What to do if your back hurts. Acute back pain: causes, treatment, prevention What does back pain mean

What to do if back pain becomes more frequent - be sure to make an appointment with a neurologist or vertebrologist. After the examination, the doctor will determine the cause of discomfort, will carry out the necessary treatment. Not only back pain will be eliminated, but also the one that caused them. For this, conservative methods of treatment are used - taking medications, physiotherapy, massage, exercise therapy.

Causes of back pain

The back can also hurt for natural reasons, for example, due to muscle strain after sports training or heavy lifting. But such loads negatively affect the condition of the ligaments, discs of the vertebrae. If they do not decrease, then there is a high probability of microtrauma of bone and cartilage tissues and the development of degenerative-destructive pathologies.

Degenerative diseases of the spine

Back pain is always manifested by 2-3 degrees of severity. At the initial stage, only mild discomfort occurs, disappearing after a short rest. A person writes them off for fatigue after a hard day's work and is in no hurry.

Decreased intervertebral space.

And at this time, discs are slowly, steadily destroyed, the vertebral bodies are deformed with the formation of sharp bone spikes -. They squeeze soft tissues, infringe on the spinal roots, which leads to pain.

It can also provoke back pain. They also occur with the curvature of the spinal column (kyphosis,), due to injury or progressive pathology.

Inflammatory diseases

Inflammatory diseases include -,. Especially dangerous, in addition to back pain, causing symptoms of general intoxication of the body: chills, fever, increased sweating.

Ankylosing spondylitis

Ankylosing spondylitis, or, is more often diagnosed in men 15-30 years old. Pathology develops due to increased aggression immune system to the body's own cells.

First, it occurs, and then the fusion of the intervertebral joints occurs. The leading symptoms of ankylosing spondylitis are stiffness of movements in the lower back, and then in other parts of the spine.

Kümmel-Verneuil disease

The reason for the development of this pathology is a previous injury with damage to the blood vessels. Massive hemorrhage leads to partial aseptic necrosis spongy substance of the vertebra. Gradually, damaged tissues are absorbed, new, healthy cells are formed. But while the recovery processes are taking place, the injured spinal segment cannot withstand the loads and is destroyed. There are back pains, first clearly localized, and then spreading to neighboring parts of the body.

Spondylitis

So called inflammatory lesions of the spine. They are specific and non-specific. The latter include all rheumatic pathologies, as well as infectious diseases provoked by the penetration of staphylococci and streptococci into the vertebral segments. The cause of the development of a specific can be brucellosis, gonorrhea, syphilis.

All inflammatory pathologies are characterized by back pain. In the acute and subacute period they are strong, burning, penetrating. If the disease has taken chronic course, then at the stage of remission there are only weak uncomfortable sensations.

Myofascial pain

Myofascial are called chronic pain in the muscles. In the skeletal muscles of the back, small rounded seals form at trigger points. They are easily palpable when pressed against the skin. Trigger points are divided into active and passive. In the latter, pain occurs only on palpation. And uncomfortable sensations at active points appear with any muscle contraction. The cause of myofascial pain is trauma, posture disorders, frequent hypothermia, and osteochondrosis.

Internal illnesses

Along the spinal column are nerve endings that innervate the internal organs. If the kidneys, liver, stomach, intestines, heart are affected by any pathology, then pain impulses enter the spinal roots. A person perceives them as back pain of varying severity. It occurs with cholecystitis, pancreatitis, angina pectoris. Often, a similar symptom accompanies the course of pleurisy, pneumonia, prostatitis, adnexitis, uterine fibroids.

Physiological pain

In addition to muscle strain, the natural causes of back pain include. During the bearing of a child, the growing uterus puts pressure on the pelvic organs, including sensitive nerve endings. Arise. If they do not disappear after a long rest, the gynecologist should be informed about this. The fact is that such a condition can signal the threat of a miscarriage.

Neoplasms

In the spinal column, malignant and benign tumors. These include osteomas, osteochondromas, hemangiomas, sarcomas, osteosarcomas, and lymphomas. At the initial stage, pathologies are asymptomatic. As the size of the neoplasm increases, the spinal roots are infringed, which is manifested by acute pain. In the spinal column, metastases of tumors formed in the internal organs, including the small pelvis, can be detected.

Spinal osteomyelitis

Inflammation of the bone marrow, which develops due to the introduction of pathogenic bacteria. Pathology is post-traumatic, contact, postoperative. It is provoked by staphylococci, streptococci, enteroviruses. Specific osteomyelitis occurs against the background of tuberculosis, brucellosis, syphilis, gonorrhea. In addition to cutting pains in the back, a person suffers from symptoms of general intoxication (fever, chills).

Scheme of osteomyelitis.

Paget's disease

With Paget's disease, the recovery of bone structures slows down. They gradually deform, become brittle, which increases the likelihood of spontaneous fractures. The causes of the pathology have not been established. Presumably, the disease develops with the activation of certain viruses, hereditary predisposition, inadequate immune response.

Which doctor will help

If you suspect that back pain is provoked by an injury, you need to contact a traumatologist. In other cases, it is advisable to make an appointment with a vertebrologist, a neurologist or a general practitioner - a general practitioner. After studying the results of the studies they have appointed, the patient will be referred to a rheumatologist, orthopedist. Therapy of osteochondrosis and its complications is carried out by a neurologist, vertebrologist. If necessary, an infectious disease specialist, endocrinologist, gynecologist, cardiologist, gastroenterologist can be connected to the treatment.

Diagnostic principles

At the first appointment, the doctor listens to the patient's complaints, conducts an external examination, and studies the anamnesis. To make a final diagnosis, the results of instrumental studies are required:

• MRI or CT scan of the spine;
• radiography in 2 or more projections;
• scintigraphy with contrast.

When diseases are suspected internal organs an appropriate examination is indicated (ECG, EGDS, radiography of the stomach with contrast, MSCT of organs abdominal cavity). carried out to exclude systemic diseases.

Lumbar hernia - in the picture.

First aid

For moderate back pain, it is enough to apply any external, for example, or. Before visiting a doctor, it is undesirable to use them, as this can distort the clinical picture.

If there is a sharp, penetrating pain, then it is necessary to lie down on a hard surface. You need to take a position of the body in which well-being improves as much as possible. To ease the pain syndrome, you should take NSAIDs - Ketorol, Nise,. Doctors also recommend using antihistamines(Loratadin, Tsetrin) for resorption of inflammatory edema.

Treatment Methods

You can get rid of back pain only after eliminating their cause. Held complex treatment underlying inflammatory or degenerative-dystrophic pathology.

Medications

Therapy uses a variety of dosage forms drugs. To stop acute pain helps intramuscular, periarticular. Weak discomfort in the back is eliminated by local application, creams, gels. To get rid of moderate pain will allow taking pills, capsules, dragees.

