Almost every person suffers from back pains below; such pains most often are aching. There are many reasons for the appearance of pain in this area, the lower back is most heavily loaded by a person, which is why a very strong pain  in the back down. To get rid of pain, it is very important to consult a specialist in time, who will correctly help diagnose the cause and prescribe effective treatment. What are the common causes of pain in the lower back?

Causes of low back pain

10. Very often the cause of lower back pain can be pathological processes in the development of the spine, due to various injuries.

11. Lower back pain is most often characteristic of pregnant women.

12. Pain due to unfavorable heredity.

13. The pain depends on the age category, most often the pain occurs from the 55th year. For the first time, pain may appear at the age of 20, begins to localize in the lower back or cervical region. In women, this pain can be given to the shoulder joints.

14. For development pain sensations  affect bad habits, increased physical exertion.

15. Lower back pain due to postmenopausal pain. First, the pain occurs in the spine. Most often, this disease is characteristic of women with irregular menstrual cycles.

Diagnosis of back pain down

The specialist should be thoroughly examined so as not to be mistaken with the cause. To begin with, it is very important to pay attention to such signs:

1. In case of disturbances in urination (incontinence or urinary retention).

2. Sharp weight loss.

3. The appearance of malignant neoplasms

On examination, the doctor draws attention to violations in the motor lower limbs, asks the patient, he endured anesthesia in the femur, is there a fever, how fully does it move lumbar  the patient; Does the patient have vertebrae hypersensitivity; what is the dynamics in the manifestations of a neurological nature. The patient may be given an additional X-ray.

Who is subject to lower back pain?

1. Age over 50 years.

2. After injury.

3. In patients with problems in the motor system.

4. With the abuse of bad habits -, alcohol.

5. In patients who have problems with others.

Back pain treatment down

1. When osteochondrosis will be applied medication complex treatment, drugs should help relieve pain from the lower back, improve blood circulation and restore nerve tissue.

2. With the help of injections you can relieve muscle spasm, get rid of inflammation and anesthetize. Steroid drugs - dexomethasone, cortisone, and analgesics - lidocaine and novocaine help very well.

3. In severe cases, surgery is required, if the pain in the back is associated with a hernia in the intervertebral discs, osteochondrosis, the diagnosis is confirmed. In cases conservative treatment  does not help, it will be necessary to remove a herniated disc that squeezes the nerve roots. After surgery, the patient feels much better.

Preventing lower back pain

1. Exercise should be moderate and aimed at strengthening the abdominals and back muscles.

2. Do not use the treadmill.

3. Be sure to take a course of special therapeutic massage.

4. If there is pain in the lower back, an urgent need to contact a neurologist.

5. If the pain in the lower back gives up, an urgent need to contact an orthopedist.

So, back pain at the bottom is constantly causing discomfort, a person can not fully move. That is why it is so important to seek help from a doctor in time so that he can make a correct diagnosis. Do not delay treatment. It should be timely so that the back pain does not worsen. In addition to the spine, it is very important to check some internal organs that are located in the lower abdomen; they can also be given to the back. In order to prevent lower back pain, it is very important to observe preventive measuresthat will protect the spine from a variety of injuries.

Every second person on our planet is tormented by the official statistics. And indeed, at least once in a lifetime, almost everybody felt soreness of varying intensity in the spinal column. And it’s not worth talking about that the backache hurts - just picked up something, bent down sharply, slept in an uncomfortable position, and pain is guaranteed to unpleasantly upset you. To determine what caused this pain and understand what to do with it will help the article, but it will not replace a visit to the doctor.

Possible causes of pain

Spinal pains, in recent years, have become one of the very common symptoms that patients complain about when visiting medical institutions. Such pain is not a separate nosological unit, but a clinical manifestation of a number of ailments. Of particular importance to this symptom is the fact that often in acute pain syndrome, the ability to move is significantly limited and people's ability to work is reduced.

The main causes of back pain are spinal ailments. Apart from them, this clinical manifestation  can provoke some of our pathologies internal organs, professional specificity, injury or pregnancy.

