Low pain is a common phenomenon that most adults face less or more often.For many they are constantly, background.However, sometimes they are able to have a significant negative impact on the quality of life, to interfere with daily activity.In this case, it is necessary to start the 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 must take independently which cause has discomfort.
Pain can cause two types of pathologies:
- Associated directly with the musculoskeletal system.They are characterized by an increase/appearance when they change posture, active movements, dynamic load on the musculoskeletal system.For the same reason, the pain appears after a long session work and so on;
- Associated with pathologies of internal organs.In this case, it is possible to determine the problem with concomitant symptoms: in kidney diseases, this is an increase in temperature, difficulty with urination, with diseases of the bladder of back pain, it intensifies/appears during urination.Gynecological pathologies are accompanied by characteristic symptoms of 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 conducted:
- Ultrasound examination of the pelvic organs;
- Diagnostic curettage;
- Strip for pathological microflora;
- General blood test.
In case of suspicion of the pathology of the kidneys, bladder, the following studies are conducted that the therapist prescribes:
- Study to ultrasound of the kidneys/bladder;
- General urine analysis;
- Biochemical blood test;
- Manual inspection.
In case of suspicion of pathology of the musculoskeletal system causing back pain, it is necessary to consult a vertebrologist/orthopedist/neurologist.
To establish the presence of a spinal disease, the following studies are conducted:
- X -Ray - View only the bone tissues, but on it you can determine the indirect signs of the pathologies of joint tissue, intervertebral discs;
- Manual inspection: reflex control, sensitivity;
- An electroneurogram in case of suspicion of a significant involvement of the nervous tissue in the process;
- Ultrasound of the spine with contraindications to other research methods.
The most information complex research methods for back pain - CT, magnetic resonance imaging.They can be used in all cases, if necessary, confirm the diagnosis or if it is impossible to put it in another method.
Complete treatment
How to treat back pain in the lower back?If they are associated with internal organ pathologies, it is necessary to take care of their cause itself.With urolitiasis, surgical elimination of stones is recommended, dissolving them with special drugs.With Pyelonefrite, cystitis is prescribed lesson, a large spectrum of action for a long time.In the case of gynecological pathologies that cause back pain, it all depends on their type: hormones, antibiotics, anti -inflammatory drugs and surgery.
But very often, back pain is caused by pathologies of the musculoskeletal system, which also require complete treatment.A neurologist, orthopedist, can prescribe this treatment.
Removal of pain with medicines
If the back hurts in the lower back, one of the following methods can help:
- Anti -nonfiammator drugs non -pounds in tabletsAccepted 1 piece up to 3 times a day.Effectively relieving pain, almost no contraindication, side effects.You can't take them uncontrollable during pregnancy.When, after 2-3 days of intake, the pain does not pass, it is necessary to consult a doctor's course, it can be extended to 14 days, but only under his check;
- Anti -anti -inflammatory drugs in injectionsThey are administered intramuscularly in a single dosage no more than once a day.Alternate pain more efficiently and faster than drugs in the tablets, but it is forbidden to use them for more than three days, since they begin to influence the chemical composition of the blood, reducing its coagulation.If necessary, extend the course of the fans, the doctor prescribes the patient to the tablet;
- Analgesics in tabletsThey are admitted in extreme cases, since they have side effects, they negatively influence the state of the gastric mucosa, but they greaterly breed pain than fans.Take strictly if necessary for 1 tablet.Contraindicated during pregnancy, stomach ulcer, in some other cases;
- Analgesics in injectionsThey do not have a negative effect thus pronounced on the mucosa, introduced in individual dosages, even rigorously according to the indications.Contraindicate during pregnancy, reduce blood coagulation.
The methods have a pronounced analgesic effect, but with a serious pathology, only a complete treatment will help to relieve the exacerbation.
