Almost every second man older than 16-18 years old periodically complains that her back hurts. In recent years, such problems have become typical, even for teenagers, and the frequency of complaints, among adults, back pain grows and grows. At the same time, medical aid becomes only a fifth of them. Others prefer to "deal with" on their own, relying on painkillers and with the hope that the discomfort will pass by themselves.
Every difficult to establish exactly what back pain in your specific case, because this symptom can cause serious health problems.
Causes of pain
In relatively young and healthy people, back pain usually from abnormal overloads. Are the cause of spinal pain, with complaints that the doctors who treat 85% of patients. It should not be a weightlifter to take part in a physical work due to its specificity, professional, or be a enthusiast of country garden works to get problems with my back. A constant finding in the same position, for example, when working at the computer, provides a voltage, which is the reason for the back pain. Recommendations of physicians to draw on the back of the chair and sit in the deepest of have a good reason. Heavy bags carried from the supermarket to home can give the same effect.
The diagnosis of "tired backs" in medical terminology. The pain was sharp in nature, are debited to "undetermined causes" and treated with rest and proper fit. More attention is being paid, if the feeling does not disappear for two weeks accompanied by symptoms additional, or have a certain periodicity. To determine why your back pain, you need a number of hardware studies and consultations of doctors of different specialties.
Compression fracture
According to the world health organization, up to 4% of all elderly patients who have back pain, who suffers from a compression fracture. Under this diagnosis represents a crack formed in the vertebra without a particularly strong influence externally. This fracture occurs in the elderly; between the age groups more young people tend to him patients with osteoporosis of the spine. Reduce the bone density unreliable in the face of gravity. A fracture can happen even under the influence of its own weight of the patient, and not be realized, and only mention that the back pain, because it is clear. For this reason, the compression fractures to traumatic consequences are not.
What to do in case of back pain as a result of such damage, the details will tell the doctor. To save the situation in the rest, strict bed rest and drugs that can reduce the pain.
Problems with the spine
Osteochondrosis
It is a chronic disease that can affect people of any age, social status and gender. With the development of osteochondrosis the intervertebral disc height decreases, the reduction of the mobility of the entire vertebral column, with the time complications that 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. But spondylolisthesis is diagnosed is quite rare: many people until the last moment ignored the signals of pain that occur in the lower part of the back. In principle, the disease can affect any part of the spine, but most often affects the fifth vertebra lumbar. The leg is deformed, resulting repere starts under curved, either backward or forward. Figuratively speaking, spondylolisthesis in the spine fails to remember-post – it is more like a scale.
The disease is manifested in the fact that the constant back pain, pain can be transferred to the buttocks, in some cases, in the lower limb. However, if the disease is not too far away, the feeling is not too spicy, which allows the patients to ignore them.
Ankylosing spondylitis
It is also ankylosing spondylitis. Affects mostly men, and all ages. Female patients account for only 16-17 %. When spondylitis inflammation of the joints with ligaments; the disease is progressive in nature. Usually begins with the lumbar region, but in the absence of response, that is to say, the most appropriate treatment, quickly spread in the chest, and then – and cervical segments. Is to cover the part of behind: if a low back pain, rather the whole body, not outside.
The first symptoms is stiffness of the lower part of the body, accompanied by severe pain syndrome. It is worth noting the tension of the entire spinal muscles, which is continuous and is not decreased, even during the long vacation. Almost all patients with complaints of thigh; with the time, Bechterew's disease affects the connective tissue of the cardiovascular system, lungs and kidneys. In medicine, describes the individual cases in which spondylitis was affected even to the eyes.
Herniated discs.
This pathology of the intervertebral discs is considered to be very common. Often the problem faced by the Maturity of the people, 40 years of age and older, but can develop at a much younger age. Contribute to the emergence of herniated discs can be:
- the excess weight is in the last few years is the most common factor precipitating;
- heavy physical work or exercise with weights;
- lesion, corresponding to the spinal column;
- prolonged sitting (especially if the workplace is organised correctly, a failure orthotic recommendations);
- activate the disease: dysplasia in childhood, scoliosis, osteochondrosis.
The mechanism of development of a hernia lies in the degeneration of the tissues, as a connective and muscular. Not supported muscularis corset spine starts to sink, wheels – simulated and squeeze out beyond the borders of the column. As a result, the patient is very back pain, especially in the elevation, or becoming, inclinavit se of the position. The pain is also aggravated by sneezing or coughing, and sudden or unaccustomed movements. Additional symptoms — numbness, tingling, or power of the feet, crawling on him "goosebumps" and other not too pleasant feeling.
