Pain in the back

Pain, lumbago, constant heaviness, do you know similar sensations in the back?

Harmless pains are often a sign of a dangerous disease. In the article we will analyze all the causes of the disease.

ᲛReasons

1. Diseases of the spine and pelvis.

• Osteochondrosis (damage to the intervertebral discs (protrusion, disc herniation);
• Spondylitis (inflammatory disease of the spine);
• Spondyloarthritis (arthrosis of the intervertebral joints);
• Spondylosis (bone growth);
• Spondyloarthritis (inflammation of the intervertebral joints);
• Myositis (inflammation of the muscles);
• Osteoporosis (decreased bone density) with compression fractures of the spine and other bone structures;
• Damage to the spine and pelvis (fractures, cracks);
• Sacroilitis (inflammation of the sacral joints);
• Tumors of bone structures and soft tissues.

2. Pain reflected in the lumbar spine;Associated with diseases of the abdomen and pelvic organs (inflammatory diseases and tumors), this pain is often accompanied by abdominal pain.

The nature of the painMay be different:

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

Pain intensity

From discomfort to severe pain.

In case of acute and intense abdominal pain radiating to the lumbar region, it is always necessary to rule out surgical pathology that requires urgent surgical intervention (gastrointestinal bleeding, appendicitis, peritonitis, etc. ).

Severe pain in the lumbar spine

This may be a reflex (muscle spasm caused by irritation of receptors in the paravertebral muscles). It hurts a person coughing, sneezing, every movement is accompanied by pain. When the nerve root is compressed (disc bulge, disc herniation), the pain extends to the lower extremities, often from one side.

Myophasic syndrome

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

Any injury to soft tissues 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 determine the cause of the pain and take action.

Pain in men, in women

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

Men with prostate pathology are characterized by excruciating, excruciating pain, often accompanied by urinary incontinence. In women the symptom is often severe, pronounced. With ovarian apoplexy or ectopic pregnancy, the pain is unbearable. Typically, the syndrome is more intense on the affected side.

In endometriosis, uterine myoma - painful sensations, attraction. If pain is associated with spinal pathology, the intensity of the pain does not depend on sex. It is noted that men go to the doctor later.

Diagnosis

Examination by specialists

• Vertebroneurologist;
• Gastroenterologist;
• Neurosurgeon;
• Surgeon;
• Gynecologist;
• Urologist;
• Rheumatologist;
• Oncologist.

Laboratory methods

• General blood test (to rule out inflammation, leukocyte count, ESR), rule out anemia (hemoglobin level);
• General analysis of urine: exclusion of the inflammatory process in the bladder, kidneys (bacteria, leukocytes, erythrocytes);
• Occult blood stool analysis;
• Blood biochemistry: Rheumatological tests to rule out systemic inflammation (CRP, RF, uric acid), assessment of liver function (alt ast bilirubin), assessment of renal function (creatinine urea), function of the pancreas (amylase), etc.

Instrumental research methods

• X-ray of the lumbar spine and pelvis; Plain X-ray of the abdomen (excluding intestinal obstruction);
• Ultrasound examination of the abdomen and pelvic organs;
• FGDS;
• Colonoscopy;
• Lumbar spine MRI (CT), lumbar MRI (CT) with contrast;
• Contrast MRI (CT) of the abdomen and small pelvis, MRI (CT) of the abdomen and small pelvis.

Treatment

When a tumor is detected, treatment tactics, surgery or other (observation and treatment in a neurosurgical, surgical hospital, oncology dispensary) are determined according to the location and nature of the tumor.

Drug treatment

Spinal diseases (more often within osteochondrosis):

• Nonsteroidal anti-inflammatory drugs;
• Muscle relaxants;
• Opioid analgesics;
• Diuretics;
• Vascular preparations;
• Antibacterial drugs;
• Medical and medical blockade with novocaine, lidocaine and diprospan.

No drugs

They are mainly used to treat diseases of the spine:

• Physiotherapy (magnetic laser, magnetotherapy, with CMT novocaine, etc. );
• acupuncture;
• Apparatus traction of the lumbar spine;
• Manual therapy;
• Massage;
• Balneotherapy (mud applications, ozokerite);
• Exercise therapy.

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

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

If you have low back pain, consult a clinic.

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