Additional drugs
During the complex back pain therapy in the lower back, other medicinal substances are prescribed:
- Heating ointmentsApply if necessary up to 4 times a day.They help to relieve muscle spasm, painful in themselves, causing compression of the nervous tissue, the blood vessels.Spasm occurs after a long static/dynamic load;
- Antispasmodic2 tablets are accepted up to twice a day, contribute to the removal of muscle spasm;
- Condroprotectors in ointments or tabletsAllows to strengthen intervertebral discs, joint tissues, stop the progression of the pathological process.The ointment is applied up to 4 times a day, the tablets are taken 1-2 times a day;
- Vitamins of Group B.Injected intramuscularly 1 time in 1-2 days in individual dosages.Allow to improve the conductivity of nerve impulses, maintain a good state of nervous tissue;
- Fansi MasiThey have an additional analgesic effect, applied directly to the painful area 3 times a day.In itself, local funds are unable to effective.But effective as an additional method.
Complete treatment is prescribed by a doctor, it is integrated with physical massage education, physiotherapy, physiotherapy.
Exercises
Therapy and gymnastics
The following exercises help to effectively relieve pain in the lumbar:
- A cat's border.Take a location on the floor with your knees and palm trees.Fold the backup as much as possible, correct in the upper part of 10 seconds.Then fold the back as low as possible, solve it in the lower point for 10 seconds.Repeat the exercise 7 times in both directions;
- Lie on the floor, on the stomach, the straight legs, the arms extended in front of you.At the same time, lift the arms, the upper body, the straight legs, as if it had performed the "bridge" on the contrary.Correggi at the maximum point for the maximum possible time, slowly returns to its original position.
The physical exercises prescribed by a physiotherapy exercise doctor help to strengthen the muscle frame, so that the spine becomes more resistant to loads.They also normalize the nutrition of tissues, intervertebral discs, preventing the development of degradation processes in them.However, the exercises can only be performed during periods of remission - during injuries, the exacerbation of chronic diseases are prohibited.
Yoga
Yoga has the same indications, contraindications of operating therapy.
The following asana are the most useful for pain in the lower back:
- Tilt forward from a sedentary position;
- Laying of the child;
- Twist from a lotus pose;
- Lie goddess;
- Retto corner legs compared to the body with support on the wall;
- Free wind;
- Laying of awakening.
It is primarily advised to perform them under the supervision of an instructor.
I swim
During swimming, the load is removed from the spine, the muscle frame is strengthened and the work of the muscles is normalized and the blood circulation has improved.You cannot swim during periods of exacerbations.It is also important to adhere to certain styles that do not exercise a load on the lumbar region.This is a swimming on the back shown at the beginning of the lesson, in the end, embers, like a dog.The rabbit style is not recommended, as it provides a significant load on the musculoskeletal system.
Physiotherapy
How to treat the 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 attenuates, blood circulation, microcirculation are normalized.Usually, 7-10 procedures are sufficient to obtain a stable positive effect.
Massage
The massage allows you to relieve muscle hypertonicity, strengthen muscle corset, such as operating therapy, is prohibited to perform serious exacerbations of pathologies.
Perform light massage as follows:
- Rubbing with open palms, on both sides of the spine;
- Pressing, accompanied by vibrant/circular movements: apply forces at the same time to two fingers, symmetrically, in different points along the spinal column;
- The development of the deep layers of the muscles - Press four fingers on the fabric on both sides of the spine, without reducing the pressure to advance forward - from the sacred to the thoracic region.
The complex also ends by rubbing.
Organization of the workplace
Often, spine pain is manifested in people engaged in sedentary work.As a result of a prolonged session, a strong static load is on the spine.It can be reduced with the correct organization of the workplace.Must respect the following rules:
- When positioning the forearm on the table between them and the shoulder, a right angle should form;
- The feet should stay on the floor in a seat, 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, up to the surface of the table-30-40 cm.
In addition, you can improve your condition by purchasing a special orthopedic session.
Prevention
If the lumbar region has not yet hurt, but you feel rigidity, take the following measures for pain prevention in the lower back:
- Avoid weight lifting;
- Avoid a 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
The pain in the back and in the lower part of the back can cause various pathologies and you can get rid of unpleasant symptoms only by eliminating the cause of this pathology.Therefore, if the pains of relieving pain cease to act, back pain becomes regular/very intense, it is necessary to consult a doctor to establish the cause of pain and eliminate it.