Back in the lower back

The condition when it hurts, the back hurts in the lower back, often happens.In most cases, a person turns to a specialist when the pain becomes constant or is acute.In this case, a long examination cannot be avoided to clarify the cause of pain, long treatment and recovery.It is easier to prevent the development of possible diseases and consult a doctor at the very beginning, when the lower back has just started to get sick, the pain is not constantly present and does not manifest itself in an acute form.

Causes of lower back pain

causes of back pain in the lower back

There may be many causes that cause pain and discomfort in the lumbar region.Factors causing the state when the back hurts in the lower back, its causes can be divided into 2 main groups: primary and secondary.The primary group includes pathologies of the spine, the state of the bone muscle apparatus of the lumbar region, causing pain in the lower back:

  • Lesions of osteochondrosis, osteoarthritis of the lower back and sacrum;
  • Stretching muscles from the back of the rear, which can cause intense pain;
  • Damage, bruising, spine injuries;
  • Hernia of intervertebral discs;
  • On the pressure of the spinal muscles of the lumbar region.

The secondary group combines diseases of the internal organs, a condition against which the lower back begins to fall ill:

  • Pathology of the gastrointestinal tract.A stomach and duodenum ulcer, infectious intestinal lesions cause pain in the lower back.Not only can the affected organ do harm, but pain gives the lumbar region, but pain syndrome hurts, pulling in the wild;
  • Urinary system diseases (kidney disease, stones, cystitis);
  • Lesions of the organs of the reproductive system.Pathologies are manifested in pain of a different nature, located in the bottom of the abdomen, radiating downwards;
  • An acute appendicitis attack, acute pain at the bottom of the abdomen on the right gives the lower back;
  • Pancreatitis, in which pain occurs in the lower back on the left;
  • Liver diseases.Pain is located in the right side, accompanied by bloating, pain in the lower back on the right;
  • Endocrine system pathologies;
  • Respiratory diseases.The lungs pleurisy often causes the condition when the lower back begins;
  • The emergence of neoplasms.
  • Lumbar pain is often caused by pathologies inherent in one or the other of sex.

In women

In women, the back of the back, pulls the back in the lower back, causes the following diseases:

Why do back pain occur in the lower back
  1. Cystitis, which is observed more often in women.In addition to pulling lower back pain, there is a burning sensation during urination, the pain from the bottom of the abdomen before and after it;
  2. Infectious process in the vagina.Often, unspecified lumbar pain cause infectious diseases: candidiasis (thrush), bacterial vaginosis, vaginitis;
  3. Adnexite (the occurrence of an inflammation of the appendices of the uterus), in most cases, causes not only pain not only at the bottom of the abdomen, but also in the back;
  4. Pain after childbirth located in the lumbar and the sacrum;
  5. Abortion.A stressful state, often occurring in endometrite, reduction of the uterus causes pain in the bottom of the abdomen and back.
  6. Menstrual cycle.The low back pains that occurred during menstruation, in most cases, is not a sign of pathology, because the uterus increases during this period submits to the back muscles, which causes pain and discomfort.

In connection with pregnancy, a woman can feel pain in the lumbar region.The lower back can hurt any baby carrier stage.During the first weeks, the stomach, the lower back can fire, the appearance of a small amount of bloody discharge is possible.Before childbirth, the center of severity occurs, excessive pressure and load are in the lumbar region.In the premium pain period in the lower back, they can be located in the left or right part of the back of the back, in most cases, this signals the curvature of the spine.

In men

To answer the question "why does the back hurts in the lumbar region in men" will help a number of the following diseases and conditions:

  1. Inflammation of the prostate gland.Pain is located at the bottom of the abdomen with the return to the lumbar region, often in the groin;
  2. The inguinal hernia, characterized by an acute pain syndrome (until loss of consciousness), radiates in the lumbar region;
  3. Inflammation of the testicles and their appendages, accompanied by pain in the bottom of the abdomen and the back;
  4. Injuries and damage to the musculoskeletal apparatus of the lumbar region.Excessive charges associated with work activity or sports pastime can cause lumbar and lumbar bruises;
  5. Fractures of the spine, the cause of which can impose not only serious damage, but frivolous injuries.

