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Lower back pain: types and main causes. Aching back pain: causes, symptoms, diagnosis and treatment

13.03.2020

The state of the spine is reflected in any organ or system of the body, as it is a support for the entire human body. If your back hurts in the middle of the spine, or you feel some kind of discomfort in this area, this should alert you. You should undergo an examination, identify the causes of pain and eliminate them as quickly as possible. A lot of different factors can negatively affect the condition of the spine (injuries, excessive stress, poor nutrition). It is necessary to consult a specialist in time and establish a diagnosis.

Types of pain. Mechanical violations

First you need to determine what kind of back pain you are worried about. After all, the exact identification of the cause depends on the type of painful sensations. So, the pain can be sharp and sharp, throbbing, dull or pulling. The latter type may occur in the middle of the back due to sudden physical overload. It belongs to the category of mechanical damage. There is a pulling pain after lifting heavy loads. It is because of this that the spine hurts in the middle of the back during pregnancy. It is difficult for a woman to carry a child, and therefore pulling pains appear in the back from the load. After childbirth, the baby is in her arms for a long time, this also affects the health of the spine.

Any gravity provokes the occurrence of pain in the middle of the spine, most often with scoliosis. With this pathology, the vertebrae are displaced, the reason for this is an incorrect fit. Scoliosis is detected at the appointment by a therapist, neurologist or surgeon. When lifting weights, the vertebrae are easily removed from their normal state, which causes pain. Large loads lead to osteochondrosis. This disease is practically not cured, it develops into a chronic form.

All people leading a sedentary lifestyle, one way or another, suffer from pain in the spine in the middle of the back or in the lower back. With the help of gymnastics, pain conditions can be avoided. Get up from your computer more often and stretch your stagnant spine. This will help get rid of stiffness and discomfort, feel lightness in the muscles of the back.

Non-mechanical violations

Not always the cause of displacement of the joints is any mechanical stress, disturbance, injury. The internal organs have a significant impact on the health of the back. If the spine hurts in the middle of the back, this may indicate some kind of ailment inside your body. The causes of pain should be identified by competent highly qualified doctors. A timely diagnosis will allow you to get rid of the disease without any complications.

Also, pain, spasms in the muscles of the back can appear with some kind of stress, excitement, nervous tension. Acute resulting pain in this case appears as a result of a sharp contraction of the muscles, spasms occur in the middle of the back. Frequent stressful situations with frequent spasms, they can lead to the appearance of a stoop, as a result, an incorrect distribution of body weight along the spine. The mechanical effect on the spine decreases or increases, pain appears.

Sharpness of pain

If the spine hurts in the middle of the back after childbirth, listen to the nature of the pain. Cutting, sharp, sharp, which hinders the movements of the legs, arms, the whole body, provokes nerve endings? If the pain appeared unexpectedly, with a sharp tilt, rise (maybe they took the child in their arms), most likely, there was a pinched nerve between the vertebrae. Usually the nature of such pain is short-term, after being in a calm state (better lying on a flat surface), it goes away. If the discomfort does not disappear for a long time, it is better to seek medical help. Persistent pain in the middle of the spine can be a sign of an illness that needs to be investigated. It could be a herniated disc. It can also manifest itself as a heart attack in heart disease. Persistent pain in the middle of the spine is a serious symptom that you should definitely contact your doctor. medical institution and get tested.

Lumbalgia

Pain that has a pulsating character that does not go away for a long time is lumbodynia, it has the following symptoms:

  • manifests itself after lifting weights;
  • severe pain when walking;
  • the manifestation of pain with a sharp movement;
  • shootings in the spine.

When the back hurts in the middle of the spine, an X-ray examination helps to identify the source of the pain. With lumbalgia in the middle of the back, a throbbing, dull pain between the discs passes, it can occur after hypothermia of the body. If treatment is not started on time, the pain can spread throughout the spine. After suffering lumbodynia, osteochondrosis often occurs during exercise. And he, as you know, is the most common reason pain in back.

Diseases

If the spine hurts in the middle of the back when pressed, this may be a manifestation inflammatory processes muscles, such as myositis. Discomfort can occur both on the right and on the left, with pressure on the muscles or any movement.

Arthritis, which affects people of all ages, causes pain in the middle of the back, which makes it impossible to straighten the shoulders. The body gradually bends, and this leads to disruption of the work of all internal organs. There are both mild and severe forms of arthritis, and they all require treatment.

Osteochondrosis of the thoracic spine gives impetus to the development of degenerative processes, which causes growths and destruction of the vertebrae. If there are sudden painful sensations, this indicates that a pinched nerve fiber is occurring.

With diseases of the internal organs

Problems with internal organs (heart, kidneys) have a huge impact on the condition of the spine. A sick heart always gives impulses to the shoulders, upper limbs. If the pain spreads in the thoracic region, this may be a symptom of a heart attack.

In case of kidney diseases (inflammatory process), the body temperature rises, there are pains in the back area, edematous state takes parts of the body. Acute renal dysfunction is accompanied by very high temperature.

In the middle of the back, pain also occurs with diseases of the gallbladder or gastrointestinal tract. If the back hurts to the left of the spine, in the middle, this may indicate a stomach ulcer. Pain in the upper abdomen, on the right, subsiding and intensifying, while accompanied by vomiting, speak of cholelithiasis.

Back pain in the middle can even be due to an infection in the body. Such pain is rare, but still worth mentioning. The blood flow can infect between the shoulder blades, which begins to cause pain of varying degrees. In this case, there will be an increased temperature.

Pain in the middle of the back. Treatment

If there is back pain, it is imperative to identify the causes of its occurrence. To do this, you need to undergo examinations that the doctor will prescribe. These include:

  • x-ray of the lumbar and thoracic spine;
  • ultrasound of the OBP;
  • MRI or CT of the central part of the spine;
  • general analysis of urine and blood.

The results will help doctors to make the correct diagnosis and prescribe in time. necessary treatment. Methods of therapy can be different:

  • medical;
  • non-drug;
  • reflexology;
  • acupuncture;
  • manual therapy;
  • hardware and manual massages;
  • extraction method.

Massage is one of better ways in the fight against pain in the middle section of the back. Those who lead a passive lifestyle, spend a lot of time behind the wheel, experience physical exercise often complain of back pain. Massage helps to relieve pain, discomfort and even pleasure. Therapeutic massage can be performed both in clinics and at home. Of course, it is better if it is performed by a knowledgeable massage therapist with experience.

Temporary pain in the spine helps to remove various ointments and poultices. Some can be used only on the recommendation of a doctor, and some are available in pharmacies without a prescription. It is best to know the cause of your condition and follow the recommendations of doctors. A hot bath or contrast shower can also help relieve pain.

Special bandages, corsets do not have a healing function, but only help relieve pain symptoms and alleviate suffering. If it is not possible to immediately consult a doctor, of course, wearing a corset will help you at first. But if you wear it all the time, the disease threatens to develop into a chronic stage.

Back pain in the middle of the spine. First aid

In what cases do you need immediate help if your back hurts?

  • At the age of less than 50 years, persistent back pain is present.
  • After an injury, overexertion or a fall.
  • With ever-increasing pain syndrome.
  • For back pain and fever.
  • If the pain increases constantly with a change in body position.

If the spine hurts in the middle of the back, the doctor will tell you what to do. Only a few seek help, believing that everything will pass by itself. You should not start your illnesses, it is better to apply on time. Increasingly, there are cases where the intervention of medicine is very important. It helps to cure the disease early stages and do not develop into a chronic form.

Prevention

What should I do if my back often hurts in the middle of the spine? What preventive measures will help prevent a painful condition?

  • If you avoid strong and frequent stress on the spine, the risk of pain will be significantly reduced.
  • Always choose a comfortable body position, both lying and sitting.
  • To maintain a healthy spine, you need to do gymnastics, swimming, and sports.
  • Go up and down the stairs more often. Do not use the elevator.
  • Regularly diagnose not only the spine, but also the state of the whole organism.
  • Morning exercises are useful at any age. It strengthens the ligaments, eliminates possible damage.
  • Try preventive massage. In this case, you can use aromatic oils and creams.

Severe back pain dangerous symptom which should never be tolerated. The reasons can be very different: from degenerative changes in the spine to diseases of the internal organs. If your back hurts a lot, you must first ensure physiological rest, take a comfortable position.

Further actions are to call a doctor at home, and in case of acute, unbearable, sharp pain, when it is difficult to find a pose that alleviates the condition, call ambulance. If a person does not have an attack for the first time, and he knows the reason, you can take an analgesic (non-steroidal anti-inflammatory drug). You can also apply a cold compress to the painful area. Next, you should contact the clinic and inform the doctor about the exacerbation of the existing disease.

The reasons

Sharp back pain has a different origin. The pain syndrome is acute or paroxysmal in nature, appears suddenly, disturbs constantly or from time to time. The pain can be aching, pulling, shooting and intensify after a long stay in one position. In the lower back, sometimes there is a feeling of stiffness, heaviness, tingling, numbness or goosebumps may occur. Severe acute back pain significantly reduces the quality of life, impairs performance.

The risk group includes the following people:

  • office workers, programmers, etc. (who sit at the computer for a long time);
  • overweight people;
  • persons leading an inactive lifestyle (physical inactivity);
  • those who are engaged in hard work, perform intense physical work;
  • those who have suffered a back injury;
  • professional athletes;
  • elderly people;
  • pregnant women, women after childbirth.

Sharp careless movements, hypothermia can provoke pain. Diseases accompanied by pain in the back:

  • scoliosis;
  • osteochondrosis;
  • spondylarthrosis;
  • hernial protrusions;
  • root infringement;
  • disorders of the cardiovascular and respiratory systems;
  • neuralgia;
  • traumatization;
  • infectious processes, tumors, etc.

