Almost every other male over the age of 16-18 years old regularly complains that his back hurts. In recent years these problems have become typical, but also for adolescents, and the frequency of complaints among adults, pain in the back, grows and grows. At the same time for medical help turns only one-fifth of them. Others prefer to "cope" on your own, leaning on painkillers and hoping that the discomfort will pass by themselves.
Each would cost to establish exactly what back pain to his specific case, since it is a symptom that can cause serious health problems.
The causes for the pain
In the relatively young and healthy people, back pain usually from abnormal overloads. Are the cause of spine pain, with complaints that doctors treat 85% of patients. Does not need to be a weightlifter to perform physical work due to their professional specificity, or be a enthusiast of country garden works to be problems with my back. Permanent search in the same position, for example, when working on a computer that provides a voltage, which becomes the reason why pain in the back. The recommendations of physicians to draw on the back of the chair and sit in it deeper have a good reason. Heavy bags were carried from the store to your home, you can give the same effect.
The diagnosis of "tired backs" in medical terminology. The pain of having non-acute in nature, are charged to "undetermined causes" and treated with rest and proper fit. More attention is being paid, if the feeling does not go away within two weeks accompanied by additional symptoms, or are in a specified timeframe. If you want to figure out why the pain in the back, you will need a number of hardware studies and consultations with doctors of different specialties.
Compression fracture
According to the world health organisation (who) up to 4 % of all older patients who have pain in the back, suffering a compression fracture. Under this diagnosis means, a crack formed in the vertebra, without any particularly strong external influence. This fracture occurs in older people; among the younger age groups tend to him patients with osteoporosis of the spine. Reduced bone density unreliable in the face of gravity. A fracture may occur even under the influence of the own weight of the patient, and is not noticed, and will just mention that your back hurts, why – is unclear. For this reason, compression fractures on the traumatic consequences are not.
What to do if your back hurts as a result of such damage, the details will tell the doctor. Save position at rest, strict bed rest and medication, which can reduce the pain.
Problems with the spine
Osteochondrosis
Is a chronic disease that can affects people of all ages, social status and gender. With the development of osteochondrosis the intervertebral disc height decreases, the reduced mobility of the entire spine, with time complications arise not only from the side of the ridge, but especially from the internal organs.
Spondylolisthesis
This disease affects up to 7 % of the population. However, spondylolisthesis is the diagnosis is very rare: many people who to the last moment ignored the signal, acute pain occurring in the lower part of the back. In principle, the disease can affect any part of the spine, but most commonly affects the fifth lumbar vertebra. His leg is deformed, resulting repere starts at under bulging either back or forward. Figuratively speaking, the spondylolisthesis of the spine cease to remember the post – it is more like a ladder.
The disease is manifested in the fact that the constantly of back pain, the pain can be transferred to the buttocks, and in some cases on the lower limbs. However, if the disease is not too far, feeling not too spicy, which allows the patient to ignore them.
Ankylosing spondylitis
He is also ankylosing spondylitis. Affects mostly men, and all ages. Female patients account for only 16-17 %. When spondylitis inflammation of the joints by ligaments; the disease is progressive in nature. Usually begins with the lumbar, but in the absence of a response, which is the right treatment, quickly spreading to the chest, and by – and cervical segments. That is the cover of the back: if the pain in lower back, soon the whole body will not remain on the sidelines.
The first symptoms is stiffness of the lower part of the body, accompanied by severe pain syndrome. It should be noted, the voltage of the entire spine muscles, which is constant and does not decrease even during a long vacation. Almost all patients whining of the thigh; over time, Bechterew's disease affects the connective tissue of the heart and the circulatory system, the lungs and the kidneys. In medicine, describes the individual cases, in which spondylitis was affected also eye.
Of a herniated disc.
This pathology of the intervertebral discs is considered to be very common. Often the problem is that Mature people 40 and older, but can develop at a much younger age. Contribute to the emergence of herniated discs can be:
- overweight – this is in the last few years is the most common precipitating factor;
- heavy physical work or exercise with weights;
- injury, appropriate spine;
- prolonged sitting (especially if the workplace is organized correctly, a fact that is not orthotic recommendations);
- triggers the disease: dysplasia in infancy, scoliosis, osteochondrosis.
The mechanism of the development of a hernia lies in the degeneration of the tissues as of connective and muscular. Not supported by the muscularis of the corset spine begins to sink, wheels – simulat and squeezed through the borders of the column. As a result, the patient is very pain in the back, especially while lifting or turning in inclinavit the position. The pain is also aggravated by sneezing or coughing, and sudden or unaccustomed movements. Additional symptoms — numbness, tingling, or power of the legs, crawling over him "goosebumps" and other not too pleasant feeling.
