Lower back pain

Discomfort in this area is known to almost everyone. People encounter it at a young age, and by the age of 30-40, pain in the lower back becomes a common occurrence.

However, only a specialist can determine why the lower back can hurt so much that it cannot be straightened, it hurts even lying down, and the pain in the lower back bursts after every movement.

Causes

People want to know why and why the lower back hurts so much when sitting or standing, with any movement the spine behind the back gives pain, so that one cannot stand up after sitting on a chair and what to do with these symptoms, how and what to treat, whyshe felt bad. It is impossible to answer these questions unequivocally and without thorough research, because there can be many causes.

Diseases of the spine

When a person complains "I can't sit and it hurts to walk", the lower back hurts when he stands up or sits on a chair, often he can't walk or stand for a long time, it's impossible to relax in a sitting position. a month, the cause is diseasesspine.

Moreover, pathologies can be congenital or acquired due to a wrong lifestyle, predisposition or injury.

Common causes of pain in spinal diseases:

• Congenital anomalies.
• Poor blood circulation in the spinal cord.
• Degenerative changes.
• Secondary nerve damage that develops against the background of changes in the position of the bones of the spine.

Deformation

Before you decide how to quickly and effectively treat lower back pain, you need to understand why your back hurts so much when you get up from a sitting position that you have difficulty standing up. Acquired or congenital deformities of the spinal bones are often the culprits.

Curvature occurs throughout life. Often a person causes changes in himself, does not pay attention to his posture or prefers to sleep in a soft bed. As a result, the load on the bones, muscles and ligaments is not physiologically distributed, which leads to pain.

People with an established diagnosis will have to experience regular attacks:

1. Kyphosis.
2. Scoliosis.
3. Lordosis.
4. Flat back syndrome.

Strict adherence to the doctor's recommendations can help in this case. Even if a person is born with such pathologies, today it is possible to stop the development and live a full life.

Osteoporosis

Pulling, aching pain that spreads to the chest may be the only sign of advanced osteoporosis. At the same time, unpleasant feelings are weak and appear irregularly. More often, discomfort is felt after heavy physical exertion or when the weather changes.

Even if the disease is not congenital, it can develop during life as a secondary disease after a series of negative influences, including intoxication and improper use of drugs.

A pathological fracture is considered dangerous. It is accompanied by a stronger pain than usual. At the same time, since there was no injury as such and it does not interfere with movement, it often remains undiagnosed. Which after some time can lead to additional complications.

The question of how to quickly cure pain in the lower back is relevant for people with osteoporosis, because in their case unpleasant attacks can be easily and quickly stopped.

Injuries

When you think about why, when I sit or stand for a long time, my lower back constantly hurts in the area of the spine, often under the lower back, try to remember if you hit this place.

Even a minor bump or fall can cause serious injuries that are not easily detected at first glance.The most common causes of traumatic back pain:

• Contusion of the spinal column.You can easily get it by unsuccessfully falling or colliding with your back. It is manifested by mild pain, sometimes by the formation of swelling or bruising at the site of the impact. Most often it does not require special treatment. However, in severe cases it can cause neurological symptoms.
• Compression fracture. It occurs more often with forced sharp bending of the trunk. Later it manifests as severe pain when moving. Sharp processes of the vertebrae can be felt locally.
• Vertebral subluxationit is revealed not only by pain and swelling, but also by frequent numbness at the site of the injury. The lower limbs also gradually begin to go numb.

It is extremely important to be extremely careful with bumps and falls in the spine area. Due to mild pain, it is easy to miss serious damage that will subsequently lead to greater life limitations.

Infections

The cause of burning chronic severe pain that constantly aches, stings, grips and does not go away in the lumbar and lower back can be infections.

There are pathologies that affect the spinal column. Without treatment, these diseases will quickly turn a person into a disabled person.Spread of infection:

1. Osteomyelitisit can be introduced into the body through an injury, during surgery or through contact with another infected person. The infection causes sharp, severe pain that occurs with any sudden movement. In this case, the chronic course of the infection is characterized by smooth manifestations of pain. In addition, the person suffers from intoxication, chills and fever.
2. Epidural abscessleads to severe pain, combined with chills and strong muscle tension.
3. Tuberculosis of the spinal columnit develops slowly but inevitably. At first, it manifests itself only as periodic pain after physical exertion and stiffness of gait. As the bones decay, pain increases and the ability to move fully decreases.

Local inflammation

In addition to the constant spread of unpleasant sensations, sometimes people feel stabbing pains in the lower back, in the lower back, when sitting, what it could be and what it is called is determined by the specialist based on the results of examinations and tests. The cause is local inflammation.

Ulcers, carbuncles and paranephritis are easily recognized. The first two phenomena are lumps on the skin that react painfully to the touch. In the case of paranephritis, fever first appears, and after 2-3 days there is severe pain, which prevents full movement and walking. The condition is considered serious and requires hospitalization.