Ointments

And gels Viprosal, Kapsikam, Finalgon, Apizartron, Nayatoks are recommended to patients after relief of inflammation. They not only eliminate pain, but also improve blood circulation, stimulate the regeneration of soft tissues. NSAIDs are also used - Ortofen, Ibuprofen, Dolgit, Ketoprofen. The strongest analgesic effect in 5% of domestic production.

pain pills

The drugs of first choice in tablets for back pain are NSAIDs (Ketorol, Nise). But they have a wide list of contraindications and possible side effects. The doctor may instead prescribe Paracetamol or its imported structural analogues Efferalgan, Panadol. Combined agents are also used, for example, Neurodiclovit with diclofenac and group B.

Medical compresses

For back pain, especially accompanied by swelling, are used. Pharmacies sell a concentrated solution, which is diluted with warm boiled water 1:2 or 1:3. In the resulting dilution, a wide gauze napkin or a bandage folded in several layers is moistened, slightly squeezed. Apply to painful areas for an hour.

Salt compresses have proven themselves well. To prepare a solution in a glass of water, dilute a tablespoon with a large-crystalline slide. Moisten a napkin, apply for an hour to the place where the pain is felt the most.

Physiotherapy

In the absence of contraindications, it is recommended for all patients with back pain. Often, daily exercise helps to improve well-being without taking drugs that negatively affect the internal organs. The doctor of exercise therapy, after studying the radiographs, makes up a set of exercises. This is an imitation of cycling, mixing and breeding of legs bent at the knees, a “bridge”, tilts and turns of the body.

Massages

Several sessions of the classic help to ease or completely eliminate pain. To strengthen muscles, improve blood circulation in the back, the main massage movements- vibrations, rubbing, superficial palpation. With osteochondrosis, acupuncture, vacuum massage, including hardware, is also often used.

Traditional medicine recipes

To relieve back pain in traditional medicine ointments, compresses, applications, alcohol and oil tinctures, infusions are used medicinal plants. All of them have only a weak analgesic effect. Therefore, doctors are allowed to use them only after the main therapy. What folk remedies are most effective:

• compress. A large fresh leaf of cabbage, burdock or well rubbed between the palms, smeared with honey, applied to the painful area of ​​​​the back for an hour;
• ointment. In a mortar, rub a tablespoon of lanolin (sold in pharmacies) and gum turpentine until a characteristic crackle. Add a couple of drops of juniper, pine and rosemary essential oils. Enter with stirring in small portions of 100 g of petroleum jelly;
• herbal tea. Pour a teaspoon of calendula, chamomile, lemon mint into a ceramic teapot, pour 2 cups of boiling water. After an hour, filter, take 100 ml 2 times a day after meals.

Before making a diagnosis, folk remedies are strictly forbidden to use. They reduce the severity of pain, but do not stop the destruction of discs and vertebrae.

Possible Complications

Without medical intervention, both inflammatory and degenerative-dystrophic diseases progress rapidly. Cartilaginous layers are destroyed, bone vertebrae are deformed, ligaments are weakened. At the final stage of many pathologies comes - complete or partial immobilization.

A good doctor is the only way to get rid of pain.

Prevention

The best prevention of the development of pathologies that provoke back pain is regular medical examination(1-2 per year). Doctors recommend doing water aerobics, Nordic walking. You should stop smoking, sedentary lifestyle, eating foods high in fat and simple carbohydrates.

Bardukova Elena Anatolievna
neurologist, homeopath, work experience 23 years
✔ Article checked by a doctor

Famous Japanese rheumatologist:“THIS IS AMAZING! Russian methods of treatment of joints and spine cause only bewilderment. See how doctors offer to treat back and joints in Russia: Voltaren, Fastum gel, Diclofenac, Milgamma, Dexalgin and other similar drugs. However, these drugs DO NOT TREAT THE JOINTS and BACK, they only relieve the symptoms of the disease - pain, inflammation, swelling. Now imagine that…” Read full interview »

Why does my back hurt? Incredibly, 9 out of 10 people experience back pain. This makes one wonder if there is any common cause excruciating pain in the back, under what conditions it can be eliminated, and if a person can get rid of it, will it come back again.

In most cases, back pain appears due to a banal muscle strain.

Statistics show that in half of the people pain in the spine is chronic, as a result of joint diseases, pain in the muscles and in the spinal discs. There are many ways to relieve pain, but they require adherence to many rules, correct diagnosis and timely treatment.

Let's talk in detail about all the most important causes of back pain.

Why does the back hurt in the spine?

INCREDIBLE STORY THAT SHOCKS MANY:“My name is Olga, I am 38 years old. There was a lot of back pain in the lower back. I came to the hospital - they did an MRI, they said: “You have hernia and osteochondrosis 4 degrees. Get ready for operations". I nearly fainted there! Horrible! What operation, I'm only 38? It turns out that even at this age you can earn osteochondrosis of the 4th degree. But it all started with a simple lower back pain., which then became chronic, aching, then a hernia of the lumbar spine formed! She interfered with sleep and walking. I refused the operation because I was afraid of anesthesia: suddenly I would fall asleep and not wake up again. I also have heart problems. As a result, they prescribed me a bunch of useless medicines, and when I returned, the doctors just shrugged, they say, what do you want, you need to do the operation ... A couple of months ago, on the Internet, I came across an article that literally saved me. I regained my health and the pain was gone! I am so grateful to fate, the chance that led me to this article! Finally my spine is healthy, and it's all thanks to this article! Anyone who has PAIN IN THE BACK AND JOINTS - read NECESSARILY ! Now there is NO PAIN, I sleep normally, I walk and work in the country. ” Read more»

Pain in the back can occur accidentally - for example, when lifting weights or with a sudden movement. Often appear after heavy loads on this area of ​​\u200b\u200bthe ridge.

This is due to the fact that the back muscles along the spine, which were heavily loaded, suffer. The muscles of the back are also overstressed if the patient stands or sits in the same position for a long time. After a few hours of rest, such pain syndromes subside. Here are the most common causes of back pain:

If back pain does not go away after rest or if it gets worse, then you should visit a multidisciplinary clinic. Very often, back pain signals a serious problem with the spine, which does not go away on its own and complications are possible without timely treatment.

So, for example, when intervertebral hernia you can get irreversible damage to the nerves in the spine. This will affect the mobility of the lower or upper limbs and eventually lead to disability.

As we already know, it is not easy to determine the exact cause of back pain - it can be very diverse. When there are pains in the back and lumbosacral spine at the same time, the first thing we must take into account is whether the pain syndrome will pass after resting in the supine position.

According to patients in these cases drug treatment gives the best healing effect than balneological and physiotherapeutic procedures, shock wave therapy. It is possible to prevent such conditions if you realize in time that it is necessary to strengthen your back muscles, lead an active lifestyle, monitor weight and eat right.

In case of orthopedic diseases of the back and joints, it is better to make an appointment with a neurologist for a quality consultation.

Let's take a closer look at everyone possible reasons leading to pain syndrome.