Injuries

Back pain may result from various damage: blows, bruises, fractures, etc. Mechanical trauma is a reason for immediate medical attention, even if, at first glance, it seems that there is nothing serious. Pain syndrome with mild injuries (for example, bruises) may not appear immediately, but after some time. In severe cases, in addition to sharp severe pain, can observe paresis, paralysis.

History of trauma is a common source of severe back pain

To determine the severity of the condition, the patient is prescribed radiography, CT, MRI. In some cases, only surgical intervention, since conservative therapy for injuries is aimed only at eliminating symptoms. After the operation, a long course of rehabilitation follows. Even such a volume of therapeutic measures does not guarantee that severe back pain will not bother a person throughout life.

Osteochondrosis

The pathological process is more often localized in the lower back or cervical region spinal column. The vertebrae have significant mobility, they are under a lot of pressure, which, as a result of irrational physical activity and due to other circumstances leads to pathological changes. Cartilage tissue is prone to metabolic disorders, inflammation and accumulation of salts. An MRI is done to detect osteochondrosis.

An acute pain attack occurs due to degenerative-dystrophic changes in the discs. In the mechanism of development of pain lies inflammation and infringement of the roots. Sharp pain in the neck radiates to the shoulder girdle, arms, shoulder blades. As the disease progresses, the disease spreads to the chest region, while severe pain appears already in the sternum. It is impossible to completely recover from osteochondrosis, but it is quite possible to improve the quality of life.

With an irrational distribution of the load on the back, a long stay in one position, a sedentary lifestyle, the spinal column undergoes deforming changes. Spasms constantly occur in the muscles, nerve endings are infringed. Because of this, sharp pains appear. The onset of the disease is often childhood when children start going to school, they spend a lot of time at the desk, carry heavy textbooks.

To detect scoliosis, special studies are not required. The doctor will determine the curvature without instrumental methods during a routine examination.


The greater the degree of curvature of the spine, the more pronounced the pain

kyphosis of the thoracic region

This is a violation of the skeleton, in which the spinal column curves backwards more than the anatomical norm. At the beginning of the disease, the patient looks simply stooped, as it develops pathological process a hump is formed. The shoulders protrude forward, the chest narrows. Because of this, the intervertebral discs of the thoracic region are compressed and pain appears. The most dangerous is the kyphoscoliotic form, the spinal column is curved in different departments.

Spondylarthrosis

With this disease, the cartilage tissue in the joints changes. Cartilage loses elasticity and flexibility. Bone tissue is gradually erased, but pathological bone growths - osteophytes are formed. They cause severe acute pain, damaging adjacent soft tissues and nerves. Often such patients require surgery, as conventional treatment gives a temporary, symptomatic effect.

Hernial formations

As the intervertebral discs wear out, their elasticity and strength are lost. In this case, the vertebrae exert a double load on the discs. All this leads to the fact that the cartilage tissue begins to go beyond the anatomically normal boundaries.

With the localization of the pathological process in the region of the spinal canal, sensitivity is disturbed, paresis, paralysis can occur. As a result of compression of the roots, severe pain attacks occur. A hernia can be detected using CT and MRI. The disease is treated surgically. Now they use low-traumatic laser interventions that reduce the recovery period.

neuralgia

Under the influence of a traumatic factor, hypothermia, physical overload, inflammation begins, which also affects the nerves. This is how neuralgia develops. Its sign is sharp, shooting, "infringing" pains in different areas back, right or left, below, in the chest, etc. Pain may appear with sudden movements, severe coughing.

In this condition, they take painkillers and anti-inflammatory pills, organize correct mode day.


Pain in neuralgia is relieved by anti-inflammatory drugs

Internal illnesses

Pain in the back can appear with coronary artery disease. There are pains of a burning, squeezing nature, radiating to the back, shoulder blades, jaw, left shoulder. It may seem that it hurts in the left side. The patient can indicate a clear localization behind the sternum. Typical feature coronary pain - relief with sublingual nitroglycerin. Heart pain after a tablet or nitrospray passes in 5-10 minutes. If the attack lasts 20 minutes or longer, there is reason to think about myocardial infarction. It is urgent to call an ambulance!

Another cause of severe acute back pain is renal colic. The process is localized on the one hand. The pain is so intense that the patient tosses about in bed, cannot find a forced position. In this case, dysuric disorders occur, little urine is separated, blood may be present in it. The pain spreads along the ureter down, gives to the lower abdomen, inguinal region. All of these conditions require urgent medical attention!

How to deal with pain syndrome

If the symptoms indicate a coronary, renal origin of pain (especially if the patient is aware of the presence of relevant problems), an ambulance should be called. These patients are admitted to the intensive care unit. At coronary syndrome you should take a half-sitting position, unfasten tight clothing, take nitroglycerin under the tongue. With renal colic, there is no forced posture, the patient can be helped by warmth on the area of ​​the affected side. Conventional painkillers for renal, hepatic colic, acute coronary syndrome do not help. The patient is given narcotic analgesics.


Pain at coronary disease hearts can also give back, it is important not to ignore the dangerous symptom

The above are medical emergencies. In other cases, there is no threat to the patient's life. If the patient knows that he has back problems, he can take an anti-inflammatory pain medication (Diclofenac, Nimesulide) to ease the attack. It is important to ensure complete physiological rest, to exclude any load during the period of exacerbation.

In diseases of the musculoskeletal system during an exacerbation, anti-inflammatory, warming ointments are used. In severe cases, when pills do not help, doctors prescribe injections - novocaine, lidocaine blockades. If the symptoms persist, non-steroidal anti-inflammatory drugs are prescribed. The most famous and affordable are Diclofenac, Ibuprofen.

As soon as the condition improves, you need to come to the doctor's appointment. If the patient applied for the first time, the specialist will determine why the back hurts and what to do if intense pain appears. During the period of remission, when the pain attack is stopped, the patient is prescribed therapeutic massage, exercise therapy, physiotherapy, acupuncture, etc. All these methods are applicable in the initial stages of the disease. In severe cases, surgery is required.

It is useful to wear special orthopedic corsets that support the back and reduce the load. Such devices are also recommended during pregnancy to reduce the load on the spine. A good effect for problems with the back gives therapeutic exercises. The complex is prescribed by the attending physician, and it is better to conduct classes under the supervision of an instructor.


Therapeutic gymnastics gives a good effect during remissions

Exercise examples:

  • Lie on your back. Bend your leg at the knee. Bend and unbend the other, touching the floor. Do 10 reps, then switch legs.
  • Lie down on the floor. Bend your knees. In turn, take your knees to the sides.
  • Put your hands on your shoulders, make rotational movements back and forth.
  • Raise your hands, clasp in the castle. Tilt your head back, try to look at the palms.
  • Make body turns.

It is important not to forget about prevention. If available excess weight, you need to reset it. You should lead an active lifestyle, especially for sedentary workers. Workplace should be comfortably equipped, it is better to purchase a special chair with an adjustable backrest. You also need to pay attention to shoes - avoid excessive wearing of high heels or models with an uncomfortable last. Diseases of the spine are easier to prevent than to treat, so you need to constantly remember the simple and quite feasible rules listed above.

back pain symptoms
hip pain
buttock pain
muscle spasms
difficulty moving the limbs
shock, confusion

If you feel pain in the back from exertion and during physical activity, or if you experience occasional pain in the neck and back, it is recommended to consult a doctor if there is no improvement after 3-5 days, with back pain and a temperature above 37.8, if the pain is accompanied by nausea, vomiting or diarrhea, painful or too frequent urination, with severe back pain during menstruation, when back pain radiates to the arms or legs and is accompanied by numbness of the lower extremities. Immediate hospitalization is required if at the same time there is difficulty in movements in the limbs, shock, confusion.

There are many reasons for this pathology. Symptoms in the lower back can be the result of problems in the skeletal system of the lumbar spine, the discs between the vertebrae, the ligaments around the spine, the spinal cord and nerves, the muscles of the lower back, the internal organs of the pelvis and abdomen, and the skin covering the lumbar region. Pain in the upper back can also result from disorders of the aorta, chest tumors, and inflammation of the spine.
Almost all adults experience pain from time to time. The structure and function of the spine makes the back prone to pain and injury. The spine is made up of 33 vertebrae, separated by flexible cartilages called intervertebral discs, and surrounded and riddled with ligaments, muscles, and nerves. Unsuccessful, sudden movement, too much load (for example, carrying heavy weights), or poor posture can cause symptoms. In most cases, pain is not a serious disorder and can be easily prevented, but sometimes it can be associated with serious diseases and injuries of the spine (including osteochondrosis), and in some cases with diseases of the gastrointestinal tract or urinary system (for example, stones in the kidneys).

If you feel disturbed by tension and during physical activity, or if you experience occasional pain in the neck and back, it is recommended to consult a doctor if there is no improvement after 3-5 days, with a temperature above 37.8, if the pain accompanied by nausea, vomiting or diarrhea, painful or too frequent urination, with severe back pain during menstruation, when the pain radiates to the arms or legs and is accompanied by numbness of the lower extremities. Immediate hospitalization is required if at the same time there is difficulty in movements in the limbs, shock, confusion.

According to the above, it becomes clear that you yourself will not be able to determine the cause of the pain that causes you. Your best bet is to see an orthopedic doctor.

Backache

The reasons
- bad posture;
- excess weight;
- weight lifting;
- infections and other diseases.

What can you do
moderate physical activity the best remedy fight against pathology.
A hot bath or hot compress can relieve pain, but these are best avoided for the first 2 days. Take medicine to relieve pain and inflammation.
When sleeping, it is recommended to put a pillow under your knees or, if you sleep on your side, put a pillow between your legs. After reducing the severity of pain, return to your normal mode and work gradually, trying not to overload your back. Try to deal with stress, which can exacerbate pain.

