Question "DOES What does the pain in your back mean?"It may seem stupid.Everyone can try it.Dried, erected a heavy object, it was for a long time in a forced position, an unpleasant bed, here is a list of common reasons for the back of the back and pain.The decision begs on its own.Drink an anesthesia and expect a speedy recovery.
This does not always help.Pain can gain a strong foundation on the back and become the worst enemy for weeks, months, years.Even then, some patient people may not see a doctor, but continue to take pills.
Pain is the signal of our body through the nervous system that has a problem and it must be solved.The situation is much worse when the disease progresses and nothing hurts.This occurs with oncological diseases when pain occurs in the last stages of the disease.
Types of pain
Nonspecific - gets more than 85% of your doctor's visit.Accompanied by overload of muscles, ligaments, tendons, small spine joints.
Koreshka - caused by compression of the nerve root of a hernia.Up to 10% of cases.
Specific - caused by a particular disease.This includes a spinal fracture, tuberculosis, purulent process, neoplasm, narrowing of the spinal canal, abdominal cavity disease, a small pelvis and others.Up to 10% of cases.
Symptoms
Typical symptoms of non -specific pain:
- appearance, deterioration when moving (sharp rotation of the head, slope, weight lifting);
- arises after a long forced position (sitting on a computer, with professional leaders, static work for sellers);
- Limiting post -sleep mobility in an unpleasant position, on an uneven surface.
The reason for these symptoms in violation of the motor stereotype, when some muscles and joints are overloaded, while others, on the contrary, do not participate in the move.
There is such a thing as a "unprepared" movement.When the muscles are not stretched, the ligaments do not warm, and they are given either a large load or a large volume of movements.So, office employees who are not involved in the sport, after the events of timbilding with game activities, rope cities, races may not go to work the next day due to problems with the back.Another category is gardeners of retirement age.They spent all winter houses with minimal physical activity and suddenly gave an excess load on their back.The result is one - pain, restriction of mobility.
The roots of the spinal cord are characterized by:
- shooting pain in the toes, brush;
- violation of reflexes;
- Sensitivity changes (numbness, increased skin sensitivity);
- decrease in muscle strength;
- Symptoms in muscle tension.
According to these symptoms - the pain in the tongue, the numbness of the small finger or the pain of the foot shooting, it is often possible to determine quite accurately at what level in the back there was a compression of the nerve without an MRI.
Specific pain can indicate a potentially dangerous, serious illness.Symptoms of Threats:
- the onset of persistent back pain for up to 15 years and after 50 years;
- Nature not -the excitement of the pain (pain does not sit alone, in a lie position, in certain poses);
- linking pain to damage;
- tenderness of pain;
- the presence of oncology earlier;
- pain in fever, weight loss;
- prolonged stiffness in the morning;
- paralysis, pelvic disorders, severe sensitivity disorders;
- Changes in urine tests, blood.
The cause of such violations can be serious illness:
- Rheumatic diseases;
- malignant tumors;
- infections (osteomyelitis, abscess, tuberculosis, herpes that close);
- Vascular diseases (abdominal aortic aneurysm);
- blood diseases;
- osteoporosis;
- Kidney disease, cystitis;
- pancreatitis, duodenal ulcer;
- Spinal canal stenosis, vertebral fractures.
Therefore, it is best to consult a doctor to rule out dangerous causes.Especially if the sedatives of the sedatives help poorly and has dangerous symptoms.
Troubleshooting
This is the most important phase of treatment, as all further actions depend on it.It seems that you can make an X -Ray or a MRI, then everything will become clear.But there are traps here.A functional diagnostic physician makes a conclusion based on what he sees in the picture.But he does not examine the patient himself.Therefore, the results of the picture are not equal to the diagnosis.
We will analyze the example.If you get fully healthy people aged 20, then almost half of them can be detected by intervertebral disc herniation.But this does not mean that they need treatment, in deep examination or back surgery to eliminate defects.
Clinical recommendations for general practice doctors of the National Institute for Improving Health Standards and Social Assistance of the UK in most cases with non -specific pain syndrome up to 1 year do not recommend that neither X -Ray as CT/MRI with a number of exceptions.
Isn't it a hernia causes pain?Only in 1 out of 10 cases.In all other cases, disk hernia and back pain are not related.
First, the story of the development of pain, the first episode, circumstances (damage, load) is clarified, which have appeared other symptoms, seemingly not related to back pain.
During inspection, spine curves, mobility restriction, muscle tension are evaluated.Localization of pain, signs of root compression ("give" to the foot, violation of limb sensitivity).
And only then, according to indications, CT/MRI are performed, a general and biochemical blood test is described.
Therefore, the doctor should be diagnosed.It should determine the type of pain, the necessary studies, exclude the dangerous symptoms of specific pain and only then prescribe treatment.
Treatment
First Aid. Even before you get pills, you can help yourself.It is necessary to download the spine and give a chance to relax.To do this, we lie on a flat flat surface (floor, dining table, plywood sheet) on the back.Under your feet you need to put a large pillow, roller, excrement, so that the angle between the body and the thighs is 90 degrees on the knees.
We slowly breathe and try to relax as much as possible with each extraction.You can lie as much as possible.The main thing is that the surface is not cold.Soft sofas, beds are not suitable.
drug.Typically, treatment begins with non -steroidal anti -inflammatory drugs (NSAIDs), which will help relieve pain and inflammation.These medicines can be purchased without a prescription, but they cannot be obtained uncontrollable.
Taking them can lead to erosion, intestinal ulcers and stomach, bleeding.If there are already problems with the gastrointestinal tract, this increases the risk of complications.They can have a toxic effect on the liver.There is a risk to the cardiovascular system, the kidneys, with bronchial asthma.
Traditional NSAIDs have more side effects especially in the digestive system.But they are quite affordable.
Selective NSAIDs have a much lower damaging effect on the digestive tract, but have a higher price.
At the same time, the choice of drugs is best to trust the doctor in order to relate to the risk and benefit in each case.Perhaps medicines prescribed to protect the stomach.
Another group of drugs is muscle relaxants, they help relieve muscle spasm.
Chondroprotectors are also used.
Life. Back pain does not mean that you should lie all the time.Bed rest, corset and other equipment that restricts movements are not recommended.This will only cause weakening of the muscles that keep us in a straight position.
It is necessary to maintain a reasonable activity to maintain the tone, to normalize blood circulation.Light walks, gymnastics, physiotherapy exercises are appropriate.
You also need to sleep on a strong orthopedic mattress.Take breaks at work to walk.Drink enough liquid.
PREVENTION
For prevention, it is necessary to strengthen the back to create a strong muscle corset.Such physiological directions as swimming, pilates and yoga are appropriate.
Sleep is recommended on a flat solid surface.The pillow is small, comfortable.
Raise bags with more than 3 kg with a straight back with the strength of the legs.The load is distributed evenly to 2 hands.
Replace the bag with a backpack and wear in two strips
To reduce the shock load on your back, wear shoes with a single spring thick.It is advisable to reduce weight.