Back pain - symptoms and treatment.

Back pain — a Symptom of diseases, most commonly, the muscles of the back and spine. In this article we will examine why the back hurts.

The Problem in the lower back can result from disorders of bone density of the spine, the lumbar discs between the vertebrae, ligaments around and intervertebral discs, spinal cord and nerves, muscles of the lower back, internal organs of the small pelvis and abdominal cavity, and the skin overlying the lumbar area. The upper part of the back can cause pain in consequence of diseases of the Aorta, tumors of the chest or the inflammation of the spine.

Sudden, short pain in the lower back also called lumbago, and gradually chronic low back pain developed. If discomfort in the lower back (the coccyx) is kokcigodiniâ.

Causes for pain in the back

In most cases, the back skeletal injuries (micro-injuries to ligaments and joints of the spine after heavy loads on them, sprain, or spasm of the muscles) hurts because of muscle. Some of the less common cause of pain more significant changes on the part of the spine, such as herniated intervertebral discs or displacement of the spine (Spondylolisthesis). Finally, in rare cases, pain in the back in connection with severe diseases (tumours and inflammatory processes in the spine and in the spinal cord, diseases of internal organs — kidney, heart, pancreas, pelvis, etc.).

Possible causes of back pain

• Muscle cramps;
• Sprain (injury to ligaments );
• Strain;
• Pregnancy;
• Scoliosis;
• Bleeding in the taz;
• Dissection of the Aorta;
• Infection of the spine and of the pelvis;
• The lumbar spinal canal stenosis;
• Metastases in the spine (cancer that has spread to the spine from other organs);
• Viral infections, including the flu.

Diseases in which the back hurts

• Osteochondrosis;
• Abdominal Aortic Aneurysm;
• Ankylosing Spondylitis;
• Bone cancer;
• Kokcigodiniâ;
• Degenerative Diseases Spinal Discs;
• Diffuse idiopathic skeletal hyperostosis;
• Endometriosis;
• Fibromyalgia;
• Fracture;
• Kidney stones;
• Osteoarthritis;
• Paget's Disease;
• Pancreatitis, Pancreatic Cancer (Girdle Pain);
• Psoriatic Arthritis;
• Reactive Arthritis;
• Sciatica;
• Shingles (pain and characteristic rashes on the skin).

How dangerous is back pain

In General, back pain are permanent, reinforced in the case of movements and physical stress and restriction of movement in the spine, and a feeling of stiffness in the back. In most cases, characterized by a relapsing course, in which episodes of exacerbations, in General, provoked by the intense physical stress, prolonged stay in an uncomfortable Position or while cooling, by longer or shorter periods, in which pain marked present or minimal.

In the vast majority of cases back pain is not a direct threat to the life and health of the people and often are independent (without treatment). However, sometimes, pain in the back can be affected by serious diseases of the spine, or internal organs.

In the following, the characteristics of pain in the back, which may be in connection with serious diseases. If any of these symptoms you should immediately consult a doctor and do not self-medicate.

• Constant pain in the back and localized in one place.
• Pain in the back is not reduced in the prone position, or occurs at night.
• Pain in the back, accompanied by fever.
• Pain in the back accompanied by the exertion of the muscles of the extremities or combined with a long stiffness in the morning.

Diagnosis of back pain

• The visit to the nerve doctor for the assessment of the condition of the nervous system, the muscles, of the spine.
• A General analysis of blood and urine to exclude an inflammatory process in the kidney.
• Radiography of the spine for the exclusion of Osteomyelitis, fractures and other diseases. To clarify the observed changes in the x-ray image, the doctor is, in addition, a Computer or nuclear spin tomography of the spine may prescribe (the first allows you to assess in Detail the condition of the bone structures, the second — the spinal cord and intervertebral discs).

Very often in these studies, degenerative changes in the intervertebral discs and the vertebral bodies show and make the diagnosis "osteochondrosis". It is necessary to notice that back pain itself is not a disease but a reflection of the age-related changes of the spine. These or other changes in the intervertebral disc (including hernias) show almost all of people of all ages, including never experiencing back pain. That is, the identification of characteristics by x-ray osteochondrosis herniated disc or magnetic resonance imaging there is still reason to believe that the back pain in connection specifically with you (such a decision can only doctor, and endure on the basis of the results of the clinical investigation).

Treatment of back pain

Completely pain healed of back is often not possible, however, you can minimize the frequency of exacerbations with the help of the right life style and drug therapy. Treatment of back pain depends on the cause of its formation. You choose the course of treatment that is suitable for you, only a doctor can diagnose.

The effect of therapeutic measures may not manifest themselves immediately, so you will need patience and perseverance. The main goal of treatment is not only in the elimination of acute pain, but also in the prevention of exacerbation of the disease in the future.

