It often happens that the patient turns to the doctor to find out why the back hurts in the lower back. Those who spend a lot of time in their summer cottage, in their garden, often experience such a pain syndrome. People who constantly repair the house and do not spare efforts in the area, thereby spoil their health. Toiled for a day or two, now impossible to fix without excruciating pain. However, in some cases, pain indicates the presence of other pathologies. In order to determine the appropriate treatment strategy, it is necessary to first find the root cause of the pain.
Possible factors: is everything serious?
In order to find a good treatment for the problem, you must first determine its cause. The shoulder in the lumbar region hurts on the left, right or even causes girdle pain, if a person's kidney function and health are impaired, osteochondrosis develops, neuralgia is observed. There is a possibility of acute pancreatitis. Each described situation requires a comprehensive approach to treatment and it is advisable to consult a doctor. Trying to choose a course of therapy for yourself, you can harm your health, the situation will worsen. If you come to the doctor, he will evaluate the symptoms at the reception, make a preliminary diagnosis and send it to studies that will confirm or refute the hypothesis.
Kidneys hurt
If there is a lot of pain in the lower back, there is a possibility of pyelonephritis. The term refers to the formation of foci of inflammation in the body. If the disease is not infectious, a diagnosis of glomerulonephritis can be made. Sometimes the pain syndrome indicates the appearance of stones in the kidneys and ducts. The processes of their generation, as well as the movement, cause quite a strong concern.
Often, the disease develops against the background of hypothermia, which may be preceded by a cold. It is noted that people who follow strict diets suffer more from kidney diseases. In many ways, the symptoms of kidney pathologies and the condition called "tearing the back" are similar. There are a number of specific signs that allow you to more accurately identify the pathology. If the kidneys are sick, feelings do not depend on load, activity, movements. Many have a fever, the urine becomes cloudy, the shade changes. Some note an increased desire to urinate, the process itself is accompanied by pain. There is a light tap with the edge of the hand near the kidneys, the area will respond with severe pain.
How to help yourself?
If a man, woman, child has pain in the back, if there is a reason to suspect kidney disease, it makes sense to contact a local doctor, call him at home. Kidneys are extremely important elements for the functioning of the human body, so unreasonable risks are unacceptable. While waiting for the arrival of a specialist, you can try to alleviate the symptoms of the disease. The patient is made to lie down or sit as comfortably as possible, they are given a means to reduce the temperature if the temperature exceeds 38 degrees. You can take antispasmodic medicine to reduce the pain a little. If the patient needs to change position, he should be assisted. In addition, it is advisable to monitor blood pressure and body temperature.
It happens that people are sure that they know exactly if there is pain in the lower back, what to do: immediately put a warm compress or put the patient in a hot bath. Such procedures are strictly prohibited in case of kidney diseases. Any warming will worsen the patient's condition. If a person has developed pyelonephritis, this activates the inflammatory site. The duty of the patient is to wait for the arrival of a specialist. The doctor will examine the patient and recommend further measures.
Pancreatitis
If a man, woman, or child has pain in the lower back, the cause may be pancreatitis. Pathology can be suspected if the pain surrounds the area while creating the feeling that the disease is coming from the left half of the body, the hypochondrium region. It is possible to cover the back, abdomen - this forms rings of pain. For some, pancreatitis causes severe pain near the navel. If the pathology continues atypically, the patient has back pain - lower back and a little higher. This nature of pain syndrome localization often leads to wrong initial diagnosis.
If you suspect pancreatitis, you should call a doctor. While waiting for a specialist, you will have to completely refuse to eat - during the inflammatory process, food can dramatically worsen the condition. The caregiver should help the patient to get a comfortable posture; provide as much comfort and peace to the person as possible. You can drink some water without additives, but drinking is allowed only in moderation. It is advisable not to leave the patient until the arrival of a specialist, to constantly monitor the changes in the condition. It is believed that if you curl up in a fetal position, the pain will be slightly weaker.
Osteochondrosis
If the back in the lumbar region hurts a lot, it is likely that the cause was a disease of the cartilages of the joints that connect the elements of the spine. The pathological process is associated with compression of nerve roots - this becomes a source of pain. According to doctors, every compatriot over the age of 30 has a high probability of developing the disease. In recent years, osteochondrosis is increasingly diagnosed in young people and is detected in adolescents.
To provoke a pain attack, you can lift a heavy object, stay in a forced, uncomfortable position for a long time. If a person drives a car for a long time, sits a lot and moves less in everyday life, the probability of developing pathology is higher. If the pain syndrome spreads to the leg, if the back is nagging, it is possible to suspect osteochondrosis. If you try to move, the pain increases. It is accompanied by any load and a simple change in body position. Shooting, burning pain sensations are possible. It is possible to replace osteochondrosis, if the hips and legs are characterized by a decrease in sensitivity, and if a stable posture is maintained for a long time, it becomes difficult to change it. For many, the thermoregulation of the limbs is disturbed, the feet sweat a lot, and the feeling of cold is disturbing.