In a large number of cases, finding out the cause is not difficult. It is enough to consult a doctor, he will examine you carefully, can send you for tests or, for example, x-rays. The relief of pain is directly related to determining its cause, that is, the disease or process that struck your body. Treatment must be selected individually for each situation.

Medical statistics suggests that this symptom is very rare in children, but if it does, it indicates the appearance of a disease of the internal organs of the baby. As a person matures, the likelihood of pain in the spinal column increases. Older people face it almost every day and only 25% who have this anomaly go to the hospital.

Poor posture

Prerequisite for the appearance of pain in the back are postural disorders. It is important that often its violation provokes scoliosis. Signs that confirm the presence of scoliosis:

• visible deformities of the spinous processes of the vertebrae;
• asymmetry of the shoulder blades, shoulders and folds in the waist, which do not disappear when you sit down;
• asymmetry of the paraspinal muscles;
• strong thoracic kyphosis and modifications in the sagittal plane.

Sometimes, there is lordosis, it is also characterized by impaired posture. It almost always has a secondary character and is determined either by the forward inclinations of the pelvis, or by the pathological processes in the hip joints. Spinal deformity can be both functional and anatomical. Functional curvatures occur with muscle spasms or short legs in a child. Anatomical curvatures may be symptoms of acquired or congenital abnormalities.

Another damage to the spine occurs when the disease Scheuermann-Mau (juvenile kyphosis), Prader-Willi syndrome, spinal injuries. Also with rachitis (unfixed kyphosis, which is caused by a weak ligament-muscular system), spondylitis is tuberculous. All these diseases are accompanied by pain syndromes of different nature and strength.

Osteochondrosis

Osteochondrosis is a complex of dystrophic disorders affecting the articular cartilage. It can begin in completely different joints, but often strikes precisely intervertebral discs.

Osteochondrosis happens, manifests itself in the most unexpected moment. A person who does not experience discomfort before this time can sharply feel an acute attack of pain, a partial weakening of motor function. The patient is experiencing a painful attack at the moment when the intervertebral discs began to collapse. Acute pain is felt during the compression of blood vessels and nerve endings.

Radiculitis

The illness delivers powerful pains to patients and the quality of life significantly worsens. Although despite serious symptoms, spinal radiculitis is successfully treated by surgery. Of course, surgery is required very rarely.

The pain syndrome appears rather sharply in the spine, it is often localized in the lower, in the middle, in its upper part. Pain is localized only on one side of our body, that is, on the left or on the right. Common causes of sciatica are bone deformities and herniated intervertebral discs. Young people very rarely manifest radiculitis. The risk usually increases in middle age, but those who are about fifty years old are most at risk. And in the process of moving beyond this bar, the probability of a disease begins to fall.

Clinical manifestations:

1. It all begins with a feeling of chills, temperature rise (often up to 40.0) and increased heart rate.
2. After a couple of days, there is pain, characterized by localization over the injury site.
3. There is edema at the site of the lesion and redness (hyperemia) of the skin, limited physical activity.
4. If you have chronic osteomyelitis, then there are traces of fistulous passages on the skin (wounds, round shape with pus). If osteomyelitis is suspected, an urgent need to go to the doctor. The surgeon deals with the treatment of this pathological process.

Herniated disk

Under the influence of the load, the internal substances of the disk may swell. Thus, they break through the hard outer membrane, the entire disk is deformed. If subsequent activity or injury triggers a tear or tear in the membrane, then the substance can be influenced by pressure on the nerves diverging from it or the spinal cord. This process causes severe pain, which weakens. Such a clear signal will immediately stop all possible movements, and the next damage to the disc may become irreversible.

Most modifications of the disc occur at the bottom of the back. Only 10% of this kind of violations occur at the top. In the middle of the back hernia is also a rarity. Although not any pressure on the nerves. It is also possible to damage the disc, but not to feel soreness or discomfort.

