We have heard enough talk, it is that the most terrible pain in the back and the neck can occur due to the fault of intervertbral hernia, and if there is a strong pain syndrome, going to the doctor in the fearful expectation of judgment. However, the myths about impending pain hernia is exaggerated: hernia often is not the cause of the pain in the back and neck, although many older people on the photo is set at the time, even with multiple 3-4 mm of hernias. And whence arise strong pain in the back and the neck, even in the young?
Causes of pain in the back and the neck
The pain in the back and neck appear most often due to muscle spasms and joint vertebral subluxation complex. Unfortunately, the diagnosis of muscles and joints is produced in us is not well. The smaller the hernia, and the protrusion immediately identified using CT and MRI, while the subluxations and displacement of the vertebrae often remain unnoticed. Electromyography of the same, to facilitate the explicit identification of different muscle tone, often, does not stand at all.
How and why may occur abnormal cramps in the muscles or vertebral subluxation complex? Perhaps it is only possible for weightlifters or may occur only after injury or an injury of the spine?
The fact is that this can happen to absolutely everyone and almost imperceptibly.
Muscle spasms can increase on the whole of life and of themselves lead to shifts in the vertebral column and dislocation
Cramps in the muscles of the back and neck
The thrust of the muscle spasms can be used from any day-to-day things:
- Permanent uncomfortable stressful posture in a sitting position
- The second reason is a sudden movement and out of proportion to the physical activity (particularly applies to amateurs self-sustaining, repairs and zealous owners of cottages have): spasm of muscles thoraco-lumbar of the back can occur due to carrying heavy loads on outstretched in front of him his hands; the pain and tension in the muscles of the lumbosacral region occurs because of attempts to lift heavy in the tilt position
- The third reason — the muscle inflammation (myositis) due to the elementary of hypothermia. Probably, all the familiar pain in the region of the neck or back from the currents of air. Oddly enough, this happens more often in the summer than in the winter. The cause of this poorly sited work air-conditioned, with a presentation also bad of the heat (with a too great difference between the outside and the temperatures)
The symptoms of pain in the neck and back
- Cervical myositis (sometimes it is called cervical radiculitis) called lumbago, from one side: the top of the head through the ear to the shoulder and the arm
- Lumbago in the department of the dos are given in the coasts in the form of intercostal neuralgia. The location in the left part of the chest leads to the imitation of a heart attack
- Lumbar back pain (lumbago) are given in the thigh. When inflammation of the same nerve sciatica occurs acute the crisis of "sciatica", where the pain extends into the buttocks and below the whole of the back of the thigh and leg literally to the soles of the feet
The mechanism of the muscle pain
Why is the syndrome of pain occurring in the muscles, often treated is not easy, moreover, that the first attack is able to pass to himself? And why in general muscle pain?
The pain is so insidious phenomenon that looks like the beast, who is awake. Until it sleeps, everything is normal. But it's worth it to wake it up, no problems obereshsya.
If arising from the muscle spasms in the back and the neck affects through the muscles of the nerves, he turns on reflex mechanism of the pain, that looks like hell boomerang:
- A pinched nerve propagated muscle spasms (this is their natural protective painful reaction)
- The recomposition of the muscle spasms again irritates the nerve and everything is at infinity the circle
The pain simply can not be extinguished due to a reflex irritation.
The treatment of muscle pain in the back and the neck
Contributes to the development of chronic pain syndrome and ill-treatment:
- Heat cold compresses on the painful area, bathroom, crushing first result seems to be relief, but then the swelling of the muscles of the back and neck increases even more, and the pain intensifies
- The sport outfit, even with the stretching exercises during exacerbation of too much can lead to the deterioration of the reaction and without the tense muscles under the influence of the additional workload can be unpredictable. In some cases, they can relax, others to become even more strained
- A similar reaction can occur during the massage
Snub the muscles are very hard to the touch, and the man himself is extremely difficult to bend to bend, turn the neck, the lift and take aside a hand.
The treatment of muscle spasm and pain must be sent to the rapid elimination of the pain
To do this, assigned to a week of bed rest and the place:
- Five to seven days the course of analgesia and non-steroidal drugs
- In the vast sorrow in the domain of facts novocaine or Lidocainum blockade
- Sessions of relaxation post-isometric very effective static exercises to relieve the pain
- Manual therapy and acupuncture, provided that they are done by qualified professionals
- Myofascial massage - stimulating trigger (pain) points
The triggering action of a point and the area of the pain are not always the same:
- A lot of the kidneys, and the muscle is maintained well below and not at the back and the front
The offset of the joints of the vertebrae in the back and neck
The shift (subluxation) of the joints of the vertebrae — is not a rare phenomenon. The cause:
- The trauma of the spine, even ordinary furniture: a fall, a shock, a bad landing on your feet, etc
- The high inclination, the rotation of the neck and trunk, with a too great angle
- Standing muscle spasm, compress the vertebrae
The diagnosis of displacement of the joints
If the subluxation is happening after the fall or failure of the speakers, to diagnose the sudden popped and sustainable does not pass the pain. When you move, you can hear the crackling or popping
- The surprise effect of the pain should alert the physician as low back pain or hernia of the chronic pain and been present for many years
- If subluxation occurs through the fault of the muscle, to diagnose it more difficult, so that the shift develops gradually and manifests itself by a progressive increase in pain and immobility
The offset of the joints can, and do not let long live the clinical picture, except when this occurs on the transition areas:
- Cervico-thoracic
- Thoracolumbar
- The sacred
Each department has its own additional features of displacement of a vertebra:
In the neck of the uterus:
- Evil and turns his head to the ground, without knowledge of the state of
- Darkening, flies before the eyes, tinnitus
- The curvature of the neck
- The weakness in the arm, a burning sensation and numbness in the fingers (syndrome cervico-brachial plexus)
In:
- Stabbing pain between the shoulder blades, says in the sternum and in the region of the stomach
These symptoms — a frequent cause of hospitalization of patients with suspected myocardial infarction, ulcers, and even appendicitis.
