Almost every second man over the age of 16-18 years old periodically complains that her back hurts. In recent years such problems have become typical, even for the young, and the frequency of complaints in adults back pain grow and grow. At the same time, medical assistance turns up only one-fifth of them. Others prefer "cope" on your own, leaning on painkillers and hoping that the discomfort will pass by itself.
Everyone will seem to determine exactly what the pain in the backs of his specific case, because this symptom can cause serious health problems.
Causes of pain
In the 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. Does not have to be a weightlifter to engage in physical labor due to their professional specificity, or to be a enthusiast of country garden running to problems with my back. Constantly finding the same position, for example, when running on a computer, provides a voltage, which becomes the reason for pain in the back. The recommendations of the doctors to prepare for the back of the chair and sit in it better have a good reason. Heavy bags carried from the supermarket to home can give the same effect.
The diagnosis of "tired arms" in medical terminology. The pain of the existence of non-acute in nature, are debited to "undetermined reasons" and treated with rest and proper fit. More attention is paid, if the feelings do not subside within two weeks accompanied by additional symptoms, or have a certain periodicity. To determine why the pain in the back, you will need a large number of hardware studies and consultations of doctors of different specializations.
Compression of the fracture
According to the world health organization, up to 4 % of all elderly patients who have pain in the back, who suffer from a compression fracture. In the framework of this diagnosis means crack formed in the spine without 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. A fracture may occur even under the action of its own weight of the patient, and he did not notice, and will only mention that the back hurts, why – is not known. 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 of the rest, strict bed rest and medications that can reduce the pain.
Problems with the spine
Osteochondrosis
Is a chronic disease that can affect people of any age, social status and gender. With the development of osteochondrosis of the intervertebral discs the height decreases, the reduced mobility of the entire spine, over time the complications arise not only from the side of the ridge, but especially from the internal organs.
Spondylolisthesis
This disease affects up to 7 % of the population. But spondylolisthesis is diagnosed is quite rare: many people until the last moment ignored the signal of acute pain occurring in the lower part of the back. In principle, this disease can affect any part of the spine, but most often affects the fifth lumbar vertebra. The leg is deformed, resulting repere starts of under the protruding either backward or forward. Figuratively speaking, spondylolisthesis of the spine ceases to remind post – it's more like a scale.
The disease is manifested in the fact that the constant pain in the back, the pain can be transferred to the buttocks, in some cases the lower limb. However, if the disease is not too far gone, the feeling is not too spicy, which allows patients to ignore them.
Ankylosing spondylitis
He is also ankylosing spondylitis. Affects the most men, and all ages. Female patients account for only 16-17 %. When spondylitis inflamed joints by ligaments; the disease is progressive in nature. Usually begins with the lumbar, but in the absence of a response, that is, the right treatment, quickly spreading to the chest, and by – and cervical segments. It is to cover the back: if the pain in lower back, soon the whole body will not remain on the margins.
The first symptoms are stiffness of the lower part of the body, 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 the 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 affected even eyes.
A Herniated discs.
This pathology of the intervertebral discs are thought to be very common. Often the problems faced by Mature people, 40 years old, but can develop at a much younger age. Contribute to the emergence of herniated discs can:
- overweight – that is, in the recent years is the most common precipitating factor;
- heavy physical work or exercise with weights;
- injury, appropriate spine;
- prolonged sitting (especially if the company is organized properly, a failure to make orthotic recommendations);
- the activation of the disease: dysplasia in infancy, scoliosis, osteochondrosis.
The mechanism of the development of the hernia lies in the degeneration of the tissue as a connective and muscular. Not supported muscularis corset spine begins to sink, wheels – simulat and squeezed the outside of the column. As a result, the patient is much pain in the back, especially while lifting or turning in inclinavit se position. The pain is also severe through sneezing or coughing, and sudden or unaccustomed movements. Additional symptoms — numbness, tingling or wattage of the feet, crawling over him "goosebumps" and other not so pleasant feeling.