Features of work and first aid
If the back, lower back, spine hurts, if there is no temperature and the manifestations are similar to the above, if there is no doubt that the cause of the pain is the spine, you can give yourself first aid in a simple way. meansThe affected area is covered with a warm woolen shawl or tied with a warm shawl and stretched to lie on a hard, flat surface. In the absence of the effectiveness of such measures, it is possible to rub the lower back with non-hormonal ointments to ease the course of the inflammatory process. The doctor can prescribe systemic treatment with non-hormonal anti-inflammatory drugs. As a rule, drugs containing meloxicam and ibuprofen are prescribed.
Do not take analgesics and anti-inflammatory drugs on an empty stomach. The active components contained in the drugs irritate the gastric mucosa, can cause gastric ulcer and gastritis.
If there is no certainty that the cause of the pain is exactly in osteochondrosis, it is necessary to consult a doctor for diagnosis. Unreasonable self-treatment with non-hormonal anti-inflammatory drugs will undoubtedly lead to worsening of the condition. This will be especially expressed if the patient has a disease of the pancreas, a disorder of the gastrointestinal tract.
Safety first
If you have pain in the lower back, the doctor will tell you what to treat. You can not try to "build" the spine, this will make the pain worse, there is a chance of serious damage to the back. If osteochondrosis has passed into an acute stage, it is necessary to avoid heating. It is forbidden to take a hot bath. We will have to give up saunas and baths. At first, the warming gives a feeling of relief, but soon the pain comes with renewed force. If symptoms of osteochondrosis appear frequently, you should make an appointment with a neurologist. The doctor will refer you for an MRI. Such a picture will allow you to assess the condition of the lower back and determine how best to deal with the main cause of the pain.
If osteochondrosis causes pain during physical exertion, it is likely that the condition will soon improve when a person receives anesthesia or medication to stop inflammatory activity. Even if the pain is completely gone, you should not return to your previous activities. The patient's back should be rested for a while. The best option is bed rest.
Neuralgia
There are many different manifestations of how the lower back hurts - when lying on the back, walking, bending over. In some cases, the reason for this is an inflammatory process that affects nerve fibers. Neuralgia can be suspected with manifestations similar to the symptoms of osteochondrosis described above. With any physical activity, the back immediately responds with pain, even a small movement is difficult for the patient, and the need to move creates fear. There are a number of features that allow us to suspect what exactly causes the pain and distinguish neuralgia from compressed nerve endings that provide sensitivity to the spine.
A person with osteochondrosis is subconsciously afraid to move, because the back gives pain to any movement. Neuralgia also has this feature, but the pain will spread along the nerve causing it, and the sensations describe themselves as twitching. Perhaps an unexpected relief of the condition and the return of pain when a person is calm, motionless. Sometimes convulsions occur against the background of neuralgia, muscle pains, changes in skin tone are disturbing. In some, the work of sweat glands is disturbed. With pressure on the back, the pain immediately symmetrically covers both halves of the body.
Help Features
If you have a lot of pain in your back or lower back, only a qualified doctor will tell you what to do. It is quite difficult to rule out the pain syndrome caused by neuralgia, but at the same time it is necessary to take measures to improve the patient's condition, because constant pain can cause mental deviations. The doctor will prescribe non-hormonal anti-inflammatory drugs to ease the pain. In some cases, they prefer to stop on drugs containing ibuprofen, meloxicam. The patient is given rest.
If the patient goes to the doctor because of a lot of pain in the back, the lumbar region, what to do, should be decided by a qualified specialist. Depending on the specifics of the case, hospitalization may be recommended. If the feelings are very strong, this measure is resorted to. Those who need it will be blocked using novocaine in hospital conditions.
Features and pains
It also happens that a person has sprained his back and has lower back pain. The doctor will tell you what to do in such a situation. It will depend on the severity of the damage. Sometimes rest is enough, in other cases the help of a surgeon is required. It is known that pain often accompanies a period of rest after a long workout or an unreasonably large load. Pain can be caused by awkward, unsuccessful movements. It is known that people who are under stress, as well as those who sit in front of the computer for a long time due to the nature of their work, complain of pain more often. Those who exercise very actively, stand for a long time, and are overweight often suffer from back pain. Lower back pain almost always accompanies pregnancy and bothers for some time after the birth of the child.
In general, there are situations where you don't need to figure out what to do: the back hurts in the lumbar region, but it is weak, everything goes by itself over time. If the attack is one-time, not very strong, there was an obvious causative factor before it (for example, working for a long time at a summer cottage), you just need to give yourself a rest and wait for the pain to go away. If the pain comes with long attacks, periods, discomfort, you should consult a doctor, because it is impossible to determine what is causing the sensations yourself.
