Back pain in the lumbar region — very frequent pain that is caused, which happens when different pathologies, such as the spine and the internal organs, or when the system diseases.
It may be above the waist, below, to be more to the right or to the left, and also many times that pain is when pregnancy as in the afternoon and at the beginning of the time line. If the pain is very intense, accompanied by increase of temperature, weakness, you should call an ambulance".
When not intense without pain temperature, to understand the causes of its occurrence, you should contact the family doctor, that is based on history, complaints of the patient will direct the specialists, such as the osteopath, neurologist, urologist, gynecologist, gastroenterologist, cardiologist, surgeon, or a pulmonologist. The final diagnosis is defined for physicians based on magnetic resonance imaging, ultrasonography and other examinations and diagnostic techniques.
The main causes of lower back pain
It is the most obvious reason of the appearance of pain in the lower back is lumbago and sciatica, which is caused by a loss of the lumbar spine, osteochondrosis, and also more serious pathologies in the spine — protrusions or the intervertebral herniarum. These pains can appear if you experience irritation of the nerves of the spinal column, the clogging of the nerve roots in cases of irritation to the ligaments and muscles, when they are diabetic, as well as in diseases of the internal organs, the pain can radiate in the lower back.
In clinical practice has 60-30% of the urban residents of the developed countries periodically occur recurrent pain in the back, between them, in 80% of cases of people complaining that the back pain is in the lumbar region. All age groups of the population exposed to violations from the side of the vertebral column, but in the majority of cases, such diseases may trouble the patients aged 30 to 60 years. In 66% of cases of low back pain occur because of degenerative disc disease, when it is struck one of the 1st sacral, 4, 5 lumbar vertebra is called monoarticular syndrome. If you are being hit directly 2 root, what happens in 33% of patients is viridicornis syndrome, if 3 -the triadically syndrome, that is with much less frequency.
As causes for the occurrence of back pain is not always osteocondrose, you can go to is not the most difficult to provocative testing, which will help to deal, have been linked to sensations of pain in the back, or are signs of other diseases — cystitis, pyelonephritis, renal stone disease, inflammation of appendages of uterus, pathology of the prostate, bowel problems or light. This tests the lumbar-sacral and degenerative disc disease, which lead to names of names of doctors, who suggested to use them as a pre-diagnosis:
- The symptom Dejerine — when the abdominal tension, if you listen to the lumbar spine, the pain intensifies, therefore, the greater the possibility of its emergence — osteocondrose.
- The symptom Nery with the sharp inclination of the head to the front until it touches the chest, you feel pain in the back — this may also be because of the spine.
- The symptom Of the symptom of — if then, alternately raise first one leg, then the second, lying down back to back hall-back pain and pain irradiáta the pace of the sciatic nerve ganglion, is also a problem in the spinal column.
- The symptom Larrea — if the pain appears during the course of the sciatic nerve after lying position on the back, try to lift the trunk forward without bending your knees, or sit with the arms extended feet — this is also true of the degenerative disc disease.
The back pain is so non-specific a symptom that can be caused by a mass of several reasons. Of how intense, strong back pain in the lumbar region, it is constant or recurring, primary or secondary, may be the causes, your cause:
| The acute pain |
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| Chronic pain |
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| Radiating pain in certain diseases of the internal organs |
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Pain above the waist
If the pain in the back, to the right, above the waist - so you can radiate the hepatic pain, when any kind of pathological changes in the liver - hepatitis, hepatic insufficiency, the intake of toxic drugs. The pain with the higher frequency is located in the hypochondrium. If the pain is felt to the right or to the left, a little above the waist, it is very possible that the reason is the acute, diseases of the kidneys. Many chronic diseases kidney, such as disease, malignant neoplasms chronic kidney pyelonephritis, accompanied by minor symptoms, because the renal capsule stretched gradually.
When the diabetic during pyelonephritis acute, and also in the blocking of the ureter pain is more intense, but forceful, aching nature. When the pain is persistent, sometimes radiating to the region of the navel, the lower part of the belly, and also occurs in pain in the corner hypochondrium or right, depending on the patient's kidney function. Also in diseases of chronic kidney disease, the ingestion of certain drugs contributes to the occurrence of such pain. Increase in the load on the kidneys, as the basket body, when the toxic action of certain drugs causes pain, that passes after you cancel the drug.
Why the pain in the back below the waistband
When the pain in the back below the waist, in addition to the evident disease of the spine (sciatica, lumbago, hernias of the spine disease Ankylosing and PR.), the possible causes are intermittent pain during menstruation in women, the disease of the female genital organs such as inflammation of appendages of a uterus - oophoritis, salpingoophoritis (adnexitis), and is also a disease in the pelvic peritoneum, the bowel, inflammation of the appendix (kidneys blind bowel), men have the prostate disease, bladder.
The low back pain to the right or to the left
If these pains appear simultaneously, and to the right and to the left, in the back can also be symptoms of pyelonephritis, hepatitis, cholecystitis, inflammation of appendages of the uterus or prostate, pneumonia or pleurisy. When radiating pain in the mouth causes can be an obstruction of the bowel, atypical leakage of appendicitis. The low back pain to the right or to the left are the following diseases:
- Diseases of the spinal column
Each piece of diseases may include tumor, degenerative pathology, such as spondiloarthrosis, spondylosis, inflammation - osteomyelitis, spondylitis, as well as traumatic injuries, spinal hernia, lumbago, sciatica. Among the defects of pathologies include sacralization, spondylosis, lucido, spondylolisthesis.
- Disease of the internal organs
When the inflammatory diseases of the pelvic organs - parametral fiber, bladder, prostate, breast, uterus and its appendages. When the pathological processes in the organs of the abdominal cavity - intestines, kidneys.
- Diseases of the nervous system, pain, sacral department of
When tightening the root of the nerve, the nerve of the columns, when different neurological disorders - hysteria, neurasthenia, neuritis, neuralgia, sciatica, in the case of violation of the metabolism in gout, diabetes, evils of the development of the nervous system.
The pain for the clogging of sciatica and low back pain
When the inflammation or clogging of the sciatic nerve, when the pain sacral pain sciatica back pain of low back pain can be very varied. She is like a burning sensation, PREstrela, tingling, with numbness, or chills, can be moderate and long-term, or even short-term. The sciatic nerve is the most powerful, longest nerve in the human body and manifests itself only on one side of the body, women tend to the right, the men have left.
There is a certain theory, for that has take place is the difference, the regularity of the inflammation of the sciatic nerve in both men and women - about this, you know that in our article of symptoms of crush of the sciatic nerve. Such pain in the buttock or flank of a foot are usually enhanced when changing body position, especially painful place below the knee, and in the region of the cord guide on the lower part of the buttocks, the man also can you find out about the muscles of the legs or back of the thigh, painful nodules, that when you touch a particularly sensitive.
Low back pain - a disease, which popularly is called sciatica pain, many on this pain does not know of the rumours. Is instant appearances, that appears in the background of the physical load with hypothermia, working in currents of air, or in a particular long position uncomfortable, with the sharp movement.
Paroxysmal pain that permeates the lower part of the back takes a person to take the stimulation of the position in which the pain disappears, this pain that is caused persists at least for a week, painkillers, tepidus tools and massage usually help to deal with the disease. Even after a lump of the attack of the disease should seek medical attention, as this is bell, the presence of pathological changes in the pain-sacral department of a vertebral column.