It's hard to imagine a person older than 30 who would never have experienced discomfort or soreness in the lower back in his life. This is not surprising, because in the modern world, a man has to spend more time in a sitting position. Such pains are short-term and practically do not cause anxiety to a person. However, this is just the tip of the iceberg. The real pain in the back is much more pronounced, its appearance can be considered the first signal of the organism about an impending storm, i.e.about a more severe underlying disease, which will require a patient a lot of time, effort and money.
To avoid this situation, you need to know the causes and factors of the development of diseases associated with the occurrence of back pain. After reading this article, you will know the enemy in person and will be able to avoid meeting him.
If a person has a backache in the lumbar region, then with probability up to 95% he was exposed to one or several of the following factors:
- Professional. Include statistical stress on the spinal column, monotonous and heavy physical labor, weight lifting and work, which assumes the existence of a constant vibration process;
- Psychosocial. It applies more to children;
- Working at a computer in a sitting position, lack of physical activity;
- Incorrect diet;
- Irregular exercise;
- Smoking and Alcohol;
- Certain physical factors caused by individual characteristics of a person( unnatural position of the body, stereotyped movements);
- Playing sports at a professional level( especially martial arts).
The important point is that all these factors can be eliminated or reduce the time of their impact on the body. If done in a timely manner, one can avoid chronicizing the underlying disease, and in some cases even prevent a person from being disabled.
As a rule, all causes of pain in the lumbar region are divided into primary and secondary. So, consider them in more detail.
Such a pain syndrome is nothing more than a pathological process involving changes in skeletal muscle fibers. In practice, it occurs much more often. It is understood as one of the following degenerative-dystrophic processes:
- Osteochondrosis: dystrophic changes in bone and cartilage tissues are observed. Often the process affects the intervertebral disc and adjacent vertebrae. There may be spondylosis;
- Spondylarthritis. Synovial and( or) intervertebral( facet) joints are affected, which normally correspond to the mobility of the spinal column.
- Metabolic disorders that result in deterioration of bone structures( eg, osteoporosis or osteomalacia);
- Spinal curvature( or scoliosis);
- Tumors localized in the immediate vicinity of the vertebrae, in the spinal cord or retroperitoneal space. Often the pain syndrome is due to the presence of distant metastases;
- Inflammatory processes, non-infectious nature( Reiter's syndrome, ankylosing spondylitis( or Bechterew's disease), rheumatoid arthritis);
- Vertebral fractures( multiple or single, but with complications);
- All kinds of infectious diseases( tuberculosis, epidural abscess, brucellosis and others);
- Often, severe pain in the lumbar region is observed in people who have suffered a stroke, which is due to a violation of the cerebrospinal circulation;
- Diseases of the digestive tract( for example, acute appendicitis or intestinal obstruction;
- Diseases of the pelvic organs( adnexitis, ureaplasmosis, renal colic, gonorrhea, trichomoniasis, chlamydia, adnexitis)
Acute and chronic pain
Back pain can be chronic and acute.important point, since the presence of this or that character of the pain syndrome can significantly change the tactics of treating the underlying disease, and in some cases even suggest the development of complications.
Causes of acute pain
- Fracture of the spine( most pronounced pain);
- Sprain or tearing of the back muscles;
- Displacement of intervertebral disks:
- In 67% of cases - LV - SII;
- Slightly less often - LIV-LV;
- Very rarely - LII-LIV.
- Faceted syndrome. Characterized by a lesion of the nerve root in the place where it is not covered by the bone structures of the spine;
- Coxarthrosis. This pathology is rare, but accompanied by a fairly pronounced pain syndrome. With coxarthrosis, not only does the spine ache in the lumbar region, but unbearable irradiative pains in the legs appear;
- Epidural abscess. The most serious disease that requires maximum impact, both from the doctor and the patient. In the fight against this disease it is important to carry out a thorough examination of the patient on time and to begin his treatment as quickly as possible.
Causes of chronic pain
- Ankylosing spondylarthrosis( Bechterew's disease);
- Deforming spondylosis( monotonous aching pain);
- Oncopathology( tumors, metastases).When conducting differential diagnosis, the following diseases are excluded:
- Cancer of different localization( gastrointestinal tract, prostate, lactic, thyroid, lungs).
- In order to clarify the diagnosis, X-rays, myelography, biopsy are performed.
- Osteomyelitis. As a rule, it is revealed radiologically. Patients have pain in the lumbar region. In addition, a tuberculin test may be performed to exclude the presence of pyogenic microorganisms or bacteria in the blood that indicate the development of tuberculosis.
- Intradural neoplasm of the spinal cord.
The appearance of any unpleasant sensations in the lumbar region( pain on the right or left, in the waist, in the sacrum) is a good reason to consult a specialist. If the pain is too intense, you can call the doctor at home, or go to an ambulance. However, the optimal solution will be the passage of complex diagnostics in a hospital setting with subsequent treatment.
For pain in the lumbar region, it may be necessary to consult the following specialists:
- Orthopedist, surgeon;
- of the Pulmonologist;
- Urologist, nephrologist;
- The gastroenterologist.
Important! Self-medication with the above symptoms and diseases is strictly contraindicated. The use of folk remedies is possible only on the recommendation of the attending physician.
Also you can read why there may be pain in the lower back when tilted.