Causes: primary and secondary
Primary pain is observed when there is a disease of the spine. Such a syndrome is possible if a person develops spondylarthrosis, spondylosis. Possible hernia or protrusion. Secondary pain syndrome is accompanied by fractures, tumor processes, long-term muscle tension. Such pains can be caused by diseases (kyphosis, arthritis, tuberculosis), narrowing of the spinal canal, osteomyelitis and a malignant process are possible. Back pain is possible with ovarian cysts and endometriosis. In order to find out what to do, the doctor must examine the patient's condition and clarify all the factors of the case. Back pain in the lumbar region in people suffering from cystitis, scoliosis and osteoarthritis. Scheuermann-Mau disease can cause pain. In some women, pain indicates complications related to the carrier of the fetus.
Do you need to rush to the doctor?
There are certain pain symptoms that indicate the need to get qualified help as soon as possible. So, if it responds with back pain while walking, coughing, sneezing leads to aggravation of sensations, if the sensations spread to the lower limbs, you should make an appointment with a neurologist. It will help if the lower back hurts, if the sensations are dull, if the back hurts, if the pain spreads to the legs, if it is more noticeable when coughing and moving. Probably, such symptoms indicate sciatica, but a person needs the most timely help from a doctor, so you should not delay contacting the clinic.
A traumatologist can tell you what to do if your lower back hurts, if the sensations occur against the background of stretching muscles or lifting a very heavy object. For such reasons, as well as hypothermia and pain associated with exposure to drafts, it is necessary to use creams that activate blood flow at home for three days. If the condition does not improve during this time, you should make an appointment with a doctor.
Events and time
You can try to help yourself with back pain, lumbago within three days. According to doctors who know exactly what to do if their back hurts in the lumbar region, such symptoms are more often experienced by those who are forced to work hard due to their activities. The pain usually goes away on its own within a few days after exercise, but rarely lasts for weeks. To alleviate the situation, you need to use analgesics and give yourself rest. It is necessary to experimentally find out in which position the pain is the weakest. In the first two days, you should provide yourself with bed rest. If the feelings have not passed within three days, it is noted with the doctor.
Possible pain syndrome against the background of myositis. Such a pathological process usually occurs with hypothermia or severe muscle tension. The field responds with stiffness, the sensations are sharp, especially strong when trying to move. For this reason, the doctor will tell you in the best way what to do if you have pain in the lumbar region of your back. Doctors advise first to take a hot shower, find suitable warm clothes and completely refrain from any physical activity. In the first three days, use ointments that ease the inflammatory process and relieve pain. If the sensation does not subside, make an appointment with a doctor.
Chronic and diffuse pain
What to do if there is pain in the lower back due to spondylosis, the doctor will tell only after carefully assessing the patient's condition. The disease is expressed by a strong, acute pain syndrome, the lower back hurts, the legs become weak and numb. With such manifestations, you should immediately make an appointment with a neurologist.
Ankylosing spondylitis can cause pain. A possible cause is a metabolic failure or oncological pathology. In any of these options, it will not be possible to help yourself, you need to consult a qualified specialist and do a detailed examination of the body.
It also happens that a person is sure that the pain is localized in the lumbar region, but the real reason is the failure of the functionality of the internal organ. If the pathology is localized in the pelvis, gastrointestinal tract and kidneys, radiation pain is possible. Often gives pain in the lower back with cancer. If the syndrome lasts more than three days, if it precedes the injury, if the leg and lower leg ache in addition to the lower back, it is impossible to postpone a visit to the doctor. When the pain is accompanied by numbness of the limbs, inguinal region, it is impossible to delay the visit to the clinic.
How to check?
If there is pain in the lower back in the morning, this can be considered a sufficient reason to contact a specialist. First, you can go to a local therapist. The doctor will give instructions for tests and instrumental examinations, refer to a highly qualified doctor based on the details of the case. The most accurate diagnosis is usually made by a neurologist. For this, it is necessary to get the results of MRI, ECG and ultrasound examination. Blood and urine samples are tested in the laboratory. In some cases, it is necessary to study spinal cord puncture, if malignant diseases are suspected, tissue samples are taken for biopsy.
How will they be treated?
Many people are afraid to go to the doctor if they have lower back pain in the morning because they believe that the doctor will immediately send them to surgery. Today, there are many effective methods for the treatment of various diseases of the spine. There is a method that uses waves and magnetic fields. It may help to administer a medication designed to treat the joints. Rehabilitation simulators that quickly restore movement have been developed. With severe pain and the need to stop inflammation and spasm, the doctor will block.
Medications for back pain include oral and injectable medications. Often such treatment is combined with physiotherapy - this increases effectiveness. Prescribe drugs to relieve swelling, relieve stiffness, and eliminate the focus of inflammation. Since all such drugs have a wide list of contraindications and possible side effects, self-medication with them is strictly prohibited.