The main causes of pain, depending on the localization

Site Reader Stories:“My name is Ekaterina, I am 42 years old. A few years ago I had a severe flu, after which I ended up in the hospital with complications. One of the complications was inflammatory process in the lower back and joints. X-ray showed initial signs lumbar osteochondrosis and hernia. And I was 39 at the time. When walking while climbing stairs, there was aching pain in the lower back and leg. I tried a lot: Voltaren, Milgamma, Meloxicam... Something helped more, something less. But only this new remedy took away the terrible pain. The last x-ray showed nothing. I just want to wave this picture in front of the doctors, who said that it could get worse, but it won’t get better. I keep it on hand and recommend it to everyone. It saved me, that's for sure." Read more»

Muscle and joint pain

Back pain is sometimes a signal of serious diseases of the internal organs. A lot of pain - in the muscles and joints at the same time, can mean viral infections. This condition is transient, in addition, other symptoms also occur simultaneously with these symptoms - heat, runny nose, nausea and vomiting.

At viral infection You may experience pain all over your back.

Pain in the chest and back

Very often, with heart attacks, chest pain occurs, accompanied by an unpleasant sensation in the back. It is for this reason that any back pain should be carefully analyzed and, in acute conditions, seek medical help.

Also, these pains cause colds or osteochondrosis.

If you suddenly develop pain in your chest and back, but you don't have any other warning signs, try to remember if you've been sitting in a draft somewhere. This is because cold air can cause inflammation in the nerves.

Japanese rheumatologist: “Do you have a sore Back and Joints? New safe method treatment at home! Good article, must read"

Simultaneous pain in the back and chest is possible with different psychological reasons such as stress and depression, and skin diseases, in particular lichen.

Rheumatoid arthritis

Back pain can be caused rheumatoid arthritis, which is an autoimmune disease, as well as osteoarthritis. Treatment in such cases does not lead to the elimination of osteophytes, but to the achievement of comfort due to pain relief and reduction of inflammatory processes.

Non-steroidal anti-inflammatory drugs, corticosteroids, chondroprotectors and kinesitherapy help in the treatment of this disease.

trigeminal neuralgia

Back pain may be due to neuralgia trigeminal nerve and intercostal neuralgia. Attacks of this disease can limit movement indefinitely. Pain may occur in the area above the coccyx.

The cause of such attacks may be a compressed nerve, an inflammatory process, changes in hormonal levels and bone structure due to the natural aging of the body. Attacks of intercostal neuralgia can be confused with angina attacks. But unlike intercostal neuralgia, heart attacks go away within minutes of taking a nitroglycerin tablet.

This is exactly what is observed in lumbar arthrosis of the spine: the intervertebral discs and nerve endings are infringed. This disease manifests itself after a long stay in an unnatural position, as well as during active sports.

Pain occurs mainly during movement.

Stenosis

With age, wear of the spine occurs, which is expressed in a number of changes, one of which is stenosis of the spinal canal. Stenosis spinal cord covers various sections of the spine or the entire spinal column as a whole. This causes compression of the vertebrae and nerve roots.. This is what causes persistent back pain.

Spinal stenosis is not a harmless disease. Depending on the location of the lesion, not only back pain is observed, but other changes may occur, such as immobilization of the arms or legs, as well as impaired functioning of internal organs, such as the intestines or bladder.

Diseases of the internal organs

Real stories of site readers:“My name is Alexandra, I am 38 years old. I want to tell my story about how I cured osteochondrosis and hernia. Finally, I was able to overcome this unbearable pain in my lower back. I lead an active lifestyle, live and enjoy every moment! A few months ago, I was twisted in the country, a sharp pain in the lower back did not allow me to move, I could not even walk. The doctor at the hospital diagnosed osteochondrosis of the lumbar spine, herniated discs L3-L4. He prescribed some medicines, but they did not help, it was unbearable to endure this pain. They called an ambulance, they set up a blockade and hinted at an operation, all the time I thought about it, that I would be a burden for the family ... Everything changed when my daughter gave me one article to read on the Internet. You have no idea how grateful I am for that! What I learned from the article literally pulled me out of my wheelchair! In recent months, I began to move more, in spring and summer I go to the dacha every day. Who wants to live a long and energetic life without osteochondrosis, take 5 minutes and read this article. Read article»

Tumors

If you systematically feel discomfort in the abdomen and, along with it, back pain, these may be warning signs of ovarian or colon cancer. This statement may seem strange, but practice and statistics prove the truth of this.

Back pain can also be caused by a tumor on the bone tissue. Don't delay your visit medical Center- solve the problem early stage means to save your life.

Gastritis

Excruciating pain in the left side of the body is a signal of exacerbation of gastritis. Sometimes the situation is quite complicated - the pain creeps to the left side of the chest and back. Most might think that these are heart problems.

Back pain and gastritis - it sounds strange, but it is quite possible. In such cases, carefully analyze where exactly the pain comes from, whether there is heartburn, whether you feel discomfort, heaviness or pain in the gastrointestinal tract.

Bronchitis

Pain in the back when coughing and inhaling can appear with bronchitis. This is one of the symptoms that accompany a typical bronchitis cough. Pain in the back and chest are manifested in the recurrence of this disease.

Liver disease

Experts say that the liver in pathologies gives signals through an uncomfortable state and pain in completely different parts of the body, and the body organ itself does not hurt. With a painful condition of the liver, the problems will most likely be in the hypochondrium - above it or in the back. So pain in the back, between the shoulder blades and in the right hypochondrium can be a signal of problems with the liver.

Anemia

The state of anemia can be associated with back pain in some malignant forms. In such cases, changes in the bone marrow and a decrease in the value of red blood cells associated with cancer. If struck Bone marrow, then perhaps there will be disturbing back pain.

Gallbladder diseases

What are the causes of back pain under the shoulder blades? If there is sudden and increasing pain in the area of ​​the right shoulder blade and shoulder, then you should be prepared to hear that you have problems with the gallbladder. Pain in the right side of the back is one of the typical symptoms of biliary colic. If the pain also covers the area of ​​\u200b\u200bthe right hypochondrium - around the liver and gallbladder, then there is no doubt that we are talking about problems with bile or even stones in gallbladder.

Risk factors

DOCTOR'S OPINION! “I have been an orthopedist for many years. During this time I had to deal with various diseases back and joints. Recommended to my patients the best drugs, but still the result of one of them has surpassed itself. It is absolutely safe, easy to use, and most importantly - acts on the cause. As a result of regular use of the remedy, the pain disappears in a few minutes, and in 7 days the disease completely disappears. An excellent tool for a quick and stable result ... ”Sergey Mikhailovich Bubnovsky, orthopedist. Learn more»

Passive lifestyle

Working in the office for several hours in front of the computer is a real test for the spine and in general for the entire musculoskeletal system. One of the disadvantages of office work is being in the same position, which overloads the back and strains the muscles. The rule is known - after 50 minutes of work in front of the computer, a ten-minute warm-up or a change in body position should follow.