Which cannot be done with back pain

Only a specialist can identify the deep cause of lumbar pain.If there is no way to visit a doctor immediately when painful sensations occur, it is worth observing a certain number of rules which will help to prevent deterioration in the condition.In a situation where the back hurts in the lower back for a long time, even if the pain is not sharp and cuts, in no case:

Continue active physical activity.It is necessary to limit as much as possible the intensity and time of movements, to relax more and relax in the horizontal position.Do not panic and nervous, from this, the condition can worsen - the stresses improve pain syndrome, cause severe tension in the muscle apparatus.It is worth stopping sports, physical actions linked to loads in the lumbar region (inclinations, even lifting small tilt weights, for a long time in sitting position, standing, long walks. If it is not possible to lie down, you must move very well and slowly, the movements should not be clear, dried.

How to treat back pain in the lower back

Try to get rid of lower back pain by warming with heating pads, hot bathrooms.Such heating can worsen a painful condition, lead to an exacerbation of the pathology.Heat, relieve pain using warming compresses applied to the affected area.Among the folk recipes, you must pay attention to a mustard compress or a lotion of yolks and alcohol.You can apply an anesthetic ointment and warm -up to the pain of pain.Compresses and ointments, having a warming and analgesic effect on the lower back, do not contribute to a deterioration of the condition, to the exacerbation of a possible disease, because they have a local effect.

Prescribe drugs yourself.In no case should you diagnose and prescribe drugs.Only a specialist can accurately diagnose the disease and prescribe adequate drug treatment.Uncontrolled drugs can strongly worsen the condition, cause exacerbation of the disease and cause complications.If a pronounced pain syndrome occurs and the impossibility of visiting a doctor or calling an ambulance, you should relieve the pain.Analgesics with an anti-inflammatory effect will help this.

Delay a doctor's visit process.The longer the specialist's visit, the longer the examination will clarify the deep cause of the disease, the treatment and recovery period.On the first occasion, you must visit the therapist, who will carry out a physical inspection, send it to the necessary exams.After a general diagnosis, the therapist will direct the patient to a narrower specialist (neurologist, gastroenterologist, endocrinologist, gynecologist, surgeon).In some cases, redirection is already carried out on the basis of a physical inspection, tests and studies which allow you to identify the deep cause of pain in the lower back by a narrow specialist.

Draw an ambulance call.There are a certain number of cases to delay and delay with an ambulance call can have serious consequences:

  • Pain syndrome is acute, pain cannot be tolerated.Similar sensations can cause acute inflammation of the annex, an inguinal hernia in men;
  • The medium -sized pain is persistent for a long time (for example, if the back hurts in the lower back for an entire week);
  • The lower back pain is accompanied by intense pain in the gastrointestinal tract, the pelvic organs (pain, "hop", "cut", pulls the bottom of the abdomen);
  • The lumbar pain drawn is accompanied by the absence of intestinal emptying for several days;
  • In the excrement, there are blood clots, the excrement acquire black.

Examination for back pain

When a patient appears to the specialist that the back in the lower back is very injured, the doctor performs, an investigation with the patient, paying attention to the following points:

Back pain therapy options in the lower back
  • Age criterion.Elderly patients are most sensitive to lesions of osteochondrosis and osteoarthritis.More older person, the risk of neoplasms of a different nature (malignant and benign) in different parts of the body, which can be accompanied by pain in the lumbar region, increases.Young patients are often exposed to injuries from the bone muscle on the lower back, chronic joint diseases (spondyl arthropathy), vertebral diseases caused by overloads in the lumbar region are possible.In small patients (up to 10 years), it is worth excluding kidney diseases, organic lesions from the spine (osteomyelitis, tumors);
  • The side of the pain is left, right;
  • Concomitant symptoms (pain at the bottom of the abdomen, pain in the umbilical region, pain on the right, left side);
  • The nature of the pain is acute, cut, painful, pulling;
  • The pace of pain during the day.In most cases, diseases of the spine have a certain daily rhythm (calm, intensify).In cases with oncological neoplasms, osteomyelit is not calm.

Neurological examination

  • Tests are carried out to determine the nerve end raped in the lumbar region;
  • Sensory tests, pain identification, numbness, mobility disorders;
  • Motor tests that determines muscle weakness;
  • Laboratory and instrumental diagnostic methods;
  • Blood tests which allow you to determine the level of hemoglobin, the rate of colony of red blood cells (ESR), the calcium content;
  • General analysis of urine;
  • X -ray.Photos of different projections of the affected area are taken (the basin, the lumbar region is examined);
  • MRI and computed tomography.Studies make it possible to visualize the vertebral canal in detail, to identify the compression disorders of the nervous processes.TDM helps to identify pathologies and bone disturbances, MRI reveals pathological conditions of soft tissues;
  • Radio-Isotopic studies that allow you to qualitatively identify the location of tumors, homes of infection;
  • Electromiographic studies (EMG) are carried out to confirm violations, lesions of the nerve roots in the affected area.
Massage for pain in the lower back

Additional tests and studies allow you to make an accurate diagnosis.If you suspect diseases of the organs of the reproductive system in women, moreover:

  • A vaginal smear is taken for a degree of purity, the bacterial cultures of a cervical channel;
  • Ultrasound studies (by stomach or transvaggingly);
  • An X -ray of pelvic organs.

