Almost every second man older than 16-18 years old periodically complains that his 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. While medical care treats only the fifth part of them. Others prefer to "cope on their own, leaning on painkillers and hoping that the discomfort will pass by themselves.
Everyone ought to determine exactly what back pain to his specific case, because this symptom is fraught with serious troubles with health.
Causes of pain
In relatively young and healthy people, back pain usually from abnormal overloads. They are the cause of spinal pain, with complaints that doctors treat 85% of patients. Do not have to be a weightlifter to engage in physical labor due to their professional specificity, or to be a enthusiast of country garden works to get trouble with my back. Permanent stay in the same position, for example, when working at the computer, provides a voltage, which becomes the reason why back pain. Recommendations of physicians to draw on the back of the chair and sit down into it deeper have a good reason. Heavy bags are carried from the supermarket to home can give the same effect.
The diagnosis of "tired backs" in medical terminology. Pain are mild in nature are expensed and included in "unspecified reasons" and treated with rest and proper fit. More attention is being paid, if the feeling does not subside within two weeks accompanied by additional symptoms, or have a certain periodicity. To determine why back pain, you will need a number of hardware studies and consultations of doctors of different specializations.
Compression fracture
According to the world health organization, up to 4 % of all elderly patients who have sore back, suffering from a compression fracture. Under this diagnosis refers to a crack formed in the spine without any particularly strong external influence. This fracture occurs in older people; among the younger age groups tend to him patients with osteoporosis of the spine. Reduced bone density unreliable in the face of gravity. The fracture can occur even under the influence of its own weight of the patient, and he did not notice him; only to note that the back hurts, why – is unclear. For this reason, compression fractures to traumatic consequences are not.
What to do if back hurts as a result of such damage, the details will tell the doctor. Save the situation at rest, strict bed rest and medication that can reduce the soreness.
Problems with the spine
Osteochondrosis
Is a chronic disease that can affect people of any age, social status and gender. With development degenerative disc disease the intervertebral disc height decreases, the reduced mobility of the whole spine, over time, complications from not only the spine but also of the internal organs.
Spondylolisthesis
This disease affects up to 7 % of the population. But spondylolisthesis is diagnosed infrequently: many patients until the last moment ignored the signal of acute pain occurring in the lower back. In principle, the disease can affect any part of the spine, but most often affects the fifth lumbar vertebra. His leg is deformed, whereby the starting repere what is under it bulging at the same time or back or forward. Figuratively speaking, spondylolisthesis at the spine ceases to remind post – it is more like a ladder.
The disease is manifested in the fact that the constantly sore back, the pain can be transferred to the buttocks, in some cases on the lower limb. However, if the disease is not running, the feeling is not very sharp, allowing patients to ignore them.
Ankylosing spondylitis
He is also ankylosing spondylitis. Affects mostly men, and all ages. Female patients account for only 16-17 %. When spondylitis inflamed joints with ligaments; the disease is progressive in nature. Usually begins with the lumbar, but in the absence of response, that is, the right treatment, quickly spreading to the chest, and after – and cervical segments. That is disturbed all back: if a sore lower back, and soon the whole body will not remain on the sidelines.
The first symptoms is stiffness of the lower section of the torso, which is accompanied by severe pain syndrome. It is noted the tension of the entire spinal muscles, which is continuous and it is not abating, even during a long vacation. Almost all patients whining of the thigh; over 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 broken even eyes.
Herniated discs.
This pathology of the intervertebral discs is considered to be very common. Often faced with the problem of Mature people 40 and older, but can develop in younger age. Contribute to the emergence of herniated discs can:
- overweight – it is in recent years is the most common precipitating factor;
- heavy physical work or exercise with weights;
- injury, appropriate spine;
- a long stay in a sitting position (especially if the workplace is organized correctly, a failure to make orthotic recommendations);
- provoke disease: hip dysplasia in childhood, scoliosis, osteochondrosis.
The mechanism of development of a hernia lies in the degeneration of tissue as a connective and muscular. Not supported muscularis corset spine begins to sink, wheels – simulat and squeezed beyond the boundaries of the column. As a result, the patient is very back pain, especially while lifting or turning in inclinavit se position. Pain aggravated by sneezing or coughing, and sudden or unaccustomed movements. Additional symptoms — numbness, tingling, or wattage of the feet, crawling over him "goosebumps" and other not very pleasant feeling.