What can a doctor do
The doctor must determine the cause of back pain and rule out other, more serious conditions. Prescribe painkillers or muscle relaxants. Refer you to a neurologist, rheumatologist or orthopedist if needed.

Preventive measures
Watch your posture. Good posture significantly reduces the load on the spine.
Avoid heavy lifting. If you do need to lift heavy objects, be sure to bend your knees and try to keep your back straight.
During sedentary work, use a comfortable chair or chair that supports your back.
Watch your weight. Fullness increases the load on the spine.
Do not reach out if you need to get something from high shelves, mezzanines, etc. Set up a chair or stepladder.
Try to bend over less.

Pain in the back and lower back

Complaints of pain in the lower back and back are common in emergency and outpatient medical practice. The seriousness of this condition is due to the fact that acute pain severely limits the motor activity and ability to work of people.

The most common complaints are:

1. Pain above the waist.
2. Pain in the lower back itself.
3. Pain below the waist.

Back pain above the waist

Such pain can occur intermittently or be chronic. Sometimes the pain goes away, but may return again after lifting a weight; a sharp tilt of the body; long sitting at an uncomfortable table height.

The main reason may be:

Wrong posture.
- Improperly equipped workplace.
- Osteochondrosis.
- Sciatica.
- Myosfacial syndrome.

Lower back pain

The most common condition. It usually occurs in middle-aged and older people, but young people are not immune from the manifestation of such symptoms. There is even a separate name for this condition, firmly entrenched in medicine - “lumbago”.

Pain in lumbago occurs against the background of strong physical exertion or with a sharp awkward movement and is so intense that the person seems to “get stuck” in one position. When you try to change the body position to a more comfortable one, the pain intensifies. In addition to physical exertion, hypothermia can affect the occurrence of pain.

The predetermining causes of lumbago are:

Radiculitis.
- Lumbar hernia.
- Displacement of the vertebrae.
- Prolapse of the intervertebral disc (with very intense physical activity).

The pain in lumbago is very sharp, shooting, sharp, so this pain is also called "lumbago". Sometimes backache makes it difficult to even take a deep breath and exhale the air. In a supine, calm position, the pain gradually disappears. Patients feel it, as if in the lower back "something has fallen into place."

Back pain below the waist

Lower back pain often radiates to the legs. May be acute or chronic. Occurs against the background of physical exertion, after hypothermia.

The reason may be:

Bechterew's disease.
- Herniated discs.
- Sciatica.

Often there is also a complaint directly from the right side. This is a possible sign of renal colic.

Symptoms: pain radiates to the abdomen, to the genitals. Sometimes patients feel an acute urge to urinate.

The nature of the pain is extremely sharp and intense. This is an emergency condition that requires immediate medical attention. In this case, the first step is to call an ambulance.

There are several types of pain in the back and lower back:

Pain of musculoskeletal origin.
- Pain due to injury.
- Pain radiating to lumbar.
- Pain that starts in people younger than 50.
- Pain that begins in people over 50 years of age.
- Pain that appears during pregnancy (is not a pathology, occurs due to an increase in the functional load on the body).

Pain in the back and lower back of musculoskeletal origin

All small ligaments, joint capsules, connective tissue membranes, bones - everything that, in the aggregate of its functions, allows us to move - has spatial and pain sensitivity. Factors of trauma, excessive loads, displacement of the articular processes, lead to inflammatory reactions, which cause pain.

Back and lower back pain due to injury

Sudden sharp stress on the muscles can lead to partial damage to the muscle or ligament. Even get a minor injury healthy man with a specific injury. Pain is usually accompanied by muscle spasm, which resolves after a few days in a mild case or after a few weeks in a more severe injury. The pain gradually becomes aching, not sharp.

Pain radiating to the lower back and back

Such pain is felt when stenosis (compression) of the nerve roots occurs due to narrowing of the spinal canal and holes between the vertebrae, or when a herniated disc occurs.

1. Stenosis

The cause of stenosis is considered degenerative changes in the nerve roots. In some cases, decompression surgery is performed - laminectomy. This operation allows access to the spinal cord due to the dissection of the vertebral arch. Thus, the pressure on the nerve roots is removed or even completely eliminated. Pressure on the roots occurs due to age-related changes, so that young people are practically not susceptible to this disease. Pain in stenosis occurs in the back, then radiates to the leg. The man walks with a limp. Accompanied by a feeling of numbness, dull aching pain.

2. Herniated disc

This disease develops gradually. According to statistics, acute pain attacks with a herniated disc occur in people of thirty years of age and older. Symptoms manifest themselves differently for each person, but there are common signs: for example, a person limps, avoids a strong load on the affected side, and keeps the affected limb in a half-bent state. If during the examination the doctor asks to bend, straighten, turn the sore leg, he will definitely note that the patient has a reduced range of motion.

Back and lower back pain that occurs in people younger than 50 years of age

The group of diseases in which pain in the lower back and back occurs in young and middle age includes:

Spinal osteomyelitis.
- Spondylolisthesis.
- Fibrositis.
- Sacroiliitis.

Osteomyelitis- inflammation of the bone marrow, affecting the periosteum and the substance of the bone itself. Osteomyelitis of the spine is common among people affected by infection genitourinary system; diabetes; skin infections; dermatological infections. The main symptom of osteomyelitis is lower back pain, aggravated by walking.

Accompanied by malaise and fever. The causative agent of osteomyelitis is Staphylococcus aureus.

Children also suffer from osteomyelitis. The pus-forming bacteria spread to the bone tissue and periosteum and decompose the bone. In infants, bone damage leads to the formation of arthritis (joint disorders).

Ways of penetration of the causative agent of osteomyelitis:

Through the bloodstream.

through the focus of inflammation. - Through a penetrating injury (for example, after a fracture of the bones or after operations on the bone tissue, due to the traumatic technique of the operation and violation of the principles of asepsis).

Spondylolisthesis is called the displacement of the fifth lumbar vertebra forward towards the sacrum. Symptoms of this disease vary depending on the severity of degenerative changes.

Main complaints: back pain, pain in the hips, legs; severe weakness. Due to muscle spasm, the range of motion is reduced. Any concussion of the spine increases the pain, so the patient's gait becomes cautious, soft. Depending on the degree of displacement of the vertebra, there are four main stages, characterized depending on the percentage of displacement: up to 25%, from 25 to 50%, from 50% to 75%, from 75% and above.

Fibrositis is an inflammatory process in fibrous connective tissue. Symptoms of fibrositis: pain along the entire body, stiffness of the spine, weakness in the morning after sleep. Pain intensity: Moderate to very severe. According to statistics, fibrositis mostly affects middle-aged women. Patients often complain of sleep problems, headaches that occur after overexertion, after emotional stress.

sacroiliitis usually occurs in conjunction with rheumatoid arthritis and chronic inflammation of the intestinal system. This disease is not so common; they mostly affect young people.

Symptoms:

Pain in the lower back and back.
- Fever.
- Sharp weight loss.
- Digestive disorders, in particular diarrhea.

The group of diseases that form at an older age after 50 years includes:

Osteoporosis.
- Spondylosis.
- Tumors of the spine.

Osteoporosis- This is a decrease in the density of bone tissue, due to which it becomes fragile and brittle. This is a very common cause of pain in the lower back, due to metabolic disorders, in particular, a lack of calcium. The disease is typical for older age; Both women and men are affected.

Spondylosis It is formed gradually due to wear and tear of the intervertebral disc. There is a stretching of the joints, there are dystrophic changes in the outer parts of the disc. The reasons may be excessive long loads on the musculoskeletal system and traumatization of the spine. Symptoms of spondylosis are lower back pain, an increase in the inflammatory process. At first, the pain is not too strong and occurs with prolonged physical activity; afterwards, the pain becomes intense and occurs even when coughing. Exacerbation of pain is accompanied by spasms of the paravertebral muscles.

Tumors of the spine- not a very common disease. Young people form benign formations affecting posterior processes vertebra. In older people, malignant tumors are formed that affect the anterior processes of the vertebra. The defeat of the spine by metastases is a frequent process. Importantly, in 25% of cases of metastatic lesions, the main symptom is back pain. This fact once again reminds us that pathology is usually a sure sign of a disease.

Back pain during pregnancy

During pregnancy, many women feel constant pulling pain. The mechanism of this pain is an increase in the secretion of the hormone relaxin, the function of which is to soften the ligaments of the sacral region (to prepare the birth canal for the passage of the fetus). Since relaxin does not have a selective effect, it affects all ligaments, which causes pain in the lumbar region, which is under increased stress due to the increase in the weight of the pregnant woman.

The increased weight shifts the center of the torso forward, the psoas and pelvic muscles tighten to balance the body. It is because of the excessive load in these muscles that pain increases.

Move straight, smoothly.
- Try to avoid lifting weights, if this is not possible - lift without jerking, not abruptly.
- Lift the weight without bending over, distributing the weight of the weight evenly on both hands.
- If you need to bend down to the floor, then smoothly kneel down without bending your back.
- To get out of bed, first you need to turn on your side, then kneel, rise, holding on to something stable - for example, the back of a sofa.
- Do not remove objects located high - you can lose balance.
- Do not wear high heels.

Ligament softening with relaxin is a common, but not the only, cause of lower back and back pain in pregnant women. Sometimes there is a prolapse of the disc or infringement of the sciatic nerve. Acute lower back pain from the 38th week of pregnancy may indicate the onset of labor. Therefore, in such a situation, it is urgent to call a doctor.

Diagnosis of back pain

Since there are many causes of pathology, a situation often arises when it is difficult to differentiate one disease from another that has similar symptoms.

Diagnostics is carried out by the following main methods:

Computed or magnetic resonance imaging.
- Myelography.
- Radionuclide bone scan.

