Pain in lower back – what to do? Why can pain on the lower back?

In the lower part of the pain occurs quite often. Patients say "I have pain in the lower back", "pinched waist", "cross in back". If the pain is inconsiderate, I can say "aching back", "withdraw", "aching loins". Sometimes the pain is described as burning in the lower part of the back.

The lower back is called the lower part of the back - from the place where the end ribs to the coccyx. Perhaps a special word to refer to the waist is necessary in order to determine the place where it hurts. After all, if the pain in the back, in most cases, the pain is back.

pain in the back

Which can be a pain

Most back pain occurs suddenly and sharply, acute. In this case we speak of lumbago (the obsolete folk name cross). The pain is described as sharp, "shooting". Movement limit, sometimes even impossible to straighten his back. In every movement the pain increases.

The pain may last a few minutes, and may last considerable time (several days). It may be that an attack will occur, and the pain more about yourself remind, but often the pain returns and the person gets used that the lower back can hurt.

The lower part of the back can be not only sharp (sharp), she can wear pull character and to be chronic. A mild but constant pain in loins, sometimes aggravated by, for example, during physical exertion, infectious diseases, colds, etc., is called the lumbar region. Sometimes there is no pain directly, but are kept in the lower part of the back stiffness the patient is experiencing discomfort.

Causes of pain in the back

In the lower part of the pain can be caused by a variety of reasons, but the statistics are the following:

  • in 90% of cases the pain is caused by problems with the spine and back muscles;
  • 6% cause of pain is a kidney disease;
  • 4% - diseases of other internal organs (urinary system, colon).

The participation of the spine account for the majority of all cases of pain in the back, and it is not by accident. In humans, the center of gravity of the body is only at the level of the waist, and walking the entire burden almost entirely falls on the lumbar vertebrae (in animals that move on four legs, it is not a problem). And when the person sits down, the lumbar vertebrae and sacrum are faced with the same force of pressure which the diver presses 170-meter layer of water. Of course, this area is particularly vulnerable.

Diseases of the musculoskeletal system, causing pain in the back:

  • a pinched sciatic nerve. The nerve roots extending from the spinal cord are squeezed by the adjacent vertebrae. When this happens, a sharp, shooting pain. Usually, the pressing of the roots becomes possible as a result of the degenerative changes of the spine (osteochondrosis): the intervertebral discs that separate the vertebrae from each other is destroyed, the gap between the vertebrae narrows and sudden movement (tilt, rotation) can lead to serious nerve branch;
  • sciatica (sciatica). The pinched nerve roots can become inflamed. Inflammation of the nerve roots is called sciatica (from lat. radicula - "root"); to indicate inflammation of the sciatic nerve is sometimes used a special name - sciatica. With the defeat of the sciatic nerve can be lumboischalgia - back pain, spreading in the thigh and leg in the course of the sciatic nerve;
  • herniated disk - protrusion of a fragment of the intervertebral discs in the spinal canal. Occurs as a result of injury or degenerative changes of the spine (osteochondrosis);
  • myositis of the lumbar muscles. Myositis is inflammation of the skeletal muscles. The reason for myositis lumbar muscles can be hypothermia or sudden tension.
 osteoporosis

Also, in the lower part of the pain can be caused by such illnesses as multiple sclerosis, degenerative sacroiliitis, osteoporosis.

Prevention of back pain

The occurrence of back pain is often caused by the careless attitude to their own health. The pain can be caused by:

  • a prolonged stay in the same position (for example, sedentary work);
  • poor posture;
  • low mobility;
  • excessive physical effort.

All these factors contribute to the development of the disease, is manifested by pain in the lower back. The risk of pain can be reduced if you observe the following tips for physicians:

  • follow the carriage;
  • to avoid awkward postures at work, sitting. It is desirable that the knee is slightly higher than the hip joints. Use a low stool or to stand on his feet. To make a small pillow between the lower back and the seat back;
  • when sedentary work must from time to time to get up to move. Do it every hour, for five minutes breaks; how to lift weights
  • it is desirable to sleep on a pillowtop mattress (elastic and tough enough);
  • to lift weights is necessary due to flexion of the knee, not the back. That is, you must sit down, bending your knees, then straighten them while maintaining a straight line of the back;
  • shifting the burden, it should be evenly distributed between both hands to carry the whole burden in one hand (a heavy bag);
  • every day you will need to do a set of exercises aimed at strengthening the muscles of the abdomen and back.

The lower part of the coat of arms of the kidneys

When the back pain it is important to determine what causes the pathology of the musculoskeletal system or a disease of the kidneys (and other organs). Diagnostics must be performed by a doctor. However, there is evidence to suggest that pain can be caused by problems with the kidneys or (and) other organs of the urogenital system. The appearance of these symptoms, it is recommended to consult a doctor-urologist. Kidney disease (or more broadly - of the genitourinary system) can be suspected, if the pain is accompanied by:

  • The general worsening of the disease (lethargy, drowsiness, weakness, fatigue);
  • swelling of the eyelids, face. Swelling is particularly pronounced in the morning, after waking, and subsides by evening;
  • the increase in body temperature, fever, sweating;
  • loss of appetite, nausea, vomiting;
  • increased or painful urination;
  • changes in the characteristics of urine (it can become more concentrated color, or vice versa - a colorless, contains mucus or blood);
  • an increase in blood pressure.

Also, an important sign that in the lower part of the pain caused by the problems of the internal organs, and not of the musculoskeletal system is its independence from the position of the body: the change of body position and limb pain is not amplified and does not decrease. However, with a long stay in a standing position in the pathology examination of the pain can be worse. Has a value and localization of pain. If you have kidney disease the pain is often observed on one side (because usually suffers only one kidney). Kidney pain may not be limited to the lower part of the back, and will spread in the course of the ureter, in the groin, external genitals, inner thighs.

Pain in the lower back: what to do?

In the lower part of the pain is a symptom of the disease, which requires treatment. It is therefore necessary to consult a doctor. But, in the case of a sudden attack of acute pain ("lumbago" typical sciatica), we first need to ease the pain. Doctors advise:

  • use a little warm. Tie the waist woolen scarf or woolen belt;
  • take the pain;
  • you have to take the posture that allows you to relax the back muscles. It is recommended to lie on your back on a firm flat surface (Board); your legs should be raised and bent at the knees, why it is necessary for them to put a folded blanket or pillow. (On the floor to go on the side, can blow from the draft).

The proposed position is not a dogma. The patient should be released, so there are other possible positions; for example, lying on a Board to be put on her knees bent legs, holding between them a cushion. You can try to lie on your stomach and stretch your legs by placing a pillow under the ankle joints. If the sharpness of the pain is removed, it does not mean that the doctor is not necessary. Without proper treatment, the seizures will recur, and the situation to get worse.

Pain in the lower back what to do

What doctor to address with a complaint of pain in the back?

When the back pain is best to consult a therapist, because first of all it is necessary to identify the disease organs that causes pain. Depending on the results of the inspection, you need to consult a medical specialist. Can be assigned:

  • consult a neurologist for assessing the spine, back muscles and the nervous system;
  • consult a doctor-urologist in the case of suspected disease of the urinary system;
  • consultation of the gynecologist - in case of suspicion or presence of chronic diseases of the organs of the female reproductive system;
  • General blood test and urinalysis, to confirm or exclude the inflammatory nature of the disease;
  • radiography of the spine ;
  • Ultrasound of the hip joints ;
  • as well as other studies.