Osteomyelitis
This is one of the most rare causes, causing back pain. Such a diagnosis is only about 0.01% of patients referred to the doctor. Starts osteomyelitis due to infection in the spine, most often she gets blood flow from the urethra. The insidiousness of the disease is that it develops gradually and imperceptibly, his illness, the patient will know when back pain and fever, sometimes to dangerous indicators.
However, it is worth to mention: if you have aching lower back or shoulders, and the thermometer confirms that you are sick, this does not mean that you have osteomyelitis. The same clinical picture is observed in many infectious diseases with the same flu, for example. So if a really sore back, what to do, should be decided by the doctor. Otherwise, you can start to heal from infection of the spine while you need to struggle with the more familiar disease.
Back pain can be severe scoliosis, sciatica (if their intensity can crescere to "unbearable"), and many other problems with the spine. If you are concerned about the question of what to do for pain in the back, switch your focus and anxiety on the establishment of an accurate diagnosis. Only a specialist can understand what treatment you need.
Not only the spine
How to get rid of back pain? Many people believe that is able to tell a podiatrist or spine. However, this part of the body can hint us about the problems with the internal organs, to which the spine has no relation:
- if the back hurts in the left upper part of the body that has aching, and sometimes rapiente character, this symptom may be a harbinger of a heart attack. Anyway, with the heart obviously has been a problem, so a visit to a cardiologist costs as quickly as possible;
- pain affecting the lower back and datum usque in the foot, often indicate inflammatory processes in kidneys or the bodies that fall under the jurisdiction of the gynecologist. Nature of feelings – pulling, sharp, throbbing. Sometimes the pain and transferred to the groin area;
- pain in the area between the shoulder blades often speak of diseases of the digestive system. Some of them give in the waist and the patient begins to treat his non-existent sciatica;
- mild pain in the back, much dans in one of the lower limbs and increasing when moving or sitting, can talk about sciatica, an inflammation or pinching of the sciatic nerve;
- deaf, but noticeable pain in shoulder blade migrating to the center of the spine and is enhanced by turning the housing or if the breath – a clear signal of lung problems. In some cases, so manifest cardiac disease.
If the treatment of back pain, it is recommended for most patients with vertebrate diagnoses is ineffective if the pain intensity does not depend on your position (sitting, standing, lying down), most likely, the problem is not in your spine, and in some of the internal organs.
In all these cases, the psychologist must prescribe treatment. Back pain is not due to physiological reasons, but due to internal disorder. And while he persists (or the patient him suck), discomfort can not be repaired. Even analgesic drugs will be significantly weaker than planned.
Therapeutic fundamentals
The main issue for the patient is all the same sacramental: what to treat? Back pain – symptom must be removed so it does not interfere to live and work. However, this is a very limited perception of the problem. Withdrawal symptoms solves the problem temporarily. If you don't deal with the disease, which has provoked its development, pain will return again and again.
If back pain is caused by problems with the spine, is usually applied a standard set of therapeutic modalities, elaborated in accordance with the specific diagnosis and individual patient characteristics. It includes:
- nonsteroid anti-inflammatory drugs number. They both relieve back pain and ortum or generandi them inflammatory process. If the pain is very strong, the drug is administered intramuscularly; in complicated cases they are supplemented by analgesics and narcotic substances. As a maintenance drug therapy, vitamins, muscle relaxants, increase the effect of nonsteroids, antihistamines. If back pain caused by the original disease, treatment for it – and it 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 diseases or complications. Among the most popular and effective effects — electrophoresis, magnetic therapy, acupuncture. In recent years, particularly recommended by doctors hydrokinesotherapy — stimulating spinal traction out in the pool with warm water;
- physiotherapy. Without it not to manage almost all diagnoses. Deformation and degradation of the spine will progress if its not regularly be forced to take the correct position. Gymnastics must become part of the patient's life and after elimination of backache.
If back pain was the result of disease of some internal organ, the treatment regimen will change dramatically. The first stage will remain the same, except that you will only include painkillers (if the inflammation has had time to settle in the patient's body). In the second stage treatment will be aimed at addressing the primary pathology: the treatment of cardiovascular, digestive or urogenital systems. This is justified because of back pain not connected with its physiological state.
Cases psychosomatic back problems is considered to be the most difficult for the patient. He will have to pass a comprehensive examination and consultations of a number of specialists to cut the likelihood of not only vertebrate ailments, and problems with internal organs. And then to have a conversation (and not one) with a specialist psychologist. In our country the doctor is perceived as something unpresentable. Unfortunately, without his help, the patient will have to accept the fact that he is constantly back pain: to get rid of internal problems on their own is obtained in few patients.