The back pain occurs quite often. Patients say, "I have a pain in the lower back", "pinched the lower back", "back pain in the lower back". If the pain inconsiderate can say "sore lower back", "pull the low back, "whines the kidneys". Sometimes, the pain describe it as a burning sensation in the back.
The lower back called the lower back of where to stop the ribs, the coccyx. Perhaps, a single word for the back, it took just to indicate where it hurts. In fact, if the back pain, in most cases evil it is the kidneys.
What can be a pain in the lower back
Most often the lower back pain occurs suddenly, unexpectedly and extremely serious. In this case, it is said of lumbago (obsolete popular name - lumbago). The pain is described as sharp, "pull". Movement bound, if not impossible, to straighten the back. Any movement of the pain intensifies.
The attack of pain can last from few minutes, and may last longer (up to several days). Perhaps because the crisis will pass, and the more pain on you-even not to remember, but often, the pain comes back, and the man was used to this as the kidneys it can hurt.
The back pain can not only be acute (a lot), it can be worn by pulling the nature and be chronic. Slack, but the sensations of pain in the lower back, sometimes aggravated, for example when making a physical effort, an infectious disease, colds, etc, are called lumbar region. Sometimes directly from the pain, but in the bottom of the back is recorded stiffness, the patient is experiencing discomfort.
Causes of pain in the lower back
Back pain can be called many causes, but the statistics here is the following:
- in 90% of cases, pain is caused by problems with the spinal column and the muscles of the back;
- 6% the cause of the pain is a disease of the kidneys;
- 4% - the disease of other internal organs (genito-urinary system, of the intestine).
At a fraction of the spine represents the majority of all cases of low back pain, and this is not by chance. In man, the centre of gravity of the body is at the waist level, and when walking, all the load is almost entirely the responsibility of the lumbar spine (in animals that move on four legs, this is not a problem). And when a person sits down, a lumbar vertebra and the sacrum are experiencing the same effect of the pressure on the diver weighs 170 metres from the water layer. It is natural that this region is particularly vulnerable.
The musculo-skeletal diseases, causing pain in the lower back:
- a pinching of the sciatic nerve. The nerve roots from the spinal cord, are clamped to the adjacent vertebrae. The result is a sharp, shooting pain. Generally, a pinch of roots is possible by degenerative changes of the spine (osteochondrosis): the intervertebral discs that separate the vertebrae from each other, are destroyed, the space between the vertebrae narrows, and the sudden movement (tilt, rotation) can cause interference to the nerve branch;
- sciatic pain (sciatica). The pinched nerve roots can become inflamed. The inflammation of the nerve root is termed radiculitis (lat. radicula - "root"); to refer to the inflammation of the sciatic nerve is sometimes used a special name - sciatica. When the defeat of the sciatic nerve can be observed lumboischalgia - the pain in the low back, spreading into the buttock and the leg along the sciatic nerve;
- disc herniation - the protrusion of a fragment of intervertebral disk into the spinal canal. Occurs as a result of trauma or degenerative changes of the spine (osteoarthritis);
- myositis of the lumbar muscles. Myositis is an inflammation of the skeletal muscles. The cause of myositis of the lumbar muscles may be cold or high voltage.
Also a lower back pain can be caused by diseases such as multiple sclerosis, degenerative sacroiliitis, osteoporosis.
The prevention of back pain
The onset of low back pain is often caused by the negligence of their health. The pain may be caused by:
- a prolonged stay in the same position (for example, when the sedentary work);
- poor posture;
- low mobility;
- the physical exertion excessive.
All of these factors contribute to the development of diseases, showing the low back pain. The risk of onset of pain can be reduced if you follow the advice of doctors:
- watch the posture;
- avoid awkward postures when you sit working. Preferably, the knees are slightly above the hips. To do this, use a low stool or support under the feet. Convey a small pillow between the lower back and the seat back;
- when the sedentary work needs time-time to get up, to move. Every hour, five-minute breaks; how to lift weights
- sleep preferably on an orthopedic mattress (elastic and pretty hard);
- lift weights for the account of the flexion of the knee, and not the back. It is necessary to crouch, knees bent, and then straighten up, while retaining a line of the back;
- transfer of the cargo, it must be divided between the two hands, carry the whole load in one hand (a big bag).
- every day you should do the set of exercises to strengthen the muscles of the stomach and back.
The pain in the lower back, the kidney disease
When the pain in the lower back it is important to determine which is the cause of the pathology musculo-skeletal or renal disease (as well as other internal organs). The diagnosis must conduct a physician. However, there are signs to suggest that the pain may be due to issues with the kidneys or other organs of the urinary system. When the manifestation of symptoms, we advise you to consult a doctor urologist. Kidney disease (or, more broadly, of the genito-urinary system) it can be suspected, if the lower back pain is accompanied by:
- the general worsening of the health (lethargy, drowsiness, weakness, fatigue);
- swelling of the eyelids, of the face. The swelling is particularly pronounced in the morning, after awakening and falls in the evening;
- fever, chills, sweating;
- the loss of appetite, nausea, vomiting;
- fast or painful urination;
- the change of the characteristics of urine may become more concentrated color, or vice-versa - is a colourless, contain mucus or blood);
- the increase of the blood pressure.
Is also a sign that the back pain caused by problems of internal organs, and not of the musculoskeletal system, is its independence of the position of the body: during the change of the position of the body and the ends of the pain does not increase and does not decrease. However, prolonged use of find in the standing position, the pathology of cheque, the pain may intensify. Has of the importance and of the location of the pain. In the case of kidney disease the pain is most often observed on the one hand (because, in general, suffers from a single kidney). The pain may not be confined to the lower back, and continue to move forward on the road of the ureter, in the groin, in the external genitalia, on the internal surface of the thighs.
Sore lower back: what to do?
Low back pain is a symptom of the disease that requires treatment. Therefore, you should consult your doctor. But in the case of a sudden attack of acute pain ("lumbago", typical with radiculitis), first of all, necessary to loosen the pain syndrome. Doctors advise:
- use easy heat. Tie on the lower back shawl wool or wool belt;
- take a pain reliever;
- you need to take the pose, to relax the muscles of the back. It is recommended to lie on your back on a flat and firm surface (board of directors); the feet should be raised and are bent at the knees, for what, under them, it is necessary to put a rolled blanket or a pillow. (On the floor of the elongation is not desirable, can blow the draft).
Proposed by the posture is not a dogma. The patient must feel a relief, so there may be other postures; for example, lying on a board, put it on bent, knees, feet, tightening them pillow. You can try to lie on the belly and legs, placing a pillow under the ankle joints.. If the severity of the pain is successfully removed, this does not mean that the doctor is no longer necessary. Without the proper treatment, the seizures are repeated, and the situation in general deteriorate.
Your doctor complain about back pain?
When lower back pain, it is best to consult a doctor-therapist, because first of all necessary to determine the disease of the bodies because of the pain. According to the results of the inspection, you may need the consultation of a medical specialist. May be appointed:
- the consultation of the doctor-neurologist - for the assessment of the state of the spine, muscles and the nervous system;
- the consultation of a doctor urologist, in case of suspicion of disease of urinary system;
- the consultation of a doctor-gynecologist - in case of suspicion or presence of a chronic disease of the organs fminin system;
- total analysis of blood and urine analysis to confirm or exclude inflammatory nature of the disease;
- the x-ray of the spine ;
- ULTRASOUND of the hip ;
- as well as other studies.