Almost every person over 16 to 18 years, regularly complains that he has a bad back. In recent years, these problems have characterized the same for the adolescents, and the frequency of complaints among adults with pain in the back that grows and develops. When he came to reference only a fifth of them. Others prefer "cope with" internal bias on painkillers in the hope that the unpleasant feelings will pass by themselves.
Each would be worthwhile to determine exactly because of this evil back in his particular case, because this symptom would have serious health problems.
The causes of the pain
Relatively young and in good health back hurts usually from overloads. It is they who are the cause of the back pain, with complaints that doctors are turning to 85% of patients. No need to be lifting weights, doing physical work in the power of specificity to be an avid country-garden work, to get into trouble with the back. Continues to find itself in the same position, for example, when you use a computer, provides the overwork, which becomes the reason why the back pain. The recommendations of physicians to draw on the back of the chair and perches him more deeply are weighted at the base. Of heavy bags, laptops, supermarket in the house, may give the same effect.
The diagnosis of "fatigue back" in the medical terminology does not exist. The pain with gentle nature letter on the "undefined causes" and treaties of peace and good landing. More attention is paid to if the feeling is not the case within a period of two weeks, accompanied by additional symptoms or with a certain periodicity. In order to determine why the back pain will need a number of material research and the consultation of doctors of different specialities.
A compression fracture
If you believe that the data of the World health organization, up to 4 % of all age groups of patients very bad back, suffer from a compression fracture. Under this diagnostic involves a crack formed in the vertebra without a strong external influence. Such a fracture common in older people; among the younger age group, to him likely patients of osteoporosis of the spine. A decrease of the bone density is not reliably withstand the severity. The fracture may occur even under the effect of their own weight of a patient, and he would notice; he will be only to note that the back hurts, for a reason incomprehensible. For this reason, the compression fractures to traumatic consequences are not.
What if the back pain due to these damages, will tell in detail the doctor. The situation to save the calmness, the strict bed rest and medication course, able to reduce the pain.
The problem on the part of the spine
Osteochondrosis
Is a chronic disease that can affect people of any age, social status and sex. With the development of the degenerative disease of disc height disc decreases, decreasing the motility of the integer division of the vertebral column, with the time appear complications not only on the part of the ridge, but also on the part of the internal organs.
Spondylolisthesis
This disease suffer up to 7 % of the population. And here's diagnosed spondylolisthesis is fairly rare: most of the patients until the last moment ignore the signaling of acute pain, occurring in the back. In principle, the disease may affect any department of the spine, but most often affects the fifth lumbar vertebra. His foot is deformed, in consequence of which begins mark on underside, extending either backward, or forward. Metaphorically speaking, when the spondylolisthesis of the spine constantly remember the post – it looks more like a staircase.
The disease manifests itself in the fact that he is constantly hurt your back, the pain can spread to the buttocks, and in some cases, on the lower limbs. However, if the disease is not too launched, the feeling of not being too spicy, which allows patients to ignore them.
Ankylosing spondylitis
It is also Ankylosing spondylitis. Mainly affects men, and of all ages. Female patients account for 16-17 %. When the spondylitis, the joints are inflamed with the bouquets; the disease progressive in nature. Usually starts from the lumbar region, but in the absence of a response, it is a good treatment, it is enough to spread quickly on the chest, and after – and cervical segments. It deals with the whole of the back: if the evil at the bottom of the back, a little bit of time and while the body remains in the gap.
The first symptoms – stiffness of the lower torso, accompanied by a pronounced syndrome. Underlines the tension of all the muscles of the back that is constant and is not up to the end of subsidies, even during a long period of rest. Almost all of the patients bemoaning the thighs with the time, Ankylosing spondylitis affects the connective tissues of the cardiovascular system, lungs, and kidneys. In medicine, the explanations on the cases in which people were affected by the same eyes.
Disk herniation
A present with disc pathology is widespread. Most often the problem people face mature of 40 years and more, but can develop in younger age. Contribute to the development of the herniated disc:
- excess weight in recent years is the most common factor causing;
- physical work or exercise weight;
- the wounds of a division of the vertebral column;
- prolonged exposure in a sitting position (especially if the workplace is organized correctly, the non-observance of the recommendations);
- the trigger of the disease: dysplasia of the hip in childhood, scoliosis, osteochondrosis.
The mechanism of development of the hernia is the degeneration of tissues such as connective and muscle. Is not supported of the muscularis the corset of the spine begins to flow, disks simulat and expressed in the edge of the pole. As a result, the patient has a very sore back, especially during weight lifting or turning inclinavit se position. The pain is also amplified by sneezing or coughing, sudden or unusual movements. Among the more than symptoms — numbness, tingling, or wattage, the feet that swarm on him "goosebumps" and the other is not too pleasant sensation.