Osteomyelitis
This is one of the few reasons of what causes pain in the back. Such a diagnosis is only about 0.01% of the patients by the doctor. Starts osteomyelitis due to penetration into the spinal cord infection often she gets blood from the urethra. The insidiousness of the disease is that it develops gradually and imperceptibly, his disease, the patient will know when the back pain and a high temperature, sometimes to dangerous indicators.
However, it is worth to mention: if you have pain in the 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 you really pain in the back, what to do, should be decided by the doctor. Otherwise, you can start to heal from the infection of the spine in time as you have to fight with the more well-known diseases.
Back pain can be implemented, and severe scoliosis, and sciatica (in his case, their intensity can crescere to "unbearable"), and many other problems with the spine. If you are worried about the question of what to do for pain in the back, switch your focus and anxiety for the establishment of an accurate diagnosis. Only a specialist can understand what treatment you need.
Not just the spine
How to get rid of back pain? Many people think that say will be a podiatrist or spine. However, this part of the body can trace us to the problems with the internal organs, and the spine has nothing to do:
- if back hurt on the left side, in the upper part of the body that has pain, but sometimes rapiente character, this symptom can be a harbinger of a heart attack. As it is, with the heart apparently has problems, so a visit to the cardiologist cost as soon as possible;
- pain affecting the lower part of the back and datum usque in the foot, often indicate inflammatory processes in the kidneys, or organs that are under the jurisdiction of the gynecologist. The nature of the feelings – pulling, sharp, throbbing. Sometimes the pain is to be transmitted, and the groin;
- pain in the area between the shoulder blades often speak of diseases of the digestive system. Some of them are given in the lower part of the back, and the patient begins to treat his non-existent sciatica;
- mild pain in the back, many dans in one of the lower limbs and increasing when moving or sitting, you can talk about sciatica, an inflammation or pinching of the sciatic nerve;
- deaf, but noticeable pain in the shoulder blade migration in the center of the spine and aggravated by spinning of the body or the breath – a clear signal in connection with problems with his lungs. In some cases, so manifest cardiac disease.
If the treatment of back pain and is recommended for most patients with vertebrate diagnoses are ineffective if the intensity of the pain depends on your position (sitting, standing, lying down), most likely, the problem is not in your range, and in some of the internal organs.
In all these cases, the psychologist must prescribe the therapy. Back pain from physiological reasons, and because of the internal disorder. And while he persists (or the patient him suck), the discomfort may not correct itself. Even analgesic drugs will be significantly weaker than planned.
Therapeutic fundamentals
The main problem for the patient, is still 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 do not deal with the disease, which caused its development, the pain will return again and again.
If the back pain is caused by problems with the spine, usually applied to 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 at the same time get rid of the pain in the back and ortum or generandi them inflammatory processes. If the pain is very strong, the drug is administered intramuscularly; in complicated cases they are supplemented with analgesics and narcotic substances. As the maintenance of the therapy with medications, vitamins, muscle relaxants, strengthening effect nonsteroids, antihistamines. If the pain in the back caused by the original disease, the 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 a relapse or complications. Among the most popular and effective effects — electrophoresis, magnetic therapy, acupuncture. In recent years, especially recommended by doctors hydrokinesotherapy — stimulating stretching of the spine, exercises in a swimming pool with heated water;
- physiotherapy. Without it not to manage almost all diagnoses. Deformation and degradation of the spine you will thrive if you regularly do not are forced to take the correct position. Gymnastics must become part of the patient's life and after the dissolution of the backache.
If the back pain was caused due to the development of diseases of some internal organs, the treatment regimen will change dramatically. The first stage will remain the same, except that you will only include painkillers (if the inflammation has time to settle in the patient's body). In the second phase of the treatment will be aimed at addressing the underlying pathology: the treatment of cardiovascular, digestive or urogenital systems. This is justified, because back pains are not related to its physiological condition.
Cases psychosomatic back problems, and may justly be considered the most complex for the patient. He will have to pass a comprehensive examination and consultation of a number of specialists to reduce the likelihood of not only vertebrate ailments, and problems with internal organs. And then to discuss (and not one) with a professional 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 the internal problems on their own is obtained in a few patients.