Many of us are well familiar with a feeling of pulling lower back pain.It is only worth sitting for some time in an uncomfortable position-and here is the result.
The fact that pain in the lumbar region, or lumbagia, is very common, is indicated by the fact that about 80% of the population is at least once in her life.As a rule, acute pain over time passes into chronic, and, according to neurologists, repeated episode occurs in 40% of patients over the next year, and in the remote period the pain recurrents in total in 85% of patients.
What does the lower back pain warn?
Today, lumbagia is considered by doctors not as a diagnosis, but as a symptom that often serves as a signal for the development of any internal disease.Any, whether aching or shooting, acute or chronic lower back pain can be divided into primary, due to the pathology of the spinal column itself, and secondary.
The latter signals a number of problems in the body, for example, of an infectious or tumor process in the pelvic organs, osteoporosis, inflammatory diseases of the ovaries, kidneys and other organs, about dysmenorrhea, damage to large vessels or some diseases of the nervous system.
The main causes of lower back pain
Osteochondrosis is the most common cause of lower back pain, and “earned” it is quite simple, sitting for a long time in front of the computer, while driving a car, or performing some monotonous work, constantly repeating the same movements.As a result, infringement of nerve roots coming from the spinal cord occurs.
As a rule, the lumbar pain in osteochondrosis is growing gradually, at first a person can feel only a slight ache in the lower back, which quickly passes when the body position is changed.However, over time, the pain becomes stronger, intensifies even with simple cough or sneezing.In addition, a variety of curvature of the lumbar spine becomes noticeable: right and right or back and forth.
With severe infringement of nerve roots, a decrease in the sensitivity of the skin and muscles of the lower half of the body can be observed, even impaired function of the bladder and colon.
Sharp and sudden lower back pain
Such pain intensifies when touching the body, with the slightest movement, when a person freezes in a bent position, unable to move.In this case, lumbago or Ishias can be assumed.
In the first case, the pain is due to the dystrophic process in the intervertebral disk, the core of which literally falls apart into separate fragments.
With Ishias, infringement of nerve roots located next to the sacrum, as well as the damage to the sciatic nerve, the largest in the body.This nerve passes from the lumbar region, goes down the leg and reaches the very tips of the fingers, so the pain can appear throughout its length and cause serious inconvenience to a person.
Pain at the place of attachment of the ribs to the spine
Such pain is usually stupid, aching, gives to the lower abdomen, the navel and hypochondrium.At its appearance, you should seriously think about the disease of the kidneys, since the pain is associated with the stretching of the capsule in which the kidney is placed, and this happens, for example, with pyelonephritis or clogging of the ureter.
Low's pain against the background of pregnancy
It is necessary to clearly understand that the causes of pain in the early stages differ from the causes of pain at the end of pregnancy.Do not panic if the lower back is slightly ached at the early date, it can be a physiological process that does not require any measures.
But if the pain is sharp enough, pulsating, you should immediately contact the gynecologist, because it is during this period that the risk of miscarriage is not excluded.Also, at the initial stage in the blood of a woman, the level of the hormone of progesterone increases, and the pain may be associated with this.
It happens that, together with the lower back, the lower abdomen hurts, in this case, consultation with the doctor is also required, since it is urgent to make sure that the pregnancy is not an ectopic one.
In the later stages of pregnancy, pulling pain in the lower back is absolutely natural, because the baby grows, presses the head on the sacrum, and the relaxin hormone, which is necessary for relaxing the muscles during childbirth, also begins to cause a slight lumbar pain.
In addition, the closer to childbirth, the more often the body arranges “pain exercises”, training and preparing the future mother.
But severe and sharp pain in the lower back in the later stages of pregnancy may indicate a shortening of the cervix and the disclosure of the uterine pharynx.This situation is already critical, and urgent medical intervention is necessary.
Pain, which is accompanied by fatigue and desire to lie down
We can talk about the typical problem of middle -aged women, namely, about the so -called instability of the spine.There is a damage to the disk or intervertebral joint against the background of overweight, and it can be difficult for a woman not to bend, but rather, to straighten.And any movements begin to seem superfluous and unnecessary.
How to deal with lower back pain
Only a specialist can answer this question specifically after a serious examination and diagnosis, therefore, in no case should it be delayed on a visit to it.The general list of measures to combat lumbalia includes both drugs and various physiotherapeutic drugs.
As the main methods of treatment, the following is used:
- Drugs - non -steroidal anti -inflammatory, analgesic, hormonal;
- Injections (blockade) in the area of the intervertebral joints and to certain muscle points;
- Acupuncture;
- Manual and physiotherapy;
- Medical gymnastics;
- Surgical treatment.
In addition, to limit the volume of movements, it is sometimes recommended to wear special corsets that can significantly unload the spine.
And finally, we must recall the common truth that states that it is easier to warn the disease than to treat.Therefore, do not forget about sports, gymnastics and outdoor activities, because mobile and sports people have a lower back pain in the lower back.