In case of suspicion of diseases of the digestive tract, they are prescribed:

  • Radiography which allows you to obtain organ images, to identify neoplasms, anomalies, ulcerative lesions;
  • Radioscopic studies that allow you to determine functional disorders;
  • Computed tomography;
  • Radio-isotopic studies that allow you to study the movement processes of food masses along the digestive tract.Studies allow you to identify liver diseases, pancreas;
  • Ultrasound allows you to assess all the necessary parameters of the digestive tract, to detect tumor formations, stones, cysts, conduits, blood vessels.

How to treat lower back pain

When the specialist, based on diagnostic measures, discovered why the back hurts in the lower back, he appoints a set of medical measures.In most cases, treatment is united:

  1. Medicine.Preparations are prescribed according to the cause of the disease: damage to the musculoskeletal apparatus eliminates NSAIDs (non-steroidal anti-inflammatory drugs), analgesic, drugs that stimulate the regeneration of the fabric of the bone caterpillar.The preparations are prescribed in the form of tablets, drops, ointments and gels.In the event of neuralgia (when pain occurs due to the violation of the nerve), drugs that have a relaxing effect are prescribed.In cases where pain syndrome occurs in the context of diseases of the digestive tract, drugs can also be prescribed to improve the work of organs which help their normal functioning, restaurants organic disorders;
  2. Food therapy.This type of treatment is optimal for any disease.Appropriate and balanced nutrition helps the body restore the necessary balance of vitamins, minerals necessary for its normal functioning.A specially designed diet allows the affected organ to recover more quickly, filling the elements necessary for its uninterrupted operation;
  3. Manual therapy and massage.In most cases, it is used for lesions of the spine.There are a large number of contraindications, so it is important to undergo a manual therapy and massage lesson after agreeing with a doctor.Manipulations have a positive effect: blood circulation in the affected area is improved;Muscle cramps are removed, unexpressed pain;Toxins are excreted;The necessary relaxation occurs;
  4. Physiotherapy.This direction is based on the use of natural forces and combines treatment with current, dirt, hydrotherapy and treatment with a magnet.
  5. Therapeutic gymnastics.One of the most effective components of the treatment of any disease.The effect of gymnastics exercises is comparable to massage manipulations, but has a longer result.The LFK can be carried out when removing pain syndrome, slowly and gently, in the recovery period.Particular attention when exercising exercises is paid to the respiration by the diaphragm.This respiratory technique is effective in combination with exercises that eliminate lesions from the spine.Diaphragm breathing is effective in the treatment of various internal organ diseases, even without special physical exercises, having a stimulating effect and a gentle massage.
  6. Traditional medicine.Some non -traditional medicine recipes can be used before visiting a doctor.When the lower back hurts or hurts, you cannot use hot baths, warming up with electric or rubber heating pads.This can lead to an exacerbation of the disease, increased pain.It is optimal to use hot-up compresses which have a local effect which have no side effects (irritation can occur on the components):
    • Mustard application.2 teaspoons are mixed with 1 spoon of almond oil and 100 ml.Hot decoction of the oak bark.A piece of gauze is wet with this mixture and applied to the painful stain.The application has a slight warming effect, anesthesia the affected area;
    • Compress alcohol with egg yolks.To prepare a compress, you must take 50 ml of alcohol, in which 2 yolks are added.The ingredients are carefully mixed, applied to a bandage or a piece of gauze and applied instead of pain.The compress lasts about 2 hours, after which it is washed with lukewarm water.

The doctor prescribes herbalization, compresses as an additional treatment, when the diagnosis is known:

  • One of the universal decoctions of oral administration is the perfusion of chamomile, calendula.2 tablespoons of flowers are brewed with a glass of boiling water, the decoction is infused, filtered and taken inside twice a day;
  • Effective as anti-inflammatory, catering, antibacterial agents in pharmacy prices based on plants (kidney costs, gynecological, gastric collection);
  • The therapeutic phytochai, which has a pronounced support and recovery effect, has a pleasant taste.