In order to relieve back pain, experts recommend physiotherapy exercises and yoga as long as these activities are not contraindicated. Such exercises will strengthen certain groups of muscles and ligaments, in addition, it can be a good preparation for the very process of giving birth. You also need to be careful with nutrition - eat exactly certain foods with enough vitamins, proteins and trace elements so that the unborn child does not feel a deficiency of these useful substances and developed in the right way.

How to prevent back pain?

Site Reader Stories:“My wife has been suffering from acute pain in her joints and back for a long time. In the last 2 years the pain was always present. Before, I could not imagine that a person could scream in pain like that. It was terrible, especially in the middle of the night, when blood-curdling screams were heard in complete silence. According to her, it was like dogs gnawing their legs on their backs. And there was nothing to help her, only holding her hand reassured her. She injected herself with painkillers, fell asleep, and after a while everything repeated again ... In the morning, waking up, she cried more often. The smile completely disappeared from the face, the sun left our house forever. She also moved with difficulty - knee joints the sacrum made it possible even to turn around. The first night after the application of this new remedy passed for the first time without screaming. And in the morning a cheerful one came up to me and said with a smile: “But there is no pain!” And for the first time in these 2 years, I saw my beloved wife happy and smiling. She flutters around the house like a swallow, the rays of life play in her eyes. Read more»

Experts say that back pain is one of the main causes of physical discomfort between the ages of 20 and 40. At this age, it rarely comes to degenerative changes in the skeleton and muscles.

Excellent follow up article:

It may sound strange, but, according to surgeons, in most cases we are not talking about diseases of the spine, but about problems with posture! Posture should be taken care of especially by teenagers when active growth begins - scoliosis is a fairly common disease after 13 years.

Why does the lower back hurt?

Answer: The most common cause of back pain in modern image life is a degenerative disease of various parts of the spine as a result of occupational injuries, supplemented by immobilization.

For example, pain and numbness in the neck are most often due to sitting for more than two hours a day in front of a computer and poor posture when working with a computer mouse. Pain in the neck and back often occurs in people working in a static posture in a factory or with constant repetitive movements in the process. Low back pain is most common in workers who perform heavy physical work or are exposed to adverse weather conditions such as cold and drafts.

Why does back pain occur after sleep?

Answer: Even young people often complain of morning stiffness and back pain after getting out of bed in the morning. This can mean diseases such as sciatica, sciatica, lumbago, and disc herniation. However, this can only be established by a neurologist.

It can also be an uncomfortable bed. It is known that in such cases it is better to sleep on a hard bed, and soft mattresses are contraindicated, since they deform the spine and provoke pain. It is best to purchase an orthopedic mattress of medium hardness.

Why does my back hurt after a massage?

Answer: Various factors can influence this, ranging from the illiterate actions of a massage therapist to exacerbations of chronic diseases. You can identify the following reasons why a person feels pain immediately after a session:

• Some people come to the massage therapist during the acute period of the disease in the hope of getting rid of it. However, exposure to painful areas in such cases usually leads to a worsening of the condition.
• An illiterate massage therapist can cause serious injury. One must be especially careful when choosing a specialist.
• At the first massage sessions, the patient may experience discomfort and pain - this is a normal phenomenon that will pass within three days.

Massage is contraindicated in:

• last trimester of pregnancy;
• period of stress or severe nervous shock;
• osteomyelitis;
• ankylosing spondylitis;
• bone tuberculosis;
• hemangiomas - benign tumors;
• intervertebral hernia;
• various injuries, sprains and other problems with the spine.

The most important thing is to find a qualified specialist, and then the positive effect will not keep you waiting.

Video: why does my back hurt?

Although the causes of back pain can be very serious, in many cases it can go away on its own. But if pain disturb the patient for a long time and are not removed by painkillers, then you should not postpone a visit to a therapist, neurologist or vertebrologist. Take care of yourself!

Findings and Conclusions

What are our Russian doctors silent about? Why in 90% of cases, drug treatment gives only a temporary effect?

Unfortunately, most of the drugs that "treat" diseases of the back and joints, which are advertised on TV and sold in pharmacies, are a complete divorce.

At first it may seem that creams and ointments help, BUT in fact they only TEMPORARILY relieve the symptoms of the disease.

In simple words, you buy a regular painkiller, and the disease continues to develop, turning into more severe stage. Ordinary pain can be a symptom of more serious diseases:

• dystrophy of muscle tissue in the buttocks, thighs and lower legs;
• pinching sciatic nerve;
• the development of arthritis, arthrosis and related diseases;
• acute and sharp pain - backache that leads to chronic sciatica;
• cauda equina syndrome, which leads to paralysis of the legs;
• impotence and infertility.

How to be?- you ask. We have studied a huge amount of materials and, most importantly, tested in practice most of the remedies for the treatment of diseases of the spine and joints. So, it turned out that the only new tool which does not remove the symptoms, but really heals - this is a medicine that is not sold in pharmacies and is not advertised on TV! So that you do not think that you are being pushed into another "miracle remedy", we will not tell you what it is. effective drug. If you are interested, you can read all the information about it yourself. Here is the link" .

List of used literature

1. Evgeny Cherepanov "School "Healthy Spine", 2012;
2. Alexey Ivanchev "Spine. Secrets of health", 2014;
3. Victoria Karpukhina "Health of the spine. Popov, Bubnovsky systems and other methods of treatment", 2014;
4. Yuri Glavchev "The spine is a provocateur of all diseases", 2014;
5. Stephen Ripple "Life without back pain. How to heal the spine and improve overall well-being", 2013;
6. Galli R.L., Speight D.W., Simon R.R. "Emergency Orthopedics. Spine.", 1995

A neurologist, a doctor, tells Health Mail.Ru about what diseases pain indicates the highest category networks medical clinics"Family" Andrey Rusakov.

Risks

Most often, back pain is experienced by people who sit a lot - for example, at the computer, or, on the contrary, those who exhaust themselves with physical exertion - whether it be physical labor or hard training.

If you are worried about frequent back pain, especially radiating to other parts of the body - buttocks, hips, knees, feet, hands, if the pain occurs when you cough and the temperature drops, you need to urgently contact a neurologist or an orthopedist.

Andrey Rusakov

Osteochondrosis

With this disease, the structure and normal functioning of the intervertebral discs are disrupted. These are exactly the elements that provide an even distribution of the load, mobility and flexibility of the spine.

(what is invested in this concept in Russia) in the first place in terms of the frequency of complaints of pain and prevalence. He has several stages of development, at each certain pathological processes cause pain. The disease affects people of all ages.

With age and in the event of adverse conditions, degeneration of the spine occurs, the ability of the discs to self-heal decreases or is completely lost. The process is accelerated by the following factors:

You recognize lumbar osteochondrosis by a number of characteristic features. Among them is a burning sensation in the back, which can be aggravated by heavy lifting or physical exertion. Often the pain radiates to the legs, sacrum and pelvic organs, while the legs may lose sensitivity.

