What to do if a sore lower back?

lower back pain

Lower back pain can make a person completely unable to work, such as walk, move, and even lie with this symptom can be very problematic. Such a pain constantly haunts the patient, giving him dark thoughts in the near future.

The problem can be hidden in the spine, kidneys, gastrointestinal tract, and women even in gynecology.

Osteochondrosis and spondiloarthrosis

Description

Osteochondrosis – degenerative changes in the vertebrae and intervertebral discs, where they are mechanically damaged, cracked, inflamed. Most cases of osteoarthritis are the lower back, which is the most "loaded" of the spine.

That spondylosis is degenerative damage to the intervertebral joints.

Both diseases must be considered age, valid appears after age 40. In addition, the disease is a "man" character – men are more prone to problems on the vertebrae.

The nature of pain

When walking hurts badly, shot in the lower back rest to cover the aching pain. Sometimes there is a catch, not the whole vertebrae, for example, a sore back lower right corner, the left part does not suffer.

Other symptoms

Can numbing one or both legs. When walking, the patient gets tired quickly.

Who and how to diagnose?

Surgeon or podiatrist. The main methods are: MRI.

Treatment

Treatment is long and complex. Pills to relieve pain and strengthen the joints a bit, massage and physical therapy should help patients to strengthen muscle corset of the spine it was easier to carry the load.

In severe cases, shows the operation.

Infectious gynecological diseases

Description

Lower back pain in women can trigger infection, chlamydia, gonorrhea, candidiasis, and thrush. Men have low back pain due to infection appears much less frequently – they suffer under the stomach.

The nature of pain

Unpleasant sensations of burning or aching, not dependent on load and time.

Other symptoms

Pus, bleeding, increased body temperature.

Who and how to diagnose?

Gynecologist. Methods: medical history, urine analysis and blood smear, culture.

Treatment

Antibiotics.

Renal colic

Description

Pain in the lower back can be triggered by the kidneys. Renal colic, the urine ceases to flow out of the kidney into the bladder due to injury/kidney stones/inflammation, and to develop a primary care condition.

The nature of pain

Pain lower back left or right. The pain is sharp, oppressive.

Other symptoms

Frequent and ineffectual urge to urinate.

Who and how to diagnose?

If back pain left (or right), so patients should be treated with a nephrologist or internist. Methods: medical history, ultrasound, x-ray.

Treatment

Depends on the cause of the blockade. Often requires surgical treatment.

Diseases of the digestive system

gastrointestinal diseases

Description

Pain in the lower back can be a symptom of ulcer of the duodenum, stomach or symptoms of pancreatitis.

The nature of pain

Pain in the lower back is a strong aching or sometimes stinging.

Other symptoms

The pain has also been observed in the abdomen. Heartburn, blood vomiting, or diarrhea. Who and how to diagnose?

If there are other symptoms, the question "Why back hurts at the bottom of the" deals gastroenterologist.

Methods: examination, collection, appeals the sensor.

Treatment

Depending on the severity of the disease. Sometimes drug therapy is often necessary cauterization of ulcers. When the perforation shown surgery.

Growing pains

Description

If men and women answer the question "Why is a sore lower back" always is the answer, that children are not so simple. There is a group of diseases with a common name of "growing pains". Their reasons are not entirely clear, but it is known that the main symptom is night pain, such as pain in the lower part of the spine.

The nature of pain

Children of the night, during sleep there is pain in the back or lower left back, pain in the lower right corner. The pain is sore and sensitive, if you get out of bed and "go away" the pain will go away.

Other symptoms

The pain appears only at night, during activity, complaints of "sore lower back" are not available.

Who and how to diagnose?

The therapist, by process of elimination. Needed: medical history, blood tests, ultrasound, MRI, CT, x-ray.

Treatment

If the growing pains of a sore lower back, causing will not go away on its own with age. A strong painful syndrome, the doctor may prescribe pain medications.

Acute disorders of the spinal blood circulation

disorders of the spinal blood circulation

Description

Lower back pain on the right and on the left side may be due to myocardial infarction of the spine – acute violations of the spinal circulation. This condition, which is the result of injury, pinched, or blockage in a blood vessel, the blood will cease to flow to the blocked part of the spine and tissue to slowly die.

