Back pain - causes and treatment

Pain in the back

The spread of scientific and technological progress is directly proportional to the worsening of the health of many people.On the one hand, it is good that computers and other electronic devices began to perform a lot of work.On the other hand, people from year to year become less mobile, more often work in a sitting position, and the modern rhythm of life almost leaves time for playing sports.These and many other factors contribute to the development of diseases of the musculoskeletal system, the main symptom of which is back pain.

As statistics show, back pain occurs in 90% of the world's population!

Consider this symptom in more detail and find out how to relieve back pain.

Dorsalgia - what is it?

Back pain (dorsalgia)It is one of the most frequent types of pain in the human body, inferior in frequency of only migraines.

And, if the pain in the muscles (myalgia) or joints (arthralgia) is more often associated with infectious diseases and sprains, then the back pain can still be under more small adverse factors, for example, hypothermia.

Why is this happening?Why does the back hurt more often than other parts of the body (with the exception of the head, as we said).It's all about a large number of nerve fibers piercing the spine.In the center of the spinal column, the spinal cord passes, from which an extensive branching of the components of the nervous system occurs, and the nerve roots come out of almost every vertebra, and if at least one of them is clamped, the person immediately feels the pain in the back.

Moreover, in front of each vertebra, nerve endings come out, which are binded and participate in the functioning of each internal organ.It is for this reason that many patients complain of pain in the back and kidneys, in the back and ribs, back and heart, etc.

If the spine is twisted, a person received a back injury, raised a very heavy thing, or simply has a weak bone-muscular corset, which is why the entire load during movements does not go to the muscles, but only on the bones, these nerve fibers are squeezed out and the person feels the bastards in the back (lumbago), acute pain (when the spine is pinched and not released for a short time) or nervous pain (when nervous pain)The endings are constantly squeezed), or the nerve is cold.

It can be concluded that problems with the cervical vertebrae can cause pain in the cervical region or upper part of the thoracic region, pain between the shoulder blades and the heart, but if the vertebral vertebrae can already hurt, respectively, pain in the kidneys and other organs of the genitourinary system can appear.

Hypodynamia is the cause of back pain

The causes of back pain

Now we will consider the main reasons why the back most often hurts:

1. Diseases of the spine and other elements of the musculoskeletal system:

Osteochondrosis-the disease of the spine, characterized by degenerative-dystrophic damage to the intervertebral discs, after which the tissues of the vertebrae themselves are involved in the pathological process, which leads to a violation of the motor function of them.

Kyphosis-The pathological process in the spine, characterized by its curvature in the front-back of the plane, which usually occurs in the area of the thoracic region.In the common people is called "Gorb", "humpbacked."

Scoliosis- The pathological process in the spine, characterized by its lateral curvature, to the right/left or both sides.

Lordosis- The natural bend of the spine, especially visible in the lumbar region.But with “pathological lordosis”, this bend protrudes in the front direction, and the person’s posture recalls as if he was pulled forward.

Spondylolistz- The disease of the spine, characterized by the displacement of the vertebra, is, in fact, this is subluxation of the vertebra, which may, as a result of the lack of proper treatment, can lead to curvature of the entire spinal column (kyphosis, scoliosis, lordosis).

Ankylosing spondylitis -a chronic genetically inflammatory disease of the spine, in which sacral and illegal joints, vertebral joints and paravertebral soft tissues are affected, which ultimately leads to the scraping of vertebrae and impaired natural mobility of the vertebral column.

Intervertebral hernia- a pathological process in which the intervertebral disc under the pressure is thinner and protrudes outside the intervertebral space.

Osteoporosis- Bone disease, characterized by a decrease in its density.The bones become more fragile and prone to injury.Usually caused by hormonal restructuring in the female body, especially after menopause.

Osteomyelitis- purulent damage to the bone marrow, which leads to melting of bone tissue.