With osteochondrosis cervical a person can be tormented by, aggravated by movement, dizziness caused by a sharp turn of the head, "flies" before the eyes, ringing in the ears, pain in the arms and chest, vision may deteriorate. As for osteochondrosis of the thoracic region, it is characterized by:

The main danger of osteochondrosis is that it can lead to the formation of protrusions and. These formations can cause a violation of sensitivity and radiating pain.

The essence of the treatment is to relieve pain, muscle spasms and restore the functions of the spine.

Andrey Rusakov

Treatment includes medicines, massage, physiotherapy and shock wave therapy, and, of course, courses of special therapeutic exercises. It is advisable to do this in an equipped room with an experienced certified trainer who specializes specifically in the recovery of patients with spinal problems.

Prevention is swimming, if possible, the exclusion of stress, hypothermia, a long stay in one position. Don't forget about proper nutrition, full sleep and that you should not lift weights.

Protrusions and intervertebral hernias

Against the background of osteochondrosis and degenerative processes in the spine, protrusions (protrusions) and herniated discs may occur.

How a hernia appears: discs gradually collapse, their nuclei lose their mobility, microcracks appear in the disc annulus, it becomes thinner and ruptures as a result, and the remnants of the disc and the nucleus go beyond the annulus. This terminal phase of a herniated disc is called a sequestered disc herniation.

During protrusion, the disc is deformed, its fibrous ring is stretched, but the core does not go beyond it. A herniated disc is formed when the nucleus begins to extrude through a crack in the annulus fibrosus. Disc herniations can be classified into extrusions or sequestrated disc herniations. During extrusion, the portion of the disc that has passed through the annulus remains attached to the disc itself.

With a sequestered disc, the extruded portion separates from the disc. Of course, the bulging part of the disc can cause pain.

If a hernia presses on the spinal cord, a person may be tormented by weakness, numbness in the limbs, dysfunction Bladder or intestines, gait may be disturbed. If squeezed spinal nerve, local numbness, tingling in this area, weakness may appear.

If the cervical nerve is pinched, it can manifest as numbness, weakness and tingling in the arms, difficulty turning and tilting the head, and pain when moving the arms.
Sometimes cervical herniation causes hypoxia due to compression main vessels neck.

In this case, there may be sudden changes in pressure, dizziness, regular headache, "flies" or fog before the eyes, poor orientation in space, nausea. Hearing and vision may be impaired.

A hernia of the lower thoracic spine can be identified by pain in the lower chest and back. Sometimes there is pain in the upper abdomen, which can be confused with a stomach ulcer or kidney disease.

Andrey Rusakov

Spinal stenosis

When functions intervertebral disc are violated, the work of transferring the load is shifted to the surrounding tissues - ligaments and posterior elements of the spinal motion segment. The ligaments begin to grow in order to adapt to the new load. As the ligaments increase, the spinal canal, in which the spinal cord is located, narrows. This is called stenosis spinal canal. Its symptoms are intermittent claudication and pain when walking and/or numbness and tingling in the legs.

The pain appears when walking and standing upright and decreases if you sit or lie down. When making a diagnosis of spinal stenosis, it is important to rule out other vascular diseases which can cause similar symptoms.

Spondylosis

This is a degenerative process in the spine, during which bony growths appear along the edges of the vertebral bodies. These spondylosis formations can injure the spinal roots and articular bags of the intervertebral joints with the subsequent development of pain.

Spondylosis is the last phase of degenerative-dystrophic changes, a protective function of the body, it limits damage to the spinal motion segment.

Andrey Rusakov

Spondylosis can be in the cervical, thoracic or lumbar. Most often, patients complain of a feeling of stiffness and fatigue in the area of ​​spondylosis, dull pain, which can be alleviated by massage of the affected area.

facet syndrome

Separately, for reasons of back pain, there is the so-called "facet syndrome" - this is spondylarthrosis of the facet joints. It always occurs suddenly, can be repeated several times a year. It manifests itself in pain during extension and rotation of the body, while it is difficult to be on your feet, and if you sit down, the pain intensifies.

Almost everyone will experience at least one prolonged episode of back pain during their lifetime, and a third of adults experience these discomfort are repeated regularly. The urgency of the problem is illustrated at least by the fact that three times more money is spent annually on the treatment of back pain than on therapy for cancer patients.

The duration of an episode of pain is usually about 2 weeks, but in many patients, residual effects persist for another month or longer. Some of these patients are diagnosed with stenosis of the spinal canal, ovaries and other internal organs, and sometimes or their metastases.

In our article, we will briefly describe the main causes of back pain and their distinctive characteristics, helping a person to understand that there are problems with his health and it is time to see a doctor.

Possible causes of back pain:

• damage to the spine, its ligaments and muscles;
• infringement of roots and other diseases of the spinal cord;
• diseases of internal organs;
• connective tissue diseases;
• depression and psychogenic disorders.

It has been proven that back pain is more likely to occur with obesity, smoking, hard physical work, being in an uncomfortable position, prolonged exposure to vibration, and sharp turns of the torso.

Diseases of the spine, its ligaments and joints

In most people with complaints of back pain, they occur due to damage to the intervertebral discs, joints between the processes, as well as the vertebral bone bodies themselves. With age, the discs between the vertebrae lose water, their thickness decreases. As a result, the mobility of individual elements of the spinal column increases, which irritate the pain receptors of the intervertebral joints. It should be said that often even people with pronounced “age-related” changes in the spine do not have back pain. Often, a herniated disc is combined with pain by chance.

AT last years increasing importance in the development of constant back pain is given to the so-called facet syndrome - a private form that affects the articular apparatus of the spine.
Pain in facet syndrome can be both unilateral and bilateral, localized near the spine, more often in the lumbar region with spread to the thigh. The pain often appears in the morning, but during the day it disappears and again intensifies after exercise in the evening. For the first time, it usually appears after a sharp, uncomfortable turn or tilt of the body. The pain increases in the standing position and when the back is extended, decreases in the sitting or lying position, with slight flexion, use of support. Facet syndrome often recurs.

The following conditions often cause back pain when the spine is affected:

• spondylolisthesis - displacement of the vertebrae relative to each other;
• spinal stenosis;
• (Bekhterev's disease);
• with fractures of the vertebral bodies (often in the elderly, especially in women);
• large disc herniation (more than 5 mm);
• diseases of the cervical spine.

To rarer, but dangerous reasons Pain syndrome includes tumor lesions, most often metastases to the spine. The risk of them increases if the patient has any oncological disease (more often lung cancer, breast and prostate), weight loss, fever, duration of complaints for more than a month, age over 50 years. Metastases most often affect the thoracic spine.

Another cause of back pain associated with cancer is multiple myeloma. Rare, but benign and primary malignant tumors spine, for example, osteoid osteoma, Ewing's sarcoma.

Ankylosing spondylitis should be suspected at a young age of the patient, morning stiffness of the spine and large joints, improvement after a warm-up. The pain often appears in the gluteal region. Its intensification at night is characteristic, so that the patient can no longer sleep in the morning due to unpleasant sensations.

