Low's pain is a common phenomenon that most adults face less or more often.For many, they are constant, background.However, sometimes they are able to have a significant negative impact on the quality of life, to interfere with everyday activity.In this case, it is necessary to begin diagnosis and treatment of pain in the spine in the lumbar region, since it can be a sign of a serious pathology.
What to do if the back hurts in the lower back?
What to do if the back hurts in the area of the lower back?First of all, the patient needs to independently assume what cause has discomfort.
Pain can cause two types of pathologies:
- Associated directly with the musculoskeletal system.They are characterized by increased/appearance when changing the posture, active movements, dynamic load on the musculoskeletal system.For the same reason, pain appears after a long sitting work and so on;
- Associated with pathologies of internal organs.In this case, you can determine the problem by concomitant symptoms - in kidney diseases, this is an increase in temperature, difficulties with urination, with diseases of the bladder of the lower back pain, it intensifies/appears during urination.Gynecological pathologies are accompanied by characteristic symptoms from the genital organs, menstrual cycle.
If the patient has reason to believe that pain in the lumbar region is associated with gynecological pathology, then after going to the doctor, the following diagnostic studies will be carried out:
- Ultrasound examination of the pelvic organs;
- Diagnostic curettage;
- Smear for pathological microflora;
- General blood test.
In case of suspicion of pathology of the kidneys, bladder, the following studies are conducted that the therapist prescribes:
- Ultrasound study of the kidneys/bladder;
- General urine analysis;
- Biochemical blood test;
- Manual inspection.
In case of suspicion of pathology of the musculoskeletal system causing lower back pain, you should consult a vertebrologist/orthopedic/neurologist.
To establish the presence of a spinal disease, the following studies are carried out:
- X -ray - visualizes only bone tissues, but on it you can determine the indirect signs of pathologies of articular tissue, intervertebral discs;
- Manual inspection - checking reflexes, sensitivity;
- An electroneurogram in case of suspicion of a significant involvement of nervous tissue in the process;
- Ultrasound of the spine with contraindications to other research methods.
The most informative complex research methods for lower back pain - CT, MRI.They can be used in any cases, if necessary, confirm the diagnosis, or if it is impossible to put it in another method.
Comprehensive treatment
How to treat back pain in the lower back?If they are associated with pathologies of internal organs, then it is necessary to cure their cause itself.With urolithiasis, surgical elimination of stones, dissolving them with special drugs is recommended.With pyelonephritis, cystitis is prescribed lessoneptics, a wide spectrum of action for a long time.In the case of gynecological pathologies that cause lower back pain, it all depends on their type: hormones, antibiotics, anti -inflammatory drugs, and surgical intervention can be prescribed.
But most often, the lower back pain is caused by pathologies of the musculoskeletal system, which also require comprehensive treatment.A neurologist, orthopedist can prescribe such treatment.
Removal of pain with medicines
If the back hurts in the lower back, one of the following methods can help:
- Non -steroidal anti -inflammatory drugs in tabletsAccepted 1 piece up to 3 times/day.Effectively relieve pain, almost no contraindications, side effects.You can not take them uncontrollably during pregnancy.When, after 2-3 days of taking, pain does not pass, you must consult a doctor-the treatment course can be extended to 14 days, but only under his control;
- Non -steroidal anti -inflammatory drugs in injectionsThey are administered intramuscularly in an individual dosage no more than once a day.Relieve pain more efficiently and faster than drugs in tablets, but it is forbidden to use them for more than three days, as they begin to influence the chemical composition of the blood, reducing its coagulation.If necessary, extend the course of the NSAID, the doctor prescribes the patient to the tablet;
- Analgesics in tabletsThey are allowed in extreme cases, as they have side effects, negatively affect the state of the gastric mucosa, but more effectively relieve pain than NSAIDs.Take strictly if necessary for 1 tablet.Contraindicated during pregnancy, stomach ulcer, in some other cases;
- Analgesics in injectionsThey do not have such a pronounced negative effect on the mucous membrane, introduced in individual dosages, also strictly according to indications.Contraindicated during pregnancy, reduce blood coagulation.
Methods have a pronounced analgesic effect, but with a serious pathology, only comprehensive treatment will help relieve exacerbation.
