Why the pain in the back and neck

We have heard enough already about what the worst pain in the neck and back can occur due to a herniated disc, and if there is a severe pain, went to the doctor, in anticipation of the terrible sentence. However, myths about the inevitable pain when the hernia is exaggerated: hernia, often, is not a cause of pain in the back and the neck, even though many of the older people in the still image at the same time, even a 3-4 mm herniation. And how, then there is a severe pain in the back and neck, even in the young?

Pain in the neck and back

Causes of pain in the neck and back

Back pain and neck appear most often due to spasms of the muscles and joints subluxations of the vertebrae. Unfortunately, the diagnosis of the joints and the muscles is done well enough. The smaller hernias and leaving immediately identified with the TC and the RM, while the subluxations and misalignment of the vertebrae often remain unnoticed. Electromyography , which allows to identify explicitly the different muscle tone, often not conducted at all.

How and why you may experience abnormal muscle spasms or subluxation of the vertebrae? Maybe they are only possible in weightlifting or only occurs after wounds or injuries of the spine?

The fact of the matter is that it can happen to absolutely anyone, and almost imperceptibly.

Muscle spasms may increase throughout life and in themselves lead to changes in the spine and sprains

Spasms of the muscles of the back and neck

The impulse to spasms of muscles can be very boring things:

  • Constant uncomfortable posture tense in the sitting position
  • The second reason is a sudden movement and disproportionate physical activity (applies especially to fans of the independent repairs and jealous gardeners): muscle spasm of the thoracolumbar division of the back can occur due to carrying heavy loads for extended ahead of the hands; the pain and tension in the muscles of the lumbar-sacral region occurs due to the attempts to increase the attachment position
  • The third reason is muscle inflammation (myositis) due to elemental exposure. Probably, everybody knows the shot in the neck or back, caused by the disastrous drafts. Interestingly, that happens more in the summer than in the winter season. The reason this is bad is the air conditioning in operation, all of which appear in the same wrong temperature (too large difference between the outside and the temperature preset)

Symptoms of pain in the neck and back

  1. Cervical myositis (sometimes called cervical radiculitis) causes back pain coming on one side of the top of the head through the ear to the shoulder and arm
  2. Back pain in the thoracic region of the back pain radiates to ribs in the form of neuralgia intercostal. The location in the left part of the chest door to simulate a heart attack
  3. Lumbar back pain (lumbago) can be found in the thigh. Same with the inflammation of the sciatic nerve causes a sharp pain attack of "sciatica" in which the pain extends from the gluteal muscles and the entire posterior part of the thigh and the lower part of the leg, literally, to the plants
Pain in the neck

The mechanism of muscle pain

For what syndrome of pain arising in the muscles, often treated difficult, despite the fact that the first attack is able to go through the same? Why hurt the muscles?

The pain is so insidious phenomenon that resembles a beast that was awakened. While he was napping, that's okay. But it's worth it to wake up, you will have problems.

If the resulting muscle spasm in the back and neck through affects muscle nerves, enables the reflex mechanism of the pain reminiscent of a hell of boomerang:

  • A pinched nerve multiplies muscle spasm (this is their natural protective pain response)
  • Repeated spasm of the muscle irritates the nerve again, and everything that is going on in the circle without end

The pain could not subside due to the constant reflex irritation.

Treatment of muscle and back pain and neck

Contributes to the development of chronic pain, and syndrome of inappropriate treatment:

  • Heat compresses in the area is painful, hot tubs, rubbing at first sight seems to lead to relief, but then the swelling of the muscles of the back and neck even more important and acute pain
  • Conduct therapeutic exercises and even stretching exercises during exacerbation may also lead to degradation, because the reaction already taut muscles under the influence of the additional load that can be unpredictable. In some cases, you can relax, while others become even more intense
  • A reaction similar can happen during the massage

Stretch the muscles are very firm to the touch, and the man himself is very difficult to bend-stretch, rotate neck, elevate and take away the hand.

Treatment of muscle spasms and acute pain should be aimed at more of the rapid elimination of the pain syndrome.

This is assigned to a week of rest and celebrate:

  1. Five-to seven-day course of pain relief non-steroidal drugs
  2. With a wide range of painful of the region made novocaine or Lidocainum lock
  3. Sessions of post-isometric relaxation is a very effective way of static exercises to ease the pain
  4. Manual therapy and acupuncture, provided that they are carried out by qualified professionals
  5. Myofascial massage with the stimulation of the trigger (pain) points

Trigger points and area of pain are not always the same:

  • Low back pain, and the muscle clamped very low and not backward, and in front

The displacement of the joints of the vertebrae of the back and neck

The displacement (subluxation) of the joints of the vertebrae is not a strange phenomenon. Can cause:

  • Spinal injuries, and even ordinary household: a fall, a blow, a bad fall on their feet, etc.
  • A sharp incline, rotate the neck and the torso with too great an angle
  • Constant muscle spasm, compression of the vertebrae
Diagnosis

Diagnosis of displacement of the joints

If subluxation occurs after a fall or a bad dynamic, in order to diagnose can be sudden and long term, to overcome the pain. During the displacement, it can feel a crunching or clicking