Back pain also appears with other spondyloarthritis, which is observed in the following diseases:

• psoriatic arthritis;
• Reiter's disease;
• juvenile rheumatoid arthritis;
• Crohn's disease, Whipple's disease, ulcerative colitis;
• shigellosis, salmonellosis, yersiniosis.

Spinal osteomyelitis or spondylitis should be suspected with prolonged fever, intravenous administration medicines or narcotic drugs, prior infectious disease or injury, taking immunosuppressants. Inflammatory diseases of the spine can also have a specific nature, arising from tuberculosis, brucellosis.

So-called indicators of serious problems have been identified that require a thorough examination of the patient:

• sudden onset of pain for the first time in life;
• very severe pain;
• lack of dependence of pain on the position of the body;
• the pain is worse at night than during the day;
• the age of the patient is younger than 20 years and older than 55 years;
• recent back injury
• the likelihood of infection (inflammation in the genitourinary tract, taking immunosuppressants, acquired immunodeficiency syndrome);
• transferred oncological disease;
• unexplained weight loss and fever;
• general weakness;
• urinary or fecal incontinence;
• gait disturbance;
• progressive neurological disorders.

Muscle damage

Damage to the back muscles can be secondary: in diseases of the spine, the muscles tense up, creating a “protective corset” that holds the spinal column, but from constant tension and spasm they themselves become the cause of pain. Often, muscle spasm occurs primarily, for example, with a long stay in an uncomfortable position or increased anxiety. This pain syndrome has a relatively benign course and responds well to drug therapy.

Some systemic muscle diseases also present with back pain. These include:

• rheumatic polymyalgia;
• fibromyalgia.

Fibromyalgia is a fairly common disease, more common in middle-aged women. It is characterized by diffuse pain in the muscles of the trunk, stiffness, weakness, sleep disturbances, changes in skin sensitivity, anxiety, and unstable stools.

Pathology of the spinal cord and its roots

Compression of the roots of the spinal cord, emerging through the holes between the processes of the vertebrae, is a rarer cause of pain, diagnosed in every 10th patient. However, the pain syndrome is stronger and longer, the treatment lasts about 2 months.

Compression (compression) of the roots is caused by:

• herniated disc;
• yellow ligament hypertrophy;
• bone growths (osteophytes);
• narrowing of the spinal canal (for example, due to injury).

Picture of root damage (radiculopathy): acute "shooting" pain in the back, impaired sensitivity in the area of ​​​​innervation of the root, a decrease in the reflex response, weakness of the corresponding muscle. If root compression is proven with modern methods studies and drug treatment are ineffective, sometimes they resort to surgery.

Diseases of the internal organs

Back pain occurs not only in diseases of the spine or spinal cord, but also accompanies many diseases of the internal organs:

• heart disease (, stable and unstable angina, infectious, dissecting aortic aneurysm);
• lung disease (thromboembolism pulmonary artery, pneumothorax, );
• pathology of the esophagus and stomach ( peptic ulcer, spasm of the esophagus, esophagitis);
• , liver, gallbladder, subdiaphragmatic abscess.

Usually, these diseases can be distinguished by two points:

• sudden and very intense back pain;
• signs of damage to the relevant organs (wheezing in the lungs, pain on palpation of the abdomen, and so on).

For back pain, especially if it occurs unexpectedly and is not accompanied by signs of spinal disease, an electrocardiogram should always be recorded to rule out acute myocardial infarction. Especially such atypical localization of pain in coronary disease heart is typical for the elderly.

Psychogenic disorders

The transition of the pain syndrome to chronic form contribute social and behavioral factors:

• financial difficulties;
• emotional stress;
• confidence in the inevitability of pain due to its seeming connection with daily work;
• thoughts about a possible serious illness and disability;
• depression;
• dependence on other people;
• an avoidance strategy in which the patient takes no action to diagnose and treat their condition.

Which doctor to contact

So, the causes of back pain are varied. Since they are most often associated with diseases of the spine and spinal cord, when they appear, you should contact a neurologist. Additionally, you may need to consult other specialists: a rheumatologist, a neurosurgeon, an oncologist, a gastroenterologist, a cardiologist, a traumatologist or surgeon, a pulmonologist, a nephrologist, and a psychologist. To choose the right specialist, you can first contact a therapist who, after an initial examination, will be able to establish a preliminary diagnosis.

Back pain is an extremely common occurrence. Paleontologists and biologists believe that this is a consequence of such an evolutionary acquisition as bipedalism.

The load during walking is not distributed evenly over all departments, as in most animals, but almost completely falls on the lumbar region.

Lower back pain occurs for a number of reasons and may indicate a complex of ailments of a different nature.

Diseases of the spine and internal organs

Pain can occur as a result of congenital or acquired diseases.

So, congenital defects in particular include:

• changes and cleft vertebrae;
• irregular shape of the processes of the vertebrae, their shortening or lengthening.

Cleft vertebrae: 1.2-posterior, 3.4-lateral, 5-7-anterior

These problems can be completely asymptomatic or accompanied by acute pain when performing certain types of inclinations, difficulty in moving, problems with urination, mental retardation.

The causes of back pain can also be of a neuralgic nature with:

• pinched nerves in the spine (such pain can be described as severe and sudden);
• lumbar osteochondrosis, which develops as a result of a sedentary and sedentary lifestyle and causes pulling pain due to muscle strain;
• lumboischialgia, characterized by atrophic changes in the sciatic nerve (most often the pain in this disease goes to the buttock, occurs abruptly and suddenly).
• multiple sclerosis (this chronic autoimmune disease affects the membrane nerve fibers spinal cord and brain, provokes pain of different localization, severity and is difficult to cure).

Besides, sharp pains of a similar nature can also cause:

• degenerative sacroiliitis - serious disease, which is a purulent-inflammatory process on the surface of the sacroiliac joint;
• the cause of which is a lack of calcium in the body or a violation of its metabolism (in the initial stages, the disease is characterized by chronic aching pains, cramps, changes in posture).

Figure: osteoporosis

Another type of pain in the lumbar region is pain that has a reflected character.

They can perform characteristic symptom a number of diseases of different organs and systems:

• infections of the genitourinary system (chlamydia, ureaplasmosis);
• unstable bowel function and tumor diseases of the gastrointestinal tract;
• hemorrhoids arising from sedentary work;
• tumors and polyps in the uterus;
• complications after colds(after a sore throat, flu, SARS);
• radiculitis (provoke lumbar pain, radiating to the leg).

In some cases, the reason may be:

• physiological changes (pregnancy, childbirth, menstruation);
• excessive physical activity (in particular, heavy lifting);
• a sharp weight gain;
• epidural anesthesia.

Figure: How to lift weights

Provoking factors

In addition to internal diseases, lumbar pain can be triggered by the following factors:

hypothermia

by the most frequent consequence hypothermia is sciatica.

This is an inflammatory process that affects the roots of the nerves.