Additional drugs
During the complex therapy of back pain in the lower back, other medicinal substances are prescribed:
- Warming ointmentsApply if necessary up to 4 times a day.They help to relieve muscle spasm, painful in itself, provoking the compression of the nervous tissue, blood vessels.Spasm occurs after a long static/dynamic load;
- Antispasmodics2 tablets are taken up to two times a day, contribute to the removal of muscle spasm;
- Chondroprotectors in ointments or tabletsallow for strengthening the intervertebral discs, articular tissues, stop the progression of the pathological process.The ointment is applied up to 4 times/day, tablets are taken 1-2 times/day;
- B vitaminsIntramuscularly injected 1 time in 1-2 days in individual dosages.Allow you to improve the conductivity of nerve impulses, maintain a good state of nervous tissue;
- NSAID MASIThey have an additional analgesic effect, applied directly to the painful area 3 times/day.By themselves, local funds are not capable of effectively.But effective as an additional method.
Comprehensive treatment is prescribed by a doctor, it is supplemented with massage, physiotherapy, physiotherapy physical education.
Exercises
Exercise therapy and gymnastics
The following exercises help effectively relieve pain in the lumbar:
- A cat-border.Take a position on the floor with your knees and palms.Bend your back up as much as possible, fix at the top of 10 seconds.Then bend your back as down as much as possible, fix it at the bottom point for 10 seconds.Repeat the exercise 7 times in both directions;
- Lie on the floor, on the stomach, legs straight, arms extended in front of you.At the same time, raise the arms, the upper body, straight legs, as if performing the "bridge" on the contrary.Fix at the maximum point for the maximum possible time, slowly return to its original position.
Physical exercises prescribed by a doctor of physiotherapy exercises help strengthen the muscle frame, so that the spine will become more resilient to the loads.They also normalize the nutrition of tissues, intervertebral discs, preventing the development of degradation processes in them.However, exercises can only be performed during periods of remission - during injuries, exacerbation of chronic diseases, they are prohibited.
Yoga
Yoga has the same indications, contraindications as exercise therapy.
The following asanas are the most useful in pain in the lower back:
- Tilting forward from a sedentary position;
- Child's pose;
- Twisting from a lotus pose;
- Lying goddess;
- Legs at right angles to the body with support on the wall;
- Free wind;
- Awakening pose.
It is first recommended to perform them under the supervision of an instructor.
Swimming
During the swimming, the load is removed from the spine, the muscle frame is strengthened and the work of muscles is normalized, and blood circulation is improved.You can’t swim during periods of exacerbations.It is also important to adhere to certain styles that do not exert a load on the lumbar region.This is a swiming on the back shown at the beginning of the lesson, at the end of it, Brace, like a dog.The rabbit style is not recommended, as it provides a significant load on the musculoskeletal system.
Physiotherapy
How to treat pathology?A good additional method is physiotherapy.
The following methods are used:
- Microwave;
- UHF;
- Magnetotherapy.
In the course of it, hypertonicity, muscle spasm is removed, the inflammatory process decreases, swelling subsides, blood circulation, microcirculation are normalized.Usually, 7-10 procedures are enough to achieve a stable positive effect.
Massage
Massage allows you to relieve muscle hypertonicity, strengthen the muscle corset, like exercise therapy, it is prohibited for performing severe exacerbations of pathologies.
Perform light massage as follows:
- Rubbing with open palms, on both sides of the spine;
- Pressing, accompanied by vibrating/circular movements - apply forces simultaneously with two fingers, symmetrically, at several points along the spinal column;
- The development of the deep layers of muscles - press four fingers on the tissue on both sides of the spine, without reducing the pressure to advance hands forward - from the sacrum to the thoracic region.
Finish the complex also by rubbing.
Organization of the workplace
Often, pain in the spine manifest in people engaged in sedentary work.As a result of prolonged sitting, a strong static load is on the spine.It can be reduced with the proper organization of the workplace.It must meet the following rules:
- When placing the forearm on the table between them and the shoulder, a right angle should form;
- The feet should stand on the floor in a sitting position, the knee should be bent at an angle of 90 degrees;
- The distance from the eyes (with a straight back) to the computer screen is 50 cm, to the surface of the table-30-40 cm.
Additionally, you can improve your condition by buying a special orthopedic sitting.
Prevention
If the lumbar region has not yet hurt, but you feel stiffness in it, take the following measures for the prevention of pain in the lower back:
- Avoid weight lifting;
- Avoid prolonged dynamic/static load;
- Take breaks in gymnastics with sedentary work;
- Perform exercise therapy daily;
- Eat correctly;
- Abandon bad habits;
- Avoid drafts;
- Follow your weight - do not allow its set.
These methods prevent the development of pathologies of the musculoskeletal system.
Conclusion
Pain in the back and lower back can cause various pathologies and you can get rid of unpleasant symptoms only by eliminating the cause of this pathology.Therefore, if pains to relieve pain cease to act, the lower back pain becomes regular/very intense, then you must consult a doctor to establish the cause of pain and eliminate it.