Back pain occur frequently enough and occur under different circumstances.
Often patients go to the doctor and ask: if a sore lower back, what could it be, which causes severe pain.
Back pain in the lower back region may develop in a variety of pathologies and spine and internal organs. Periodic pain occur in people with systemic diseases. Localization of such pain can be different: many people complain that it hurts more to the right or left, above or below the waist, and they ask what is in this area. Frequently this condition develops during pregnancy, and this is possible and the early and late stages. If the pain is sharp, also have a fever, it is necessary to call the emergency assistance.
If there is constant pain, and no fever, then to understand the reason of this phenomenon can help the expert. You should first contact the therapist, who will assess the patient's condition and suggest what professionals need to go further.
To learn, a sore spine, or causes of this state of others, it will be necessary to conduct a series of researches including ultrasound, MRI, etc
The causes of back pain in the lumbar region
If back pain in the lumbar region, the causes of this phenomenon are most commonly associated with the development of lumbago and sciatica. These States are a consequence of the defeat of the lumbar spine, degenerative disc disease. Such pain may be associated with intervertebral hernias and protrusions. Very sick, if shifted vertebra. Can be the temperature of osteochondrosis depends on the status of women, but in this case it is necessary to immediately consult a doctor.
If you develop persistent low back pain causes in women and men can be associated with irritation of the nerves of the spine, irritation or swelling of the muscles and ligaments. The answer to the question, why may be sore in the lower back, and may be that the patient develops certain diseases of internal organs, and pain experienced in the lumbar region. In this case, it can bring pain below and above, left, right.
If we are talking about why a sore lower back in women, the reasons may be pyelonephritis, cystitis, urolithiasis. Sometimes causes what sore lower back in women, associated with diseases of the genitourinary system, in particular, with inflammation of the uterine appendages. But even if in the lumbar region periodically pobalivayet and aches, the causes of this phenomenon must find out a specialist.
Why is a sore lower back in men, which also depends on the disease that must be diagnosed. If there is lower back pain in men causes may be associated with diseases of the prostate.
In addition, there is a possibility that the pain in the lumbar spine can also develop due to problems with the intestines, the pain may irradiate, when the lung is affected.
But why not develop severe pain in the lower back, the causes of this phenomenon need to find out immediately and to provide adequate treatment.
According to the statistics, 60% of urban residents in developed countries occasionally complain of lower back pain. The reasons for this phenomenon are associated with abnormalities of the spine. In most cases such violations are complaining about people aged 30 to 60 years.
60% of cases of pain is a consequence of degenerative disc disease when there is a loss of one of the first sacral roots, 4th, 5th lumbar vertebra. This phenomenon is called monoradical syndrome. With the defeat of the two roots develops biradicular syndrome (in approximately 33% of patients). Defeat the three triradical roots is called a syndrome, it is rarely diagnosed.
Types of pain
Pain in the back is a nonspecific symptom, its causes can be very diverse. Is very different the back pain in the lower back. And how it hurts the spine in the lumbar region or severe pulling pain, heaviness, and determined the reason for this situation. It is also important to understand where the pain is at the top or bottom of the spine; it develops periodically or continuously.
Causes of acute pain:
- protrusion of intervertebral discs;
- acute intervertebral hernia;
- spinal epiduritis;
- vertebral fractures;
- stretching in the acute form;
- pathology of the hip joint;
- sciatica, lumbago;
- disorders of the spinal blood circulation in the acute form;
- acute pyelonephritis;
- acute appendicitis - atypical course;
- obstruction of the intestine.
Causes of chronic pain:
- Bechterew's disease;
- deforming spondylosis;
- kidney stones;
- osteoporosis, osteomalacia;
- spinal cord tumor, retroperitoneal space of the vertebrae - primary, metastases;
- lesions of the vertebrae and intervertebral discs of an infectious nature (brucellosis,epidural abscess, tuberculosis);
- inflammation of non-infectious nature (Reuters syndrome, rheumatoid arthritis, ankylosing spondylitis);
- tumors of the kidney.
The reasons irradiating pain:
- diseases of the stomach, duodenum, pancreas, gall bladder;
- atherosclerosis of the abdominal aorta and branches of aorta;
- diseases of organs of small pelvis;
- women's diseases - inflammation of the uterus, uterine cancer, endometriosis, sexually transmitted diseases;
- disease for men prostate cancer, prostatitis;
- kidney disease - kidney stones, renal colic;
- bowel disease - ulcerative colitis, inflammation of the diverticulum, a nonspecific tumor of the intestine;
- aortic aneurysm exfoliating.
Why there is back pain above the waist?
If there is pain above the back on the sides, it is possible that we are talking about diseases of the liver, liver failure, hepatitis, the effects of the intake of toxic drugs, resulting in pains in the liver. As a rule, in this case back pain right above the waist - in the upper quadrant.
What hurts right and left just above the waist? Most likely, in this case developing acute kidney disease. Often when polycystic, pyelonephritis in chronic, neoplasms of the kidneys observed mild symptoms. After all, stretching of the renal capsule occurs gradually. How to determine what pain - kidneys or across? To accurately answer this question only after conducting a full diagnosis.
If acute pyelonephritis edema or the patient has a blocked ureter, the pain is intense, but dull, often aching. But such feelings are manifested continuously for a long time, often give in the belly, the abdomen. Also, the discomfort and pain may manifest in the upper quadrant on the left or right.