Infectious processes occur against the background of reduced immunity. Periodic or prolonged exposure to cold, as well as humid air, significantly impair the body's resistance.

Irregular physical activity

Often after a long stay in a sitting position, back pain occurs when walking.

Lack of exercise and physical activity causes blood stasis and can lead to irreversible changes in cartilage.

However, any loads should be dosed, their strength should be increased gradually.

Excessive tension provokes injuries and sprains of muscles, fractures, cracks in bones.

With a sharp transition to complex exercises, painful displacements of the internal organs may occur.

Professional sports

To dangerous species sports include:

• body-building;
• body-building;
• Weightlifting.

They suggest excessive stress on the muscles of the lower back.

An alarming symptom is pain after squats with a barbell, sharp turns and bends.

If it is painful for the athlete to walk, it is necessary to immediately stop training and consult a doctor.

Improper nutrition

The diet must contain a sufficient amount of calcium, phosphorus and fluorine, which are important components of bone tissue.

Particular attention to the intake of calcium, fluorine and phosphorus should be paid by women during pregnancy, lactation and menopause.

In addition, frequent constipation and excess fatty and high-calorie foods in the diet have a traumatic effect on the rectum and large intestine.

This leads to radiating back pain.

Vomiting and frequent nausea indicate gastritis or an ulcer, in which it can strongly pull the lower back.

Rachiocampsis

Another name for the pathology is scoliosis. It can be congenital and acquired.

AT mild form It is easily curable with a set of exercises, in severe cases it requires surgical intervention.

With a curvature, it becomes difficult for the patient to stand for a long time, to sit without support.

Stress

Strong nervous tension, frequent worries and a long absence of rest affect negatively all body systems. Psychologists have found that a person who is under the load of problems begins to involuntarily slouch, "bending" under their weight.

Many chronic diseases can be exacerbated by nerves and stress.

If depression and loss of strength continue for a month, specialist help is needed.

What diseases and conditions cause lower back pain?

Causes of pain in men

Lumbar pain in men can have different etiologies and are characterized by their distinctive features.

Age and hormonal changes have little effect on the male spine, but often problems with the prostate gland can cause characteristic deep, mild pain.

The main causes of back pain in men include:

Crick

Often people who are not engaged in physical labor by the nature of their activities have weak back muscles, especially the latissimus dorsi.

Ability to properly distribute physical activity needs to be developed.

When lifting weights, an untrained person transfers all the weight to the lower back, and not to the biceps, triceps or chest muscles. The consequence of this is the stretching of the latissimus dorsi muscle.

When stretching, the pain then appears, then arises, decreasing with hot compresses, warming ointments.

It can make itself felt if you stand for a long time, and pass in the supine position.

fracture

The cause of a fracture can be both a serious injury and a banal bruise.

When subsidence intervertebral disc a lumbar spine fracture can even cause a bad step or loss of balance.

A symptom of a fracture is a sharp pain in the lower back or in the coccyx area.

Sometimes the pain may radiate to the top or lower limbs, intensify with a change in body position.

Genital tumor metastases

The pain from metastasis of the bone tissue of the spine is the strongest, sometimes turning into unbearable.

A visit to an oncologist should not be postponed when the lower back and testicles or penis hurt.

Such pain can be removed only with potent drugs, the process of necrotic tissue changes will most likely not be stopped.

kidney disease

Approximately one third of male patients with low back pain suffer from kidney problems.

Pain in the kidney area is aggravated during movements and prolonged standing in an upright position. At rest, the pain subsides.

If you stand for a long time, the pain may gradually increase.

This is due to the fact that the fluid rushes to the kidneys and creates excess pressure on the spine.

After alcohol, lower back pain can also increase.

Prostatitis

This disease causes lumbar pain on the right and back. Sometimes the pain radiates to the groin.

Other symptoms of prostatitis are burning sensation when urinating, erection problems.

The main cause of the disease is stagnation of blood in the capillaries or a bacterial infection.

Causes of pain in women

The female body is constantly subject to changes and hormonal shocks.

Certain types of pain in the female body occur normally and are not an alarm signal.

Pain associated with the menstrual cycle

Pain that occurs in different dates menstrual cycle, do not necessarily indicate some kind of pathology:

• During menstruation, the enlarged uterus presses on the muscles of the back, causing discomfort;
• If pain occurs before menstruation for 7-8 days and is given to the stomach, then this indicates the need to revise the diet. It is better to include in the diet more foods rich in fiber and fruit acids.
• Pain in the middle of the cycle may be associated with the release of the egg from the ovary;
• Pain after menstruation indicates problems at work reproductive system In this case, a visit to a specialist is necessary.

Pain caused by pregnancy

In the first weeks, when a woman is not yet aware of her position, her lower back and lower abdomen may hurt. Such pains are similar in nature to premenstrual pains and often coincide with them in terms.

A delay in menstruation in this case may indicate pregnancy or an infectious process.

Sometimes there are small bleeding, they are associated with the introduction of the fetal egg into the wall of the uterus.

If the lower abdomen and lower back hurt, and there is no menstruation, the first thing to do is a pregnancy test.

Often, such pain will accompany a woman for several months, in such cases, the doctor suggests taking magnesium supplements.

During pregnancy, especially in the last stages, most women experience pain below or above the waist.

This is due to the fact that a growing belly puts a lot of stress on the back muscles.

If the pain is constant and associated with vigorous activity, the expectant mother needs a support bandage that will distribute the load between different muscle groups.

If the lower back hurts during sleep and in the morning, most likely the woman sleeps in an uncomfortable position.

Special pillows for sleeping can help, which support the body and prevent muscle tension. Lower back pain at night should go away.

By the end of the term, the pain may be concentrated in the lower back on the right or left: this does not indicate the position of the fetus, but a curvature of the posture.

Pain can pass in a pregnant woman when she sits, completely leaning on a support.

After abortion

Women who decide to terminate their pregnancy or do it for medical reasons, in almost 100% of cases complain of pain after an abortion.

Causes of pain can be:

• inflammation of the lining of the uterus (endometritis);
• stressful condition of a woman;
• contraction of the uterus after an abortion.

In this case, the pain can be given to the leg or concentrated in the lower back.

Pain associated with childbirth

After childbirth, women often experience back pain. Sometimes the pain is localized where the coccyx or where the sacrum is. This is due to injuries and sprains received during childbirth.

Pain can be prevented by doing special exercises during pregnancy or by visiting the pool.

Nursing mothers can also perform a set of exercises, giving Special attention your posture.

If the pain is accompanied by a rise in temperature to 37 degrees and above, the woman suddenly throws herself into a fever, a doctor's consultation is necessary.

Perhaps this is an infectious process.

Pain caused by diseases of the female reproductive system

Typical female ailments, the symptom of which is back pain, include:

Cystitis

This is an inflammation of the bladder, which is more common in women. Cystitis is easily treated and diagnosed.

It is worth passing urine tests for the presence of this disease if there is a burning sensation during urination, pulls the lower back when leaning forward, and body temperature is elevated.

