The pain in the back is a symptom of disease, the more often, the muscles of the back and spine. In this article, we will understand why the back pain.
The problem in the lower back can be the result of a bone disease of the spine, the lumbar discs between the vertebrae, ligaments around the discs of the spine, spinal cord and nerves, muscles of the lower back, the inside of the pelvis and abdomen, as well as the skin that covers the lumbar region. The upper part of the back may hurt as a result of diseases of the aorta, tumors of the breast or inflammation of the spine.
Suddenly emerged short duration of low back pain is also called lumbago, and has gradually evolved chronic lumbodynia. If the back pain (tailbone) is coccygodynia.
In most cases, back pain due to musculo-skeletal disorders (microdamages ligaments and joints of the spine and after great pressure, stretching, or muscle spasms). A little less often the cause of the pain become stronger changes on the part of the spine, for example herniated intervertebral disc or a slippage of vertebra (spondylolisthesis). Finally, in rare cases, the back pain may be related to serious diseases (tumours and inflammatory processes in the vertebral column and spinal cord, diseases of the internal organs, the kidneys, heart, pancreas, pelvic organs, et al).
Generally, back pain is ongoing, are reinforced when the movements and physical activities and accompanied by a limitation of mobility of the spinal column, and sense of stiffness in the back. In most cases, a recurrent feature course, in which episodes of exacerbations, usually cause intense physical exercise, prolonged exposure in an awkward position or hypothermia, are being replaced by more or less long periods, during which the pain is either lacking or are expressed minimum.
In the vast majority of cases of back pain do not constitute a threat to the life and health of man and often disappear on their own (without treatment). However, sometimes, pain in the back can be caused by serious diseases of the spine or the internal organs.
Here are the characteristics of the pain in the back, which can be linked to pathology heavy. If you have any of these symptoms, you should immediately consult a doctor and in no case of self-medication.
Very often, during these studies reveal degenerative changes of the intervertebral discs and vertebral bodies and diagnose "degenerations". It should be noted that the low back pain is not in itself a disease, and reflects age-related changes of the spine. These changes of the intervertebral discs (including the hernia) show that virtually all males of mature age, including has never experienced pain in the back. In other words, the identification of the signs of degenerative disc disease, when the x-ray or a herniated disc when the magnetic resonance imaging does not give reasons to think that back pain is associated with them (such a decision can only draw a doctor on the basis of the results of the clinical examination).
Completely cure back pain, it is often impossible, however, you can reduce the frequency of exacerbations by using a good lifestyle and drug treatment. The treatment of back pain depends on the cause of their appearance. Choose a suitable treatment for You, the doctor can only.
The effect of the treatment can occur at the same time, it is therefore necessary to arm itself of patience and endurance. The main goal of treatment is not only the withdrawal of acute pain, but also in the prevention of the aggravation of the disease in the future.
Bed rest can facilitate the transition from acute pain in the back chronic. Taking this into account, with little pain, it is not necessary for the rest and in intense pain, it should be limited to the maximum of its duration (1-3 days).
If the back hurts, you must restrict to this time of the physical activity, in particular to avoid lifting heavy objects and long-stay in the same position; it is important to perform the movement, do not increase the load on the spine.
For the unloading of the spine and provide him a state of rest is advised to use a special belt or corset.
The treatment depends on the cause of the pain in the back, and the appointed physician after the investigation.
To relieve pain use of nonsteroidal anti-inflammatory drugs, published in the form of tablets, blister moulds for injection, creams and gels and pain medications or drug combinations. The drugs for the two groups of prescribing a short period (usually not more than 3 to 5 days). In addition, for the elimination of the pain, apply compresses with a solution of local anesthetics and drug-drug blockade (which can pass by a doctor).
When the pain associated with muscle tension, medications, eliminating muscle spasms (muscle relaxant of central action — in a period of 1-2 weeks). Take these drugs can be prescribed by a doctor.
At the present time for the treatment of back pain associated with degenerative changes of the spine (osteochondrosis), propose the use of drugs — drugs that stimulate the production of basic components of cartilage and therefore slow down the destruction. The efficacy of these drugs in diseases of the spine is not proven, the same thing can be said of many widely advertised by the food additives (usually containing medicinal plants, organic products, vitamins and others) and homeopathic remedies. Despite the fact that all of the free funds are dispensed at pharmacies without a prescription should not be taken without prior consultation of a doctor.
In order to reduce the severity of the pain, you can apply heat to dry (but not deep the warm-up) and other physiotherapy treatments, but only after consultation with the doctor.
After the end of the acute period of useful sessions of PHYSIOTHERAPY complex special (strengthening the back muscles, the abdominal muscles) and massage.
Chiropractic treatment may appoint a doctor only after the completion of the x-ray and/or magnetic resonance imaging, that allow to objectively assess the state of the spine and tissues. During the course of the manual therapy (impact on the joints of the spine, ligaments, and muscles) enables you to adjust many of the premises of the offence (for example, muscle tension, and subluxations of the joints), that sometimes allows you to quickly and effectively eliminate back pain.
Manual therapy contraindications and restrictions:
In case of improper performance of manual therapy may lead to serious complications, therefore, it must be performed only by a qualified technician (doctor, corresponding to the specialization). It is unacceptable for the holding of manual therapy through the nursing staff and the persons without medical training!
Acupuncture (acupuncture), often has a positive effect on pain in the back, in particular those resulting from the muscle tension and in line with the emotional-mental disorders. Although, according to the ideas of the traditional chinese medicine, acupuncture can be used for all diseases, it is considered that acupuncture is contraindicated in the following cases.
Yoga not only help relieve pain but also relieve tension in the muscles of the back, as well as reduce the inflammation. In only 5 minutes per day to dedicate to exercise, and to soon see the result.
