Back, back pain

Are you familiar with pain, lumbago, constant heaviness, such feelings in the back?

Harmless pulling pain is often a sign of a dangerous disease. In the article we will analyze all the causes of the disease.

Reasons

1. Diseases of the spine and pelvis.

• Osteochondrosis (damage to the intervertebral discs (bulge, disc herniation);
• Spondylitis (inflammatory disease of the spine);
• Spondyloarthritis (arthrosis of the intervertebral joints);
• Bone growth (spondylosis);
• Spondyloarthritis (inflammation of the intervertebral joints);
• Myositis (inflammation of the muscles);
• Osteoprosis (compression of bone density) with compression fractures of the vertebrae and other bone structures;
• Damage to the spine and pelvis (fractures, cracks);
• Sacroiliitis (inflammation of the sacroiliac joints);
• Tumors of bone structures and soft tissues.

2. Pain in the lumbar region,Due to diseases of the abdomen and pelvic organs (inflammatory diseases and tumors), this pain is often accompanied by abdominal pain.

The nature of painmay be different:

• It is a sharp, rapid, sudden pain;
• Chronic - pain for more than 2 months, occurs with the progression of back pain;
• With inflammatory pathologies of the genitourinary system, abdominal organs (with chronic gastritis, pancreatitis, cholecystitis, enterocolitis).

Pain intensity

From anxiety to severe pain.

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

Severe pain in the lumbar region

There may be a reflex (muscle spasm caused by irritation of receptors in the paravertebral muscles). Coughing and sneezing hurt a person, all actions are accompanied by pain. When the nerve root is compressed (disc protrusion, disc herniation), the pain often spreads from one side to the lower extremities.

Myofascial syndrome

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

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

When to see a doctor: Any back pain requires a doctor to determine the cause of the pain and take action.

Pain in men and women

Pain syndrome is different in men and women with diseases of the reproductive system.

For men with prostate pathology, smoking, aching pain is characteristic, often accompanied by a violation of urinary excretion. In women, the symptoms are often acute and pronounced. Pain is unbearable with ovarian apoplexy or ectopic pregnancy. The syndrome is usually more intense on the affected side.

Endometriosis, with uterine fibroids - painful sensations, pulling If the pain is associated with lumbar pathology, the severity of pain does not depend on gender. It is observed that men then consult a doctor.

Diagnostics

Examined by specialists

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

Laboratory methods

• general blood test (to rule out the inflammatory process, leukocyte levels, ESR levels), elimination of anemia (hemoglobin level);
• general urinalysis: exclusion of inflammatory processes in the bladder, kidneys (bacteria, leukocytes, erythrocytes);
• fecal analysis for occult blood;
• blood biochemistry: systemic inflammation (CRP, RF, uric acid), assessment of liver function (lower bilirubin), assessment of renal function (creatinine urea), pancreatic function (amylase), etc.

Instrumental research methods

• radiography of the spine and pelvis; flat radiography of the abdominal cavity (except for intestinal obstruction);
• Ultrasound of the abdomen and pelvis;
• FGDS;
• colonoscopy;
• Lumbar MRI (CT), contrast lumbar MRI (CT);
• MRI (CT) of the abdomen and small pelvis, MRI (CT) of the abdomen and contrast small pelvis.

Treatment

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

Drug treatment

Spinal diseases (mostly in the context of osteochondrosis):

• NSAID;
• muscle relaxant;
• opioid analgesics;
• diuretic drugs;
• vascular medications;
• antibacterial drugs;
• medical and medical blockade with novocaine, lidocaine and diprospan.

Drug-free methods

Mainly used in the treatment of spinal diseases:

• physiotherapy (magnetic laser, magnetotherapy, CMT with novocaine, etc. );
• acupuncture;
• lumbar apparatus traction;
• manual treatment;
• massage;
• balneotherapy (mud applications, ozokerite);
• Sports 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 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 city vertebrology center. All treatments are used except surgery. You can be monitored, examined and treated in an outpatient setting, ie outside the hospital.