Pain, backache, constant heaviness, are you familiar with such sensations 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.
Causes
1. Diseases of the spine and pelvic bones.
- Osteochondrosis (intervertebral disc damage (protrusion, disc herniation).
- Spondylitis (inflammatory disease of the spine).
- Spinal arthropathy (arthritis of the intervertebral joints).
- Spondylosis (bone growth).
- Spondyloarthritis (inflammation of the intervertebral joints).
- Myositis (inflammation of the muscles).
- Osteoporosis (reduced bone density) with compression fractures of the vertebrae and other bone structures.
- Injury of the spine and pelvic bones (fractures, cracks).
- Sacroilitis (inflammation of the sacroiliac joints).
- Tumors of bone and soft tissue structures.
2. Reflex pain in the lumbar spine,associated with diseases of the abdominal and pelvic organs (inflammatory diseases and tumors), this pain is often accompanied by abdominal pain.
The nature of painmay be different:
- Acute is the pain that appears quickly, suddenly.
- Chronic - pain for more than 2 months, occurs with the progression of diseases of the spine.
- With inflammatory pathologies of the urogenital system, abdominal organs (with chronic gastritis, pancreatitis, cholecystitis, enterocolitis).
Pain intensity
From discomfort to severe pain.
In case of acute and intense abdominal pain that emits in the lumbar spine, it is always necessary to exclude surgical pathology that requires urgent surgery (gastrointestinal bleeding, appendicitis, peritonitis, etc. ).
Severe pain in the lumbar spine
It may be reflex (muscle spasm caused by irritation of receptors in the paraspinal muscles). It hurts a person to cough, to sneeze, all movements are accompanied by pain. When the nerve root is compressed (disc protrusion, disc herniation), the pain spreads to the lower extremities, often on one side.
Myophasic syndrome
It is caused by irritation of the pain receptors in the muscles and fascia. There is the formation of triggers (pain nodules) in the muscles, the pain syndrome is chronic, often recurrent.
Any injury to the soft tissues or bone structures is also accompanied by severe pain.
When to see a doctor: Any case of lumbar pain requires a visit to a doctor to help diagnose the cause of the pain and take action.
Pain in men, women
With diseases of the reproductive system, the pain syndrome differs in men and women.
For men with prostate pathology, the pain they pull is typical, often accompanied by a violation of urination. In women, the symptom is often acute, intense. With ovarian stroke or ectopic pregnancy, the pain is unbearable. Usually the syndrome is more intense on the affected side.
With endometriosis, uterine myoma - pains, cramps. If the pain is related to pathology of the spine, the intensity of the pain does not depend on gender. It is observed that men go to the doctor later.
Diagnostics
Examination by specialists
- vertebral neurologist
- gastroenterologist;
- neurosurgeon;
- surgeon;
- gynecologist;
- urologist;
- rheumatologist
- oncologist.
Laboratory methods
- general blood test (to rule out the inflammatory process, leukocyte level, ESR), blockage of anemia (hemoglobin level).
- General urinalysis: exclusion of the inflammatory process in the bladder, kidneys (bacteria, leukocytes, erythrocytes).
- stool analysis for occult blood.
- Blood biochemistry: rheumatological examinations to rule out systemic inflammation (CRP, RF, uric acid), assessment of liver function (alt ast bilirubin), assessment of renal function (creatinine urea), pancreatic function (amylase) etc.
Instrumental research methods
- X-ray of the lumbar spine and pelvic bones; plain X-ray of the abdominal cavity (excluding intestinal obstruction).
- Ultrasound of abdominal and pelvic organs.
- FGDS;
- colonoscopy;
- MRI (CT) of the lumbar spine, MRI (CT) of the lumbar spine with contrast.
- MRI (CT) of the abdominal cavity and small pelvis, MRI (CT) of the abdominal cavity and small pelvis with contrast.
Treatment
When a tumor is located, depending on the location and nature of the tumor, the tactics of treatment, surgery or others are determined (observation and treatment in a neurosurgical, surgical hospital, oncology clinic).
Medication
Diseases of the spine (most often in the context of osteochondrosis):
- ΜΣΑΦ
- muscle relaxants;
- opioid analgesics;
- diuretics;
- vascular drugs;
- antibacterial drugs;
- medical and medical exclusion with novocaine, lidocaine and diprospan.
Non-pharmaceutical methods
They are mainly used in the treatment of diseases of the spine:
- physiotherapy (magnetic laser, magnetotherapy, CMT with novocaine, etc. ).
- acupuncture;
- traction of lumbar spine material.
- manual therapy?
- massage;
- spa therapy (mud applications, ozokerite).
- Exercise therapy.
Prevention of diseases of the spine (in the context of osteochondrosis) all the above methods (except physiotherapy).
Prevention of diseases of the gastrointestinal tract: diet, nutrition, work and rest.
If you have low back pain, go to the clinic.
The hospital has all the specialists and all the diagnostic methods presented in this article. There are also hospital departments: a gastroenterology department and a city spine center. All methods of treatment are used, except surgery. You can be monitored, examined and treated on an external basis, ie outside the hospital.