CT scan allows you to identify structural changes in the vertebrae; changes associated with past infections; injuries, fractures; osteoporosis; tumors; arthritis. computer research gives an assessment of three main parameters: the condition of bone tissue, soft tissue and blood vessels.

Myelography is a radiopaque examination of the conduction tracts of the spinal cord. Myelography is indicated for all pathological conditions, in which the lumen of the spinal canal decreases - with tumors, stenosis, hernias. A contrast agent (most often xenon gas) is injected into the spinal cord, then an X-ray examination is performed.

If the initial data x-ray examination are uninformative, then radionuclide scanning (scintigraphy) is indicated. This method allows you to diagnose tumors, arthritis and other diseases. This method is quite expensive, so it is not always used.

Back pain treatment

Treatment of back and lower back pain with an unexplained etiology is symptomatic and includes bed rest, sedatives, painkillers, and anti-inflammatory drugs. It is also effective to prescribe muscle relaxants that reduce muscle tension and thereby relieve pain.

If, after undergoing diagnostic procedures, a definite diagnosis is made, the doctor prescribes the appropriate conservative treatment and in some cases decides whether surgical treatment. It is not always effective to stop the symptoms of the disease, because the disease itself does not disappear. This means that treatment must be carried out in such a way that it will be aimed at removing the root cause of the pain.

Patients are shown osteopathic treatment, including the physiological mechanisms of self-regulation processes in the body.

The most important thing is not to self-medicate, but to contact a qualified specialist who will make the correct diagnosis and work out the right treatment tactics. Contact an orthopedic doctor.

Back pain

Stubborn statistics claim that more than half of the working population of the planet suffers from pathology. Surprisingly, at the same time, a maximum of one out of five patients turns to doctors. Meanwhile, back pain is a rather dangerous symptom. The danger lies in the fact that diseases of the spine, as a rule, quickly involve many people in the pathological process. internal organs and muscles of the human body.

Simple pain in the cervical spine can lead to complications in the form of severe headaches and dizziness, as well as vision problems and unpleasant tinnitus. Diseases of the thoracic spine often lead to problems with breathing and heart activity. Lower back pain can be a harbinger of problems with the kidneys and digestive system of the body, and in men it can even lead to a decrease in potency.

Causes of back pain

For pathology, there can be many reasons known to science. Starting from the banal physical overload of the muscles and ending with tumors and dangerous infections that affect the tissues of the spine. However, these are extremes. Between them - most of the major diseases of the back. Such as osteochondrosis, scoliosis, herniated discs and many other reasons to worry about your back.

However, the rule works and vice versa - some diseases give complications of discomfort in the back. So, pain similar to sciatica can be caused by renal colic or stomach ulcers. A simple experiment will help to determine that the pain is not associated with a problem of the spine, but with a disease of the internal organs. Try to move. If the level of pain remains the same regardless of your movements, then the spine, most likely, has nothing to do with it. And vice versa. In particular, a disease such as steochondrosis of the thoracic spine can give pain to the region of the heart. Often this disease is mistakenly defined as angina pectoris.

How does back pain manifest itself?

Osteochondrosis- the most common disease that provokes pain in the back. If you feel pain every time you lean forward and at the same time turn your torso to the side while lifting something heavy, this is a reason to see a doctor. If, after the described actions, one of your legs hurts all day, and besides, the pain in your leg increases for any reason (when coughing or sneezing, straining or moving), you may have a herniated disc.

If, when you lean forward and turn to the side, you experience sharp pain in the lumbar region, this may be one of the manifestations acute sciatica. By the way, this is a very "popular" disease.

If after each turn of the head you suffer from prolonged pain in the back of the head and shoulders, you may be experiencing one of chronic diseases of the spine. With such diseases, cervical spondylosis begins. This growth and deformation of the vertebrae is what you may feel.

If your chest mobility has decreased and it is unbearably painful for you to breathe deeply, this may be a signal of the so-called ankylosing spondylitis(this disease is also often called Bechterew's disease). This is nothing more than a chronic inflammation of the joints of the spine.

Quite often, the pathology is caused trauma- sprain or bruise of one of the muscles of the back. If you choose the right tactics to deal with the problem, the pain will time will pass without a trace. However, if the problem is left to run, you can get unpleasant complications - even a serious curvature of the spine.

Diagnosis

If you are worried about prolonged or regular pain, this is a reason to contact a neurologist. Only a doctor can accurately determine the cause of the pain. Most likely, after the examination, it will be necessary to undergo a series of medical examinations.
Most of the diseases that provoke symptoms are diagnosed with the help of MRI - magnetic resonance imaging. Injuries and some diseases of the spine can also be detected using a simple x-ray. Sometimes the doctor directs the patient for research using the method of electromyography and evoked potentials. Such a study helps to identify narrowing of the spinal canal or myelopathy of the spinal cord.

Treatment

Acute pain can be treated with medication only after consultation with a neurologist. Pain is often a sign that surgery is needed. with many chronic diseases can be effectively fought with the help of manual therapy, physiotherapy exercises or acupuncture (acupuncture). In addition to everything, each person should constantly remember that the main way to prevent back pain is to maintain proper posture.

The back is one of the most important parts of our body, do not risk your health, do not self-medicate, consult a doctor.

Why does pain occur in the sides of the back?

Lower back pain is a feeling that everyone knows firsthand. Even a long stay in an uncomfortable position can lead to pain and discomfort in the lumbar region. However, severe pain in the lower back and sides is a dangerous symptom, since they can occur as a result of the development of a pathological process in the body.

Why does the lower back hurt on the right

Very often, the cause of pain in the right side of the lower back can be various pathologies of the internal organs. This condition is associated with diseases of the liver, kidneys, pancreas, intestines, genitourinary system, gallbladder and musculoskeletal system. It is characteristic that these pains are both temporary and permanent (or periodic) in nature. So, temporary pain in the lower back on the right can be triggered by various sudden movements, an uncomfortable posture while sitting, as well as an unsuccessful attempt to straighten up or bend over.

In the event that lower back pain radiating to the right side is of a periodic nature, an urgent consultation of a specialist is required, as they can signal the development of a chronic inflammatory process in the body.

First of all, pain radiating to the right can warn of initial stage prostatitis or gynecological pathology.

Sometimes aching lower back pain is the cause of osteomyelitis.

Simultaneous pain in the right side and in the lower back indicates cholecystitis, hepatitis, pyelonephritis, right-sided pneumonia and other internal diseases.

If lower back pain radiates to the sides, this may be a symptom of acute atypical appendicitis, intestinal obstruction, and some diseases of the gastrointestinal tract.

Low back pain syndromes

1. Girdle pain in the lower back of the primary syndrome is due to degenerative-dystrophic changes in various vertebral sections. As a rule, this condition is characteristic of osteochondrosis, during which bone and cartilage tissues are affected. In the case when the lesion affects the intervertebral joints, spondylarthrosis is diagnosed.
2. Secondary girdle pain syndrome develops due to curvature of the spine (scoliosis), as well as due to other growth diseases associated with metabolic disorders. It should be noted that this category also includes arthritis, tumors, various infectious diseases, fractures of the spinal vertebrae, stroke conditions that occur with impaired spinal circulation, STDs and other pathologies of the pelvic organs.

Very often, the cause of severe lumbar pain is the displacement of the intervertebral discs.

There are cases when shingles pain in the lower back signals the development of shingles.

Symptoms of the pathological process

Sometimes girdle or lumbar pain that radiates to the side can be the only symptom of a disease. So, with pathologies of the pelvic organs, pain occurs in the sacral region, and with diseases of the organs abdominal cavity she gives to the lumbar.

Very often girdle pains retain features pain syndrome the affected organ.

If the lumbar pain radiates to the left side, there is a suspicion of an inflammatory process in the lower part of the large intestine. As a rule, this condition is accompanied by a violation of the stool, rumbling in the abdomen and increased gas formation.

Cramping low back pain may signal renal colic.

It should be noted that all girdle or side pain in the lower back require a competent qualified diagnosis, which allows to identify the cause of the disease and prescribe adequate treatment.

In this case, additional research methods are X-ray of the spine, magnetic resonance and computed tomography, as well as, without fail, ultrasound of the internal organs and laboratory research blood and urine.

If you care about your health, trust the doctors of the medical center "I.PPC". Experienced specialists will quickly determine the cause of the pain and prescribe the most effective treatment.

Pain radiates to the back

Pain in the stomach is often accompanied by pain in the back and vice versa. However, most people, faced with such symptoms, panic and cannot find at least some connection between them. In this article, we will talk about the causes of such manifestations of the disease and what needs to be done about it.

Pain that occurs not due to diseases of the spine and nearby muscles, but due to various pathologies of the internal organs, is called irradiating or reflected.

In cases where stomach pain radiates to the back, it can be assumed that the patient has acute cholecystitis, chronic pancreatitis or hepatic colic. This symptomatology is also characteristic of peptic ulcer disease. duodenum and stomach, less often perforated ulcers.

Painful sensations almost always have a similar character. They appear suddenly in the right side, often radiating to the lower back and collarbone. The patient may feel pain, just below the shoulder blade, and at the base of the neck, often on the right. An attack of pain can last from several minutes to a week. Almost always it is accompanied by nausea, vomiting (bile) and high body temperature. The person behaves restlessly, often changing the position of his body.

Since there may be several reasons for such pain, we strongly do not recommend that you self-medicate, since everything can only be aggravated. Do not tempt fate, contact a specialist!

Back pain in the shoulder blades

According to statistics, almost 60% of people complain of pain that occurs between the shoulder blades, but most people adhere to the “maybe” principle, that is, it will hurt and go away. And only occasionally, when the pain either worsens or is initially so strong that it forces the patient to take a forced position, people seek help from a doctor. However, few people think that pain is actually a boon for the body, this is news that tells us that not everything is in order with health, and any pain syndrome that occurs in the area of ​​​​the shoulder blades requires a thorough examination.

