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Why does your back hurt in the lower back, how to deal with?

Low's pain is a common phenomenon that most adults face less or more often.For many, they are constant, background.However, sometimes they can have a significant negative impact on the quality of life, to interfere with daily activity.In this case, it is necessary to begin the diagnosis and treatment of pain in the spine in the lumbar region, since it can be a sign of a serious pathology.

What to do if the back hurts in the lower back?

What to do if the back hurts in the area of the lower back?First, the patient should assume independently what cause has discomfort.

Pain can cause two types of pathologies:

The causes of back pain in the lower back
  • Directly associated with the musculoskeletal system.They are characterized by the increase/appearance when changing posture, active movements, dynamic load in the musculoskeletal system.For the same reason, the pain appears after a long work work, etc.;
  • Associated with internal organ pathologies.In this case, you can determine the problem through concomitant symptoms: in kidney disease, this is an increase in temperature, difficulties with urine, with lumbar pain bladder diseases, intensifies/appears during urination.Gynecological pathologies are accompanied by characteristic symptoms of genital organs, the menstrual cycle.

If the patient has reasons to believe that pain in the lumbar region is associated with gynecological pathology, then after going to the doctor, the following diagnostic studies will be carried out:

  1. Ultrasound examination of pelvic organs;
  2. Diagnostic gramletaging;
  3. Pathological microflora smear;
  4. General blood analysis.

In case of suspicion of kidney pathology, the bladder, the following studies that prescribe the therapist are carried out:

  1. Ultrasound study of the kidneys/bladder;
  2. General urine analysis;
  3. Biochemical blood analysis;
  4. Manual inspection

In case of suspicion of pathology of the musculoskeletal system that causes low back pain, it must consult a vertebrologist/orthopedic/neurologist.

To establish the presence of a spinal disease, the following studies are carried out:

  1. X -Ray - Visualize only bone tissues, but it can determine the indirect signs of articular tissue pathologies, intervertebral discs;
  2. Manual inspection: Verification of reflexes, sensitivity;
  3. An electroneurogram in case of suspicion of a significant affectation of nerve tissue in the process;
  4. Ultrasound of the column with contraindications to other research methods.

The most informative complex research methods for lumbar pain - CT, MRI.They can be used in any case, if necessary, confirm the diagnosis, or if it is impossible to put it in another method.

Comprehensive treatment

How to treat back pain in the lower back?If they are associated with internal organ pathologies, then it is necessary to cure their cause.With urolitiasis, surgical elimination of stones is recommended, dissolve them with special medications.With pyelonephritis, cystitis is prescribed Lessoneptics, a broad spectrum of action for a long time.In the case of gynecological pathologies that cause low back pain, everything depends on their kind: hormones, antibiotics, anti -inflammatory medications and surgical intervention can be prescribed.

But most of the time, low back pain is caused by pathologies of the musculoskeletal system, which also require comprehensive treatment.A neurologist, the orthopedist can prescribe such treatment.

Pain elimination with medications

If the back hurts in the lower back, one of the following methods can help:

How to relieve low back pain
  • Non -steroidal anti -inflammatory drugsAccepted 1 piece up to 3 times/day.Effectively relieve pain, almost without contraindications, side effects.You cannot take them without control during pregnancy.When, after 2-3 days of taking, the pain does not happen, it must consult a doctor: the treatment course can be extended to 14 days, but only under its control;
  • Non -steroidal anti -inflammatory drugs in injectionsThey are administered intramuscularly in an individual dose no more than once a day.Relieve pain more efficiently and faster than drugs on tablets, but it is forbidden to use them for more than three days, since they begin to influence the chemical composition of the blood, reducing their coagulation.If necessary, extend the Aine course, the doctor prescribes the patient to the tablet;
  • Analgesics in tabletsThey are allowed in extreme cases, since they have side effects, negatively affect the state of the gastric mucosa, but it relieves more effectively the pain than the NSAIDs.Take strictly if necessary for 1 tablet.Contraindicated during pregnancy, stomach ulcer, in some other cases;
  • Analgesics in injectionsThey do not have such a pronounced negative effect on the mucous membrane, introduced in individual doses, also strictly according to the indications.Contraindicated during pregnancy, reduce blood clotting.

The methods have a pronounced analgesic effect, but with a serious pathology, only integral treatment will help relieve exacerbation.

