Low pain is a common phenomenon that most adults are less or more often confronted.For many, they are constant, bottom.However, they are sometimes able to have a significant negative impact on quality of life, to interfere with daily activity.In this case, it is necessary to start the diagnosis and treatment of pain in the spine in the lumbar region, as this may be a sign of a serious pathology.
What to do if the back hurts in the lower back?
What if the back hurts in the lower back area?First of all, the patient must assume independently what cause has discomfort.
Pain can cause two types of pathologies:
- Associated directly with the musculoskeletal system.They are characterized by an increase / appearance when modifying the posture, active movements, dynamic load on the musculoskeletal system.For the same reason, the pain appears after a long work seated and so on;
- Associated with the pathologies of internal organs.In this case, you can determine the problem with concomitant symptoms - in kidney diseases, this is an increase in temperature, urination difficulties, with bladder diseases in the lower back, it is intensifying / appears during urination.Gynecological pathologies are accompanied by symptoms characteristic of the genitals, the menstrual cycle.
If the patient has reason to believe that pain in the lumbar region is associated with a gynecological pathology, after having gone to the doctor, the following diagnostic studies will be carried out:
- Ultrasound examination of the pelvic organs;
- Diagnostic curettage;
- Spared for pathological microflora;
- General blood test.
In the event of the suspicion of kidneys of the kidneys, bladder, the following studies are carried out that the therapist prescribed:
- Ultrasound study of kidneys / bladder;
- General analysis of urine;
- Biochemical blood test;
- Manual inspection.
In case of suspicion of pathology of the musculoskeletal system causing back pain, you must consult a vertebrologist / orthopedic / neurologist.
To establish the presence of a vertebral disease, the following studies are carried out:
- X -Ray - only visualizes bone tissue, but you can determine the indirect signs of the pathologies of the joint tissue, intervertebral discs;
- Manual inspection - Verification of reflexes, sensitivity;
- Electronic in case of suspicion of significant involvement of nervous tissue in the process;
- Ultrasound of the spine with contraindications to other research methods.
The most informative complex research methods for lower back pain - CT, MRI.They can be used in all cases, if necessary, confirm the diagnosis, or if it is impossible to put it in another method.
Complete treatment
How to treat back pain in the lower back?If they are associated with internal organ pathologies, it is necessary to cure their cause itself.With Urolithiasis, surgical elimination of stones, dissolving it with special drugs is recommended.With pyelonephritis, cystitis is prescribed lessonptic, a wide range of action for a long time.In the case of gynecological pathologies which cause back pain, it all depends on their type: hormones, antibiotics, anti-inflammatory drugs and surgery can be prescribed.
But most often, lower back pain is caused by pathologies of the musculoskeletal system, which also require complete treatment.A neurologist, the orthopedist can prescribe such treatment.
Elimination of pain with medication
If the back hurts in the lower back, one of the following methods can help:
- Non-seseroidian anti-inflammatory drugs in tabletsAccepted 1 room up to 3 times / day.Effectively relieve pain, almost no contraindication, side effects.You cannot take them uncontrollable during pregnancy.When, after 2 to 3 days of taking, the pain does not pass, you should consult a doctor - the processing course may be extended at 14 days, but only under its control;
- Non-Seseroidian anti-inflammatory drugs in injectionsThey are administered intramuscularly in an individual dose more than once a day.Relieving pain more efficiently and faster than drugs in tablets, but it is forbidden to use them for more than three days, as they begin to influence the chemical composition of blood, which reduces its coagulation.If necessary, prolong the course of NSAIDs, the doctor prescribes the patient to the tablet;
- Pain relievers in tabletsThey are authorized in extreme cases because they have side effects, negatively affect the state of the gastric mucosa, but more effectively relieve pain than NSAIDs.Take strictly if necessary for 1 tablet.Contraindicated during pregnancy, stomach ulcer, in some other cases;
- Pain relievers in injectionsThey do not have a negative effect also pronounced on the mucosa, introduced in individual doses, also strictly according to the indications.Contraindicated during pregnancy, reduce blood coagulation.
The methods have a pronounced analgesic effect, but with a serious pathology, only a complete treatment will help relieve exacerbation.