2. Diseases of the spinal cord:

The spinal cord, as we said, passes through the spinal column, connecting the brain and other organs, systems.To diseases of the spinal cord, or by the fact that it is pathologically affected by:

  • Radiculitis;
  • Myelitis;
  • Curvature of the spinal column, which leads to a violation of blood supply or innervation of the spine;
  • Trauma of the spinal column;
  • Abscesses;
  • Oncological diseases;
  • Deficiency of vitamins B6, B12, B1 (are responsible for maintaining the functioning of the nervous system), copper;
  • HIV infection;
  • Syphilis;
  • Scattered sclerosis.

3. Diseases of the muscle tissues of the back:

  • Fibromyalgia;
  • Polymiositis;
  • Myofascial syndrome;
  • Rabdomyolysis;
  • Rheumatic polymyalgia;
  • Abscess;
  • Charcot-Mari-Tuta disease (SMT, hereditary motor-sensory neuropathy, NMSN).

4. Other diseases, conditions and adverse factors leading to back pain

Diseases of the cardiovascular system-aorta aneurysm.

Diseases of the gastrointestinal tract - pancreatitis, cholecystitis, stomach ulcer, duodenal ulcer, enterocolitis, gallstone disease (housing and communal services).

Diseases and condition of the genitourinary system - pyelonephritis, glomerulonephritis, urolithiasis (ICD), renal disease (PCB), adnexitis, endometriosis, prostatitis, menstruation, climate.

Psychological disorders - stress, depression, neurosis, neurasthenia.

Benign and malignant tumors (cancer).

Smoping the body - often leads to a cold of the nerves of the back and its pain.

Poor or incorrectly selected mattress, pillow - become the culprits of back pain after sleep.

Heavy physical labor associated with lifting weights - often leads to vertebral injury, intervertebral hernias and other diseases of the spine.

A sedentary lifestyle (hypodynamia), which leads to weakness and atrophy of muscle tissues of the back and pain in them.Indeed, initially, a person when walking is supported by muscles, but with weakness, the whole load does not go to the muscles, but to the spine, which leads to his wear and back in the back.Mostly office employees, IT specialists suffer in hypodynamia.

Obesity - excess weight additionally loads the back when walking.For the experiment, put 6 2 -liter water bottles in the backpack and walk with it on your back around the house, take daily tasks (washing dishes, sweeping or vacuum cleaner, dust wiping).Then remove it as sensations?Now imagine, a person with excess weight wears such a backpack every second of his life, and some people carry the extra 15, 20, 30 kg on themselves!Weight loads almost all organs and systems, we wear out them.

Pregnancy is another cause of pain in the back.

The causes of back pain depending on its nature

Acute and chronic pain in the back of a aching nature- Myositis, lumbago, stretching of the back muscles, uncomfortable sleeping place, hypothermia, improper lifting large weights, uncomfortable workplace (chair, table height), displacement of intervertebral discs, osteochondrosis.

Acute back pain, giving out in the limbs- osteochondrosis, intervertebral hernias, radiculitis, uncomfortable body position for a long time (berth, workplace).

Pain in the back of a pulsating nature, not passing after taking painkillers- Lumbago, osteochondrosis, scoliosis, kyphosis, intervertebral hernias, spondylosis, a crack of the vertebra.

Pain in the back of a bursting nature- myocardial infarction, angina pectoris, pulmonary artery thromboembolism (pulp), intestinal obstruction.

Pain in the back of a crush- myocardial infarction, angina pectoris, hypertensive crisis, atherosclerosis, coronary heart disease, gallstone disease, pancreatitis.

The causes of back pain depending on its localization

Back pain to the right- Scoliosis, displacement or hernia of intervertebral discs, gastrointestinal diseases, liver disease, inflammation of the right kidney (nephritis), inflammation of the right ovary (oophoret), the presence of stones in the kidneys, myositis, neuritis, excessive physical activity, obesity, and back injury.

Back pain on the left- Osteochondrosis.Lumbago, displacement or hernia of intervertebral discs, radiculite, pneumonia, bronchitis, intercostal neuralgia, myocardial infarction, gastrointestinal disease, splenomegaly, prostatitis, inflammation of the left kidney (nephritis), inflammation of the left ovary (oophrite).

