The lumbar spine, throughout life, can withstand greater load. It is not surprising that sooner or later, often at the end of the day, many begin to feel that they have sick down the back. But we should not assume this is a normal phenomenon. Pain can have its cause, which often requires urgent treatment. And if you don't pay attention to them and not taken the proper steps, not knowing what to do, pain in the lower back can lead to a significant deterioration of your life and health.
Why it hurts down the back — likely causes
The most likely causes of low back pain low back pain, who give in the leg, lower abdomen, due to the fact that a person spends a lot of time behind the wheel, the computer is engaged in physical labor, especially if he has to drastically change the body position. To pain lower back lower back and can cause excessive load in the gym, the obsession with work on the house, especially in the presence of excess weight. At risk are women who have recently given birth or those who have already entered menopause
If a sore lower back in the lower back, this may indicate the presence of malignant and benign tumors in the pelvic organs or in the pelvic cavity, diseases of the prostate or chronic prostatitis. Back pain after a long walk on foot usually indicate the development of stenosis in the spinal canal. An additional symptom is a syndrome of spinal or pseudo-claudication intermittendi.
The rheumatic polimialgia is quite common disease for the elderly. First, a person feels low back pain, they gradually intensified in the proximal upper or lower extremities appears stiff and limited mobility.
A common cause of low back pain is low back pain. During the examination of the spine can be detected also such degenerative diseases as osteoporosis, osteoarthritis and osteoarthritis. The distance between the vertebrate disks gradually reduced, and this disrupts the mechanical balance of the spine. This, in turn, also causes a sore lower back at the waist. Finally such pain can result from muscle spasm while performing unaccustomed physical activity.
If it hurts down the back at the waist — the nature of pain and possible symptoms
The nature of low back pain depends entirely on its cause. If this stretching, the pain spread mainly in the lumbar spine. In some cases they give in the buttocks and hamstring. Mobility and the body turns significantly restricted. With the pinching of the nerve roots lower back pain from the waist down gradually to his feet. If the cause of low back pain is one of the systemic diseases such as sciatica, its symptoms progress gradually.
Expresso nerve endings of the spinal cord herniated discs usually occur in older men. Usually pain in this case aggravated by sneezing, coughing, laughing, bending, straightening of the spine in the lumbar Department. Try to lie on your back and raise the straight leg vertically. In the presence of a herniated disc you will feel pain in the lower back. This type of pain is called lumbago. In the standing position it is rising, and lying down — abates.
If it hurts down the back — secondary causes
- neoplastic diseases of the vertebrae and the spinal cord;
- vertebral fractures;
- infectious diseases, which may occur damage of the intervertebral discs and vertebrae themselves;
- metabolic lesions of bone
- non-infectious inflammatory diseases
- acute disturbances of the spinal blood circulation, stroke;
- diseases of the gastrointestinal tract (intestinal obstruction, atypical acute appendicitis);
- reflective pain, which can occur in various diseases of the pelvic organs (infection of gynecological diseases, renal colic).
What to do if you have pain below the back
Diseases that can cause low back pain in the lower back quite a lot and almost all of them have similar symptoms. That is why it is often necessary to make a differential diagnosis with the use of hardware and laboratory techniques. Depending on the results of these studies will be assigned and the treatment of pain, or rather, those illnesses that caused their appearance.
Why back pain in lower spine?
There is probably no one person who at least once faced with the back pain. This problem is most pressing for people after 60 years but the young these situations happen. It is known that the restriction of physical activity in working age are most likely to occur precisely because of low back pain. Why is this happening and what to do with her appearance, tell the doctor. And the patient needs only to come to the consultation of a specialist.
Any pain is a signal of certain malfunctions in the body. And its location generally indicates the source of the problem. If worried about the back, most people just think about the pathology of the spine. True, injuries to the axial skeleton represent the most frequent cause of pain in the lumbosacral region. Such conditions include:
- Low back pain.
- Spondiloarthrosis.
- Intervertebral hernia.
- Injury.
- Spondylosis.
- Bechterew's Disease.
- Spondylolisthesis.
- Osteoporosis.
- The spinal stenosis.
- Of the tumor.
This can affect any structure of the axial skeleton: the vertebrae, discs, joints, ligaments, tendons and muscles. A pathological process often has a degenerative, inflammatory or traumatic in nature. This is facilitated by inactivity, sedentary work, carrying heavy loads and other loads on the spine. The important role played by internal factors related to metabolic-metabolic, immune and age-related changes in the body.
But low back pain is a symptom not only of diseases of the spine. And know it all doctors. Under this symptom may be masked fairly common diseases of the internal organs in women and men. Therefore, the causes of pain should be looked for among such States:
- Gynecological problems.
- Diseases of the kidneys and bladder.
- Urologic pathology.
- Bowel disease.
In addition, the back may ache during pregnancy, when the increased load on the lower back due to the shift of the center of gravity of the body and stretch the internal ligaments of the pelvis.
Why is there pain lower back, can be found after medical examination and additional diagnostics.
