It is believed that this disease is not treatable and goes away. But actually, things can be much more difficult. What could be the causes of back pain and some of them need medical care?
Approximately 85% of cases of chronic or occasional back pain associated with excessive stress. Don't be surprised: even if you do not exercise, do not carry heavy things and dig in the beds day and night, the muscles of your back still have daily strain. When you sit, for example, in front of the monitor, that they have to maintain the bulk of your body. Therefore, doctors recommend that those who work at the table as possible "deeper" to sit in a chair, leaning on his back.
However, the diagnosis of "tired back" no one will deliver. As a rule, mild back pain attributed to "undetermined causes" (this may be temporary damage to the muscles or ligaments) and treated with rest and proper posture in the chair. If the pain does not go away after 2 weeks or recur regularly, you should ask your doctor to do a more detailed examination.
According to the American medical Association, the diagnosis is about 4% of patients with back pain. Compression fracture — fracture of a vertebra, most frequently in the elderly and osteoporotic patients. In this disease the bones become less dense and can break simply under the pressure of body weight. Therefore, fractures as a result of injuries in this category are not included. So the patient himself can not see how you break his vertebra to talk about it will only sharp nagging pain.
Such fractures are treated with a strict bed routine and medications aimed at reducing pain.
Herniated disc — a fairly common problem, often occurring in people above 40 (though it can be diagnosed at an earlier age). Cause — degeneration of the muscles and connective tissues. With age, your spine as if "settling" the vertebrae are pressed closer to each other, the intervertebral discs are flattened and bulge beyond the vertebral column. The result is the same compression of the nerve roots, leading to a sharp pain in the lower back and legs.
As a rule, the localization of your pain may tell the doctor where there may be a hernia. But to confirm the diagnosis and accurately determine the location of the hernia is usually performed with magnetic resonance imaging (MRI).
This condition occurs in 5-7% of the population, although it is diagnosed much less frequently (most often for chronic lumbar pain, people just don't pay attention). Spondylolisthesis at the foot of one of the vertebrae (usually the 5th lumbar) is deformed, causing the bell "crawls" at the bottom, bulging at the same forward or backward. The relevant portion of the spine becomes like a ladder and not a pole.
The symptoms are the same — pain in the lower back, sometimes in the buttocks, can rarely be given in the lower limbs. Misaligned vertebrae can compress nerve roots extending from the spinal cord that leads to pain.
Another name for this disease — ankylosing spondylitis. Most common in men, both older and younger people. Women make up less than one sixth of all patients.
Is mainly manifested by pain and stiffness in the lower back, aching pain in the hips, constant tension of the back muscles. The reason is the inflammation of the joints and ligaments of the spine. It is a chronic progressive disease that is, holding the lumbar spine, the inflammation extends to the neck and chest. Moreover, over time, can affect the connective tissue of internal organs, cardiovascular system, kidneys, lungs and even eyes. However, the disease is quite rare — it "set" for about 0,35 patients.
Approximately 0.7% of patients complaining of back pain later detected cancer. It could be cancer, initially localized in the spine, or tumors metastatic from other organs. As can be seen from the statistics, such cases are extremely rare: generally cancer is "caught" by other symptoms, and if you didn't have oncological diseases earlier, back pain is hardly portends you this terrible diagnosis.
One of the rare causes of back pain (0,01%). Typically, the infection begins with the spine, and gets to the waist through the bloodstream from other parts of the body from the urinary canal, for example. Like other infectious lesions, usually accompanied by fever. However, a combination of "back ache + fever" does not mean that you are infected spine. The flu, for example, can cause the same symptoms.