Low's pain- radiculite, osteochondrosis, ankylosing spondylitis, intervertebral hernias, reitera syndrome, rheumatoid arthritis, osteoporosis, lumbar, tumors, infectious diseases with complications on the spine and back muscles.

The pain is below the lower back- osteochondrosis, spondylarthrosis, scoliosis, displacement or hernia of the intervertebral discs, adnexitis, muscle stretching, menstruation.

Pain along the entire spinal column- osteochondrosis, scoliosis, kyphosis, pathological lordosis, protrusion of vertebrae, intervertebral hernias, osteoarthritis, myalgia, spondylosis, radiculitis, ankylosing spondylitis, trauma to the vertebral column.

Pain in the area of the blades:

  • If it hurts under the right shovel, there can be culprits - cholecystitis, pancreatitis, hepatitis, cirrhosis, gallstone disease, vegetovascular dystonia (VSD), intercostal neuralgia, osteochondrosis of the cervical or thoracic region, osteomyelitis, kyphosis, scoliosis.
  • If it hurts under the left spatula, there can be a heart attack, angina pectoris, pericarditis, myocarditis, endocarditis, pleurisy, pneumonia, abscess, spondylosis, osteochondrosis of the cervical or thoracic, myositis, intercostal neuralgia, VSD, kyphosis, scoliosis.

Back pain - symptoms that often accompany Dorsalgia

  • Dizziness, especially with a sharp turn of the head or when rising from a sedentary, lying position;
  • The periodic appearance of “flies” in front of the eyes, darkening in the eyes, up to loss of consciousness;
  • Headaches;
  • Numbness in the fingers, legs, hips, buttocks;
  • Weakness in the arms, legs, general weakness, malaise, fast loss of strength, a sense of breakdown and no rash.
  • A burning sensation or tingling in the arms and legs;
  • Pain after the sternum, in the muscles, joints, stomach;
  • A sharp change in blood pressure from low (100 to 60 and below) to high values (140 by 100 and above) and vice versa during the day;
  • Rapid or rare urination;
  • When urinating or defecation, sensitivity is reduced;
  • Feasts in the back (lumbago);
  • Severity in the shoulders;
  • Change of posture, gait.

Diagnosis of back pain

Among the examination methods that are used in Dorsalgia distinguish:

  • Visual examination of the back, palpation, raising complaints, anamnesis;
  • Magnetic resonance imaging (MRI);
  • Computed tomography (CT);
  • Radiography (X -ray);
  • Electromyography (EMG);
  • General and biochemical blood test.
Massage from fussing of muscle tissue for back pain

How to relieve back pain?Dorsalgia treatment

Treatment of back pain should be based primarily on the treatment of the underlying disease that provoked Dorsalgia.After all, if this is ordinary hypothermia, then simple rubbing, or a warm bathroom will relax the muscles and the pain will pass on its own.But in the case of osteochondrosis or other diseases, simple warming will have only a temporary effect.

Thus, the treatment of Dorsalgia is symptomatic, while the treatment of the underlying disease can differ significantly.

Consider the basic methods and drugs that help relieve back pain.

1. Medicines for back pain

Non -steroidal anti -inflammatory drugs (NSAIDs)- The main group of anti -inflammatory and painkillers that occupy the main niche in the treatment of inflammatory diseases and pain syndromes.The only drawback of some drugs from the NSAIDs group (NSAID) is their negative effect on the mucous membranes of the digestion, which with prolonged use can cause peptic ulcer and internal bleeding.

Some of them may have an insufficient analgesic effect.

In the form of release and methods of using the NSAIDs, I exist in the form of tablets, ointments, gels, injections.

Narcotic analgesics- They are used for severe acute back pain, which can accompany oncological diseases.They are produced strictly behind the doctor’s prescription after weighing all the pros and cons.