Osteomyelitis
This is one of the rare causes that cause pain in the back. Such a diagnosis is only about 0,01% of the patients from the doctor. Starts osteomyelitis due to penetration in the spinal cord infection often she gets blood in the urine channel. The insidiousness of the disease that develops gradually and imperceptibly, his illness, the patient will know when the pain in my back and elevated body temperature, sometimes to dangerous levels.
However, it is worth noting: if you have pain the lower back or shoulders, and a thermometer, which confirms that you are ill, this does not mean that you have osteomyelitis. The same clinical picture is observed in many infectious diseases with the same flu, for example. So, if a really sore back, what to do, to by the doctor. Otherwise, you can start to heal infections of the spine in time, as you need to struggle with the more known diseases.
Back pain can be enforced and severe scoliosis, and sciatica (in his case, their intensity can be crescere, to "unbearable"), and a number of other problems with the spine. If you are concerned about the question of what to do for pain in the back, switch your attention and concern on the establishment of an accurate diagnosis. Only an expert can understand what kind of treatment you need.
Not only the spine
How to get rid of back pain? Many people think that tell you would podiatrist or spine. However, this part of the body, which can tip us about the problems with the internal organs, the spine, irrespective of:
- if back hurt on the left side, in the upper part of the body, which is painful, but sometimes rapiente character, this symptom may be a harbinger of a heart attack. Anyway, with the heart apparently there were no problems, so a visit to the cardiologist cost, as quickly as possible;
- pain affecting the lower back and the date of the usque in the foot, often indicate inflammatory processes in kidneys or the organs that are within the competence of the gynecologist. The nature of the emotions pulling, sharp, throbbing. Sometimes pain is transmitted and the groin;
- pain in the area between the shoulder blades often speak of diseases of the digestive system. Some of them are listed in the lower part of the back and the patient starts to heal their non-existent sciatica;
- mild pain in the back, a lot of dans in one of the lower extremities and increase when moving or sitting, you can talk about sciatica, an inflammation or pinching of the sciatic nerve;
- deaf, but noticeable pain in the shoulder blade, moving in the middle of the spine and aggravated by turns the body either by breath – a clear signal of trouble with his lungs. In some cases, so manifest cardiac disease.
If the treatment of back pain and is recommended for most patients with vertebrate animals, diagnosis is ineffective, if the intensity of the pain depends on your position (sitting, standing, lying down), it is most likely that the problem is not in your area, and in some internal organs.
In all these cases, the psychologist must prescribe the treatment. Back pain from physiological reasons, and due to internal interference. And while he persists (or the patient him it sucked), the discomfort cannot be repaired. Also analgesic drugs will be significantly weaker than it was planned.
Therapeutic base
The main problem for patients is still the same, the sacramental: what heals? Back pain – symptom is to be removed so that they do not live and work. However, this is a very limited perception of the problem. The withdrawal symptoms, which solves the problem temporarily. If you do not deal with the disease, which has provoked its development, the pain will return again and again.
If back pain is caused by problems with the spine, is generally used a standard set of therapeutic methods, which is manufactured in accordance with the specific diagnosis and individual patient characteristics. This includes:
- nonsteroid anti-inflammatory drugs number. At the same time get rid of pain in the back and ortum or generandi by the inflammatory process. If the pain is very strong, the cure is administered intramuscularly; in complex cases, are supplemented with analgesics and narcotic substances. As maintenance treatment with drugs, vitamins, muscle relaxants, which improves the nonsteroids, antihistamines. If pain in the back due to the original disease, the treatment for this – and this applies from the first day, regardless of the intensity of the pain syndrome;
- physiotherapy. This is assigned when the acute attack has stopped and the procedure can cause a relapse or complications. Among the most popular and effective effects — electrophoresis, magnetic therapy, acupuncture. In recent years, especially recommended by doctors hydrokinesotherapy — promoting stretching of the spine, exercises in the swimming pool with heated water;
- physiotherapy. Without it not to manage almost all diagnoses. Deformation and degradation of the spine will progress, if not regularly be forced to take the correct position. Gymnastics must become part of the patient's life and after the elimination of pain in the low back.
If back pain was caused due to the development of the disease, some of the internal organs, the treatment regimen will change dramatically. In the first stage will remain the same, except that you will only include painkillers (if the inflammation has had time to settle in the patient's body). In the second phase of treatment will be designed to address the primary pathology: the treatment of cardiovascular, gastrointestinal or urogenital system. This is justified, because back pains are not related to its physiological status.
Cases, psychosomatic back problems, and may justly be considered the most complex for the patient. He will have to undergo a comprehensive examination and consultation with several specialists to reduce the likelihood of not only vertebrate ailments, and problems with internal organs. And then that is a conversation (and not one) with a professional psychologist. In our country the doctor is perceived as something unpresentable. Unfortunately, without his aid, the patient will have to accept the fact that he is constantly back pain: get rid of the internal problems on their own obtain in some patients.