Probable diseases and the nature of the pain will depend on which side the pain occurred under the scapula: under the right, under the left or between the shoulder blades. Therefore, it is worth considering separately the reasons why the back hurts in the area of ​​​​the shoulder blades, for each side.

Pain under left shoulder blade

1. The most common reason why the back hurts in the region of the shoulder blades on the left is not a heart attack, as is commonly thought, but peptic ulcer stomach. The nature of such pain is as follows:
- Periodically there is pain under the shoulder blade on the left.
- The pain is seasonal.
- Increasing character of pain.
- The pain is relieved by vomiting.
- Associated with eating.
- Vomiting appears without predecessors, at the height of pain.

2. The second most common cause of pain in this localization is psychological problems. In this case, the patient can describe the pain syndrome quite differently:
- Sensations of constriction.
- Pressure.
- Congestion.
- Gravity.
- Tingling.
- Heat in the chest.
- The pain constantly radiates, and to unusual places: in right hand, shoulder blade, in the groin, neck and back hurt at the same time.
- There is a feeling of pouring blood over the heart.
- The heart freezes.
- Turns over.
- Cold shiver.
- Anxiety.
- Feeling of fear.
- Lack of air.
- Lump in the throat.

3. And only the third most common is pain in the left shoulder blade as a result of myocardial infarction:
- The pain is unpleasant, twisting, twisting.
- Gives to the left half of the body: arm, neck, sternum, collarbone ....
- The pain does not stop after taking vasodilators: validol and nitroglycerin.
- Often the pain occurs on the background of emotional excitement or physical exertion.

Pain in the back in the region of the shoulder blades on the right.

1. Hepatic or biliary colic. This pain syndrome is characterized by:
- Intensity.
- High degree of severity, the patient cannot bear it.
- Right side hurts.
- Often an attack provokes a violation of the diet.
- Pain develops more often at night or in the morning.
- Pain radiates to the right side of the body: shoulder, arm, jaw, neck.
- The patient is agitated.
- At the height of the pain, nausea and vomiting are observed.

2. Subphrenic abscess is characterized by:
- Acute pain.
- The pain depends on the breath.
- May radiate to the right shoulder.
- The temperature rises.

3. Diseases of the kidneys can manifest as pain in the area of ​​the right shoulder blade, as well as directly hurting the back in the area of ​​the kidneys. The pain can be of different intensity, more often it is dull, aching pain. Attached urination disorder.

4. Cholelithiasis, which is manifested by biliary colic, previously described by us.

Back pain between shoulder blades:

1. Osteochondrosis in the cervical and thoracic spine gives:
- Dull, aching pains.
- Often unilateral pain.
- Pain occurs after sleep.
- Increases after exercise.
- Pain can spread to the head, shoulder blade and arm.
- There is dizziness.
- Noise in ears.
- Vision problems.

2. Disc herniation.

3. Curvature of the spine.

5. Intercostal neuralgia.

6. Shoulder-scapular periarthrosis.

7. Protrusion.

8. Scoliosis.

9. Angina.

10. Spondylarthrosis.

11. Peptic ulcer of the duodenum.

12. Cholecystitis.

13. Dyskinesia.

14. Hepatitis.

15. Diseases of the lungs.

16. Pain in the middle of the back associated with muscle tension.

Pain below the shoulder blades or between them can occur with all of the above diseases, and unlike left-sided or right-sided pain, the nature of the pain syndrome is not too pronounced and less diverse:

The pain is chronic.
- Aching.
- Feeling of goosebumps.
- Feeling of being frozen.

Pain in the shoulder blades

It may seem to the patient that the pain has arisen between the shoulder blades, however, the process may be associated with problems in the shoulder blades themselves:

Shoulder injury.
- Shoulder crunch, which is felt when moving.
- Acquired pterygoid scapula, resulting from paralysis of some muscles as a result of neuroinfection and myopathy.
- Osteomyelitis of the scapula.
- Tuberculosis of the scapula.
- Tumor of the scapula.

As we have already said, many patients are not serious about shoulder blades, however, the above causes of pain prove that diseases can be very serious, and each of them has terrible complications, up to lethal outcome. That is why it is important to be examined and understand why pathology occurs between the shoulder blades.

Simply relieving the pain syndrome is not enough, some patients, especially if the back below the shoulder blades does not hurt much, prefer to be treated at home, apply a patch or drink an anesthetic, also prescribed to themselves. However, the pain will pass, but the problem will remain, and in the future its solution may require much more effort than if the patient immediately turned to a specialist for help.

Pain in the right side of the back

If pain occurs on the right side of the back, this may be a signal for the development of diseases of various systems and organs.

First of all, when the right side hurts from the back, this can signal problems. respiratory system(the same can be said about pain in the left side of the back). Thus, pleurisy, pneumonia (when coughing and deep breath the pain intensifies), cancerous tumors in the bronchi or lungs.

Very often there is pain on the right back in people suffering from diseases digestive system- this is how, for example, an attack of cholecystitis can manifest itself, when the pain may not subside for up to several days. Such pain on the right back may be accompanied by fever, vomiting, nausea, and tension in the abdominal muscles. Also, pain in the right side of the back, caused by an attack of cholecystitis, can be given to the right shoulder, shoulder blade or chest on the right side.

It also happens that pain in the right side of the back is caused by malfunctions in the urinary system. Thus, renal colic may appear, for which characteristic feature is the inability to find a position of the body in which the pain would be weakened.

Sometimes even pain in the right side of the back is associated with peripheral problems. nervous system or spinal cord. Such pain is in the nature of a backache.

These are not limited to the causes that can cause discomfort in the right side of the back. In general, this symptom is quite common, it can be accompanied by many ailments. When the right side of the back hurts, this can be a signal of malfunctions of various organs, so the diagnosis should be made as soon as possible. Professional doctors of the medical center "I.PPC" will very quickly determine the cause of the pain and help to cope with the root of the problem, and in a fairly short time.

Pain in the lower back

Pain in the lower back (lumbar pain) with or without irradiation to the leg (low back pain) is the most common pain syndrome in outpatient practice. 30-60% of the population in developed countries suffer from recurrent back pain, and up to 80% of all pain occurs in the lower back (lumbar region of the back). All age categories can suffer from pathology, but the peak incidence occurs between the ages of 30 and 60 years.

What diseases cause pain in the lower back:

Pain in the lower back is a non-specific symptom that can be caused by many reasons. For convenience, we distinguish between primary and secondary syndromes.

Most are based on musculoskeletal morphofunctional changes ( primary syndrome). These are primarily degenerative-dystrophic lesions of the spine:
1) osteochondrosis (dystrophic lesion of the intervertebral disc and adjacent vertebral bodies with the formation of spondylosis);
2) spondylarthrosis [arthrosis of the intervertebral (facet) joints, which are common synovial joints)].

Possible causes of the secondary syndrome:
Primary and metastatic tumors of the vertebrae, spinal cord, retroperitoneal space
Vertebral fractures
Infectious lesions of the vertebrae and intervertebral discs (tuberculosis, brucellosis, epidural abscess)
Non-infectious inflammatory diseases(ankylosing spondylitis, Reiter's syndrome, rheumatoid arthritis)
Metabolic bone disease (osteoporosis, osteomalacia)
Growing pains (scoliosis)
Acute violations spinal circulation (stroke)
Diseases of the gastrointestinal tract (atypical course of acute appendicitis, intestinal obstruction)
Reflected pain in diseases of the pelvic organs (including renal colic, infectious gynecological diseases such as chlamydia, gonorrhea, trichomoniasis, ureaplasmosis, adnexitis)

If you have pain, do not postpone a visit to the doctor, as timely help can save you from serious complications.

Back pain on the right

A symptom of a disease of internal organs - kidneys, liver, pancreas, gallbladder, intestines, genitourinary system, as well as the musculoskeletal system is often pain in the lower back on the right. Pain can be either temporary or intermittent. The temporary nature of pain in the lower back on the right is manifested, for example, with a sharp movement or an uncomfortable sitting posture, when trying to bend over or straighten up.

If a person has a pain in the lower back on the right for a long time and the pain is periodic in nature - it repeats after a certain period of time during the day, do not tolerate pain and do not self-medicate, but immediately seek qualified help from a specialist.

Pain in the right side of the lower back may increase with movement and decrease at rest. Lower back pain may indicate gynecological diseases in women and the initial stage of prostatitis in men. Therefore, if a person experiences pain below the lower back on the right, one should not take it lightly and postpone visiting a doctor. Moreover, you should not try to cope with pain on your own, taking painkillers on the advice of friends or acquaintances. Pain in the right side of the lower back may indicate serious illness, which requires a thorough examination by a specialist and the appointment of therapeutic, and in some cases, surgical treatment.

Aching pain in the lower back on the right may indicate a disease of osteomyelitis, which requires a thorough examination of the patient, including radiography of bone tissues. If the pain in the right side of the lower back appeared after a severe bruise or fall, you should immediately seek help from a traumatologist. If the right side and lower back hurt at the same time, this may indicate that the patient has hepatitis, cholecystitis, right-sided pneumonia, pyelonephritis and a number of other diseases that require urgent treatment. Drawing pain in the lower back on the right can occur both from incorrect posture and be a symptom of hepatomegaly or hepatitis. Therefore, whatever the nature of the pain in the lower back and right side, do not delay visiting a doctor and getting qualified help. After all, a timely appeal to a specialist when it hurts on the right below the lower back or hurts in the side will help to avoid serious pathologies, and in some cases save a life.

Pain below the back

The lower back performs a structural function of supporting the body. When we stand, bend down and turn the body, the lower back is involved in the movement. Thus, damage to structures in this area of ​​the back, whether it be the spine, muscles, tendons or ligaments, will immediately or gradually limit the person in action.

