Back pain, low back pain – there is no man who never in his life that has not experienced. According to the World health organization, is the most common complaint and the leading cause of temporary disability.
The phenomenon degenerative-dystrophic changes in the spine often refer to obsolete the term "osteocondrose". These phenomena are detected along the absolute majority of people over 18 years of age. In itself the word "osteocondrose" includes any thing: the old normal to serious pathology. This term, reluctantly, used by most neurosurgeons, and is not generally used in the international literature.
The back pain can be self-issue ("took", "gelidus back" and PR.), but you can flag a disease of the spine, about a variety of serious conditions pyelonephritis and influenza before a tumor of the spinal cord or metastasis in the vertebrae. Therefore, the back pain is a symptom that requires diagnosis.
Definitely the diagnosis when the pain in the back is required in the following cases: the pain came after the injury, fall, traffic ACCIDENT; sharp pain lasts a few days, prevents you from walking and/or sleep; low back pain occurs in the foot/leg (buttock, thigh, calf/spawn and walk); when the numbness, the feeling crawling chills in the foot/feet; the reduction of power in any part of the foot/feet; weight loss legs/feet, difficulty or frequent urination, defecation; when it is strong the pain that the elderly person; with a strong pain in the back in macie, weakened or the person has with the temperature; when the back pain in a patient carrier of severe systemic disease, for example, osteoporosis, cancer, tuberculosis.
We understand the desire to find out why the pain of the loin. It does get better with magnetic resonance imaging (MRI), lumbar-sacral column. All the other steps, including the visit of a doctor after. Magnetic resonance imaging have to spend some thousands of rubles, but to do so without the direction of a physician.
The conclusion, written by a specialist in radiation diagnosis often scares the patient. There can be written as: hernia / PRatresia / stenosis / osteocondrose / hernia Smorlya / spondiloarthrosis. This can mean anything, including nothing. Simply describes the MP-phenomena. They should be interpreted in the clinical given the history, the painting of illness, additional studies, and much more. The conclusion is not written for the patient and the patient to another physician.
Radiography and computed tomography in the absolute majority of cases, complementary studies, indicated by your doctor.
Doing an mri for the lumbar spine, you should consult a neurologist or neurosurgeon. The second, in my opinion subjective, it is preferable: the average operating neurosurgeons, much better than the interpret the images, since every day they see actual images of operations and correlate them with mri and clinical painting. In some cases, about which I will say to the neurologist or neurosurgeon, you need an orthopedist.
If the results of the inspection and evaluation of magnetic resonance imaging does not need surgery (most often that happens), the treatment is performed under the control of a neurologist. In ordinary cases, it includes non-steroidal anti-inflammatory drugs, muscle relaxants and other drugs. Sometimes methods are needed. Determine the method and duration of treatment can only a doctor.
Self-medication of pain in the back, especially without RESONANCE, as irrational of a step. The application of the medicine not conventional, more time – especially without the mri, shaped idiocy.
Sometimes, the doctor says that it is necessary to remove a herniated disc. Through the application of endoscopic and microsurgical technology in experienced hands this operation is quite safe. I usually tell patients that the risk of paralysis or other serious complications when you remove the herniated disk is approximately equal to the risk of death in traffic ACCIDENTS on the way to the advice.
Many are afraid that the surgery on your spine can paralyze. This is virtually impossible. Are hazardous operations related to risk, for example, the removal of intramedullary tumors, the operation, fractures to the thoracic spine and Dr. that this risk is about it, warn. When you delete a herniated disc, resolution of stenosis of the spinal canal risk of these complications theoretical. The security condition is the qualification of a neurosurgeon and the presence in the clinic of modern equipment.
There are diseases for which it is necessary the stabilization of the spinal column – the installation of special projects that connect the vertebrae to each other. Stabilization methods and systems for stabilization too. The stabilization of the spine is performed only on strict indications. The need can determine only a neurosurgeon. More often than stabilize the operation needs to stenosis of the spinal canal, spondylolisthesis, instability, vertebral segments, fractures of the spine.
After most of the operations in the column not only does not have time for going to bed, but many times the patient begins to walk alone the next morning, after an operation or even at night, in the day of the operation.
What you need to do to not get sick loin? In private clinics, it is possible to find commercial programs to deal with the pain in the back, by the value of the car. Scientifically proven, which is really the very basic things.
Before everything has to be in normal limits of body weight, on the other. You should have advanced to the musculature axial – swim and physical exercise. Finally, the back pain – frequently the first symptom of depression, because depression is accompanied by a reduction of the pain threshold. In general, it is necessary to have normal mood and keep in shape.