – complications of vitamin deficiency (osteoporosis, etc.).
The female body contains more fatty tissue than men. Elderly women are predisposed to be overweight, you can gain a lot of extra weight. In this situation, the spine experiences severe constant load.
Tumors of any kind, reaching a certain size, they begin to create pressure on the nerve endings.
The result can be pain below the waist to the left or to the right, depends on the location of the tumor.
Benign or malignant pathological education, it is necessary to immediately begin treatment. Any tumor can sooner or later be lethal.
Why there is pain in the lower back or abdomen? If the dress not for the weather, sitting on cold surfaces can suffer hypothermia.
The pain below the waist on the right side happens if a girl was to cool the organs that surround the pelvic floor. However, it can be very cool and lumbosacral spine.
Acute pain in the lower back right in women can be the cause of this hypothermia.