Back pain: what to do in case of a very strong, sharp pain

Back mentioned part of the body between the loin and the bottom branch of the neck. Back pain can accompany many diseases. And so often, that the number of requests in medical institutions take the second place after the ARD.

Common causes for pain

What to do if your back hurts? Of course, go to the doctor. Treatment of back deal neurologist, orthopedist, family doctor, manual therapy doctors. It is the true cause of the disease and to appoint treatment. Cause for pain can be:

  • Osteochondrosis;
  • spondylarthrosis;
  • ankylosing Spondylitis (Bechterew's disease);
  • Lumbago;
  • intercostal neuralgia;
  • Pregnancy;
  • congenital and acquired curvature of the spine – scoliosis, kyphosis, lordosis;
  • professional factors;
  • prolonged physical stress with muscle tension of the back;
  • Tumors, metastases in the spine;
  • the pain is in the back in some diseases of the internal organs.
Pain-Back Pain

The most important diseases, back pain, fall into several groups: degenerative-degenerative, inflammatory, myofascial, rare disease. Separately, the pregnancy is considered a physiological condition of the body.

Degenerative diseases of the spine

Osteochondrosis and spondylarthrosis – common diseases, accompanied by pain in the back. The reason lies in the pathological changes of the various structures of the spine. Differences and similarities between the following diseases:

Name of the disease Cause pain Causes
Osteochondrosis The defeat of the cartilage, intervertebral discs, starting with the liquid ring and the nucleus pulposus. Suffering of the body of the adjacent vertebrae with the formation of osteophytes, hernias. Injuries, falls, physical and static load, age.
Spondylarthrosis or faceted arthropathy Injury of the small (facet) of the vertebral body with formation of bony growths. Degeneration of the fibrous ring of the intervertebral disc, pathology ligaments. Osteochondrosis, Trauma, physical stress, poor posture and function of the foot.

Sciatica, Lumbago, intercostal neuralgia, radicular syndrome – synonyms of a disease. It is a consequence of degenerative disc disease, complex hernias. Hernias nerves, nerve roots and compress, whereby the tension and the spasm of the intercostal muscles. As a result of the severe back pain that can make the legs appear. Not healed disease leads to paresis. The Patient feels "crawling, tingling, numbness, reduced sensitivity of the limb. Leg difficult to lift, and stretch. Terrible pains appear while sitting, try to stand or straighten the affected leg.

If the back treat sick due to degenerative disc disease or spondylarthrosis, seriously hard. In the initial stage, especially among young people, the disease is reversible. Otherwise, the exacerbation and Remission takes a chronic course with phases. In the course of time, the frequency of exacerbations and increases the back pain increases.

Inflammatory Diseases

Ankylosing Spondylosis

He ankylosing spondylitis, chronic severe defeat of the joints of the spine. The genetic predisposition has. Often the young able-bodied men in the Prime of life. Sooner or later, the disease leads to disability. Spondylosis begins with changes in the discs. As the disease goes on the vertebrae, which are fixed to each other by connective tissue to communicate in a stationary structure (bamboo rod). The spine is fully in steady state.

Patient-Spin

If the morning bias, dull back pain appears, the mobility of the spine is lost, immediately contact your doctor. The development of the disease is still possible to interrupt and extend the time period of physical activity.

Disease Kümmel-Verneuil

As ankylosing spondylitis belongs to the group of nonspecific spondylosis. Occurs just after an injury. The tragedy of the disease is the fact that traumatic pain go away soon. The disease "makes a Pause" for an indefinite period of time. The affected person feels absolutely healthy. The disease manifests itself suddenly, necrotic changes of the vertebral bodies, fractures, frequent relapses, and in terrible pain.

Spondylitis

Specific and non-specific inflammation of the spine, due to different causes. Specific Spondylitis are called:

  • Tuberculosis of the spine (ankylosing pot);
  • Syphilis;
  • Gonorrhea;
  • Brucellosis;
  • Intestine, Typhoid-Stick.

Disease accompanied by the destruction of the vertebral body with a very strong persistent pain in the back, deformity of the spine.

