Backache-One of the most common complaints of patients with multiple diseases. Almost everyone has experienced pain at least once in their lives, most commonly in the sacrum, or between the lower edge of the ribs and the hip folds, that isLow back pain(BNS).
Low back pain is usually accompanied by muscle tension, often accompanied by pain points. It can radiate (give) other parts of the body, such as the legs, gluteal muscles, stomach, pelvic area, etc.
Acute low back pain usually occurs suddenly and can last from a few minutes to a few weeks. Generally, in 90% of cases, low back pain will go away on its own within 3-4 weeks. However, in the remaining 10% of cases, it will become chronic and last for several years, sometimes worsening, and then gradually subside. In most cases, the real cause of low back pain cannot be determined.
Low back pain-causes
Many diseases can cause low back pain.Low back pain(BNS) is actually just a symptom that occurs with the development of a large number of pathological processes in the thoracic and abdominal organs, small pelvis, and spinal structure; in addition, it may be a psychological factor.
Pain in the upper lower back
Gastric ulcer and duodenal ulcer can cause back pain above the waist. Reflex pain is usually located in the lower back or slightly higher, and less frequently in the upper quadrant of the body.
For pancreatitis and cholecystitis, pain usually occurs in the projection area of the sixth to eighth intercostal space.
In pathology in the genitourinary field, reflex pain is usually located in the lumbar region and the lower thoracic level of the spine.
Low back pain, right or left
Low back pain on the right or left side is usually a sign of kidney stones. In the case of kidney stones, the stones growing in the kidneys compress the slender substance of the kidney from the inside, sometimes causing severe pain in the lower back on the left or right side of the kidney where the stones are located.
Pain in the lower back radiating to the legs
When kidney stones pass through the ureter, severe pain in the lower back can radiate to the lower back, legs, abdomen and genitals. Usually, back pain radiating to the legs may be a signRenal colicAccompanied by kidney stones.
In addition, low back pain radiates to the legs and is accompanied by low back pain. Ishalgia mainly manifests as leg pain during recovery.
Side back and back pain
In acute or chronic inflammation of the kidneys, low back pain radiates to the left and right sides. Kidney pain that lasts for several days and is accompanied by fever, chills, and dysuria (urinary system disease) indicating a diseaseAcute pyelonephritis. . .
backache
Processes in the pelvic area (uterus, appendages, bladder, intestines) can cause lumbosacral pain. However, there are usually secondary myotonia syndromes (gluteus mini and muscularis reflex disorders, piriformis syndrome, pelvic floor syndrome, sympathetic sternum syndrome) and lumbar spine pathology and the chronic process of lumbar spine organs and tissues. Combine. Small pelvis. Such patients require combined treatment by neurologists-neurosurgeons, urologists, gynecologists, and rectal doctors.
Low back pain
Pelvic tumors, especially at the beginning of the disease, can simulate lumbar spine pain, and with the vertebral process, patients sometimes undergo neurosurgery to treat lower lumbar hernias. This is related toChondrosarcoma, Ewing's sarcoma, reticulosarcoma, osteoblastomaAnd some others. Mandatory X-rays can usually solve diagnostic problems. It should not be forgotten that the general physical and hematological condition of the patient can determine the oncology aspect of the disease.
Low back pain and pelvic pain
Differential diagnosis is difficult in the latent course of pelvic tuberculosis. At this time, body temperature and erythrocyte sedimentation rate are not increased, and the pain can be similar to lumbar ischialgia syndrome of lumbar osteochondrosis. This process can be carried out in secret from childhood and adolescence, and manifests itself in adults in the form of sacroiliitis. In recent years, the problem of tuberculosis has become urgent again, and doctors must keep these manifestations of the disease in mind.
Therefore, waist and waist pain is usually not related to any disease of the spine, but is a worrying symptom of a completely different visceral disease. Therefore, if back pain occurs, a thorough examination is required.
Low back pain in women-causes
Pulling back pain
Women with back painOften associated with premenstrual syndrome. This pain is usually traction, occurs a few days before menstruation, lasts 2-3 days after the onset, and then disappears on its own.
Pain in women's lower back and abdomen
The painful period associated with premenstrual syndrome in the lower back and abdomen with cramps and heavy bleeding in the lower abdomen may be symptoms of severe reproductive diseases, such as:Endometriosis, Uterine Fibroids, Polycystic Ovary Disease (PCOS)and many more.
Abdominal pain radiates to the lower back
Female abdominal pain can radiate to the lower back, lower abdomen, vagina and external genitalia.
It must be remembered that pain in the abdomen and waist of women may be a symptom of dangerous diseases in the pelvic area, such as the formation of uterine fibroids, hyperplasiaEndometrial tissueOutside the uterus, the formation of adhesions, cancer of the reproductive organs, etc.
In addition, severe pain in women's lower back and lower abdomen (especially on the right or left side) may be the result of ruptured ovarian cysts or symptoms of ectopic pregnancy.
Low back pain during pregnancy
Generally, pain in a woman's lower back and abdomen indicates the natural physiological changes associated with the enlargement of the uterus during normal pregnancy.
Low back pain during pregnancyIt is related to the extra pressure on the spine, which is normal and does not require special treatment. However, pregnant women with severe back pain should always consult the doctor who guided the pregnancy.
Low back pain in men-causes
Lower back pain in men is most often related to spinal degenerative diseases, especially work related to heavy physical exertion and weight lifting. In addition, low back pain may be related to various visceral diseases.
Severe back pain
Clumsy exercise, improper load distribution, etc. will cause severe pain in the lumbar spine. This pain is usually related to muscle spasms or disc displacement. Muscle clamping at the roots of spinal nerve endings may also cause pain.