Fig.: cystitis

Infectious processes in the vagina

A number of inflammations in women cause pain in the supine position.

It can be candidiasis, bacterial vaginosis or a viral disease.

Similar pains can also be a symptom of kidney damage.

Inflammation of the appendages

If a woman has pain in the lower back and ovaries, there is a burning sensation during urination, the temperature has risen above 38 degrees, ultrasound diagnostics and treatment under the supervision of a specialist (a course of injections or taking oral medications) is necessary.

Pain associated with diseases of the internal organs

Diseases of the intestines or stomach can provoke pain in the spine.

Sometimes pain in these disorders can radiate strongly - give to the leg or give to the stomach.

Similar clinical picture due to the fact that the brain incorrectly interprets the signal that the organs give it.

If the lower back and right side hurt, this indicates problems with the liver or pancreas. Pain on the left side indicates appendicitis or intestinal colic.

In the left side, pain may occur during running or other exercise. It passes quickly and does not pose a health risk.

In the region of the coccyx, tingling and pulling pains are possible.

In children

most common cause back pain in children is an incorrect posture.

In the process of learning, if a chair and a table for classes are incorrectly selected for a child, the development of a curvature of the spine is possible.

Scoliosis can lead to:

• improperly selected shoes;
• flat feet;
• uncomfortable bag.

At the initial stages of the disease, the curvature can be easily corrected with the help of physiotherapy exercises prescribed by a doctor.

Moderate pain, which manifests itself in a child in the morning, after hard work or a long stay in one position, may also be the first sign of a spinal hernia.

Hernia can be caused by:

• rachiocampsis;
• too much physical activity;
• excessive sports.

Especially dangerous in childhood jumping with a coup over the head, lifting weights, twisting, squats.

If a child periodically complains of back pain after a workout, then he needs the help of a specialist.

Magnetic resonance imaging (MRI) is one of the most accurate methods for diagnosing various diseases. About what pathologies with the help of MRI can be detected in the neck, read the article about.

What is coccygodynia and how is it treated? Information about this syndrome can be found.

For what reasons does such a serious disease as humeroscapular periarthritis develop? Find out .

What to do?

The use of ointments

This kind medicines very effective if you need to quickly improve your health at home.

The ointment helps relieve inflammation, stretching, and has a warming effect if the lower back has a cold.

The following groups of ointments are distinguished:

• anti-inflammatory analgesics (they include medicinal substances of a cooling effect that relieve irritation - menthol, lavender, and painkillers - nurofen, iboprofen,);
• combined medicines (used for sprains and injuries, along with anti-inflammatory and analgesic effects, they have a healing effect due to their constituent heparin, demethyl sulfoxide);
• irritating drugs (the effect is based on vasodilation and blood flow to the source of pain);
• chondroprotectors (one of the active components of such drugs is chondroitin sulfate, used in pathological processes in cartilage tissue, which contributes to the active restoration of cartilage surfaces of the joints).

Injections

The action that is achieved with the help of injections is similar to taking the corresponding ointments or oral preparations.

Distinctive features of this type of therapy are:

• Speed. Rapid relief of severe pain is possible only by getting the drug into the blood or muscle.
• Efficiency. Injections allow you to deliver active ingredient right on target. Active substance while not being destroyed in the gastrointestinal tract.
• The need for the presence of a specialist. It is difficult to give yourself injections on your own, so you need to either visit the clinic daily or call a nurse at home.
• Can only be used as directed by a doctor. How to treat malaise and severe pain with the help of injections, only a doctor can advise and prescribe required drug. Most of them can only be purchased with a prescription.

warming up

This method of getting rid of pain is more likely to be traditional medicine.

Warming well helps with pain of a non-inflammatory nature - sprains, hernias, curvatures, osteochondrosis.

In an infectious process, warming causes blood flow to the affected tissue area and increases pain.

Exercises

Therapeutic exercise is an excellent prevention and treatment of lower back pain.

The purpose of the classes is to strengthen the muscular corset of the spine and correct posture.

1. From a prone position, it is necessary to alternately raise the legs by 10-15 cm and hold them on weight for a while.
2. Lying on your back, you need to bend your knees at an angle of 90-100 degrees and raise to the maximum height. After doing bent legs must be tilted to the right and left until it touches the floor.
3. Slow and smooth tilts performed in various directions. During the exercise, try not to bend your back in thoracic region keeping it as flat as possible.
4. Standing on all fours, you need to perform swings at the same time right hand and left foot and vice versa.
5. Bridge exercise. First, it must be performed, leaning against the wall, or with the help of another person.

Massage

Massage is a great help in getting rid of pain in the lumbar spine.

It can be entrusted to a specialist in a clinic or carried out at home, in any case, the benefits from it will be invaluable.

to the positive therapeutic effects massages include:

• improving the blood supply to the diseased part of the body;
• kneading the muscles, which makes them and ligaments more flexible and elastic;
• removal of acute pain;
• getting rid of accumulated in the muscles and subcutaneous tissue toxins;
• pleasant sensations due to stimulation of the nerve endings of the skin;
• positive emotions.

It is good when massage is combined with taking a bath or sauna.

It is especially useful to bathe with birch or oak brooms, they perfectly stimulate all vital processes and increase the overall tone of the body.

Which doctor should I contact?

For back pain, the cause of which is not known, first of all, you should consult a therapist. It will help to identify the disease by the totality of symptoms.

If the cause is obvious: the pain was preceded by an injury, the pain arose against the background of pregnancy, the menstrual cycle, or chronic disease, it makes sense to immediately turn to a narrower specialist.

Self-medication is permissible only in cases where the cause of the pain is precisely known.

Video: first aid

Prevention

To preventive measures Pain prevention includes:

Regular exercise

Physical education should be general strengthening, giving equal loads on all muscle groups.

Every day, exercise should be given 20-30 minutes of time.

It can be morning exercises, jogging, swimming in the pool, walking at a brisk pace.

Video: gymnastics to strengthen the muscles of the back and spine

Maintenance of water-salt balance

A person should consume up to 3 liters of fluid per day. The best liquid to consume is mineral water.

Coffee, tea (including green), carbonated drinks create an additional burden on the kidneys, but do not fill the body's need for fluid.

More water should be consumed in the morning, and after 20.00 do not drink at all. Otherwise, swelling, pain in the kidney area are possible.

Proper nutrition

In the diet, it is worth reducing the content of fatty, fried and smoked foods or completely eliminating them.

The healthiest foods are boiled or steamed.

The daily menu should include the whole complex of microelements, vitamins and minerals necessary for the body.

• Preventive examinations by specialists

Women should visit a gynecologist every year, men - a urologist, the health of children as part of a routine examination is usually monitored at educational institutions.

This allows early detection of the disease and start its treatment.

The main condition for maintaining a healthy back is the right lifestyle and a positive attitude.

It is never too late to start monitoring your posture, to perform a set of exercises. Many serious illness of the spine allow you to lead a full life, subject to the rules and prescriptions of doctors.