Infectious diseases

Sometimes the explanation of why the lower back can hurt, constantly crawls into it, grabs when you stand for a long time, and sometimes the back starts to hurt as if it will soon fall off and the decision of what and what to do for treatment can be infectious diseases.

Increased temperature, intoxication, the need to find a more comfortable position, pain in the muscles and joints - these are the signs of an infected person. It often occurs in severe cases of ARVI or influenza.

Similar symptoms may also indicate an infection:

• Ebola fever.
• Human foot and mouth disease.
• Severe course of the corona virus.
• Generalized forms of viral or fungal infections.

If such signs appear, consult a doctor immediately, as the condition may worsen in a few hours.

Muscle damage

When you understand why the lower part of the back hurts and pulls, why it tightens the back in the spine area, why when sneezing it radiates to the back which has started to hurt much more often, it is necessary to first determine the cause and decide what to do.

In addition to problems directly with the spine, a person can also be hindered by muscle damage. This problem is often encountered by professional athletes, people who do a lot of strength training or do physical work. After excessive tension for several days, painful sensations appear in the muscles of the lower back, which disappear under the influence of drugs, warming ointments and massage.

However, there are also chronic changes in muscle tissue that often occur against the background of serious diseases and are their consequence. If they are detected, complex therapy is carried out, sometimes even surgical intervention is required.

Types of pain

To understand what helps lower back pain and how to get rid of it, you need to pay attention to the characteristics of the symptoms.

If the unpleasant sensations appeared suddenly and recently, then the phase is called acute, and if you suffer for more than 3 months, then it is called chronic.

Depending on the intensity and variety of sensations, they differ:

• Mechanically.It occurs after heavy physical activity, often in the afternoon, with a feeling of fatigue. It is easily treated with rest. Most often, it is a consequence of the degradation of the bone structures of the spine or its severe curvature.
• Inflammatory.It gets stronger after rest, periods of immobility. After a while, it weakens due to constant movement or taking anti-inflammatory painkillers.
• Locally.The result of direct damage to muscles, joints or ligaments. It concentrates directly on the damage site.
• Koreshkovaya.It occurs when nerves are pinched due to injury, tumor or hernia. Simultaneously with the onset of pain, the sensitivity of the injury site also decreases.
• Reflex.The most dangerous type because it deceives people. The patient thinks he has pain in the lower back, but in fact these are reflected feelings that arise due to diseases of the internal organs.
• Myofascial.A protective mechanism, as it occurs due to muscle spasm when bones are damaged.

Depending on the description of the sensations, the doctor will be able to understand what kind of illness the person contacting him has in the first minutes.

Which doctor should I contact?

As soon as there is an unpleasant crack in the lower back, constant pain or discomfort, the question of visiting a doctor arises.

Since this part of the body is specific due to the fact that there are not only the spine and muscles, but also a large number of internal organs, which can also cause discomfort if the disease develops, self-medication with Dom is not recommended at all. Due to the inability to determine the source of the pain, the situation can worsen.

Initially, it is better to consult a general practitioner with such symptoms. Based on the symptoms that appear, the characteristics of the pain and the location of the lesion, they will be able to determine which specialist should solve the problem.You may be referred to:

1. A neurologist.
2. To the surgeon.
3. Urologist or gynecologist.
4. Nephrologist.

After the examination, they will prescribe the necessary tests to determine the exact cause of the complaints.

By deciding to go to a specialist yourself without first consulting a therapist, you risk making an incorrect diagnosis and losing valuable time.

Diagnostics

Very often, patients turn to the doctor when they experience hellish pain in the back, so strong that it hurts to stand up and walk without even standing up, why does the center or lower part of the back hurt, what can be bothering your spine, what causes the condition, andwhat to do, what treatment for lower back pain.

diagnostics:

• Patient interviewcollecting data on signs and time of disease development. It is also important to learn your medical history and identify chronic diseases that may affect the development of seizures.
• Neurological examination.The doctor checks whether the reflexes are preserved, how much muscle strength and reaction speed have been affected, and how much movement is limited. Additionally, the degree of surface and deep sensitivity is examined.
• X-ray of the affected area of the back.The image will show the injuries sustained, pathological reduction of the intervertebral space, curvature and the beginning of degenerative processes. New growths are also revealed.
• CT or MRIis used to clarify the obtained data. They help to determine the location of even small hernias or processes on the spine, help to understand where the pinched nerves are located and why this happened.
• Functional studiesthey aim to determine the condition of the muscles and the degree of nerve tissue damage, the speed of the passage of the nerve impulse.
• Laboratory tests.Blood sampling is necessary to determine whether the inflammation is of an infectious nature.

Additionally, depending on the indications, an X-ray of the internal organs located near the painful area may be prescribed. This is done to prevent exacerbations of chronic diseases of the kidneys, gastrointestinal tract or genitourinary system.

Treatment

It is extremely important to properly provide first aid to the patient and transport him to a medical facility without further injuries. In the event of an attack, place the person on something hard or lighten the load on their back, then take them to the hospital.

