We already heard enough, saying that the worst pain in the back and neck can occur due to the fault of disc herniation, and if, the result is severe pain, go to the doctor in anticipation of the recent judgment. However, the myths about the inevitable pain in intervertebral disc exaggerated incidents: the break often is not the cause of the pain in the back and neck, although many of the older people in the picture attached is at the same time hernias also a couple of 3-4 mm. And where then strong pain in the back and neck in young people?
Causes for pain in the back and neck
Pain in the back and neck appear to be mostly due to cramps in the muscles and the joints, dislocations of vertebras. Unfortunately, the diagnosis of muscles and joints as you are not good enough for us. The smallest disc herniation and a protrusion immediately identified with the help of CT and MRI, while subluxations and displacement of the vertebrae often remain undetected. Electromyography , which allows to show a significant different in muscle tone, often not carried out at all.
How and why is abnormal muscle spasms, or subluxations of the vertebrae? Maybe you can only weight lifting or only occur after an injury or injuries of the spine?
In fact of the matter is that it can happen absolutely with each and almost imperceptibly.
Muscle spasms can grow in the course of the whole of life and of themselves lead to shifts in the spine and sprains
Cramps in the muscles of the back and neck
The impetus for the spasm in the muscles that can serve everyday things:
- Constant uncomfortable, tense posture in the sitting
- The second reason is the sudden movements and excessive physical activity (especially among Fans of self-repairs, and avid Häusler): muscle spasms of the thoracolumbar division of the back can occur due to the carrying of loads on the outstretched Hand; the pain and the tension in the muscles of the lumbosacral Region because of the attempts, the heavy lifting, the position of the tilt
- The third reason is muscle inflammation (Myositis) due to the elementary sub-cooling. Probably all back know pain in the neck or back muscles, due to the disastrous drafts. Strangely, this happens more often in the summer than in the Winter. The reason for this is the incorrectly positioned air-conditioning units with issued just as wrong temperature regime (with a large difference between the outdoor-and the set temperatures)
Symptoms of pain in the neck and back
- Cervical cancer Myositis (it is also sometimes called neck-strap sciatica) back pain caused, on the one side: from the top by the ear in shoulder and arm
- Back back pain in the thoracic spine are the ribs in the Form of intercostal neuralgia. The localization in the left part of the chest leads to a Simulation of a heart attack
- Lumbar back pain (lumbago) is located mainly in the hips. In the case of inflammation of the same sciatic nerve there is an acute pain attack of "sciatica", when the pain extends from the gluteus and down the whole back of the thigh and lower leg, literally, to the soles
The mechanism of occurrence of muscle pain
Why pain syndrome in the muscles, often safe again difficult, despite the fact that the first attack is able to go by themselves? And why the muscle soreness?
The pain is so insidious phenomenon that the animal awoke. While he sleeps, everything is fine. But it's worth it to Wake him up, problems will not be collected.
If the muscle spasms in the back and neck by the muscles, the nerves, it is a Reflex mechanism of pain, the hell of Boomerang:
- A pinched nerve propagated muscle spasms (it is the natural protective function of pain-reaction)
- A renewed spasm of the muscles, nerves and everything goes on the endless cycle
The pain may not subside due to the constant Reflex irritation.
Treatment of muscle pain in the back and neck
Promotes the development of chronic pain syndrome and incorrectly treated:
- Heat compresses applied to the painful area, hot baths, loops initially lead to a visible relief, but then the muscles of the back and neck swelling even larger, escalating pain
- The implementation of therapeutic exercises and also with the end users expanding exercises during the exacerbation, it may worsen it, because the reaction already tense muscles can be under the influence of the additional load is unpredictable. In some cases, you can relax, other will be even more strained
- A similar reaction can occur and in the case of the Massage
The flattened muscle very tightly in the handle, and most of the people to turn to extremely difficult-relax, turn the neck, to lift and dissipate in the direction of the Hand.
Treatment of muscle spasms and acute pain should syndrome the rapid elimination of the pain
To this end, appointed a one-week bed rest and carried out:
- Five-to seven-day course of pain therapy non-steroidal drugs
- In the case of extensive painful area to be made procaine or Blockade Lidocainum
- Meetings, post-isometric relaxation — very effective static exercises to relieve pain
- Manual therapy and acupuncture, when carried out by qualified professionals
- Myofascial Massage with the stimulation of the Trigger (pain) points
Trigger point and the area of pain is not always consistent:
- Loin hurts, and the muscle tightened to far down and not from the rear and the front
Displacement of the joints of the spine, back and neck muscles
Displacement (Subluxation) of the joints of the spine are not uncommon. Can provoke:
- Trauma of the spine, and even in a common household: fall, strike, failed landing on the feet, etc.