Hernia intervertebral discs  very often found in males, and for women they are characteristic at the age of 30-50 years, but sometimes, they appear in hyperactive children and adolescents. Older people already rarely have fluid centers, because of this they are less susceptible to this pathology.

Tumors

Pillars are quite rare - about 15% of cases among other bone tumors. But a large number of spinal tumors, given benign neoplasms, flow very hard. They are accompanied by disorders of sensitivity and motor functions, and can even lead to disability. Certain causes of the appearance of tumors in most situations have not been established. However, for example, injuries and heredity increase the risk of their occurrence.

A typical element of the symptoms of spinal tumors, all sorts of origins and all sorts of localizations, there is pain. Painful spasms in the back, first vague, weak. As the tumor grows, the power of the pain increases. She reaches intolerable sensations, becomes agonizing.

Treatment methods

You can start therapy only by knowing the cause of the pain. Usually for its determination it is required to undergo examination (X-ray, computed tomography, laboratory tests of blood / urine, etc.). After these procedures, a specialist puts a diagnostician and plans a course of treatment.

Competent treatment of pain syndrome is carried out only in the hospital. Regardless of the reasons, patients are assigned medicationswhich quickly and with a lasting effect stop pain. Then, given your condition, they prescribe nonsteroidal drugs  against inflammation, the doctor selects a therapy that promotes health. The patient is undergoing a course of exercise therapy and massages.

Note that you need to properly relax after strong physical exertion. It should lie on the back with legs that are low raised. If your back hurts after sleeping, you need an orthopedic mattress, and if pain syndrome  become regular and strong, then the specialist can make a blockade.

Massage

If the massage is done correctly, the effect on the ligaments, joints, and muscles will make it possible to correct most of the local pathologies. For example, they correct such disorders as subluxation of the joint or muscle tension. The procedure of manual therapy helps to effectively and quickly eliminate pain.

Address only to experts of the business! That is, doctors specializing in massage. Improperly performed procedure can cause serious complications. It is absolutely not permissible to contact middle-level health workers and people without medical education. Remember, massage has contraindications.

Physiotherapy

Treatment is carried out by influencing the affected area:

• high and low temperature;
• magnetic field;
• ultrasound;
• electric current;
• laser beams;
• ultraviolet rays;
• healing mud;
• water treatments.

Physiotherapy therapy is recognized as the most preferred, as it has high safety, effectiveness and accessibility.

Hydrotherapy

This method is very ancient. It is based on the use of water to heal the patient. It consists in the impact of: streams of water, a contrast shower, immersions in water and rubbing with a towel moistened with water. Clinical trials confirm that hydrotherapy with regular use can reduce pain in the spine and joints.

From this video you will learn how to get rid of back pain at home.

Perhaps there is not a single person who at least once did not experience back pain. This problem is most relevant for people over 60, but young people also experience similar situations. It is known that the limitation of physical activity at working age most often occurs precisely because of lower back pain. Why this happens and what to do when it appears, the doctor will tell. And the patient only needs to come to a specialist consultation.

The reasons

Any pain is a signal of certain problems in the body. And its localization, as a rule, indicates the source of the problem. If your back is bothering, most people will rightly think about the pathology of the spine. True, damage to the axial skeleton is the most common cause of pain in the lumbosacral region. These conditions include:

• Osteochondrosis.
• Spondyloarthrosis.
• Intervertebral hernia.
• Injuries.
• Spondylosis.
• Ankylosing spondylitis
• Spondylolisthesis.
• Osteoporosis.
• Spinal stenosis.
• Tumors.

This can affect any structure of the axial skeleton: vertebrae, discs, joints, ligaments, tendons and muscles. And the pathological process most often has a degenerative-dystrophic, inflammatory or traumatic nature. This is facilitated by inactivity, sedentary work, carrying weights and other types of load on the spine. An important role is played by internal factors associated with metabolic, immune and age changes  in the body.

But lower back pain is not only a sign of spinal disorders. And all the doctors know about it. Under this symptom can be masked quite common diseases of internal organs in women and men. Therefore, the causes of pain should be sought among these conditions:

• Gynecological problems.
• Diseases of the kidneys and bladder.
• Urological pathology.
• Bowel disease.