How and with what to treat the back and what to do when the back in the middle of the spine is very strong and constantly hurts in the lumbar part, lower back, the doctor decides only after finding out the reasons why it happened, treatment in this case is prescribed both conservatively and in the form of surgeryinterventions.

Before the examination, it is not recommended to use drugs to suppress symptomatic pain, only one dose of analgesic is allowed.

After the examination and diagnostic measures, the doctor will prescribe the appropriate treatment that is complex for back diseases.Therapy includes:

1. Taking medication.
2. Physiotherapy.
3. Use of external drugs.
4. Changes in lifestyle.

In severe cases, surgical intervention is performed.

Several types of medication are used to treat back pain:

• NSAIDs are pain relievers and anti-inflammatory drugs.During the first visit, it can be administered by injection, and in the future, doctors recommend a combination of tablets and ointment with a similar effect.
• Local anestheticsit is used to create a blockage in cases where the pain becomes unbearable.
• B vitaminsenhance the action of other drugs, stimulate improved blood supply to the affected back area.
• Physiotherapyit is carried out after the relief of acute pain. As soon as the attack stops, a special therapy is selected that has a positive effect on the condition of the spine. In addition, a set of physical therapy exercises is prescribed.

Surgical intervention is an undesirable option for the development of the situation. Since the spine is one of the most complex organs of the human body. There are many points in its vicinity that affect the functioning of the body, so doctors try to perform as little surgical intervention as possible. However, there are hopeless situations in which it is impossible to restore health without a surgeon's scalpel.

Surgical intervention is required:

• In case of tumor formation.They are removed regardless of whether they are benign or malignant, because their gradual increase brings serious pain and can cause paralysis.
• intervertebral hernias,gradually destroying the space around him. They are the culprits of constant, unceasing pain.
• Narrowing of the intervertebral canal.
• Instability of spinal elements,severe injuries that require additional fixation of the bones in their places.

After treatment or surgery, the patient must be prepared for the fact that there is still a lot to be done in order to finally say goodbye to pain.

Rehabilitation

Depending on the reasons for which the spine hurts in the lumbar region and the intensity of the pain, treatment is prescribed. However, taking a course of medication and possible surgery is not all it takes to return to a full, healthy life.

More often, additional rehabilitation includes physical therapy procedures.Frequent appointments:

1. Massage.Moreover, it is not recommended that you choose this procedure yourself.
2. physical therapy course, which is performed under the supervision of an experienced trainer who knows at what speed and intensity the exercises must be performed. It is also possible to use specialized simulators.
3. Manual therapy.
4. Acupuncture.
5. physiotherapy,aimed at the additional use of painkillers: electrophoresis, magnetic therapy, laser treatment.

When deciding how to treat severe, acute or painful back pain in the lumbar region, the doctor determines what to do if the spine constantly aches and hurts, the muscles are affected and stiff, depending on the reasons, additional treatment is prescribed. In which the course of restorative procedures that will help improve well-being and return to a healthy state is prescribed in additional detail. Patients should be prepared that the rehabilitation period may last more than a month if nerve endings or vertebrae are seriously damaged.

Consequences

If, turning to your friends with a complaint: "If the lower back suddenly hurts for no reason, the back falls off, what to do in such a situation? " in response you hear only a suggestion to take painkillers, do not hesitate to follow this advice.

The main consequences of untreated spinal diseases:

• Greater spread of painintensification of attacks due to the fact that healthier tissue will suffer from the gradually expanding problem area.
• Sharp deterioration in the functioning of the cardiovascular system.And problems in this area can lead to the development of chronic diseases of any organ, including deterioration of brain function.
• In the worst cases it is possibletemporary or permanent paralysis of limbs.

Also, self-medication without a preliminary diagnosis or doctor's prescription can lead to deterioration of well-being. And later, the course of treatment and recovery will become long and complex.

Prevention

The main medical direction that helps to maintain health and avoid unpleasant days in which you will be deprived of the opportunity to live a full life is prevention. It will help to avoid inflammation or the occurrence of many diseases of the lower back.

You must follow a few rules and tips:

1. Choose a medium firm mattress for the bedroom.
2. If you move a little during the day, but sit a lot at the computer, take a few minutes break every hour to do a short warm-up of the lumbar spine.
3. Get rid of bad habits.
4. Try not to make sudden, thoughtless body movements.
5. Exercise regularly. Even a small 15-minute exercise in the morning already has a positive effect on the condition of the spine. After the age of 30, it is best to find a hobby that will allow you to achieve the necessary physical activity, with a small chance of injury. Consider doing yoga or swimming in the pool to stay in shape.
6. Control your posture.
7. Avoid severe hypothermia in the lower back.
8. Observed diseases should be treated on time.
9. Go for regular check-ups.
10. If you experience back pain, contact the clinic immediately for a consultation.

Painful sensations in the spine are one of the most unpleasant. In addition to direct pain, they also carry with them stiffness of movement, which prevents them from living a full, normal life.

The sooner professional treatment for back problems begins, the sooner a person can return to a full life. And neglecting your health in this case can lead to disability.