For the ability to walk on two legs, mankind paid with pain in the rear. If your back hurts periodically in the lumbar region, it may be a sign of severe fatigue or the result of staying for a long time in an uncomfortable position while working or sleeping. But the reason may be more serious.
Cause of pain
The lower back is one of the most painful areas. There are reasons for this:
- Osteochondrosis;
- Scoliosis;
- Herniated disc;
- tumors;
- tissue infection.
The nature and intensity of pain depends on the disease. And he worries in different ways: after sleep, exercise, too much work. For example, renal colic is always accompanied by pain in the lower back. And the type of activity of the patient is not important here.
- Often it hurts in the lumbar region due to osteochondrosis of the lumbar spine. Moderate in intensity pain during sleep, aggravated by physical exertion. Always tormented by fatigue. The feeling of heaviness causes the desire to lie down. But relief does not always follow.
- If there is a herniated disc, severe pain occurs after sudden movements, heavy lifting, falls.
- If the hernia is compressed, there is a sharp pain, characterized as lumbalgia. Movement in the lumbar region is limited. Damage to the nerve root signals pain in the leg.
- In old age, stenosis of the intervertebral canal often occurs. The sign is lameness, numbness in the legs, especially after long walks.
- Stiffness that occurs in the morning in the spinal region indicates the beginning of the development of Bechterew's disease. At first, a sharp pain sensation appeared in the sacral area, then spread to the lumbar area. The feeling after sleep is not rest, but fatigue, which disappears with the onset of motor activity. Young men are most affected by this disease. This disease is inherited. Basically, the lower back hurts in the supine position.
- Acute pain in the lumbar region also occurs with pyelonephritis (an inflammatory process in the kidney). They are accompanied by an increase in body temperature, swelling in the morning after sleep.
- Often in older men, diseases such as abdominal aortic aneurysms develop. Aching and throbbing pain in the abdomen is the result of aortic pressure on nearby organs.
- Back pain, fever, burning along the nerves are signs of shingles. This viral disease affects the cells of the spinal cord. A pink rash appears on the body, and then bubbles.
- Another widespread disease that many people consider harmless is flat feet. Deformed legs increase the load on the spine when walking. During sleep, the pain disappears.
- If there are congenital changes in the vertebrae: an irregular shape or a change in the gap, then sooner or later they will make themselves felt.
- Autoimmune pathology, in particular multiple sclerosis, is a provocateur of pain of various localization. Including back pain.
There are other reasons why it hurts so much in the lumbar region. This may be osteoporosis, infections of the genitourinary system, hemorrhoids, tumor diseases, complications after viral or bacterial infections. And also the physiological changes that affect women and occur during pregnancy and childbirth.
Pain caused by diseases of internal organs
When wondering why the back hurts in the lumbar region, sometimes it is difficult to believe that the reason can be in the organ. The fact is that in some cases, pain sensations from internal organs are "radiated" to the lumbar region.
- Right-sided pleurisy, pneumonia - the cause of pain in the lumbar region on the right side. Associated symptoms: cough, shortness of breath, fever. Left-sided pleurisy sends pain signals to the left side of the lower back, which is aggravated by bending over, in a supine position during sleep.
- Cholelithiasis also localizes sharp pains on the right side, just above the waist, and they are accompanied by belching, nausea. They have a piercing character.
- Lumbar pain in the lower back occurs due to pancreatitis. His friends were nauseous and vomited.
- Severe pain under the left shoulder blade is often caused by myocardial infarction.
- For men, prostate pathology gives pain in the area below the waist, with a transition to the sacrum. Women have cystitis.
- Diseases of the distal digestive tube - the cause of pain below the waist.
Pain provocateur
Pain can also be caused by factors such as:
- Body hypothermia.
- Intense physical activity.
- Certain sports (bodybuilding, bodybuilding, weightlifting, weight training).
- Crick.
- Broken.
- Menstrual cycle in women.
- Wrong diet.
- Pressure.
- Uncomfortable posture while sleeping.
Back pain in the lumbar region in children
New technologies have brought not only benefits to our world, but also dangers. why? Because the love for the computer from an early age prevents children from doing physical activity fully, forming the wrong posture.
Important: if you choose the right chair and table for your child, then curvature of the spine can be avoided!
