The lumbar spine, during life, resists a very large work load. It is not surprising that, sooner or later, many times, at the end of the afternoon, many begin to feel that they have pain in the lower part of the rotation. But it should not be considered normal. The low back pain has its own reason, which often requires urgent treatment. And if you don't pay attention to them and do not have the required steps, not knowing what to do, the pain in the lower back can result in a deterioration of their life and health.
Why it hurts on the lower part of the spin — the probable causes
The most likely reasons for the occurrence of pain in the lower back, in the lumbar region, pain of the head, which give the rhythm, the lower part of the belly, related to the fact that the man is at the wheel, the computer, involved with the legwork, especially if it has dramatically change the position of the body. The pain in the lower back, in the lumbar region can cause and excessive load for the sports hall, the mania for works in the country, especially, if you are overweight. Who are at risk and, recently, have women, or those who have already entered menopause
If the pain in lower part of the back, in the lumbar, he can speak about the presence of malignant diseases and benign formations of the pelvic organs or in the pelvic cavity, diseases of the prostate or prostatitis chronic. Back pain after a long walk, generally point to the development of stenosis in the spinal canal. Additional serves as a symptom of the syndrome of spinal or pseudo-intermittendi lameness.
Rheumatic diseases polymyalgia — fairly common disease of the elderly. First, the person feels pain in the lower back, gradually, they are amplified in segments proximal upper or lower limb appears stiffness and limitation of mobility.
A common cause of pain in the lower back happens osteocondrose. During the examination of the spine may detect the degenerative diseases, such as osteoporosis, osteoarthritis and osteoarthritis. The distance between the vertebrate disks gradually reduced, and this violates the balance mechanic of the spinal column. This, in turn, also causes pain in the lower back, the lumbar region. Finally, this type of pain may result from muscular spasm when you run an unusual physical activity.
If the pain in lower part of rotation for the lumbar spine — the nature of pain and possible symptoms
The character of the pain in the lower back completely dependent on their causes. If this is the stretching of pain apply, mainly in the lumbar spine. In some cases, they give the buttocks and the posterior surface of the thigh. The mobility and the turns of the body substantially limited. When the clogging of the nerve roots of pain in the lower part of the back of the waist, gradually, descend on foot. If the cause of the pain in the lower back is one of the diseases of the system, for example, sciatica, symptoms progress gradually.
Express the nerve endings of the spinal cord hernia of the intervertebral disc, usually occur in older men. Typically, the pain in this case are reinforced when sneezing, the coughing, the laughter, slopes, extension, thin spine, in the department of the waist. Try to lie down on your back and lift the foot straight in the vertical. If you have a herniated intervertebral disk, you are bound to feel a pain in my lower back. This type of pain referred to as lumbago. In the standing position, it intensifies, and lying — calm.
If the pain in lower part of the spin — out secondary causes
- diseases tumor of the vertebrae and of the spinal cord;
- fractures of the vertebrae;
- infectious diseases, as a result the that can occur the defeat of the intervertebral disc and their own vertebrae;
- metabolic lesions of bone tissue
- non-communicable diseases of inflammatory character
- sharp violation of circulation spinal cord, cerebral vascular accident;
- diseases, gastro-intestinal (intestinal obstruction, atypical acute appendicitis);
- reflected the pain, which can occur in a number of diseases pelvic (infectious, gynecological diseases, renal colic).
What to do if you have a pain in the lower part of the rotation
Diseases that can cause pain in the lower back lumbar spine too much and almost all of them have similar symptoms. Behold, therefore, often occurs the need to perform a differential diagnosis with the application of hardware and lab methodologies. Depending on the results of these studies, and will be scheduled for the treatment of headaches, and, more precisely, the diseases that appeared the cause.
Why back pain in the lower part of the department of spine?
Probably, there is not a single person at least once, was not confronted with the back pain. This problem is more relevant to the people, after 60 years of age, but also young people happen similar situations. It is well known that the restriction of the physical activity of working age more commonly happens is because of pain in the lower back. Why this happens and what to do when prompted, suggest the doctor. And the patient need only come in for the advice of a specialist.
All the pain is a warning about certain problems in the body. And its location generally indicates the source of the problem. If it bothers rotation, then the majority of people it is fair to think of the pathology of the spinal column. It is true, the corruption of the skeleton represent the most frequent cause of pain in the region lombo-sacral. In such conditions, must include:
- Intervertebral hernia.
- The injury.
- The Disease Ankylosing.
- The stenosis of the spinal canal.
When this happens, it can be any structure of the skeleton: the vertebrae, discs, joints, ligaments, tendons and muscles. And the process of the disease often has degenerative-dystrophic, inflammatory, or traumatic in nature. Contribute to this inactivity, sedentary work, using weights and other types of load on the spine. Important role they undertake and the internal factors related to the exchange-metabolic, immune, and changes related to age in the body.
But the pain in the lower back is a sign not only of diseases of the spinal column. And to know about all the doctors. Under this symptom can disguise very common disease of the internal organs, in women and men. Therefore, the causes of pain must be sought between such states:
- Gynaecological problem.
- Diseases of the kidneys and bladder.
- Daimon pathology.
- Inflammatory bowel disease.
In addition, the rotation may ache during pregnancy, when it increases the load on the lower back due to a displacement of the center of gravity of the body and stretch the internal ligaments in the pelvic.