Causes of pain in the lower back and below

Here are some common causes of lower back pain:

Lumbar deformities - Pain below the waist with lumbar deformity (stretching of ligaments, tendons, muscles) is a very common occurrence. Injury can occur not only with a fall or, for example, a blow, but also as a result of excessive overexertion or incorrect posture. Soft tissue injury is usually classified as acute if it heals within a few days to a few weeks.

If the pain below the waist lasts longer than three months, then it is considered that the disease has become chronic. Lumbar deformities are most common in people over the age of 40, but can also occur in teenagers. The condition is characterized by nagging pain in the lower back from the moment of injury until the time when recovery begins to occur.

Irritation of the nerve - Pain below the waist can be caused by both mechanical irritation (a blow to the bone or other tissues), and diseases anywhere along the spine - from the nerve roots to the surface of the skin. Such pathologies include radiculopathy, violations of the integrity of the bones, scoliosis, inflammation of the nerves caused by viral infection e.g. shingles, kidney infection, etc.

Lumbar radiculopathy - With this pathology, damage to the discs located between the vertebrae occurs - this is why the lower back, buttock(s) and leg hurt. In severe cases, there is urinary incontinence and bowel weakness.
- Scoliosis - With some types of scoliosis, patients complain that they have pain in the back below the waist. When the anomaly is significant, pain begins to torment a person from early childhood. With minor changes, there may not be any manifestations.
- Renal colic (RC) - This symptom also causes pains similar to those described above and it happens that a sick person confuses them with sciatica. However, the doctor immediately differentiates this disease, since with PC the pain radiates to the thigh and inguinal region. Also, urine and blood tests will have completely different indicators than with discosis.

In general, pain in the lower part of the lower back cannot be ignored, since this is a “bell” that lets you know that not everything is in order in the body. If measures are taken in time, whether it is pain due to diseases of internal organs or pain syndrome caused by neurological problems, most likely, everything will be managed by therapeutic methods of treatment, and in the case of neurology - by physiotherapy. Don't wait until tomorrow, see your doctor now.

Severe back pain

The most common complaint at a neurologist's appointment is back pain. How to get rid of it and prevent its occurrence in the future? The question of what to do worries all patients, but the doctor cannot always answer right away.

First you need to figure out how the pain arose, when it intensifies and under what conditions it subsides. Then, with the help of a neurological examination, the doctor finds out the location and the alleged cause of the pain. After that, an examination plan is drawn up: laboratory blood tests, neuroimaging and functional studies, which allow you to more accurately determine the cause and localization of the source of the pain syndrome.

The tactics of its treatment and the prognosis for recovery will depend on the cause that caused the pain. Until the moment when the necessary examinations are completed, the doctor prescribes syndromic therapy, i.e. drug effect on the focus of pain. This is necessary, since the prolonged existence of pain can lead to irreversible changes in the focus, and, possibly, to the inevitable surgical intervention. After clarification of the cause and exact localization of the source of pain, a complex etiotropic and adequate for the duration of exposure therapy is prescribed, taking into account all the contraindications that a particular patient has.

The most common cause of severe pain are various manifestations of osteochondrosis. As a rule, triggering factors in such situations can be: hypothermia, weight lifting, a sharp change in the position of the body relative to the vertical axis, a long stay in an uncomfortable position (driving, in front of a computer, etc.). The most important thing in successfully getting rid of pain in osteochondrosis and its manifestations is the understanding that the very occurrence of pain in this moment not by chance!

For this, certain prerequisites have developed in the form of metabolic disorders in the intervertebral discs and their surrounding tissues. Important Component violations of the speed and quality of metabolism in the discs - low activity of the musculoskeletal apparatus of the intervertebral joints, which serve to maintain the balance of the body in space and any posture.

It is known that inaction is detrimental to muscles. Own muscles of the back atrophy, and this inevitably leads to spinal "catastrophes" - the formation of hernias. Our specialists are aware of this problem and do not hide it from patients. If a person is aware of the cause of his problem, he approaches its solution without illusions. There is no such pill that would permanently eliminate the pain caused by osteochondrosis and its accompanying conditions. A "passive" cure in this situation is impossible, that is, only massage, physiotherapy or any other procedure will not get rid of the cause of the pain.

Treatment should be comprehensive, necessarily including kinesiotherapy (special gymnastics aimed at developing and strengthening your own back muscles, a modern embodiment of exercise therapy). This gymnastics does not require much time and all the nuances of its implementation are conveyed individually to each patient. Directly in the clinic, we use simulators from Germany, which were developed specifically for the treatment of back pain.

It is necessary for patients to know that the presence of large sequestered hernias does not allow the use of conservative therapy, but requires surgery. But you should not postpone the solution of the problem indefinitely because of the fear of the very fact of surgery, because. modern medicine has reached great heights, and the technologies used in its practice are minimally invasive and less traumatic. They allow to reduce the time of postoperative rehabilitation to a minimum. And, of course, you need to remember that the operation itself will not eliminate the cause that led to such a complicated course of osteochondrosis. After the operation, you will need to work on strengthening the muscle corset in order to prevent relapses.

Side pain from the back

Back pain is a very common condition. But this symptom is not always associated with back problems, often the cause of such pain can be problems of internal organs.

There are a lot of diseases in which the left side hurts, similarly - the right side. Many people often do not think that the solution to the problem does not always lie on the surface, and self-medicate, limiting themselves to talking with a pharmacist in a pharmacy or searching for options treatment on the Internet. And this, it should be noted, is far from the best solution - trying to simply remove the symptom, not knowing the causes of the pain that has appeared, a person risks even more harm to his body. Moreover, such self-medication is limited to painkillers and various ointments that simply relieve pain.

When a pathology appears, it will be right to consult a doctor. For starters, see a regular therapist who can sort out the causes of the pain and send you to the appropriate specialist. Indeed, according to the location of the focus and the nature of the pain, the specialist will be able to say a lot.

Let's see what diseases this pain syndrome appears in.

Diseases of the cardiovascular system

Small-focal myocardial infarction (especially of the posterior wall), angina pectoris;
- aortic aneurysm, in which there is a constant burning pain, accompanied by periodic "backache" in chest, back, left shoulder. In some cases, pain may be caused by compression of the thoracic spinal nerves;
- pericarditis, which is characterized by gradually increasing pain of varying intensity, which may be accompanied by irradiation to the back, shoulder or neck.

As you can see, pain in the back is accompanied by quite serious diseases that cannot be eliminated with the help of ordinary painkillers.

So, if you feel pain, then it is worth remembering that such a symptom is also characteristic of myocardial infarction. The main symptom of this disease is a sharp pain in the region of the heart, but it distinguishing feature- transitions of pain to the back of the body in the region of the shoulder blade, it is also possible that the pain spreads to the left side, left hand and neck. All this is accompanied by nausea, dizziness, shortness of breath, faintness and profuse sweating with cold sticky sweat.

With such symptoms, it is urgent to call an ambulance, which can prevent the development of myocardial infarction. The search for self-treatment options in this case is only to your detriment.

Respiratory system diseases

These diseases are also a common cause of pain. True, we are not talking about a banal cold or flu, but about more unpleasant things:

Pleurisy, in which there is a cutting pain in the chest associated with respiratory movements;
- spontaneous pneumothorax, which may be accompanied by unexpected sharp pain in the chest, which may also "give" to the shoulder blade;
- pneumonia, which is characterized by moderate or intense pain in the chest and shoulder blade. In this case, the pain increases with coughing or deep breathing, wheezing in the lungs and fever are noted;
- lung or bronchial cancer. The intensity and nature of pain in this case may be different and depend on the localization and prevalence of the disease. For example, if the apex of the lung is affected, then pain will appear in the region of the scapula, shoulder, medial surface of the arm. A little later, there is pain in the chest, which can significantly increase with coughing, breathing, and body movements. If the intercostal nerve is affected, then the pain will be girdle in nature.

In other words, pain in the back may indicate diagnoses that you do not expect to hear. Moreover, all these diagnoses are quite severe, rather difficult to treat, especially in the case when such diseases are “neglected”. Self-medication, by the way, contributes to this - you simply relieve pain without understanding the causes of its occurrence, and the disease gradually progresses, turning into the most severe forms.

Diseases of the digestive system

A rather rare occurrence, but even such a cause of pain can occur. In this case (considering possible problems digestive tract) the cause can be such an unpleasant disease as acute pancreatitis. This disease is characterized by sudden intense girdle pain in the epigastric region, accompanied by irradiation to the heart, shoulder girdle, shoulder blade, left lower chest.

Diseases of the urinary system can cause pain in the left side of the back

Kidney pathology can also be the cause of back diseases, and the pain will correspond to the diseased kidney (if the left kidney is sick, then the pain will appear on the left side). Pathology in the back, namely in the lumbar region, may appear due to a disease such as pyelonephritis. This inflammatory pathology usually occurs with bacterial infections. In this case, the pain in the lower back will be dull, aching in nature, while having a completely different intensity and taking on a paroxysmal appearance. In addition to pain, this disease is accompanied by general weakness, chills, nausea and vomiting, the development of an intoxication syndrome, and fever.

Pyelonephritis chronic form can disturb the patient with dull aching pain in the lower back almost constantly. In this case, the pain syndrome will be especially pronounced in cold and damp weather.

Another variant - urolithiasis disease. This disease is characterized by the formation of stones in the organs of the urinary system. This pathology is not expressed until the moment of the attack, accompanied by dull pain in the lumbar region, which can intensify after physical exertion, shaky driving or long walking.

The attack itself (blockage of the ureter) manifests itself as acute pain in the lower back, which may be accompanied by nausea, vomiting and the appearance of blood in the urine.