When the patient goes to a doctor, he wants to get detailed information about the origin of the discomfort and further tactics. And it needs to be examined. And the primary step is a clinical examination, during which clarified the subjective and objective signs of pathology.
If we talk about complaints, the greatest concern in patients cause pain. They can have different colors, but most often are characterized by the following features:
- Acute or chronic.
- Shooting, aching, throbbing, drawing, stitching.
- Of varying intensity from mild to severe.
- Localized in the lumbosacral region.
- Give in the lower limbs, groin area, stomach.
- Aggravated by movements of the trunk, sitting, walking.
However, low back pain is not the only symptom of pathology – clinical picture includes other symptoms, which suggests the likely source of the problem.
Diseases of the spine
When patients worried about the back in the lumbosacral region, you need to look for confirmation of vertebrogenic nature of these sensations. Pain often associated with muscle tension or compression of the nerve root. So they can have the following character:
- Lumbago – acute lumbago in the lower back.
- Lumbalgia – dull and deep pain.
- Sciatica – pain radiating in the lower limb in the course of the sciatic nerve.
First sometimes there are unpleasant sensations in the leg and back starts to bother later. But pain, in the radicular syndromes (radiculopathy) are characteristic of a neurological disorder associated with damage to sensory, motor and autonomic fibers. These include:
- Depression of tendon reflexes.
- Diminished strength in the lower extremities.
- A weakening of sensitivity.
- Numbness, tingling, "pins and needles", burning sensation.
- Discoloration of the skin.
Such violations appear in the appropriate dermatomes of the body segments, innervating the affected spine. And the local signs of pathology of the spine include muscle tension and soreness paravertebral points in the lumbosacral region, smoothed physiological lordosis and limitation of active movements.
Vertebrogenic disease is equally common in men and women, with age they only worsen and often lead to reduced functional capacity of the person.
Gynecological problems
If there is lower back pain in women, then you need to pay attention to the possibility of disease in the gynecological field. Most often we are talking about inflammatory diseases or dysfunctional States. In such cases, you may see the following signs:
- Irregularity of the menstrual cycle.
- Vaginal discharge.
- The increase in temperature.
Acute processes in the uterus and appendages can become chronic or be a complication of peritonitis. In addition, the cause of the pain can be ectopic pregnancy or spontaneous abortion. Then the risk of internal bleeding and shock.
Diseases of the kidneys and bladder
Pain in the lower back are considered as one of the symptoms of renal disease – nephritis. As a rule, they have a permanent character, and in the case of kidney stones can be aggravated by a bumpy ride or running. Cystitis, these sensations are localized in the suprapubic region and may radiate to the sacrum. The inflammatory process is accompanied by other symptoms:
- Dysuric disorders: cramps, burning sensation when urinating.
- Change the color of urine.
- Fever, General malaise.
Chronic pathology is accompanied by a gradual decrease in functional capacity of the organ which develops into renal failure.
Urological pathology
If men have back pain in the lower back bottom, then the differential diagnosis should be done with urological and diseases. First of all, rule out prostate disease – prostatitis and adenoma. Such pain is felt in the pubic region and the perineum, giving at the rectum and the sacrum. Often there are additional signs:
- Discharge from the urethra.
- Difficulties when urinating.
- Reduced potency.
In acute prostatitis possible General manifestations of fever, weakness, malaise. And chronic inflammatory processes are sluggish and poor symptoms.
Bowel disease
In considering the origin of pain in the lumbosacral area, it is necessary to mention pathology of the various divisions of the intestine. Appendicitis, ulcerative colitis, proctitis, a condition that require different approaches to diagnosis and treatment, but include similar symptoms. These include:
- Pain in the abdomen or flanks.
- Change in stool – constipation or diarrhea.
- Fever.
Colitis are often found pathological impurities in the stool: blood, mucus or pus. But an objective examination with palpation of the abdomen and rectal examination provides additional information about the disease.
Nonvertebral pathology is quite varied, which is why the doctor requires a thorough differential diagnosis of back pain.
Diagnosis
To understand why the patient has pain in the lower back, you need to pass additional tests. The doctor will prescribe a complex of laboratory and instrumental methods, the results of which will help make the right conclusion. These include the following studies:
- General blood and urine.
- Blood biochemistry (markers of inflammation and rheumatology test, urea, creatinine, etc.).
- Urine analysis according to Nechyporenko, zimnitskiy.
- The analysis of the secretions from the genitals, feces.
- Radiography of the spine.
- Magnetic resonance imaging and computed tomography.
- Ultrasound of internal organs.
- Endoscopy of the intestine.
If necessary, the list of diagnostic procedures is expanding. Opportunities to establish the source of pain.
To treat vertebrogenic diseases must be based on the nature of the pathological process and the individual characteristics of the patient. Take into account the possibility of associated conditions, which also require adequate correction. If the cause of pain, not related to the spine, are excluded, the treatment deals with the spine, neurologists or orthopedic trauma.