Additional drugs

During the complex back pain therapy on the lower back, other medicinal substances are prescribed:

  • Heating of ointmentsApply if necessary up to 4 times a day.They help relieve muscle spasm, painful in itself, causing nerve tissue compression, blood vessels.The spasm occurs after a long static/dynamic load;
  • Antispasmodics2 tablets are accepted up to twice a day, contribute to the elimination of muscle spasm;
    • How to treat back pain in the lower back
  • Condroprotectors in ointments or tabletsAllow the strengthening of intervertebral discs, joint tissues, stop the progression of the pathological process.The ointment is applied up to 4 times/day, the tablets are taken 1-2 times/day;
  • B VitaminsIntramuscularly injected 1-2 days in individual doses.Allow to improve the conductivity of nerve impulses, maintain a good state of nerve tissue;
  • NSAID MASIThey have an additional analgesic effect, applied directly to the painful area 3 times/day.For themselves, local funds are not able to effectively.But effective as an additional method.

A doctor prescribes comprehensive treatment, is complemented by massage, physiotherapy, physiotherapy physical education.

Ceremonies

Exercise and Gymnastics Therapy

The following exercises help effectively relieve pain in lumbar:

  • A cat storm.Take a position on the floor with the knees and palms.Fold your back as much as possible, fix at the top of 10 seconds.Then bend the back as much as possible, so fixed at the lower point for 10 seconds.Repeat the exercise 7 times in both addresses;
  • Lie on the floor, stomach, straight legs, extended arms in front of you.At the same time, lift your arms, the upper body, straight legs, as if it made the "bridge" on the contrary.Set at the maximum point for the maximum possible time, slowly return to its original position.

The physical exercises prescribed by a doctor in physiotherapy exercises help strengthen the muscle frame, so that the column becomes more resistant to loads.They also normalize tissue nutrition, intervertebral discs, avoiding the development of degradation processes in them.However, exercises can only be performed during periods of remission, during injuries, exacerbation of chronic diseases, are prohibited.

Yoga

Yoga has the same indications, contraindications as exercise therapy.

The following asanas are the most useful in pain in the lower back:

  1. Inclined forward from a sedentary position;
  2. Child's pose;
  3. Turning a lotus pose;
  4. Liar goddess;
  5. Legs at right angle with the body with support on the wall;
  6. Free wind;
  7. Possessing

First it is recommended to perform them under the supervision of an instructor.

Swim

During swimming, the load is removed from the column, the muscle frame is strengthened and the work of the muscles is normalized and the blood circulation is improved.It cannot swim during periods of exacerbations.It is also important to adhere to certain styles that do not exercise a burden in the lumbar region.This is a swimming in the back shown at the beginning of the lesson, in the end, orthopedic device, like a dog.Rabbit style is not recommended, since it provides a significant load in the musculoskeletal system.

Physiotherapy

How to treat pathology?An additional good method is physiotherapy.

The following methods are used:

  1. Microwave;
  2. UHF;
  3. Magnetotherapy

In the course, hypertonicity, muscle spasm is eliminated, the inflammatory process decreases, swelling decreases, blood circulation, microcirculation is normalized.In general, 7-10 procedures are enough to achieve a stable positive effect.

Massage

Massage allows you to relieve muscle hypertonicity, strengthen muscle corset, such as exercise therapy, is prohibited to perform serious exacerbations of pathologies.

Perform light massage as follows:

  1. Rub with open palms, on both sides of the spine;
  2. Pressure, accompanied by vibrant/circular movements: apply forces simultaneously with two fingers, symmetrically, at various points along the spinal column;
  3. The development of the deep layers of the muscles: press four fingers in the tissue on both sides of the spine, without reducing the pressure to advance in the hands forward, from the sacrum to the thoracic region.

Finish the complex also rubbing.

Workplace organization

Often, the pain in the column is manifested in people dedicated to sedentary work.As a result of a long session, there is a strong static load in the spine.It can be reduced with the proper organization of the workplace.You must comply with the following rules:

  1. When placing the forearm on the table between them and the shoulder, a right angle must be formed;
  2. The feet should stand on the floor in a sitting position, the knee must be folded at an angle of 90 degrees;
  3. The distance from the eyes (with a straight back) to the computer screen is 50 cm, to the surface of the 30-40 cm table.

In addition, you can improve your condition buying a special orthopedic session.

Prevention

If the lumbar region has not hurt, but it feels rigidity in it, take the following measures for the prevention of pain in the lower back:

  1. Avoid weightlifting;
  2. Avoid prolonged dynamic/static load;
  3. Take breaks in gymnastics with sedentary work;
  4. Perform exercise therapy daily;
  5. Eat correctly;
  6. Abandon bad habits;
  7. Avoid drafts;
  8. Follow your weight, do not allow your set.

These methods avoid the development of musculoskeletal system pathologies.

Conclusion

Back pain and lower back can cause several pathologies and can get rid of unpleasant symptoms only by eliminating the cause of this pathology.Therefore, if the pains to relieve pain stop acting, lumbar pain becomes regular/very intense, then you should consult a doctor to establish the cause of pain and eliminate it.