- Sharp tilt, rotation of the neck and of the torso with too great of an angle
- Constant muscle spasms that compress the vertebral
Diagnosis of displacement of the joints
If Subluxation occurs after a fall or a speaker, then the diagnosis may be incurred by suddenly and a long time pain is gone. During the shift you can hear grinding or clicking
- The Element of surprise of the pain syndrome should alert the physician, as in the case of osteochondrosis or hernia chronic pain is present, and in the course of the years
- If Subluxation is the fault of muscles to diagnose the more difficult, since a shift develops gradually and shows a gradual increase in pain and immobility
Displacement of the joints and can not give a bright clinical picture, with the exception of those cases in which this occurs in transient areas:
- The neck and chest
- Chest
- Lumbosacral
In each Department, there are other characteristic signs of a shift in the vertebra body:
In the cervical spine:
- Sore and dizzy up half-unconscious state
- Blackout, flying before the eyes, noise in the ears
- The curvature of the neck
- Weakness in the Hand, a feeling of burning and numbness in the fingers (cervicobrachial syndrome brachial Plexus)
In the chest:
- Knife blades-like pain between the shoulder, radiating to the sternum and the abdomen
Such symptoms — frequent cause of hospitalization of patients with suspected myocardial infarction, ulcers and even appendicitis.
That it hurts in the chest because of the heart, quite easily: After taking of Validol or nitroglycerin pain attack is not
In the lumbar spine:
- Acute back pain radiating to the thigh, lower abdomen and groinThis is done in the case of the Subluxation of the vertebra in the upper division of the loin, with contusion of the femoral nerve
- Back pain along the entire back of the leg, starting with her ass cheeks
- Numbness, a feeling that makes your legs deducted orSuch phenomena speak of tension in the sciatic nerve with Subluxation of the vertebrae in the lower lumbar of the back
The treatment of dislocations of the joints
The optimal treatment of a dislocation of the vertebra is its reduction, which is done with the help of osteopathy and manual therapy. Pain does not stop, as long as the vortex is not back to its original place
Unfortunately, intelligent osteopaths and manual therapists are capable of, true you can spend a competent vertebra position, very little.
- The treatment must begin with the compulsory relief of pain non-steroidal anti-inflammatory agents
- Then it is advisable to be a competent session of manual therapy
- But manual therapy is not self-sufficient method of treatment, and to maintain its effect, there are measures to strengthen the diseased spine. You can achieve this, at the same time strengthening the muscles and restore your Balance with the help of:
- Helping Physiotherapy
- Massage
- Electric miostimuljatsii
Cervical and lumbar spine osteochondrosis
In the course of time, chronic cervical Myositis leads to osteochondrosis, and he, in contrast to a hernia, a very common cause of pain in the neck, and fairly widespread phenomenon among very young people.
- Symptoms of cervical degenerative disc disease includes and vegetovascular violations, if the pain in the neck and below the shoulder-shoulder-blade-area, the hands, the signs of stroke
- Pain but and muscle cramps in chest-lumbar region — in the Form of burning, in the Form of chronic pain to pull through with a feeling that HP will make up the legs. The gait is uncertain: the person in literal sense goes on bent
When cervical osteochondrosis most of the patients go to the doctor with the complaint that the head hurts, then at the lumbar spine, the likely cause is already far down and start to complain already to the "paralysis of the legs".
Spasm of the muscles in the lumbar spine leads to spasms and constriction in the blood vessels, reducing the blood supply to all organs, the problematic phases, including the legs. deteriorate Therefore, the feeling of numbness in the extremities
If the pain in the back and neck, despite treatment, in the course of the week, there is reason to suspect more serious illnesses: malposition of the joints of the spine or a herniated disc.
Pain incidents in the intervertebral disc
Finally, the intervertebral disc is approached incidents - the source of the intense pain in the cervical and lumbar spine, and the neck itself is a dangerous phenomenon, because of the prominent role of the neck as the "Pipeline" for the vertebral artery.
Pain in herniated discs is really the nagging and long since called pinched spinal is nerves. But this disease never occurs on a blank spot and always secondary
In General, pathology is preceded by:
- Long degenerative processes in the spine, such as intervertebral disc disease
- Disorders of muscle function (the pain and cramps in certain muscle groups)
- Injuries and other diseases
Therefore, the expression "I suddenly have a hernia formed" incorrectly, although the outcome for the victim is often a complete surprise. But also here you have to fall together from a number of external factors:
- - Increase of the weight in an uncomfortable Position
- Sharp movement "not there"
- On the feet or the coccyx, etc.
Pain is the formation of hernias is not always leads to:
- The anterior hernia is directed in the opposite direction of the spinal cord and never affect nerve
- Hernia Schmorl, which is so fond of scaring doctors, usually completely asymptomatic, as happened to her vertical indentation damage to the cartilage or the intervertebral disc into the vertebral body. In this case, contact with the nerve is also not possible
Dangerous only the rear hernias are
If you have pain in your back and neck, perform a thorough diagnosis.
Very often there are cases in which people treat a hernia, and in the picture it really is, but the cause of the pain can be, as the most important cause: compression of the nerve is missing. The location of the hernia eliminates this possibility
But man, the back hurts, and it's still hard to treat "the hernia," and even operate. And the causes of the pain can be cramps, in fact, a Subluxation, and locking of the vertebrae or muscle.