In addition, the back can hurt during pregnancy, when the load on the lower back increases due to the displacement of the center of gravity of the body and the inner ligaments of the small pelvis are stretched.

Why there is pain from the back, you can find out after a medical examination and additional diagnosis.

Symptoms

When a patient goes to a doctor, he wants to get comprehensive information about the origin of the discomfort and further tactics. And for this you need to be examined. And the primary stage is a clinical examination, during which the subjective and objective signs of pathology become apparent.

If we talk about complaints, then pain is the most worrying thing for patients. They may have different colors, but most often they are characterized by the following features:

• Acute or chronic.
• Shooting, aching, pulsing, pulling, stabbing.
• Different intensity: from weak to strong.
• Localized in the lumbosacral region.
• Give to the lower limbs, groin area, abdomen.
• Strengthened with movements of the body, sitting, walking.

However, pain in the lower back is not the only sign of pathology - the clinical picture includes other symptoms that may suggest the likely source of the problem.

Spinal disorders

When patients are worried about the back in the lumbosacral region, we must look for confirmation of the vertebral nature of such sensations. Pain is often associated with muscle tension or compression of the nerve roots. Therefore, they may have the following character:

• Lumbago - acute backache.
• Lumbodynia - dull and deep pain.
• Lumboischialgia - pain, giving to the lower limb along the sciatic nerve.

Sometimes the first to appear discomfort  in the leg, and the back begins to bother a little later. In addition to pain, the root syndrome (radiculopathy) includes characteristic neurological disorders associated with damage to sensory, motor, and vegetative fibers. These include:

• Inhibition of tendon reflexes.
• Decreased strength in the lower limbs.
• Desensitization.
• Numbness, tingling, "crawling goosebumps", burning.
• Change in skin color.

Such disturbances appear in the corresponding dermatomas - body segments innervated by the affected root. And local signs of spinal pathology include muscle tension and soreness of the paravertebral points in the lumbosacral region, smoothness of physiological lordosis, and restriction of active movements.

Vertebral diseases are equally common in men and women, with age they only progress and often lead to a decrease in human functional capabilities.

Gynecological problems

If there are pains in the lower back in women, then you need to pay attention to the possibility of pathology in the gynecological field. Most often it is about inflammatory diseases  or dysfunctional conditions. In such cases, the following symptoms may appear:

• Irregularity of the menstrual cycle.
• Vaginal discharge.
• Temperature rise.

Acute processes in the uterus and appendages can turn into a chronic form or end up with a complication in the form of peritonitis. In addition, an ectopic pregnancy or spontaneous abortion can be the cause of the pain. Then there is a high risk of internal bleeding and shock.

Diseases of the kidneys and bladder

Pain in the lower back is considered as one of the signs of renal pathology - nephritis. As a rule, they are of a permanent nature, and in the case of urolithiasis, they may increase with jolting or running. In cystitis, such sensations are localized in the suprapubic area and may radiate to the sacrum. The inflammatory process is accompanied by other symptoms:

• Dysuric disorders: cramps, burning during urination.
• Discoloration of urine.
• Fever, general malaise.

Chronic pathology is accompanied by a gradual decrease in the functional capacity of the organ, which develops into renal failure.

Urological pathology

If men have back pain in the lower back, the differential diagnosis should be carried out with urological and diseases. First of all, exclude diseases of the prostate gland - prostatitis and adenoma. Such pains are felt in the pubic area and perineum, given to the rectum and the sacrum. Often there are additional signs:

• Discharge from the urethra.
• Difficulty urinating.
• Decreased potency.

In acute prostatitis, there may be common manifestations in the form of fever, weakness, malaise. A chronic inflammatory processes  have a sluggish nature and scanty symptoms.

Bowel disease

Considering the issue of the origin of pain in the lumbosacral area, it should be mentioned about the pathology of various parts of the intestine. Appendicitis, ulcerative colitis, proctitis are conditions that require different approaches in diagnosis and treatment, but may be accompanied by similar symptoms. These include:

• Pain in the abdomen or sides.
• A change in stool is constipation or diarrhea.
• Fever.