Scoliosis can develop from wearing a heavy backpack, flat feet, uncomfortable shoes. Make sure to take care of it! Children are contraindicated in excessive physical activity, heavy lifting. When exercising in the sports section, you should be very sensitive to children's complaints about discomfort in the back after exercise. We can talk about spinal hernia. Timely treatment will allow the child to live a full life.
Types of pain
The nature of pain is divided into the following types:
- Spasms in the long muscles of the back cause acute pain. This happens due to stretching. The problem is common to athletes and people whose specific profession is associated with stress on the back muscles. In the supine position, the pain is slightly reduced. The main location is the lower back.
- Spine injuries, which are broken bones, are very dangerous. It can occur from an unsuccessful fall or be a result of osteoporosis, Paget's disease, hyperparathyroidism.
- Intervertebral disc displacement causes pain due to nerve root compression. For this reason, the patient's mobility is limited, the sensitivity is impaired, and the knee jerk is reduced. The danger of this disease is also that healthy vertebrae start to hurt, and this involves disturbances in the functioning of internal organs and is the cause of restless sleep.
- Facet joint syndrome in 31% of cases causes pain in the back. This degenerative process captures the intervertebral joint capsule and causes pain not only in the lower back, but also in the legs. The lower back hurts when sitting, by bending sideways or leaning back, by standing for a long time.
- An infectious inflammatory process in the epidural space is a very serious and dangerous disease. It can be fatal if not treated in time.
Treatment
Seeing a doctor right away when you experience back pain is the key to successful treatment. Even if the pain only bothers you at night or after sleep, there is a reason to visit a specialist.
After analyzing the cause, the doctor will give recommendations on how to treat and not get sick. Treatment will be complex, with the use of ointments, tablets, injections, massages and physiotherapy exercises.
Nonsteroidal anti-inflammatory drugs are in first place in the treatment of low back pain:
- At the initial stage, literally in the first 3-5 days, treatment is carried out with the help of injections to relieve pain and inflammation. They act quickly, effectively relieve acute pain by directly injecting the drug into the blood or muscle.
- Then, anti-inflammatory and analgesic tablets, chondroprotectors, irritant drugs are used (in each case separately).
- In addition, ointment treatment is used. Correctly selected ointment helps relieve inflammation in the affected area, and also warms (if necessary).
Reflex muscle tension is removed with the help of muscle relaxants. With their help, pain syndrome is treated, and mobility is restored. Apply from 3 to 7 days.
B group vitamin preparations are a necessary addition to the main therapy.
In some cases, drug restrictions are necessary. Anesthetics are given epidurally or paravertebrally. It is used for degenerative changes in the spine.
Physiotherapy treatment:
- UHF;
- electrophoresis;
- Magnetotherapy.
Massage relieves acute pain by increasing blood circulation. Kneading the muscles has a good effect on the elasticity and flexibility of the ligaments. To improve the tone of the whole body and only with the permission of the attending physician, massage is combined with a bath or sauna. You can not warm up during the infectious process!
Pain during pregnancy can be eliminated by wearing a special bandage.
Wearing orthopedic insoles is mandatory for patients with flat feet.
Physiotherapy
Physical exercise is also a cure. They strengthen the back muscles, improve posture, increase muscle tone, and improve blood circulation. They are used not only in therapeutic therapy complexes, but also for the prevention of pain in the lumbar region. As in the case of drug therapy, therapeutic exercises are prescribed in each case individually, analyzing the main cause of the disease. But there are some general exercises, each of which is done 5-10 times, preferably in the morning, avoiding overwork.
- While standing, tilt the body alternately to the right, forward, backward, left.
- In a standing position, feet shoulder-width apart, turn the body to the side.
- In a crawling position, do a "cat": arch the back at the bottom of the back.
- Lie on your back, bend your legs at the knees, arms along the body. Raise and lower the pelvis, gradually increasing the range of motion.
- Lie on your back, legs straight, arms along the body. Bend the legs at the knees alternately, followed by pulling to the chest.
- Standing on all fours, swing your legs alternately.
Whatever the reason, only a specialist can determine why the back hurts, identify the "cause" of the disease and prescribe the correct and effective treatment. As with any other disease, self-medication is not worth it! Any medicine can not only cure, but also harm if chosen incorrectly.