Why appeared pain lower back, can be found after inspection medical and additional troubleshooting.
When the patient visits your doctor he wants to get the complete information about the origin of the unpleasant sensations and even more tactics. And for this it needs to go through a screening. The main stage becomes the clinical examination, during which questions of objective and subjective signs of pathology.
If to speak about the complaints, the biggest concern of patients calling in pain. They may have different colors, but most are characterized by the following features:
- Either acute or chronic.
- Shooting, aching, throbbing, pulling, stitching.
- The different intensities from weak to strong.
- Are located in the region lombo-sacral.
- Give in the lower limbs, the groin area of the stomach.
- Are magnified to the extent that the trunk, to sit, to walk.
However, the pain in the lower back is not the only symptom of pathology – clinical picture includes other symptoms that may suggest the likely source of the problem.
Diseases of the spinal column
When patients bother a turnover in the region lombo-sacral, needs to seek confirmation vertebrogenic nature of such sensations. The pain is often associated with the muscle toning tension or compression of a nerve root. Therefore, they may have the following description:
- Low back pain – acute appearances in the back.
- Lumbodynia – blunt and deep pain.
- Sciatica – pain, giving the lower limb during the course of the sciatic nerve.
Sometimes, the first to appear unpleasant sensations in the legs and back starts to bother a little later. In addition to the pain, the composition root of the syndrome (radiculopathy) are characteristic of neurological disorders related to damage to sensory, motor and vegetative fibres. These include:
- The oppression tendon reflexes.
- Decreased strength in the lower limbs.
- The weakening of the sensitivity.
- Numbness, tingling, "crawl chills", a feeling of burning.
- The change of coloring of skin integument.
Such violations appear on the respective dermatomes – body segments, innervating attacked the spinal column. And local signs of pathology of the spine include muscle tension and pain paravertebral points in the pain, sacral department, softness physiological lordosis and limitation of movements assets.
Vertebrogenic disease often equally common in men and women, with age, they only progress and, often, lead to a reduction of functionality of a person.
Appeared to low back pain in women, then you need to pay attention to the possibility of pathology in the sphere of gynecologic. Often, it is inflammatory diseases or dysfunctional states. In such cases, you may experience the following symptoms:
- Irregularity of the menstrual cycle.
- Vaginal discharge.
- The increase of the temperature.
Acute processes in the uterus and appendages can go to the chronic form or prevent the complication in the form of peritonitis. In addition, the cause of the pain can be a ectopic pregnancy or spontaneous abortion. So, the big risk of internal bleeding and shock.
Diseases of the kidneys and bladder
The low back pain are considered as one of the signs of the pathology of the kidney – jade. Usually, they have a permanent character and, in the case of renal stone may be increased when tremendous to walk or run. When cystitis such sensations are localized in the suprapubic area, and may radiate into the sacrum. The inflammatory process is accompanied and other symptoms:
- Dysuric disorder: bumper rubber, burning sensation when urinating.
- Change in the color of urine.
- Fever, general malaise.
Chronic disease is accompanied by the gradual decrease of the functional capacity of an organ, which develops in renal failure.
If men have back pain in the lumbar region lower, then the differential diagnosis should be carried out and with urology and diseases. First of all, eliminate the diseases of the prostate, prostatitis and adenoma. Such pain felt in the pubic region and groin, giving the rectum and the sacrum. Are often observed additional symptoms:
- Urethral discharge.
- Difficulty to urinate.
- The reduction of power.
The acute prostatitis possible general manifestations such as fever, weakness, malaise. And chronic inflammatory processes are slow in nature, and few of the symptoms.
Inflammatory bowel disease
By examining the question about the source of the pain lumbar-sacral zone, it should be mentioned, and the pathology of the different departments of the intestine. Appendicitis, ulcerative colitis, proctitis – state, which require different approaches in the diagnosis and treatment, but may be accompanied by other symptoms. It should be assigned:
- Abdominal pain, or on the sides.
- The change of the chair – constipation or diarrhea.
When colitis are often detected pathological impurities in the stool, blood, mucus or pus. And strict with inspection, palpation abdominal and rectal research provides additional information about the disease.
Nonvertebral pathology quite diverse, therefore, of a physician is necessary to make a clear differential diagnosis of back pain.
To understand why the patient has pain in the lower back, you need to pass an additional examination. The doctor will prescribe a complex of laboratory and instrumentation methods, the results of which will help you to reach a conclusion. The they relate to these studies:
- General blood and urine tests.
- Blood biochemistry (markers of inflammation, rheumatology test, urea, creatinine, and Dr.).
- The analysis of urine Nechiporenko, General.
- The analysis of discharge from the genital, cala.
- Radiography of the spinal column.
- The resonance and computerized tomography.
- Ultrasound of the internal organs.
- Endoscopy of the intestine.
If necessary, the list of diagnostic procedures of expansion. They are used all the possibilities to establish the source of the pain.
Treat vertebrogenic disease is necessary due to the nature of a disease process and the individual characteristics of the patient. Will be ignored, and the attendant of the state, which also require the appropriate correction. If the cause of the pain, not related to the column, the excluded, the treatment is involved the spinal column, neurologists or orthopaedic surgeon-traumatologist.