  • The surprise factor of the pain syndrome should alert the physician, as degenerative disk disease or herniated the pain is chronic and has been present for a number of years
  • If the subluxation is caused by the muscles, the diagnosis is more difficult, since the displacement develops slowly and is manifested in gradual increase in pain and immobility

Offset the joints can not give a wide clinical picture, except in those cases in which it is produced in areas of transition:

  • Cervical-thoracic
  • Thoracolumbar
  • Lumbosacral

Each Department has its own characteristic additional features of the displacement of the vertebra:

In the neck of the womb:

  • Sick and dizzy to the floor fainting
  • Darkening, flies before the eyes, noise in the ears
  • The curvature of the neck
  • Weakness in the arm, burning sensation and numbness in the fingers (syndrome cervico-brachial plexus)

In the chest:

  • Stabbing pain between the shoulder blades, radiating to the sternum and the abdomen

These symptoms — frequent cause of hospitalization of patients with suspected myocardial infarction, ulcers and even appendicitis.

To establish that the chest pain is not due to the heart, it is quite easy: After taking of validol or nitroglycerin pain attack fails

In the lumbar region:

  • Acute low back pain radiated to the thigh, lower abdomen and the groinThat occurs when a subluxation of the vertebra at the top of the lower back with a pinched nerve femoral
  • Crosses along the whole of the posterior part of the surface of the foot starting from the buttocks
  • Numbness, the feeling of leg cramps or that to be removedThese phenomena say about the pinched sciatic nerve by vertebral subluxation in the lower lumbar of the back

Treatment of subluxations of the joints

The optimal treatment of a dislocation of a vertebra is its reduction, which is carried out with the help of osteopathy and manual therapies. Rooting will not stop until until the vertebra snaps into its original place

Unfortunately, the real sensitive osteopaths and chiropractors, are able to carry out a correct repositioning of the vertebra is very small.

  1. To start the treatment should be also the obligation of the relief of pain non-steroidal anti-inflammatory drugs
  2. Then it is advisable to provide competent therapy session manual
  3. But manual therapy is not self-sufficient method of treatment, and in order to maintain its effect, the measures necessary to strengthen the diseased area of the spine. This can be achieved, while strengthening muscles and restoring their balance by:
    • The strengthening of the physical therapy
    • Massage
    • Electro-myostimulation

Cervical and lumbar osteochondrosis

With time, the chronic cervical myositis leads to osteochondrosis, and he, unlike hernia, a very common cause of pain in the neck and is very common among very young people.

  • The symptoms of cervical degenerative disc disease includes vascular disorders, when the pain in the neck, and then — shoulders, the arms are added indications of cerebrovascular disease
  • The same pain and muscle spasms in the thoracic region — in the form of a cream, in the form of pain, chronic pain interspersed with the sensation as if the legs were growing. The gait becomes uncertain: the man is, literally, walking on bent
A chiropractor

If in cervical osteochondrosis patients usually go to the doctor with a complaint that a headache, when lumbar the alleged cause is already much lower and the complaining is already starting to "paraplegic".

Muscle spasm in the lumbar region leads to a spasm and narrowing of the blood vessels, which impairs blood flow to all organs located below the problem area, including the legs. Therefore, there is a feeling of numbness in the extremities

If the pain in the back and neck, despite treatment, has not been completed in a few weeks, there is reason to suspect a more serious disease: the displacement of the joints of the spine or a herniated disc.

Pain when intervertebral hernia

Finally went to the hernia of the source of the most intense pain in the cervical and lumbar, and neck, and even more dangerous phenomenon, in view of the exceptional role of the neck as the main "pipe" for the arteria vertebral.

Pain in the hernia, and, in fact, the most painful and long lasting, as it is caused by a pinched spinal nerve. But this disease never occurs in a vacuum, and it is always secondary

As a rule of pathology is preceded by:

  • Long-dystrophic processes in the spine, for example, osteochondrosis
  • Abnormalities in muscle function (the same pain and spasms in specific muscle groups)
  • Injury and other diseases

Thus, the expression "I have unexpectedly become a hernia" is wrong, even though the output to the victim is often a complete surprise. But here you have the convergence of several external factors:

  • Lift heavy objects in an awkward position
  • A sudden movement back
  • Fall on the feet or the coccyx, etc.

The hernia does not always lead to pain:

Hernia
  • In front of the hernia is directed to the opposite side of the spinal cord and never touch the nerve
  • Schmorl hernia, so love to scare the doctors, often totally asymptomatic, as is the vertical indentation of hyaline cartilage or the intervertebral disc into the vertebral body. It is also impossible to contact the nerve

The danger is only a copy of the hernia

If it hurts the neck and back, carry out a comprehensive diagnosis.

Very often, when a person treatment of the hernia, and in the image that she is really, but to be the cause of pain can not, because there is no main reason: the compression of the nerve. The location of the hernia eliminates this possibility

But a person who has back pain and it is still persistent treated "a hernia" and even to operate it. And the pain can really be a subluxation and locking of the vertebrae or a muscle spasm.