Back pain

Pain, lumbago, constant heaviness, do you know these sensations in your back?

Harmless pulling pain is often a sign of a dangerous illness. In the article, we will look at all the causes of the disease.

Causes

1. Diseases of the spine and pelvic bones.

• Osteochondrosis (damage to the intervertebral discs (protrusion, herniated disc);
• Spondylitis (an inflammatory disease of the spine);
• Spondyloarthrosis (arthrosis of the intervertebral joints);
• Spondylosis (bone growth);
• Spondyloarthritis (inflammation of the intervertebral joints);
• Myositis (inflammation in muscles);
• Osteoprosis (decreased bone density) with compression fractures of vertebrae and other bone structures;
• Injuries to the spine and pelvic bones (fractures, cracks);
• Sacroiliitis (inflammation of the sacroiliac joints);
• Tumors of bone structures and soft tissue.

2. Pain reflected in the lumbar spine,associated with diseases of Organs abdominal and pelvic organs (inflammatory diseases and tumors), this pain is usually accompanied by abdominal pain.

the nature of painmay be different:

• Acute is pain that occurs quickly, suddenly;
• Chronic - pain for more than 2 months, occurs with the progression of spinal diseases;
• With inflammatory pathologies of the genitourinary system, abdominal organs (with chronic gastritis, pancreatitis, cholecystitis, enterocolitis).

pain intensity

From discomfort to severe pain.

In case of acute and severe abdominal pain radiating to the lumbar spine, it is always necessary to exclude surgical pathology that requires urgent surgical intervention (gastrointestinal hemorrhage, appendicitis, peritonitis, etc. ).

Severe pain in the lumbar spine

It can be reflex (muscle spasm caused by irritation of receptors in the paravertebral muscles), it hurts the person to cough, sneeze, all movements are accompanied by pain. When the nerve root is compressed (disc protrusion, disc herniation), the pain spreads to the lower extremities, usually on one side.

myofascial syndrome

It is caused by irritation of pain receptors in the muscles and fascia. There is the formation of triggers (pain nodules) in the muscles, the pain syndrome is chronic, often recurrent.

Any trauma to soft tissue or bone structures is also accompanied by severe pain.

When to see a doctor: Any case of low back pain requires a visit to the doctor to help diagnose the cause of the pain and take action.

pain in men, women

With diseases of the reproductive system, the pain syndrome differs in men and women.

For men with prostate pathology, painful and painful pain is characteristic, often accompanied by a violation of urination. In women, the symptom is usually acute, pronounced. With ovarian apoplexy or ectopic pregnancy, the pain is unbearable. Usually the syndrome is more intense on the affected side.

With endometriosis, uterine fibroids - sensations of pain, pulling. If the pain is associated with spinal pathology, the intensity of the pain does not depend on gender. It is noticed that men go to the doctor later.

Diagnosis

Expert examination

• vertebroneurologist;
• gastroenterologist;
• neurosurgeon;
• surgeon;
• gynecologist;
• urologist;
• rheumatologist;
• oncologist.

Laboratory Methods

• general blood test (to exclude inflammatory process, white blood cell level, ESR), exclusion of anemia (hemoglobin level);
• general analysis of urine: exclusion of the inflammatory process in the bladder, kidneys (bacteria, leukocytes, erythrocytes);
• stool analysis for occult blood;
• blood biochemistry: rheumatologic tests to exclude systemic inflammation (CRP, RF, uric acid), liver function evaluation (alt ast bilirubin), renal function evaluation (creatinine urea), pancreatic function (amylase), etc.

instrumental research methods

• lumbar spine and pelvic bones x-ray; plain radiograph of the abdominal cavity (excluding bowel obstruction);
• Ultrasound of Organs abdominal and pelvic organs;
• FGDS;
• colonoscopy;
• MRI (CT) of the lumbar spine, MRI (CT) of the lumbar spine with contrast;
• MRI (CT) of the abdominal cavity and small pelvis, MRI (CT) of the abdominal cavity and small pelvis with contrast.

Treatment

When a tumor is detected, depending on the location and nature of the tumor, treatment, surgery or other tactics are determined (observation and treatment in neurosurgery, surgical hospital, cancer dispensary).

drug treatment

Spine diseases (most often in the framework of osteochondrosis):

• Ines;
• muscle relaxants;
• opioid analgesics;
• diuretic drugs;
• vascular drugs;
• antibacterial drugs;
• medical and medical block with novocaine, lidocaine and diprospan.

non-drug methods

They are mainly used in the treatment of spinal disorders:

• physiotherapy (magnetic laser, magnetotherapy, CMT with novocaine, etc. );
• acupuncture;
• lumbar spine hardware traction;
• manual therapy;
• massage;
• balneotherapy (applications of mud, ozokerite);
• Exercise therapy.

Prevention of spinal diseases (within osteochondrosis) all of the above methods (except physiotherapy).

Prevention of diseases of the gastrointestinal tract: diet, work and rest.

If you have lower back pain, go to the clinic.

The hospital has all the specialists and all the diagnostic methods presented in this article. There are also inpatient departments: a gastroenterology department and a vertebrological center in the city. All treatment methods are used except surgery. You can be monitored, examined and treated on an outpatient basis, ie outside the hospital.