Osteomyelitis
This is one of the few causes, causing back pain. This diagnosis is only 0.01% of the patients refers to the doctor. Starts osteomyelitis due to penetration into the spinal cord infection often receives the blood from the urinary canal. The insidiousness of the disease is that it develops gradually and imperceptibly, the disease, the patient will know when the back pain and the fever, sometimes, dangerous indicators.
However, it is worth mentioning: if you have lower back pain, or shoulders, and the thermometer confirms that it is sick, this does not mean that you have osteomyelitis. The same clinical picture has been observed in many infectious diseases with the same flu, for example. Therefore, if a really bad back, what you want to do, it has to be decided by the doctor. Otherwise, you can start to heal the infection of the spine at a time that you need to fight with the most familiar of the disease.
Back pain can be enforced and severe scoliosis, and sciatica (in your case, its intensity can crescere to "unbearable"), and many other problems with the spine. If you are concerned with the question of what to do for pain in the back, change your focus and anxiety on the establishment of an accurate diagnosis. Only a specialist can understand what it is the treatment that you need.
Not only the spine
How to get rid of back pain? Many people think that they say that would be a podiatrist or spine. However, this part of the body can hint us about the problems with the internal organs, for which the column has no relationship with:
- if back hurt on the left, in the upper part of the body that has pain, but sometimes rapiente character, this symptom can be a harbinger of a heart attack. Anyway, with the heart, obviously, there have been problems, so a visit to a cardiologist costs as soon as possible;
- the pain that affects the lower part of the back and data usque in the foot, often indicate inflammatory processes in the kidneys or organs under the jurisdiction of the gynecologist. Nature of feelings – pulling, sharp, throbbing. Sometimes the pain is transmitted and groin;
- pain in the area between the shoulder blades speak often of diseases of the digestive system. Some of them are in the lower part of the back and the patient starts to treat his non-existent sciatica;
- mild pain in the back, very dans in one of the lower extremities and increases when moving or sitting, we can speak of a sciatica, an inflammation or pinching of the sciatic nerve;
- deaf, but noticeable pain in the shoulder blade to migrate to the center of the spine and aggravated by turns the body, either by breathing – a clear signal about the problems with her lungs. In some cases, so manifest cardiac disease.
If the treatment of back pain and is recommended for most patients with vertebrates diagnoses is ineffective if the intensity of the pain depends on its position (sitting, standing, sitting), the more likely it is that the problem is not in their range, and in some of the internal organs.
In all these cases, the psychologist must prescribe treatment. Back pain that physiological reasons, and because of internal disorder. And while it persists (or the patient him they suck), discomfort can not be repaired. Even analgesic drugs can be significantly weaker than expected.
Therapeutic fundamentals
The main problem for patients is still the same, sacramental: of what to try? Back pain – symptom must be removed so that it does not interfere to live and work. However, this is a very limited perception of the problem. The symptoms of withdrawal solves the problem temporarily. If you do not deal with the disease, which has caused its development, the pain returned again and again.
If the back pain is caused by problems with the spine, is usually applied a standard set of therapeutic modalities, elaborated in accordance with the diagnosis and specific individual patient characteristics. Includes:
- nonsteroid anti-inflammatory drugs number. They simultaneously get rid of back pain and ortum or generandi them inflammatory process. If the pain is very strong, the drug is administered intramuscularly; in complicated cases it is supplemented with analgesics, and drugs and alcohol. As a maintenance drug therapy, vitamins, muscle relaxants, the effect of reinforcement nonsteroids, antihistamines. If the back pain caused by the original disease, the treatment and applies from the first day, regardless of the intensity of the pain syndrome;
- physiotherapy. It is assigned when acute attack stopped, and the procedure can cause a relapse or complications. Among the most popular and effective effects — electrophoresis, magnetic therapy, acupuncture. In the last few years, especially recommended by doctors hydrokinesotherapy — stimulate the 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 can move forward if it is not regularly being forced to take the correct position. The area of physical education should be part of the life of the patient and after the elimination of back pain.
If the back pain occurred due to the development of diseases of some internal organs, the treatment regimen will change dramatically. The first phase will remain the same, except you only include painkillers (if the inflammation has had time to settle in the patient's body). In the second stage, the treatment will be aimed at addressing the primary pathology: the treatment of cardiovascular diseases, digestive, or urogenital systems. This is justified, because back pains are not related to its state physiological.
Cases psychosomatic back problems, and is rightly to be considered the most complex for the patient. Will be required to pass a comprehensive examination and consultation of a large number of specialists to cut the likelihood of not only vertebrates, diseases, and problems with internal organs. And after having a conversation (and not one) with a professional psychologist. In our country, the doctor is perceived as something unpresentable. Unfortunately, without your help, the patient must accept the fact that he is constantly back pain: to get rid of the internal problems on its own is obtained in a few patients.