Damage to the spinal cord and peripheral nervous system

There are quite a few options here. The most common cause of pain is a herniated disc, which is accompanied by a pronounced pain syndrome. In this case, pain can be transmitted along the compressed nerve, so not only the back will hurt, but also that part of the body where the nerve is directed.

As you can see, there are a lot of diseases, as a result of which pathology may appear. At the same time, the diseases are quite serious, they categorically cannot be allowed to take their course. So, when such pains appear, immediately consult a doctor, for starters, a therapist who will determine the cause of the pain and send you to the appropriate specialist. This may be a cardiologist, urologist, gastroenterologist, traumatologist, surgeon or nephrologist.

Back pain on the left

Pain on the left side of the back is a very common symptom, which can be associated with problems of the back itself, and with diseases of the internal organs. There are many diseases in which the left side hurts, so making a correct diagnosis in this case can be quite difficult, you will have to visit many doctors and check the operation of several systems.

In particular, such pains are characteristic of diseases associated with blood vessels and cardiac activity. This can be, for example, angina pectoris, pericarditis or aortic aneurysm. More often, pain can talk about diseases of the respiratory system (pneumonia, pleurisy, cancer), the digestive tract (pancreatitis), the urinary tract (renal colic, retroperitoneal hematoma), and the nervous system.

In determining diagnoses in complex cases, osteopathic methods work well, since a good osteopath will quickly determine changes in the state of joints, muscles, bones, not to mention internal organs. If your back (left side) hurts, you can entrust the diagnosis and treatment of osteopathy.

Back pain radiates to the leg

Quite often on the street you can meet a person who is slightly limping on his leg and experiencing pain at every step. Most likely, this is lumboischialgia, but simply put, lower back pain radiates to the leg. You can’t joke with this, because this problem is a serious reason (except for pain and inconvenience) to think about your health. If, after physical exertion or sudden hypothermia, you experience lower back pain that radiates to the leg, then you should not hope that they will go away on their own.

Most often, pain appears suddenly, creeping up on one side of the lower back, and a little less often - simultaneously from two (in the buttock or hip joint).
After a very short time, it moves onto the leg, and it is already rather difficult to straighten it. It is simply impossible to stand on a aching leg, and a person is forced, trying to protect himself from pain, not to stand on it. All this looks very sad - the leg is half-bent and set aside forward or to the side, the body is slightly tilted. This phenomenon has a different nature of manifestations:

1) muscular-tonic (spasm of the lumbar muscles, curvature of the spine, inability to move sharply);
2) vegetative-vascular (lower back pain, leg numbness);
3) neurodystrophic (lower back and legs hurt, especially at night).

The state when the lower back hurts and gives to the leg can continue indefinitely. Periods of remission will change moments of exacerbations, but it is almost impossible to get rid of the problem on your own, using "grandmother's recipes". Especially if all three forms of the disease manifested in your condition. As a means of first aid, you can take the "fetal position" (which is not very convenient if the pain overtakes in public places). You need to lie on your side, in which there is no pain, clasp and press the suffering leg to the stomach. In addition, you must immediately take an anesthetic.

Pain in the back and abdomen

Abdominal pain is the most common complaint that patients seek medical attention for. Sudden sharp pain, cramping pain and abdominal pain radiating to the back require special attention.

Why does my stomach and back hurt?

There can be many reasons, such pain is characterized as girdle, it can cover the trunk at the level of the lower thoracic and upper lumbar vertebrae. The cause of this pain may be a peptic ulcer or chronic cholecystitis, pancreatitis, as well as girdle pains are characteristic of heart disease, lung disease and myocardial infarction.

As you can see, it is quite difficult to determine unambiguously without consulting a doctor and research why the pathology has arisen, which is why you should not leave alarming symptoms unattended. Pain medications may provide temporary relief, but they will not solve the problem.

Often, instead of treating the pancreas, the patient swallows pills from the heart and vice versa, when pain occurs in the abdomen, the patient immediately begins to take pills to improve digestion, but in fact his pulmonary system or heart requires attention. In any case, self-treatment and self-diagnosis will not give positive results. It is better to entrust your health to a specialist.

The most common cause of girdle pain in the upper abdomen is diseases of the pancreas. It can even be inflammation of the pancreas - pancreatitis. Usually, pain occurs during an exacerbation, may be accompanied by vomiting, nausea, the patient's stomach may burst from gases, often these symptoms are accompanied by indigestion. An hour after eating, the pain may intensify, and it also becomes more noticeable at night.

Diseases of the gallbladder and stomach can be the causes of pathology.

Often, patients complain of bitterness in the mouth and cannot understand why the stomach and back hurt at the same time? Usually in such cases, the sacroiliac region hurts, intestinal spasms can occur, hearing deteriorates, even a runny nose and dizziness appear - all these symptoms indicate gallbladder disease and require immediate consultation with a gastroenterologist. Stones not excluded gallbladder then the patient will need surgery.

In case of acute pains in the upper abdomen, which can radiate to the back, right shoulder or shoulder blade, you should also immediately consult a doctor, since there is a high probability of a perforated ulcer of the stomach, duodenum. This is a life-threatening situation, so with such pain it is better to call an ambulance. Before the arrival of the ambulance, the patient must be provided with peace, in no case should he give painkillers, eat and drink.

If the stomach hurts and gives to the back, it may be hepatic colic.

Stones in the gallbladder cause hepatic colic. Improper nutrition, heavy physical exertion can also provoke an attack of hepatic colic. The pain in this case is sudden and sharp, rapidly growing in the right hypochondrium, it can be given to the right shoulder, collarbone and shoulder blade. When you take a deep breath, the pain usually gets worse. These symptoms are accompanied by nausea, sometimes vomiting, and fever.

If the pain is very strong and the patient is not able to come to see the doctor himself, he needs to ensure complete rest, do not give food and drink until the ambulance arrives. In no case should you put a heating pad, give the patient painkillers. As you can see, deal with clinical research and a competent consultation with a doctor, why the stomach and back hurts is simply impossible, so it is best to consult a doctor in such cases.

Remember, if you have a disease and it lasts more than one day - urgently and without delay, seek medical advice! We can talk about quite serious diseases.

Causes of back pain

Back pain is a very common problem, especially among the working and student population.
Those who spend a lot of time sitting - driving, at a desk, at a computer - often suffer from lower back pain, but rarely pay attention to them. It is believed that this disease is not treatable and goes away on its own. But in reality, things can be much more complicated. What could be the causes of pain and which ones require medical attention?
Approximately 85% of cases of chronic or episodic pain are associated with excessive stress on the lower back. Don’t be surprised: even if you don’t play sports, don’t carry heavy things and don’t dig in the beds all day long, your back muscles still experience daily overstrain. When you sit, for example, in front of a monitor, it is they who have to support the bulk of your body. Therefore, doctors recommend that those who work at the table sit as "deeper" as possible in a chair, leaning on its back.

However, no one will diagnose you with back fatigue. As a rule, non-acute pains are attributed to "undetermined causes" (this may be temporary damage to muscles or ligaments) and are treated with rest and proper posture in a chair. If the pain does not go away after 2 weeks or recurs regularly, you should ask your doctor to do a more detailed examination.

Compression fracture
According to the American Medical Association, this diagnosis is made by approximately 4% of patients. A compression fracture is a vertebral fracture most commonly seen in the elderly and those with osteoporosis. In this disease, the bones become less dense and can break simply under the pressure of body weight. Therefore, fractures due to trauma are not included in this category. This means that the patient himself may not notice how he will break his vertebra - only sharp, persistent pains will talk about this.

Such fractures are treated with strict bed rest and drug complexes aimed at reducing pain.

Herniated discs
Herniated discs are a fairly common problem, more common in people over 40 (although they can be diagnosed in older early age). The reason is the degeneration of muscle and connective tissues. With age, your spine seems to “settle” - the vertebrae are pressed closer to each other, the intervertebral discs are flattened and bulge beyond the spinal column. The result is the same compression of the nerve roots, leading to sharp pains in the lower back and legs.

As a rule, the location of your pain can tell the doctor where the hernia may be located. But to confirm the diagnosis and pinpoint the location of the hernia, magnetic resonance imaging (MRI) is usually done.

Spondylolisthesis
This condition occurs in 5-7% of the population, although it is diagnosed much less frequently (most often, people simply do not pay attention to chronic low back pain). With spondylolisthesis, the pedicle of one of the vertebrae (usually the 5th lumbar) is deformed, due to which the vertebra "creeps" to the lower one, protruding forward or backward. The corresponding section of the spine becomes like a ladder, and not like a pillar.

The symptoms are still the same - pain in the lower back, sometimes in the buttocks, can rarely radiate to lower limbs. A displaced vertebra can compress the roots of the nerves extending from the spinal cord, which leads to pain.

Bechterew's disease
Another name for this disease is ankylosing spondylitis. It is mainly found in men, both in the elderly and in the young. Women make up less than a sixth of all patients.

It is mainly manifested by pain and stiffness in the lower back, aching pain in the hips, constant tension in the back muscles. The reason is inflammation of the joints and ligaments of the spine. This is a chronic progressive disease, that is, by grasping the lumbar spine, the inflammation spreads to the cervical and thoracic. Moreover, over time, they can be affected connective tissues internal organs, the cardiovascular system, kidneys, lungs and even eyes. However, this disease is quite rare - it is "set" by about 0.35 patients.

Crayfish
Approximately 0.7% of patients with complaints subsequently develop cancerous tumors. It can be a cancer that was originally localized in the spine, or tumors that metastasize from other organs. As can be seen from the statistics, such cases are extremely rare: cancer is usually “caught” by other symptoms, and if you have not had cancer before, pathology is unlikely to portend this terrible diagnosis.