Back pain and groin pain
Pain in the groin in men that radiates to the lower back may be related to prostate adenoma, testicular torsion, tumor, urinary system disease, etc.
Classification of low back pain
This classification is widely used in many countries to optimize the medical services of LPS and distinguishSpecific, radical and non-specific BNS. . .
Specific back painIt is a symptom of a certain disease, usually severe and even life-threatening (cancer, including spinal metastases; infectious-tuberculosis, spinal osteomyelitis, epidural abscess, etc. ; inflammatory, such as ankylosing spondylitis and other spondyloarthritis; Traumatic and osteoporotic vertebral fractures; abdominal aortic aneurysm, gynecology, urology and kidney disease, spinal stenosis and cauda equina syndrome, etc. ).
A specific LPS is usually accompanied by "red flags" of underlying disease characteristics, which helps doctors suspect that the patient has a serious pathology and purposefully examine it (preferably with the participation of an appropriate specialist) to determine the correctnessDiagnosis and treatment.
Radical (radical) pain in the lower back, Including sciatica syndrome, is the result of compression of the root of the spinal cord.
The management of patients with radical LNS is the prerogative of neurologists, and the involvement of neurosurgeons is required under special indications. In practice, these patients often turn to chiropractors for help.
Distinguish between radicular pain in the lower back:
- Low back pain,orLow back pain;
- Low back pain-Long-term pain only in the lower back;
- Low back pain-Back pain radiates to the legs.
Non-specific low back pain-Most common, not related to any serious pathology of visceral diseases, spine, spinal cord and its roots. It may be caused by overload of the lumbar spine, especially related to heavy lifting, uncomfortable posture during sleep or work for a long time.
Therefore, it is very reasonable not to include the planned X-ray examination of the spine in the examination recommendations for patients with non-specific low back pain (NLP) syndrome. Such patients do not require mandatory consultation from a neurologist, but should be treated by a family doctor, area therapist or general practitioner.
Low back pain and "Lumbar osteochondrosis"
Lumbar osteochondrosis(Lumbar osteochondrosis)-The most common diagnosis, for patients who complain of lumbar spine pain. However, it is impossible to determine the development of lower back pain episodes in each case, and the "degenerative dystrophy" changes that usually actually exist in the patient's spine, thereby making a "habitual" diagnosis"Osteochondrosis worsened"Or simply"Osteochondrosis". . .
For waist or lower back pain, the diagnosis is usually written like this:"Back disease. Lumbar osteochondrosis. Sciatica. Lumbar spondylosis". . . Although, the correct diagnosis in this case should look like this:"Low back pain accompanied by sciatica in the background of lumbar osteochondrosis. Lumbar spondylosis. (Code М54. 4)".
It should be noted that there is no disease classification unit in any foreign degenerative malnutrition disease classification."Spine Condyle". . . Also, whether it's the term"Osteochondrosis"And any other terms describing changes in spinal dystrophy should not be used as a synonym for clinical diagnosis.
RicketsIs the dystrophic change of the intervertebral disc cartilage,Osteochondrosis-Malnutrition changes in the intervertebral disc and adjacent vertebral bodies. However, both radiologists and clinicians are ignorant of the signs of changes in spinal dystrophy(Chondrosis, osteochondrosis, spondyloarthropathy, spondylopathy, bone hyperplasia, etc. )Lead to overdiagnosis: These types of pathologies are found where they do not exist.
Usually, due to not knowing the difference between them, osteochondrosis is called all the degenerative changes listed. Due to misunderstanding, osteochondrosis includesHerniated discThis is the result of its rupture, which is usually a normal intervertebral disc, which will not change due to the malnutrition process. Although, referring to a herniated disc as osteochondrosis is as wrong as a knee meniscus rupture-osteoarthritis.
The International Association of Chiropractors recommends the use of the generic term "spine dysfunction" when appropriate clinical symptoms appear (by the way, it is not included in the ICD-10 classification of diseases).
Many modern (mostly foreign) authors emphasize that, on the one hand, there is no connection between the radiological signs of spinal degenerative changes and the appearance or intensity of lower back (LBS) pain. On the other hand, because only one in ten patients has degenerationThe radiological signs of sexual spine disease are the clinical manifestations of the disease.
Treat back pain at home
For low back pain associated with muscle tension and muscle tightness, low back pain ointment can significantly relieve symptoms and help relieve muscle tension.
Back pain ointment and pills
Ointments and creams are used to treat the lower back. Alternatively, you can take pills that contain non-steroidal anti-inflammatory drugs (NSAIDs).
At the same time, it must be remembered that using creams, ointments, mustard plasters, and other procedures to self-treat back pain at home can lead to neglect of the underlying disease that causes these pains and have very sad consequences. Self-medication on the lower back is particularly dangerous for kidney diseases, such asAcute pyelonephritisorRenal colicUrgent qualified medical care is required.
Prevent low back pain
People who have been sick, especially before the formation of stable remission, need to follow certain preventive instructions:
- Don't lean your body without arm support; bend your knees to pick up objects from the floor.
- Change positions, don't stand for a long time, don't sit for a long time.
- Working at a table or workplace, maintain an upright posture with one leg bent at the knee and placed in front of the other leg.
- Beware of specific yoga exercises and aerobic exercises without the advice of a sports therapist or professional chiropractic specialist.
- Beware of hypothermia, airflow, and prolonged heating in hot water baths, because muscle relaxation will deprive the muscle tights of the fixed protection for a period of time.