Musorelaxants- A group of drugs that have the ability to relax the muscles of the body, thereby relieving cramming and soreness in the muscles, their constraint.After all, it is the stretching, the movement of constrained/cramped muscle tissues causes their pain.

B vitamins (B6, B1, B12)- take a direct part in the formation and functioning of the nervous system of living organisms, both people and representatives of the animal world.Due to this, their combination appears in the forefront in neurological disorders.Additional intake of these vitamins helps gently relieve inflammation from muscle tissue, relax muscle, reduce pain.

2. Injections from back pain

Acute back pain is successfully removed with injections of NSAIDs, Civil Code, or blockade injections.

If everything is clear with anti -inflammatory and hormones, then the action of the “blockade” is based on the interception of the pain impulse from the damage to the brain, so the person does not feel the pain, since the signal about such does not reach the center, so to speak the interpretation of the information.Therapeutic blockades are placed in trigger points of the pain zone.

These means also relax muscle tissue, removing their spasmodic and pain.

Injections, depending on the appointment, can be made muscle, subcutaneously, intradermally or through a catheter.

3. Physiotherapeutic remedies for back pain

Bearing electroneurostimulation (Chens)- the method of anesthesia due to electrical excitation (stimulation) with a special apparatus of sensory nerves.

Magnetic therapy- It helps to gently relieve inflammation, anesthetize, improve muscle mobility and vertebrae due to the effect of a low -frequency magnetic field on the body.

Laser therapy- The relief of pain occurs due to the effects on the pathological zones of light rays of red, infrared or ultraviolet spectrum.It is used for almost all diseases of the spinal column, accompanied by pain.

Electrophoresis- The introduction of drugs is carried out under the influence of small electrical impulses, which prolongs the beneficial effect of therapeutic substances.

Phonophoresis- The method is similar to electrophoresis, only drugs are administered with the support of ultrasound.

Medical physical education (exercise therapy)- Also one of the effective ways to relieve chronic back pain.After all, as we have already said, sitting work and in general, hypodynamia, lead to weakness of the back muscles, which is why the entire load when walking and other body actions falls on the spine, which is wrong.The whole load should come to the muscles of the back and other organs.Therefore, dosed physical activity using specially selected exercises allows you to increase the tone of muscle tissue, thereby unloading the spine.People who began to engage in physical education themselves say that walking has become much easier, pain subsides.

Just pay attention, we are talking about the right exercise therapy!Even dumbbells, and they need to be raised correctly, and not how it hit.Banal squats should also be with a straight back and a bend in the knee joints at a right angle.There is an opportunity, hire a specially trained fitness trainer.

Massage- It helps to relieve fussing of muscle tissue, but, in the absence of changes in lifestyle, massage will have only a short -term effect.

You can also resort to wearing fixing bandages/corsets, which help to develop the correct body position, for example, when working in a sitting position.Fixation with such devices is used after the back injury, or surgical intervention in the vertebral column.

4. Surgical treatment of back pain

Operation on the back is carried out if there are indications to its conduct, which can be attributed:

  • The presence of intervertebral hernias if they clamp the spinal cord (myelopathy) or spinal core nerve root (radiculopathy);
  • Curvature of the spinal column - scoliosis, kyphosis, pathological lordosis;
  • Spinal injury.

After treatment

After the treatment of the underlying disease, the pain syndrome in the back may still be present for some time, so patients with diseases of the musculoskeletal system are directed to restore to specialized resort rehabilitation centers.

It is in such centers that devices for physiotherapeutic treatment are installed, massage is prescribed, exercise exercises are selected, and if necessary, specialized dietary nutrition is prescribed.

Clay and salt - folk remedies for back pain

Folk remedies for back pain

Before treatment, be sure to consult your doctor!