In chronic kidney disease pain is sometimes a result of taking certain medications. When the treatment abolished such sensations pass.
Sometimes it develops muscle pain that can occur not only in the waist, but in the region of the sternum, etc. In this case, it is necessary to establish an accurate diagnosis.
The pain below the waist
pulling and aching pain in the lower back at the bottom developing a number of diseases of the spine. In addition, women have aching in the lumbar region during menstruation. In this case, it can hurt the stomach and back simultaneously. Also, this symptom is manifested in diseases of the reproductive organs (adnexitis, salpingo-oophoritis, oophoritis), pelvic peritoneum. Sometimes hurts and aching back down when the cause is the bowel and inflammation of the Appendix. It usually subsides in the supine position.
In men, aching or sharp pain may develop in diseases of the prostate.
Sharp pain in lower back possible in diseases of the bladder. To know the exact diagnosis helps the doctor.
Pain on the left and right
If a sore lower back right and left at the same time, this may indicate the development of hepatitis, pyelonephritis, cholecystitis. Lower back pain on the right also manifests itself in inflammation of the uterine appendages, prostate. Pain right rear in the area of hypochondrium can develop in pleurisy, pneumonia. If the pain is irradiating and felt above or below the waist with the right hand, a possible atypical appendicitis, and bowel obstruction. In General, the causes of pain in the lumbar region on the right and bottom left can be associated with various diseases of the spine and internal organs.
Pain in the right buttock in women occurs as osteochondrosis and damage to the ligaments and muscles in this area.
Thus, if a sore lower back the left or right, one can suspect that developing such diseases:
Diseases of the spine
If back pain in the lumbar region on the left, the reasons for this state can be associated with acquired diseases, tumors, degenerative disorders, and inflammatory processes. Also discomfort on the right and the lower left back can be associated with injuries of a traumatic nature, intervertebral hernias. Lower back pain left above and below the likely and congenital abnormalities - spondylosis, sacralization, spondylolisthesis, lubalization.
Diseases of internal organs
On the right and left side hurt in diseases of the pelvic organs (bladder, parametric cellular tissue, the uterus and appendages, prostate). Sometimes very sore lower back in the pathology of the intestine and kidney. The symptoms of intestinal inflammation in women and men can manifest severe pain in this area.
Disease NS in lumbar-sacral division
In the sacrum hurts, if you encounter the following problems: root compression, neurological diseases (neuritis, sciatica, neurasthenia, hysteria), metabolic disturbances, diabetes, gout, etc
Pain in lumbago and sciatic nerve jamming
If you pull back, the reasons for this may be related to jamming of the sciatic nerve. In the case of pinching or inflammation of the sciatic nerve as well as sciatica pain is different. The patient sometimes feels the backache in rest and in motion, sometimes in the back of colitis, it's burning, burning. You may feel numbness. And the pain can be moderate to very strong, unbearable.
The sciatic nerve is the longest in the body. When jamming pain occur only on one side. Where exactly, depends on the sex of the patient: usually the case in girls and the left for men. Most often the feeling of a sharp lumbago appears when you get up from a lying position, when you stand and change the position of the body. The most painful inflammation of this nerve spot below the knee and so, where is the bone at the bottom of the buttocks. Sometimes on the back of the thigh and calf muscles appear nodules. A bump like that especially sensitive if you touch it. This disease can disturb the day and night.
Lumbago - the people this disease is called radiculitis. Sudden backache, which occurs after severe stress, sudden movements, prolonged stay in one position, or if hypothermia, colds. If got back, the attacks forced to take such a position in which the pain subsides. What treatments to do, better to ask the doctor. As a rule, helps to massage, means for heating. It is important to consult with a specialist as lumbago evidence of violations in the lumbar-sacral spine.
Lower back pain during pregnancy
Many women ask about what to do if back pain in lower back during pregnancy. It is difficult to understand what to do when you cannot use many drugs, particularly antibiotics, and how to treat this condition.
Causes of burning sensation and pain in the period of carrying a baby related to the fact that at this time the female organism is exposed to increased load. The growth of the fetus changes the center of gravity, and often expectant mothers complain of back pain when bending forward, and later on the constant pain and burning in the back. In addition, during pregnancy in the process of physiological changes observed with other manifestations - headache and chest hair fall out.
During pregnancy relaxes the femoral-sacral joints as the body is preparing for childbirth. It is also a cause of stress to the spine and back pain.
Every woman who is expecting a child should definitely consult with your doctor. It is especially important to do so in that case, if the back problems had been observed before. It is important to contact a specialist, the scope of which is wider than gynecology, and determine how to act to prevent negative manifestations.
Often in pregnancy back pain in kidney area women who have previously suffered from osteochondrosis, spinal curvature, muscle pain. Note, however, that the pain in the kidneys is sometimes the symptoms of diseases of the internal organs. So, pain in the kidney on the left may indicate inflammatory processes of the genitourinary system. Therefore, when such manifestations during pregnancy, it is crucial to inform the doctor and get tested. He will tell you what to do if a sore lower back, and determine the cause of this phenomenon.
If sciatic nerve hurts during pregnancy, practiced manual therapy, special exercises. Any drug appoint only specialist. It is very important to follow all recommendations of your doctor. Only in this case it is possible to minimize all negative manifestations.