When colitis is often found pathological impurities in the feces: blood, mucus or pus. An objective examination with palpation of the abdomen and rectal examination provides additional information about the disease.

Non-vertebral pathology is quite diverse, so a clear differential diagnosis of back pain is required from the doctor.

Diagnostics

To understand why the patient has a low backache, you need to undergo an additional examination. The doctor will prescribe a set of laboratory and instrumental methods, the results of which will help to draw the right conclusion. These include the following studies:

• General blood and urine tests.
• Blood biochemistry (markers of inflammation, rheumatic tests, urea, creatinine, etc.).
• Urine analysis according to Nechiporenko, Zimnitsky.
• Analysis of secretions from the genitals, feces.
• Radiography of the spine.
• Magnetic resonance and computed tomography.
• Ultrasound of the internal organs.
• Intestinal endoscopy.

If necessary, the list of diagnostic procedures is expanded. Every opportunity is used to establish the source of the pain.

Treatment

It is necessary to treat vertebral diseases based on the nature of the pathological process and the individual characteristics of the patient. The possibility of accompanying conditions, which also require adequate correction, is also taken into account. If the causes of pain that are not associated with the spinal cord are excluded, then the treatment is carried out by a vertebrologist, neuropathologists, or an orthopedic traumatologist.

Drug therapy

As with other diseases, drug therapy plays an important role in the correction of disorders of the axial skeleton. To achieve a lasting effect, use drugs that act on various parts of the pathology. As a rule, the following drugs are prescribed:

• Nonsteroidal anti-inflammatory (Ortofen, Artrozan, Nimesil).
• Muscle relaxants (Tolperil, Mydocalm).
• Vitamins (Vitaxon, Milgamma).
• Chondroprotectors (Mukosat, Teraflex, Alflutop).

With the defeat of an infectious nature, antibiotics are necessary, and systemic diseases require hormonal therapy (Metipred) and administration of cytostatics (Methotrexate). In addition, local blockade with Novocainum and glucocorticoids (Diproospan, Kenalog) is used. After the removal of acute symptoms, anti-inflammatory ointments are used (Dolobene, Fastum, Diklak).

Medicines should be prescribed only by a specialist. The doctor is not responsible for the consequences of self-medication.

Physiotherapy

Comprehensive treatment includes non-drug effects, which include physical methods. With the help of procedures, muscle relaxation is achieved, blood flow in the tissues is improved, biochemical processes are stimulated, which helps reduce pain and inflammation. With the defeat of the axial skeleton, it is recommended to use such means of physiotherapy:

• Electro- and phonophoresis.
• Laser treatment.
• Magnetotherapy.
• Wave therapy.
• Cryotherapy.
• Water and mud therapy.
• Reflexology.

What procedures are necessary for a particular patient and how many sessions should be performed to obtain the effect, the doctor will determine.

Physiotherapy

An essential component of the treatment of diseases of the musculoskeletal system is gymnastics. Exercises need to be done to every person who has a pain in the lower back associated with the spine. Only therapeutic movements will help restore the previous activity, prevent further exacerbations and progression of pathology. And if you first need to reduce the load on the spine, wear special corsets and be more horizontal, then as the pain subsides, the regime expands:

• Lying on your back, perform movements of the lower limbs: flexion and extension in the joints, abduction.
• Lying on the stomach, at the same time raise the opposite hand and foot.
• Being on all fours, bend the back up and down.
• From a standing position, they swing their legs, bend their bodies.
• Hang on the wall bars or bar.

Medical gymnastics is carried out only after elimination acute pain. Classes should be gradual and regular.

Massage and manual therapy

Methods of manual exposure of the spine are widely popular. During the massage, the back muscles relax and blood flow improves in soft tissue. And manual therapy allows for mild decompression of nerve fibers, elimination of subluxations of joints and functional blocks. Such treatment, like physical education, is applied after the elimination of acute events.