To establish that the evil in the chest is not due to the heart, it is quite easy: when receiving or validol, nitroglycerin attack the pain does not pass
In the lumbar region:
- Sharp pain smack in the thigh, abdomen, and groinThat occurs when a subluxation of the vertebra in the top of the waist with pinched femoral nerve
- Pain along the back of the leg, from the buttocks
- Numbness, feelings, which reduces the legs, or they are exemptof Such phenomena speak of the interference of the sciatic nerve when the subluxation in the lower corner of the lumbar vertebra of the back
Treatment of subluxations of the joints
The best treatment of the dislocation of a vertebra is its open reduction, which is done with the help of osteopathy and chiropractic. Evil will not cease until the vertebra is put on the mouth of his place
Unfortunately, the real intelligent osteopaths and manual therapists capable of passing competent authority repositioning of the vertebra, very little.
- Start the treatment, you must also mandatory pain relief non-steroidal anti-inflammatory means
- Then, it is better to spend a literate of the session of manual therapy
- But the manual therapy — is not independent of the method of treatment, and to keep its effect, it is necessary to take measures to strengthen the patient's spine. This can be done, while strengthening the muscles and restoring balance with the help of:
- For physiotherapy
- Massage
- Electro-miostimulyatsii
Cervical and lumbar osteochondrosis
With time, the chronic cervical myositis led to the osteochondrosis, and to the reverse of the hernia, a very common cause of pain in the neck and the phenomenon is quite widespread among the very young.
- The symptoms of cervical arthritis include and vegetovascular violation, when to pains in the neck and the bottom, in the shoulder-scapular area, the hands, are added the signs of a stroke
- The pain and muscle spasms in Grado-lumbar region thing in the form of burning, in the form of chronic aching pain, interspersed with sensation as if subtracted from the feet. The approach is uncertain: the man is literally walking on the folded
If during the process of osteochondrosis cervical usually, patients go to the doctor complaining about a headache, when the lumbar to the presumed cause is already much lower, and are already starting to complain about the "paralysis of the legs".
A spasm of the muscles of the lumbar area leads to a spasm of the disease, and the contraction of blood vessels, which aggravates the blood to all organs located below the problematic of the phase, including the legs. Hence the feeling of numbness in the extremities
If the pain in the back and neck, despite treatment, did not pass during the week, there are reasons to suspect that the more severe the disease: the offset of the joints of the spine or a herniated disc.
The pain during the intervertbral hernia
Finally, arrived at intervertbral the hernia, a source of the pain is most intense in the cervical and lumbar vertebrae, and to the neck and even more dangerous phenomenon, the spirit of the extraordinary role of neck trunk "pipeline" for the vertebral artery.
The pain syndrome hernia is, in truth, the most painful and long process, as called pinched spinal nerve. But this disease does not occur on the empty place, and always secondary
As a rule of pathology above:
- Long degenerative process of the spine, e.g. osteochondrosis
- The violation of muscle function (the same pain and cramping in certain muscle groups)
- Injury and other diseases
Therefore, the expression "I suddenly herniate" evil", even if the output of the victim is often full of surprise. But here you have the coincidence of several external factors:
- The rise of gravity in an awkward position
- A sudden movement "is not there"
- The fall on the feet or coccyx, etc
The formation of a hernia is not always leads to pain:
- The front of the hernia are headed in the opposite direction of the spinal cord and never touch the nerve of the
- Herniation Schmorl, who like to scare the doctors, the more often completely asymptomatic, as if it is happening vertical impact hyaline cartilage or disc herniation into the vertebral body. This may not be in contact with the nerve
The danger does not represent that the back of the hernia
If sore in the back and the neck, made the diagnosis.
Very frequent, when a person treat a hernia, and on the photo it really is, but to be the cause of the pain can not, because there is one main reason: the compression of a nerve. The location of the hernia to exclude such a possibility
But no back pain, and it is always hard cure "of hernia, and even operate. And the causes of the pain, in fact, may be of the subluxation and the blocking of the vertebrae or muscle spasms.