The sad statistics shows that about half of the adult population suffers from back pain, but only one of the five seeking the help of a trained doctor. Neglect your health, it is full of involvement in the pathological process, not only a lot of muscles, but some internal organs. The result of the defeat of the cervical spine becomes severe headaches, ringing in the ears, blurred vision, and dizziness. If thoracic, disrupted the heart and lungs. Diseases of the lumbar affect the functioning of the digestive organs and the kidneys, in men, reduced libido.
With regular attempts to lift heavy objects, and also because of the jumps and drops, resulting microtrauma to the intervertebral discs.Systematically negative impact contributes to loss of elasticity of the intervertebral discs — they are flattened, the distance between the vertebrae decreases. Therefore, the nerve roots extending from the spinal cord are mounted. The result is discomfort and pain. However, in the field of clamp-differential-vascular bundle forms a swelling, which the patient experiences more pain.Destruction of the intervertebral disc leads to the fact that it stops buffering and injured even more.
Forecasts of doctors, which is based on the age at which the patient first met the disease. The most dangerous situation is when the symptoms occur in the 16-18 years — this means the beginning of the onset of the disease. For 21-23 years of age with a high probability arises of protrusion to 32-34 years — intervertebral hernia. In old age, hernia is often difficult for the development of autonomic dysfunction, neuralgia, diseases of the blood vessels. If back pain localized in the lumbar region and the first touched the patient, when he reached the age of 55-65 years, doctors have a positive prognosis.
Examination of the spine, is necessary if the pain does not go away during movement, worse at night, has a high intensity and appeared for the first time. Moreover, it is essential to visit the clinic says, incontinence of stool and urine, recent trauma, oncological anamnesis. If the pain lasts longer than two weeks, is a disease with a high probability, that the chronic form that is resistant to treatment.
The vast majority of cases the culprit for the pain is low back pain. Spinal hernia is manifested by pain when lifting heavy objects, and at the same time rotate the torso in an inclined position. After this, the patient feels weakness and pain in his leg — right or left. The discomfort intensifies when moving, sneezing, coughing. Sciatica is easily recognized by a sharp pain in the lumbar region. If the patient is experiencing ongoing pain in the nape of the neck and shoulders, when you try to turn your head, it signals a chronic spine disease — cervical spondylosis, which causes expansion and subsequent deformation of the vertebrae. Among other things, that suffer from back pain often complain of the inability to breath deeply and the lack of mobility of the chest. In some cases, the cause of the injury — a sprain, or injury. Proper treatment allows you to fully recover, the lack of treatment contributes to the serious complications that can cause significant curvature of the spine.
Overview of the spine helps determine why a patient has pain in the back.Just understanding which is the basis for ailments allows you to choose the appropriate treatment plan. The back is the most extensive of the anatomical region, which includes the lower back and the t.j. the remainder, neck, shoulders and spine. At the back is a projecting dozen large anatomical structures. This is due to various reasons which can cause weaknesses. Typically, these causes are diseases of the musculoskeletal system and the various diseases:
However, it is important to understand that this is not always the disease is due to diseases of the musculoskeletal system. Often the pain is caused by damage to internal organs:
In a situation when pain is due to disease of the internal organs, the pain does not disappear, that the patient worked. He can lie down, sit and walk, but the intensity of feeling that does not become below. At the same time, physicians do not exclude the reverse situation, when the degenerative disk disease thoracic makes itself felt pain in the region of the heart, sometimes mistaken for angina.
This is not the fact that is a projection of the internal organs will coincide with the localization of pain in the back. The pain can also be experienced otherwise. Dull and aching pain between the shoulder blades is a clear evidence of cardiac pathology. A sharp pain that affects the back and significantly increases with the change it represents, shows, sciatica, disc herniation or sciatica. The pain, that gives in the thigh and groin is a common symptom of renal colic.
Only a careful examination of the patient will help determine the exact cause of the disease. Diagnosis includes the preparation of the clinical picture of the disease, neurologist, and a lot of special methods:
In the process of collecting of the anamnesis the doctor figures out the emotional state of the patient and possible stress, localization of pain in the back and radiating. It also asks about the injury and illness records the relationship between pain and body movement.
Spinal diagnostics, which relate to the study of neurological status, muscle tone and signs of tension. It is also important to determine the degree of difficulty of movement due to pain, while trying to raise my leg. The advantage of diagnostic sensitivity, as this may reduce or, conversely, to increase.
The purpose of the medical examination, — detection of possible infections, tumors, diseases of somatic nature, which can be expressed in the form of back trouble. Only clinical data give grounds to speak about the compression and reflex complications of degenerative disc disease. However, you need to understand that not all back problems show osteochondrosis — a disease that primarily affects adults, and people older than fifty years. The pain syndrome may be a manifestation of a much more serious disease, so it is important to conduct the most thorough examination and find the cause of the disease. Only in this case, treatment will be really effective.
The treatment of back pain, it is always allocated on the basis of the cause of the disease, which can be different in each case. The basic methods include:
Treatment consists of medications, which enables you to relieve pain and inflammation, a significant improvement of the metabolic processes in the body. Painkillers are divided into two categories — non-narcotic and narcotic.The usual analgesics represent non-steroidal anti-inflammatory drugs. If you want to strengthen the immune system immunomodulators are used and a complex of vitamins B and C. For narcotic painkillers the doctors treated only in extreme cases when the pain is almost impossible to make and other drugs have no noticeable effect. Drugs are given by injection in cases, when back pain is not due to the easy stretching of the muscles, and due to a malignant tumor or the risk of injury.
At this time increasingly popular modern highly effective and safe method of treating problems of the spine, joints, ligaments, shock wave therapy, which is a machine method of therapeutic effects on the tissue with the observation of acoustic waves of a certain frequency.
It is impossible to overestimate the benefits of physiotherapy, which greatly strengthen the muscles of the spine stabilize the spine and have a positive impact on metabolic processes. The most effective in this sense is the electrophoresis with calcium, as well as paraffin, electrical stimulation. If you allow the financial capabilities, the patient is obliged to visit the mud spas is their positive effect on the way to recovery scientifically proven.
Physical therapy and massages are also aimed at strengthening the muscles and stabilize the spine. They strongly reduce the intensity of pain and sometimes can completely get rid of unpleasant sensations. However, therapeutic physical training and massage is recommended only after will be paid to the deterioration of pain, or well-being of the patient and the entire clinical picture of the disease much worse. Therapeutic exercises must take place under the supervision of a physician, a severe load, is excluded. In the first classes were most often there was no movement, all you need is to lie on a flat soft surface. In subsequent meetings, the doctor makes the patient take a small amplitude and power of the movement — first to raise the feet of the supine position, by using special shell. The most basic exercise for strengthening the spine, causing the Association with the pulling — cat - deformation in position, when the patient is on all four. If pain worsens during physical therapy, you should immediately stop training.
Surgery to remove the herniated disc available only in special cases, when the spinal cord and cauda equina roots pretty closely. Without it we would not have succeeded, if the patient with a diagnosis of radiculopathy, accompanied by obvious paresis. The lack of any effect after conservative treatment for three to four months and a lot of a herniated disc are not left without choice than to turn to the doctor.