Operation

With the ineffectiveness of conservative measures consider the question of surgical correction. Operationally eliminate pathological formations in the spine, which are the source of pain: osteophytes, disc herniation, bone fragments. Non-viable tissues are removed, as well as fixing unstable segments. After that, it is necessary to wear a corset and undergo a rehabilitation course.

To find out why the pain in the lower back, you need to undergo a detailed examination, which should include the differential diagnosis of vertebral pathology from damage to internal organs. Based on the results, the doctor prescribes a comprehensive treatment. And its effectiveness largely depends on the patient himself and the implementation of the received recommendations.

The lumbar spine, during the life withstands a very large load. It is not surprising that sooner or later, often at the end of the day, many begin to feel that their back aches. But this should not be considered normal. Back pain has its cause, which often requires urgent treatment. And if you do not pay attention to them and do not take the necessary steps, not knowing what to do, pain in the lower back can lead to a significant deterioration in your life and health.

Why a back ache hurts - probable causes

The most likely causes of pain in the lower back, pain that give up the leg, lower abdomen, due to the fact that a person spends a lot of time behind the wheel, a computer, is engaged in physical labor, especially if he has to dramatically change the position of the body. To pain in the lower back in the lower back can lead to excessive loads in the gym, fascination with summer work, especially in the presence of excess weight. Women who have recently given birth or who have already entered menopause are at risk.

If it hurts in the lower back in the lower back, it may indicate the presence of malignant and benign lesions in the pelvic organs or in the pelvic cavity, prostate diseases or chronic prostatitis. Back pain after a long walk usually indicates the development of stenosis in the spinal canal. An additional symptom is spinal or pseudo-intermittent claudication.

Rheumatic polymyalgia is a fairly common disease for the elderly. At first, a person feels lower back pain, gradually they become worse, in the proximal parts of the upper or lower extremities, stiffness and restriction of mobility appear.

Common cause  pain in the lower back is osteochondrosis. When examining the spine, degenerative diseases such as osteoporosis, osteoarthrosis and osteoarthritis can also be found. The distance between the vertebral discs gradually decreases, and this violates the mechanical balance of the spinal column. This in turn also leads to the fact that the pain in the lower back in the lower back. Finally, such pain can result from muscle spasm when performing unusual physical activity.

If your back hurts in the lower back - the nature of the pain and possible symptoms

The nature of the pain in the lower back completely depends on its causes. If it is stretching, then the pain spreads mainly to the lumbar spine. In some cases, they give to the buttocks and the back of the thigh. Mobility and body turns are significantly limited. When the nerve roots are pinched, the pain in the lower back from the loins gradually descends to the legs. If the cause of the pain in the lower back is one of the systemic diseases, for example, sciatica, then its symptoms progress gradually.

Squeezing nerve endings spinal cord  herniated intervertebral discs are usually found in older men. Usually, the pain in this case is aggravated by sneezing, coughing, laughing, bending, straightening the spine in the lumbar region. Try to lie on your back and raise your straight leg vertically. In the presence of a herniated disc, you will definitely feel pain in the lower back. This type of pain is called lumbago. In the standing position, it increases, and the prone position - subsides.

If your back aches - secondary causes

• tumor diseases of the vertebrae and the spinal cord itself;
• vertebral fractures;
• infectious diseases, as a result of which damage to the intervertebral discs and the vertebrae may occur;
• metabolic lesions bone tissue
• non-infectious diseases of inflammatory nature
• acute disorders of spinal circulation, stroke;
• diseases of the gastrointestinal tract (intestinal obstruction, atypical acute appendicitis);
• reflected pains that may occur with various diseases  pelvic organs (infectious gynecological diseases, renal colic).

What to do if your back hurts

There are a lot of diseases that can cause lower back pain and almost all of them have similar symptoms. That is why it is often necessary to carry out differential diagnostics using hardware and laboratory techniques. Depending on the results of these studies, the treatment of pain, or rather, those diseases that caused them, will be prescribed.