Back pain

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

Harmless pulling pains are often a sign of a dangerous disease. In the article we will analyze 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 of the muscles);
• Osteoprosis (decreased bone density) with compression fractures of the vertebrae and other bone structures;
• Injury to the spine and pelvic bones (fractures, cracks);
• Sacroiliitis (inflammation of the sacroiliac joints);
• Tumors of bone structures and soft tissues.

2. Reflected pain in the lumbar spine,In connection with diseases of the abdominal and pelvic organs (inflammatory diseases and tumors), these pains are often accompanied by abdominal pain.

The nature of paincan be different:

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

Pain intensity

From malaise to severe pain.

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

Severe pain in the lumbar spine

It can be a reflex (muscle spasms caused by irritation of receptors in the paravertebral muscles) it hurts a person to cough, sneeze, all movements are accompanied by pain. When the nerve root is compressed (protruding disc, herniated disc), the pain spreads to the lower extremities, often from one side.

Myofascial Syndrome

It is caused by irritation of pain receptors in muscles and fascia. Triggers (pain knots) form in the muscles, the pain syndrome is chronic, often recurrent.

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

When to See a Doctor: Any case of lumbar spine pain requires a visit to a doctor to diagnose the cause of the pain and take action.

Pain in men, women

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

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

With endometriosis, uterine fibroid - painful sensations, pulling. If pain is associated with a pathology of the spine, the intensity of the pain does not depend on gender. It is noticeable that men go to the doctor later.

diagnosis

Examination by specialists

• Vertebroneurologist;
• Gastroenterologist;
• Neurosurgeon;
• The surgeon;
• Gynecologist;
• Urologist;
• Rheumatologist;
• Oncologist.

Laboratory methods

• general blood test (to exclude the inflammatory process, level of leukocytes, ESR), to exclude anemia (hemoglobin level);
• general urinalysis: exclusion of the inflammatory process in the bladder, kidneys (bacteria, leukocytes, erythrocytes);
• Analysis of feces for occult blood;
• Blood biochemistry: rheumatological tests to rule out systemic inflammation (CRP, RF, uric acid), assessment of liver function (old bilirubin), assessment of kidney function (creatinine-urea), pancreatic function (amylase), etc.

Instrumental research methods

• X-ray of the lumbar spine and pelvic bones, simple x-ray of the abdominal cavity (excluding intestinal obstruction);
• Ultrasound of the abdominal and pelvic organs;
• FGDS;
• Colonoscopy;
• MRI (CT) of the lumbar spine, MRI (CT) of the lumbar spine with contrast medium;
• MRI (CT) of the abdominal cavity and pelvis, MRI (CT) of the abdominal cavity and pelvis with contrast.

treatment

When a tumor is discovered, depending on the location and type of the tumor, the tactics of treatment, surgery or other are determined (observation and treatment in a neurosurgical, surgical hospital, oncological pharmacy).

Medication

Diseases of the spine (more often in the context of osteochondrosis):

• NSAIDs;
• Muscle relaxants;
• Opioid analgesics;
• Diuretics;
• Vascular drugs;
• antibacterial drugs;
• medical and medical blockade with novocaine, lidocaine and diprospan.

Non-drug methods

They are mainly used in the treatment of diseases of the spine:

• physiotherapy (magnetic laser, magnetic therapy, CMT with novocaine, etc. );
• Acupuncture;
• Hardware lumbar spine traction;
• manual therapy;
• Massage;
• Balneotherapy (mud treatments, ozokerite);
• Exercise therapy.

Prevention of diseases of the spine (in the context of osteochondrosis) all of the above methods (except physiotherapy).

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

If you have lumbar pain, go to the clinic.

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