Myofascial Pain

The name suggests that the disease affects the muscles and fascia of the back. If excessive muscle tension, injuries, disorders of posture, are formed in the case of osteochondrosis in the fascia and muscle trigger points. It is dense mismus in the Form of lumps or hard-to-weight. When the pressure on the points and Massage severe pain.

Trigger-Zone, there are active and passive. Active areas are areas of increased sensitivity and excitability of the muscles, the fascia. Strongly react to the slightest movement of the muscles. In the passive the pain is only after the pressure look.

Internal Medicine

Pneumonia, pleurisy cause back pain. In diseases of the heart pain under the shoulder blade. Diseases of the kidneys accompanied by a persistent pain in the back, loin. But for the somatic diseases, apart from the pain, in the first place other symptoms. For example, in the case of pneumonia, pleurisy cough, fever, shortness of breath, etc.

Physiological Pain

Pregnancy is a physiological condition of the woman, the starting point can be infinitely frequent pain in the back. In the period vynashivanija the child, the body of the woman bit radical hormonal restructuring. The increase in load on all the organs, System, including the spine. The Psycho-emotional condition of the pregnant woman changes.

pregnant girl

Pain in the loin to the beginning of the pregnancy with the risk of miscarriage. You pulling, aching, sometimes cramping. Pain in the later stages associated with the increased load on the muscles of the back and spine. In women, the posture, the lordosis of the lumbar spine increases – another reason for the pain, the feelings of the pregnant woman.

In the case of miscarriage threat in need of help urgently. The load on the spine, we recommend wearing prenatal Bandage. In this crucial Phase, it is important that everything, even the height of the heel, it must be small.

Other Reasons

Neoplasms

Benign and malignant, metastases in the spine, prostate adenoma, multiple myeloma are the cause of the eerie, unbearable pain of the spine and of the back.

Osteomyelitis of the spine

A rare disease, the streptococci, infection and inflammation of the vertebral body germs: Staphylococcus, Pseudomonas aeruginosa,. Relates to various areas of the spine. Often develops in men after 40-50 years. Disease with acute pain of the affected Department, a high fever, intoxication.

Paget's Disease

Or osteodystrophy, in the case of the violation of the synthesis and restore of bone tissue. Appears diseases on the background of autoimmune, Spondylitis, spondylosis, fractures. Characterized by fragility and an increased fragility of the bones of the spine.

Diagnosis

If the back hurts, needs to be fully investigated. First, the doctor carefully examines the patient. Further diagnosis is based on clinical and instrumental skills.

During the investigation, the type of pain, localisation, time of occurrence, – in the night, when there is a change in body position, during exercise, at rest, etc. taking into Account the presence of comorbidities, there may be pain provoking in the back, – pneumonia, pleurisy, neoplasm, mental disorders, injuries of the back. Then other studies are:

  • biochemical and blood count;
  • Radiography in two or more views;
  • CT of the spine computed tomography;
  • MRI of the spine – magnetic resonance imaging;
  • Bone scintigraphy – the first 2-dimensional image after the administration of radioactive isotopes and other types of investigations.

The doctor is hurt to know better what types of diagnosis. Sometimes, in order to find out the cause of the disease, enough x-ray diagnostics. Sometimes they access additional, more informative types of studies.

The tactics of treatment

Depending on the type of disease and the severity, select the desired type of treatment – conservative or surgical. Patients are treated with acute pain and serious illness in the hospital, the outpatient residual. Surgery on the spine is carried out extremely rarely. Preferred conservative treatment, the effect on the underlying disease. When the pain shows:

  • non-steroidal drugs;
  • the synthetic hormones of the adrenal glands;
  • Muscle relaxants;
  • chondroprotectors;
  • synovial prosthetics.
Treatment

Acute relieve novocaine blockades, injections of hydro-cortisone, analgesics pain. Outside of exacerbation ointments, Massage, physiotherapy, physiotherapy, manual and reflexotherapy is shown. Good results of the stay in the Sanatorium. To relieve temporarily sick spine, wear the special corset.

The pain is not only a source of unpleasant sensations. In the early phase of the disease does not occur as a protective reaction to the fact that in the body something was wrong, and you need to take action.