The nature of pain

Pain in lower back in women than in men, as sharp and strong.

A heart attack can be so extensive that the patient can not stand on their own feet.

Other symptoms

Often develops with loss of sensation on the right side, the left side and below the lesion.

Who and how to diagnose?

Any doctor, surgeon, trauma surgeon and emergency physician. Methods: x-ray, ultra sound.

Treatment

Conservative funds, which thin the blood, relieve swelling and inflammation. Supportive care.

If treatment is not given effect or state of beginning to threaten the patient's life – view in action.

Non-infectious inflammatory disease

Description

This type of diseases are skin diseases: dermatitis, some lichens, granulomas. All those who are from the lower back can cause pain.

The nature of pain

Pain burning is on the skin or deep under the nail.

Other symptoms

Redness, skin blisters, itching.

Who and how to diagnose?

Dermatologist. Methods: medical history, test results, crops of fluid filled blisters, check.

Treatment

Depending on the disease.

Often ointments, although in some cases the use of tablets and injections.

Metabolic damage bone

Description

This group includes diseases in which bone loses mass and strength. Why? This happens for various reasons, but mostly because of the imbalance in the regeneration/destruction of bone tissue. Change is also a lot of reasons – for example, it can lead to a violation of the absorption of calcium from food. Often this disease is diagnosed in women, men rarely.

The nature of pain

Pain – ache, of medium intensity. Can be located in the middle of the vertebra, on the right side, the left side. Pain increases with weather change, under load.

Other symptoms

Several microfractures in the bones and fractures. Usually, the disease involves not only the spine, but also other bone structure.

Who and how to diagnose?

Surgeon, orthopedic surgeon. Methods: medical history, urine calcium, and other substances, x-ray, MRI.

Treatment

Depending on the specific disease.

If possible, drugs that eliminate the cause brittle bones, otherwise supportive care.

Infectious diseases of the vertebrae and discs

Description

The spine may also fall sick infectious diseases. When this infection affects the part of the spine and cause inflammation. The basic names of diseases: discit, osteomyelitis, epidural abscess, postoperative infections group.

The nature of pain

Depending on the damage. If the infection around the lower vertebrae, inflammation press on the nerve roots and the patient plagued by pain of a sharp character shooting foot, with the right half/left half and while walking and at rest. If the infection has developed inside the spine, appear aching pain of medium intensity.

Other symptoms

Temperature, inflammation of nearby organs (kidneys, bladder, uterus in women, testes in men).

Who and how to diagnose?

A doctor, a surgeon. Methods: blood and urine tests, ultrasound.

Treatment

Conservative.

Vertebral fractures

vertebral fractures

Description

Fracture of the vertebra or several vertebrae is a very dangerous phenomenon. In this fracture the patient has all the chances to remain disabled, because it threatened all the structures lying below the fracture. Separating the compression and explosive fractures. The first damaged the front part of the vertebra, the second – and the front and rear.

Compression fracture (although suffered a "lower" vertebra) have a relatively favorable prognosis, when the explosive fracture of the likelihood of further injury.

The nature of pain

The pain is sharp and very strong, but can be barbed wire. Feel the site of the fracture, while sometimes back pain on the right, left or down.

Other symptoms

Depending on the strength of the fracture under injury can occur: numbness, loss of sensation, paralysis of the legs; urinary incontinence and fecal incontinence, loss of sexual function; convulsions.

Who and how to diagnose?

Spinal fracture is a medical emergency, so it can diagnose doctor.

Methods: x-ray, MRI.

Treatment

Depending on the type and severity of the fractures. In uncomplicated cases, hospitalization, bed rest with restriction of movement, maintenance treatment, and after rehabilitation. In severe cases, surgery.

When you want to go to the doctor?

Doctor you need to go anyway, because the spine is Central to the vital structures.

Any injuries, illnesses, and problems with the spine can lead to injury, if the lower divisions – the loss of the foot and, consequently, the loss of ability to walk.

10.08.2018