Infectious lesion of the spine
One of the most rare reasons(0.01%). As a rule, the infection does not start in the spine, but travels to the lower back through the bloodstream from other parts of the body - from the urinary canal, for example. Like others infectious lesions usually accompanied by an increase in temperature. However, the combination of "bad back + fever" does not mean that your spine is infected. The common flu, for example, can cause the same symptoms. There can be many causes of back pain, so don't wait until tomorrow and see your doctor now.

Back pain video

Back pain is an inevitable phenomenon that we face in our lives sooner or later. Even if you are not a sleeper or a loader, not a woman who carries home many kilogram bags every day, not an amateur gardener, hilling beds on her hacienda in the spring field period, and not an athlete weightlifter, pain cannot be avoided anyway. You can only be surprised: you seem to be sitting, not straining, at the computer all day, there are practically no loads, but by the end of the day the lower back begins to ache and there is discomfort in the neck, shoulder and scapular areas. What's the matter? Why does my back hurt for no reason?

What causes back pain and how to treat it

Shock wave therapy is one of the most effective methods treatment of back pain of various origins. The main advantage of this technique is the rapid relief of pain. In just 4-5 sessions, you can forget about your problem. We invite you to familiarize yourself with how back pain is treated with shock wave therapy in medical centers Moscow.

In fact, there are many reasons for back pain. And the very first of them is anatomical. The rod structure of many links, being in a vertical position, is very fragile: it is subjected to both longitudinal (compressive) and transverse (bending) loads. It can be strictly vertical only in a state of tension, that is, if you tie strings to the ends of it and pull them, the rod will be straight, but once the threads are released, it will take on a jelly unsteady, curved look.

Something similar is reminiscent of the spine: it plays the role of the central core of this wonderful bioconstruction - human body, and perform the role of a tension thread. Imagine now that the body with all its internal organs is also attached to the rod, so poor muscle threads need to support not only the weight of the spine-rod, but also the own weight of the whole body, and moreover, constantly.

You involuntarily come to the conclusion that indeed the Creator conceived us not to walk upright at first, because the “pay for upright walking” turns out to be somehow exorbitantly large. Open any medical reference book in the "Diseases" section musculoskeletal system' to make sure.

The most common causes of back pain

However, it’s not worth it to immediately conclude that if your back hurts, then you are certainly seriously ill with something. More than 80% of back pain can occur intermittently for the following reasons:

  • muscle tension due to physical exertion
  • long stay of the spine in the same position during sleep, sitting at the computer, in transport, etc.
  • hypothermia of the back due to being in a draft, in front of the air conditioner, when leaving a hot room into fresh cool air, during cold bathing.
  • “talking” old, previously received and poorly treated injuries (sprains, bruises)

Back pain is much less common due to really serious ailments. What could be the reasons? They are the most diverse and are not always associated with damage to the segments of the spine and the resulting diseases.

It happens that a person has some kind of diseased organ, and there are pains that radiate to the back, for example:

  • with diseased kidneys, pain radiates to the lower back
  • with gynecological diseases in women, pain can be given to the lumbosacral region
  • in the presence of a tumor, pain can be given to certain parts of the back

Therefore, before treating back pain, it is first necessary to establish its true causes, that is, to conduct a thorough diagnosis for the presence of other possible diseases.

Chronic back pain

The presence of chronic pain should always alert, that is, it is present almost always with interruptions in remission. It is possible that the causes of it may be such ailments:

  1. Osteochondrosis resulting from dystrophic changes in the tissue of the spinal disc
  2. Scoliosis is a curvature that leads to disc displacement and injury to the nerve root.
  3. Intervertebral hernia - flattening of the disc with the release of its nucleus into the intervertebral space or (much worse) - towards the spinal cord
  4. Spondylolisthesis - sliding of the upper vertebra to the lower, as a result of deformation of the pedicles of the vertebra, due to which the spine becomes like a ladder with protruding steps
  5. Bechterew's disease (spondylitis) - inflammation of the ligaments and joints, leading to their inactivity
    It mostly affects men. The danger of this rare disease lies in its continuous development - from the gradual seizure of all parts of the spine to the transition to internal organs: lungs, kidneys, heart, blood vessels, organs of vision.
  6. Oncological diseases - a tumor in the spine can be primary, but most often occurs in the form of metastases from other organs.
    The percentage of the total number of causes is about one percent.
  7. Spinal infections - tuberculosis, osteomyelitis, syphilis and other diseases: as the cause of pain are especially rare (about 0.01%)
  8. Compression fractures are a disease, unfortunately, relatively common (about 4%).
    In youth, it occurs mainly in athletes due to unbearable loads and injuries, in old age - due to osteoporotic phenomena, due to which the vertebrae cease to withstand the person's own weight.
  9. Myalgia - chronic, due to constant hypothermia, inflammation of muscle tissue

In all cases, after the treatment of pain and inflammatory processes, it is necessary to start treating the underlying disease that provoked the pain.

Types of back pain: causes and treatment


Most Effective Back Pain Relief:

  1. Therapeutic gymnastics (exercises for back pain)
  2. Laser MLS (after the 2nd session, the pain disappears)
  3. Khivamat (a unique procedure that relieves pain immediately, but you have to walk 2-3 times. The price is about 800 rubles.)

By the nature of the pain, it is possible to preliminarily determine its causes and prescribe the appropriate treatment.

Acute pain (lumbago)- come in the form of lumbago and may have the following reasons:

  1. Complications of scoliosis - pinched nerve as a result of disc displacement
  2. Osteochondrosis deformities of the vertebrae and compression of the nerve root by an intervertebral hernia
  3. Spondylolisthesis and other diseases
  4. Injuries and bruises resulting from falls
    In this case, not only conservative, but also surgical treatment may be needed.
  5. Diseases of the internal organs.

For diagnosis, the determination of the area in which the back hurts plays an important role:

Acute lower back pain can be due to:

  • kidney stones
  • exacerbations of bowel disease
  • inflammation of the ureter
  • cyst rupture in women and other diseases

Girdle pain (lumbar and hypochondrium) is a very serious signal indicating such possible diseases:

  • pyelonephritis
  • exacerbation of pancreatitis
  • gallstones
  • myocardial infarction
  • rupture of the esophagus
  • aneurysm of the lower aorta, etc.

If your back hurts in the area of ​​​​the shoulder blades, then this may mean:

  • neuromuscular myopathies and paralysis of the muscles adjacent to the shoulder blades, resulting in the development of the so-called "pterygoid" scapula
  • osteomyelitis that developed after open injuries at the sites of suppuration
  • benign (osteomas, chondromas) tumors and malignant sarcomas of the scapulae
  • myocardial infarction
  • thoracic aortic aneurysm

Acute pain under the left shoulder blade is also very disturbing, because it indicates such diseases:

  • myocardial infarction
  • perforated stomach ulcer
  • intercostal neuralgia

Acute pain in the upper back:

  • pneumothorax (perforated lung)
  • pleurisy (accumulation of fluid in the lung)
  • lung and bronchial cancer
  • an attack of cholecystitis - while the pain is concentrated under the ribs on the right and the epigastric region, but the area of ​​​​its return is wide: the right shoulder blade and shoulder, arm, left side of the sternum
  • attack acute pancreatitis- the pain gives under the left shoulder blade, in the chest area on the left and the heart

Such an impressive diagnosis says only one thing: when your back hurts with acute pain, go to the doctor without delay - self-treatment is not allowed here.

Acute pain (sciatica)- sharp dagger pains in the lumbosacral region (sciatica), often radiating to the buttock and leg, may be due to:

  • pinching of the sciatic nerve that occurs with osteochondrosis, hernia and displacement of the intervertebral disc, spinal canal stenosis
  • inflammation of the sciatic nerve due to hypothermia
  • piriformis spasm
  • infectious diseases and tumors
  • late pregnancy

Treatment of all acute pain caused by progressive diseases of the spine, such as scoliosis, osteochondrosis and others, as well as their complications, should be carried out according to the generally accepted scheme:

First, there is a medical treatment to eliminate the acute pain and inflammation process:

  • taking painkillers, non-steroidal or steroidal anti-inflammatory drugs and muscle relaxants

Then a course of taking drugs that improve the functioning of the brain, nervous and circulatory system

After that, direct treatment of the main cause of pain - osteochondrosis, hernia, spondylosis and other ailments:

  • restoration of destroyed bone tissue with chondroprotectors
  • physiotherapy, massage, exercise therapy

In the most severe cases, operations are resorted to to eliminate pinching, but this happens quite rarely.

Drawing pain in the back- most often in the lower back can cause the following reasons:

  1. Lumbosacral osteochondrosis, spondylosis and other pathologies of the spine in the chronic stage
  2. Inflammation of the lumbar muscles (myositis) - often occurs with hypothermia
  3. Adnexitis (inflammation of the appendages) in women)
  4. Prolonged awkward posture
  5. An old injury, most often aching "for the weather"

In each case, the treatment is differentiated. Combine both medicinal and folk methods of treatment. For example:

  • muscle pains are well treated with dry heat, wearing a dog hair belt
  • with adnexitis, decoctions of special multicomponent herbal preparations are used for a long time

Pain in athletes and due to overexertion - can occur due to overtraining, lifting weights and sharp turns and tilts of the body, which causes muscle spasm. In this case, the treatment is simple exercises to relax and stretch muscles:

  1. You need to lie on the couch on your side with a pillow under your head and between your legs.
  2. Then lie down on the floor and, clasping your knees with your hands, pull them to your chest.
  3. Lying on your side, stretch your legs at a right angle to the body and, putting your hands on the back of your head, tilt your head to your stomach
  4. Then, keeping a lateral position, straighten up and bend the top leg at the knee, pulling it closer to the stomach. Take the top hand behind your back, and the bottom hand under your head. Now try to simultaneously touch the floor with both shoulder blades and the knee of the bent leg.


Treatment can be supplemented by rubbing with such gels and ointments after exercise.