Additional drugs
During complex back pain therapy in the lower back, other medicinal substances are prescribed:
- TerarchisApply if necessary up to 4 times a day.They help relieve muscle spasms, painful in itself, causing the compression of nervous tissues, blood vessels.The spasm occurs after a long static / dynamic load;
- Antipasmodics2 tablets are accepted up to twice a day, contribute to the elimination of muscle spasm;
- Chondroprotective in ointments or tabletsAllow the strengthening of intervertebral discs, joint tissues, stop the progression of the pathological process.The ointment is applied up to 4 times / day, the tablets are taken 1 to 2 times / day;
- B vitaminsInjected by intramuscular 1 time in 1 to 2 days in individual doses.Allow you to improve the conductivity of nerve impulses, maintain a good condition of nervous tissue;
- NSAIDS MASIThey have an additional analgesic effect, applied directly to the painful area 3 times / day.In themselves, local funds are not effectively capable of.But effective as an additional method.
A complete treatment is prescribed by a doctor, it is completed by a massage, physiotherapy, physical education in physiotherapy.
Exercises
Exercise therapy and gymnastics
The following exercises help effectively relieve pain in the lumbar:
- A cat border.Take a stand on the ground with your knees and palms.Fold your back as much as possible, fix yourself at the top of the 10 seconds.Then fold the back as much as possible, repair it at the bottom for 10 seconds.Repeat the exercise 7 times in both directions;
- Lie on the ground, on your stomach, straight legs, arms extended in front of you.At the same time, lifts the arms, upper body, straight legs, as if it were "bridge" on the contrary.Fix at the maximum point for the maximum possible time, slowly return to its original position.
The physical exercises prescribed by a doctor in physiotherapy exercises help to strengthen the muscular framework, so that the spine becomes more resilient to loads.They also normalize the nutrition of the tissues, the intervertebral discs, preventing the development of degradation processes in them.However, exercises can only be performed during periods of remission - during injuries, exacerbation of chronic diseases, they are prohibited.
Yoga
Yoga has the same indications, contraindications as exercise therapy.
The following asanas are the most useful in pain in the lower back:
- Tilting towards the front of a sedentary position;
- Pose of the child;
- To twist a lotus installation;
- Lies goddess;
- Legs at right angles with body support on the wall;
- Free wind;
- Awakening.
It is first recommended to perform them under the supervision of an instructor.
Swimming
During swimming, the load is removed from the spine, the muscular framework is reinforced and the work of the muscles is standardized and the blood circulation is improved.You cannot swim during periods of exacerbations.It is also important to adhere to certain styles that do not exercise in charge of the lumbar region.It is a swim on the back shown at the start of the lesson, at the end, hug, like a dog.The rabbit style is not recommended because it provides a significant load on the musculoskeletal system.
Physiotherapy
How to treat pathology?A good additional method is physiotherapy.
The following methods are used:
- Microwave;
- UHF;
- Magnetotherapy.
During this, hypertonicity, muscle spasms are eliminated, the inflammatory process decreases, swelling sets, blood circulation, microcirculation are standardized.Usually, 7 to 10 procedures are sufficient to obtain a stable positive effect.
Massage
Massage allows you to relieve muscle hypertonicity, to strengthen muscle corset, such as exercise therapy, it is prohibited to carry out serious exacerbations of pathologies.
Perform a light massage as follows:
- Rub with open palms, on both sides of the spine;
- Press, accompanied by vibrant / circular movements - apply forces simultaneously with two fingers, symmetrically, at several points along the spine;
- The development of deep layers of muscles - Press four fingers on the fabric on both sides of the spine, without reducing the pressure to advance the hands forward - from the sacrum to the thoracic region.
Also finish the complex by rubbing.
Organization of the workplace
Often, pain in the spine manifests itself in people engaged in sedentary work.Following an prolonged session, a strong static load is on the spine.It can be reduced with the appropriate organization of the workplace.He must respect the following rules:
- When you place the forearm on the table between them and the shoulder, a right angle should form;
- The feet must be held on the ground in a sitting position, the knee must be folded at an angle of 90 degrees;
- The distance between the eyes (with a straight back) on the computer screen is 50 cm on the surface of the table-30-40 cm.
In addition, you can improve your condition by buying a special orthopedic session.
Prevention
If the lumbar region has not yet hurt, but you feel stiffness, take the following measures for prevention of pain in the lower back:
- Avoid weight lifting;
- Avoid the prolonged dynamic / static load;
- Take gymnastics breaks with sedentary work;
- Perform exercise therapy daily;
- Eat properly;
- Abandon bad habits;
- Avoid drafts;
- Follow your weight - don't leave its whole.
These methods prevent the development of pathologies of the musculoskeletal system.
Conclusion
Pain in the back and lower back can cause various pathologies and you cannot get rid of unpleasant symptoms by eliminating the cause of this pathology.Therefore, if pain relieving the pain stops acting, the lower back pain becomes regular / very intense, you should consult a doctor to establish the cause of the pain and eliminate it.