The relief of pain in the back

Bed rest can contribute to the transition from acute back complaints to chronic. Taking this into account, in the case of moderate pain is no need of bed rest, and severe pain, you should limit its duration (1-3 days).

If the back hurts, must be limited to that point of physical activity, in particular to avoid, weight lifting, and increase longer stays in the same Position; the important point to make movements without the strain on the spine.

For the relief of the spinal column and ensure that it is at a standstill there is a special belt or corset is advisable.

Medication for back pain

The treatment depends on the cause of back pain and tells him the doctor after the examination.

For the relief of pain non-steroidal anti-use of anti-inflammatory drugs in tablet form, forms ampoule formulations for injections, creams and gels, pain killers or a combination of drugs. The preparations of both groups short course (usually no more than 3-5 days). In addition, to remedy the pain, apply compresses with solutions of local anesthetics and pharmacological Blockade (which can only be carried out by a doctor).

In the case of pain, the muscle tension with muscle, with medications, causing the muscle spasm (muscle relaxants, Central-acting — within 1-2 weeks). Take these medicines only on doctor's prescription.

Currently, for the treatment of back pain associated with degenerative changes in the spine (osteochondrosis), offer special products — medicine, stimulates the production of the core components of the cartilage substance and therefore the destruction will slow down. The effectiveness of such medicines in diseases of the spine is not demonstrated, the same can funds via the numerous food additives, the bioprparate, vitamins substances heavily advertised (in General, the medicinal plants, etc.) and homeopathic. Despite the fact that all of these funds, it in pharmacies without a prescription without consulting with a doctor should be.

Physiotherapy and exercise therapy for back pain

To reduce the severity of pain by applying dry heat (but not too deep warming) and other physiotherapeutic applications, but only after consultation with the doctor.

After the end of the acute Phase useful teaching exercise therapy, the specific complex (strengthening of the back muscles, abdominal muscles) and Massage.

Manual therapy for back pain

Manual therapy, only a physician after an x-ray and/or magnetic resonance imaging, the objective assessment of the condition of the spine and surrounding tissues may prescribe. With proper implementation of manual therapy (effect on the joints of the spine, ligaments and muscles) enables you to many local disturbances (e.g., muscle tension, subluxations in the joints) which sometimes helps to eliminate quickly and effectively the pain back.

Manual therapy has contraindications and limitations:

• In case of breakage or destruction of the intervertebral disc (displacement of the fragments may roots to a compression of the spinal cord, spinal nerves and blood vessels).
• After a heart attack, a stroke, oncological diseases, tuberculosis of the spine, impairment of the function of the endocrine system, in the case of severe osteoporosis.
• In the case of significant aggravation, accompanied by a sharp restriction of mobility of the spine due to pain, and tension of the back (perhaps the increasing symptoms).
• In diseases of the blood vessels and disorders of blood coagulation.

Lead to the improper procedure of manual therapy, severe complications, therefore, should be done only by a qualified specialist (doctor of the corresponding specialization). Absolutely inadmissible and the implementation of manual therapy average medical students and persons with no medical training!

Acupuncture

Acupuncture (acupuncture) often has a positive effect on fashion pain rates in the back, especially due to muscle tension and combined with Psycho-emotional disorders. Although, according to the ideas of traditional Chinese medicine, acupuncture can be applied in all diseases, it is believed that acupuncture is contraindicated in the following cases.

• In diseases of the heart and blood vessels.
• In the presence of benign and malignant tumors (including in the past).
• In the case of disease, immediate surgery require.
• In the human kidney and liver.
• In the presence of a tendency to bleeding or use of drugs against blood clotting.
• In acute infectious diseases.
• In the case of pregnancy.

Yoga for back pain

Yoga helps to reduce not only relieve pain but also relieve tension in the back muscles, as well as the inflammation. To dedicate just 5 minutes per day exercises, and soon you will see the result.

Prevention of back pain

• You use a comfortable bed with elastic and a hard mattress.
• Try to keep the correct posture while walking.
• You maintain the right posture at your Desk, at work with the Computer. Please note that the forearms are at work in the balance, and on the table were. In the case of prolonged operation, use a chair with a backrest, headrest and armrests for relaxation.
• Avoid prolonged stays in the same Position (at a Computer, driving a car). You try to chance every half hour to stretch, warm up, hover.
• During the long stay in the position you can find the pivot for the back, arms or the head (e.g., support with the back on the vertical surface of the U-Bahn).
• If you wear shoes with high heels, remember that you in your without interruption for no longer than 2 hours at a stretch.
• Avoid sharp turns and inclinations of a trunk, always in search of support for the Commission of such acts.
• If necessary, you should lift a little duck from the ground, but not tilts.
• Not lifting and not you are heavy, carry them in front of you, avoid you, re-tighten and try the back-corrected.
• Strengthen your back muscles with the help of physiotherapy, swimming, workout in the fitness Studio.
• You can keep a normal body weight