Osteomyelitis
This is one of the few reasons that back pain. Such a diagnosis put approximately 0.01 % of patients, who were referred to a doctor. Starts osteomyelitis due to the penetration into the spinal column of infection, often, he hits with the blood flow of the urinary canal. The perversity of the disease in the fact that it develops gradually and imperceptibly, on the indisposition patient learns when the back pain and fever, sometimes dangerous, indicators.
However, it is worth mentioning: if you have painful lower back or shoulders, and the thermometer, which confirms that you are sick, this does not mean that you have osteomyelitis. Similarly, the clinical picture is observed in many infectious diseases – the flu, for example. Therefore, if highly the back pain that do, must solve a doctor. Otherwise, you can start to heal the infection of the spine, and the need to fight with the most familiar of the disease.
Back pain can also be assured of strong scoliosis and radiculitis (in his case, their intensity may crescere the flag "unbearable"), and a lot of other problems with the spine. If you are concerned about the issue, what to do in case of pain in the back, to spend their attention and the alarms to establish a precise diagnosis. Only a specialist can understand what treatment you need.
Not only the spine
How to get rid of back pain? A lot of people think that the saying is only capable of orthopedic or spine. However, this part of the body can insinuate us and problems with internal organs, to which the vertebral column has no connection:
- if the back hurts to the left, in the upper part of the body, is painful, but sometimes rapiente nature, this symptom can be a precursor to myocardial. In any case, with the heart clearly showed the discord, so to visit the cardiologist costs as quickly as possible;
- the pain affecting the lower back and datum usque in the foot, often reveal the inflammatory process in the kidneys or the organs within the competence of the gynecologist. The nature of the sensations – pulling, sharp, throbbing. Sometimes, the pain is passed, and adductors;
- a painful sensation in the area between the shoulder blades speak often on the diseases of the digestive system. Some of them are abandoned in the lower back and the patient starts to treat non-existent at home sciatica;
- the weakness of the pain in the back, highly in one of the lower limbs and the elongation of the in movement or in sitting position, can speak of sciatica, inflammation or interference of the sciatic nerve;
- cutting, but its pain in the shoulder blade, a migrant worker in the centre of the spine, and aggravated by the turn of the hull or of the inspiration – the obvious signal on the lung problems. In some cases, the manifestation of heart disease.
If the treatment of pain in the back is recommended for most patients with vertebrate diagnostics, it turns out to be ineffective, if the intensity of the pain does not depend on your position (sitting, standing, lying down), very likely, the problem is not in your spine, and in one of the internal organs.
In all these cases, it is the psychologist to prescribe the treatment. Back hurts is not by physiological reasons, but because of internal disorder. And until it will not be solved (or the patient will not agree), the discomfort may not be eliminated. Even analgesic drugs act in both weaker than expected.
Therapeutic basic
The main issue for patients is always the same sacramental: that heal? Is back pain a symptom you have to eliminate them, so it does empche to live and work. But it is very limited to the perception of a problem. The removal of the symptoms, fixes the problem temporarily. If you do not understand with the disease, which has triggered its development, the syndrome of the pain will come back again and again.
If the back pain due to problems with the spine, generally applies a standard set of therapeutic specified as a function of a diagnosis and the individual characteristics of the patient. It is composed of:
- the anti-inflammatory drugs nonsteroid series. They are at once to relieve and backache, and ortum or generandi their inflammatory process. If the syndrome of the pain is very strong, so the drugs are administered by intramuscular injection; in the most difficult cases they are supplemented by narcotics and illicit substances. As the maintenance of a drug treatment are used to, vitamins, muscle relaxants, enhances the action nonsteroids, antihistamines. If the back pain caused by a certain source of the disease, is assigned to a treatment for him – and it is applied from the first days, regardless of the intensity of the pain;
- physiotherapy. It is assigned when an acute attack of collapsed, and the procedure can cause flare-ups of complications. Among the popular and effective impacts, electrophoresis, magnetotherapy, acupuncture. In recent years, particularly recommended by doctors hydrokinesotherapy — promoting stretching of the spine, conducted in the swimming pool with warm water;
- of the physiotherapy. Without it, impossible to happen in almost all diagnoses. The deformation and degradation of the spinal column progresses, if regularly not to force him to take a good position. Gymnastics must become part of the patient's life and after the elimination of the backbone of the pain.
If the pain in the back emerged as a result of the evolution of the illness of one of the internal organs, the treatment plan changed radically. The first step remains the same, except that will only include analgesics (if the inflammation is not had time to install it in the body of the patient). On the second phase of treatment will be sent on the removal of the primary pathology: the treatment of cardio-vascular, gastrointestinal, or urinary systems. This is justified, in fact, back problems are not related to its physiological state.
Cases psychosomatic back problems is rightly to be regarded as the most complex for the patient. He must pass a comprehensive examination and obtain advice from the series the specialists, to adjust the probability of not only vertebrate diseases, but problems with internal organs. And after the conversation (a) with a professional psychologist. In our country, this doctor is seen as something unpresentable. Unfortunately, without his help, the patient will have to come to terms with the fact that he has constant back pain: get rid of the internal problems of the self-pass a few units for the sick.