Clay.Clay has been used for more than one hundred years to treat many diseases, and the back is no exception.There is even the term “mud and mud” in which clay can also be used.For the preparation of an anti -fiber remedy successfully used by popular healers for radiculitis, you need to mix 100 g of blue or green clay with 500 ml of apple or wine vinegar.Clay can be bought at a pharmacy.Heat a clay mixture of up to 38 degrees in a ceramic dish and apply it to the place of radiculitis.On top, wrap the body of the body with a dietary film or polyethylene, wrapping on top of a warm cloth, for example, with a woolen scarf.The duration of the compress is 1 hour.After rinse the clay with warm water, wipe the body from moisture and tie this place with a warm scarf.The course of treatment is 3 times a day, within 2 weeks.

Clay, aloe, honey.The next remedy is suitable for the treatment of osteochondrosis and intervertebral hernia.Mix 100 g of green or blue clay, 600 ml of warm water, 1 teaspoon of aloe juice and 1 teaspoon of natural honey.Apply the resulting mixture to the painful area, wrap it on top with cling film and wrap it with a warm woolen scarf.The duration of the compress is 1 hour.After rinse the mixture with warm water and wrap the site with a warm scarf.The course is 3 times a day, within 2 weeks.With allergies to honey, you can do without it.

Frankish and apple cider vinegar.How to quickly remove acute lower back pain?The next remedy will help to do this in 3 days.For cooking, mix 50 g of incense and 50 ml of apple cider vinegar.Moisten in a solution a piece of simple x/b (folded in several layers) or wool fabric, and attach it as a compress on the lower back or other place in the back pain.Wrap the surface with a woolen scarf and wear it until dry.Do such a compress 2 times a day.

Wool and salt.Compresses with salt help to pull a pathological fluid from the body, relieve inflammation, stop pain.Sheep's wool has an excellent warming and healing property.The combination of wool + salt in Dorsalgia is simply excellent.Dissolve 200 salt grams in hot water so that the solution is very salt and put a fabric or a scarf from sheep wool in it for an hour so that it gains salt.Then squeeze the fabric and dry.Tie her a painful area and wear it constantly on yourself, for several weeks.

Dandelion tincture.It is used as a means for rubbing the back.For cooking, pour in a liter jar fresh dandelion flowers of 500 ml of vodka.Close tightly with a lid and put in a dark cool place for insisting, shaking the jar daily.Rub the sore joints or back with tincture up to 4 times a day.

Back pain prevention

To avoid dorsalgia, adhere to the following recommendations:

  • Move more, do not allow you to wear extra pounds of fat deposits;
  • If you work sitting, leave once an hour from the workplace and do charging to improve blood circulation, especially in places where it was insufficient due to sitting;
  • If you lift severity, do it right - with a flat back, and of course, especially for young guys, do not pull superpowers on yourself, even if you have the strength to do this, because the consequences can significantly worsen the quality of life in case of injury;
  • If you wear heavy things, such as packages from the store, distribute the weight of 2 hands so that there is no distort on one side;
  • When you walk or sit, do it with a flat back, do not stoop;
  • Take carefully to the choice of a working chair and sleeping mattress/pillows, they should be with an orthopedic effect and be sure to select in height, body weight;
  • Refuse high -heeled shoes, girls, especially young ones, when there is acute pain in the back, almost always sounds in my head - “what I thought in my youth”, be vigilant now, take care of your health;
  • Try to swim more, this is a wonderful preventive and therapeutic agent from diseases and pathologies of the spine;
  • In the event of the first back pain, consult a doctor, because in the case of the onset of the disease, you can do with simple exercise therapy and rubbing, and if the process is launched, an operation may be required;
  • In food, eat more foods rich in vitamins and minerals;
  • Do not buy your child a backpack or a bag for wearing over your shoulder, becauseIn childhood, this is a direct path to osteochondrosis, scoliosis;
  • Do not roll on attractions with a large shake body, such as a water banana or a water tablet at high speed, becauseSuch entertainment very often ends with a fracture of the vertebra, intervertebral hernia and other injuries/diseases of the spine;
  • Exclude alcohol and smoking from your life.

Which doctor to contact with diseases of the bones, muscles and connective tissue?

  • Orthopedist;
  • Vertebrologist;
  • Rheumatologist;
  • Traumatologist;
  • Surgeon.