Why back pain in the lumbar region in women and men, and what to do for treatment?

In the process of evolution man has become a being in an upright position, but is risen and is the spine every day, that will have high loads, which marked the beginning of the muscle-skeletal system. Common complaints of patients in the clinic - back pain in the lumbar region, may be due to various diseases of the spine. While it is a pain in the lower back occurs as a result of the various problems with the internal organs or are accompanied by severe systemic illness.

back pain in lower back

The task of the physician is to identify the true cause of low back pain for which the patient will have to undergo a full review. According to the statistics from lower back pain suffers every third inhabitant of the big cities, regardless of their gender and age. In some patients the discomfort becomes so familiar, that they cease to be noticed. But to ignore such symptom it is impossible, because the progression of the disease can lead to very unpleasant consequences, up to disability. What to do if back pain in the lumbar region, to what doctor to address, and how to deal with such symptom?

Why back pain in the lumbar region?

It's good to know

Lower back pain is a nonspecific symptom that can be caused by many reasons, ranging from the usual exhaustion and ends with the formation of malignant tumors.

In medicine adopted the classification, after which all the mechanisms for the development of low back pain are divided into:

Primary - pain caused by degenerative changes in the spine (osteochondrosis, spondylarthrosis, disc protrusion).

Secondary back pain is a result of many diseases:

  • growing pains (scoliosis);
  • metabolic disorders (osteoporosis);
  • injuries (contusions, sprains, fractures);
  • neoplastic processes;
  • inflammatory diseases (arthritis, spondylitis);
  • infectious lesions involving the intervertebral discs.

Reflects the pain in the lumbar region, which often occur in diseases of the pelvic organs, gynecological and urological diseases.

The nature of the pain syndrome can be acute or chronic, localization in the right or left of the spine. Often there is pain radiating to the back, groin, lower extremities, complicated by neurological symptoms, which are the cause of restricted mobility and stiffness of movements. Let us dwell on the most common reasons, which cause the characteristic pain in the lumbar region.

Back pain in the lumbar region - the reasons

Back pain in the lumbar region – the reasons

The most common causes of pain in the lumbar region includes the following Countries:

  • Trauma of the spine. Bad fall, severe blow, or even lifting weights can cause fracture, displacement of the vertebrae in the lumbar spine, stretching the muscles. Any injury accompanied by severe, sharp pain that literally does not give a person straighten out. Sometimes due to damage to the nerves in the spine lead to paralysis of the lower extremities. The diagnosis after x-rays of the spine and methods of treatment depends on the type of injury and severity of injury.
  • Osteochondrosis of the lumbar spine. The disease, degenerative-dystrophic nature, which leads to the defeat of the cartilage of the intervertebral discs. In the initial phase of the degenerative disc disease is felt only slight discomfort in the lumbar region, which increases after exercise. As the progression of the disease begins with the destruction of the fibrous ring and reduce the distance between the vertebrae, which leads to pinching a nerve and severe pain in the lower back, radiate to the legs. In the last stages of the disease is spine deformation, the formation of a hernia, severe pain become permanent, a person can lose mobility and become disabled.
  • Sciatica. The disease appears due to compression of spinal nerve roots. The cause of lumbar back pain may become frequent hypothermia, spinal injuries, tumors, hernia, calcification. Intense work from the low back pain appears suddenly during physical exertion, change of posture, even when you cough or sneeze, accompanied by changes in the sensitivity between the radicular nerve in the thighs, buttocks. During the attack a person can not settle back.
  • Is a herniated disc. Pathology accompanied by protrusion of the body of the intervertebral disc into the spinal canal. The disease can cause pain in the low back, the low-active lifestyle, weights. There was a long, aching pain in the lower back that is aggravated by movement, prolonged standing, coughing, sneezing. As the progression of the disease, pain, syndrome increases, as in thighs and buttocks accompanied by numbness, loss of mobility. There are problems with the chair, incontinence and other complications.
  • The spinal stenosis. Narrowing of the spinal canal is most commonly diagnosed in the elderly. This condition can contribute to degenerative processes in the spine with the aging of the body. The result is pain in this part of the spine that has undergone pathological changes. Stenosis accompanied by not only pain, but also a sense of drift "pins and needles" and numbness of the limbs. Patients with stenosis quickly get tired, can't walk, suffering from intermittent claudication.

Characteristics of lumbar pain

Back pain in the lumbar region on the right

For the assumption of the existence of certain diseases experienced doctor can depending on the nature of the pain syndrome. Pain in the lumbar region, it can be sudden, acute, and occur attacks or chase people constantly and carry a dull, aching character.

Acute back pain may be the result of the following diseases:
  • spondylitis;
  • osteochondrosis of the lumbar-sacral;
  • sciatica;
  • lumbago, sciatica;
  • the intervertebral hernia (acute form);
  • protrusion of discs in the lumbar region;
  • acute impairment of spinal circulation.
Sharp, paroxysmal pain may be neuralgic nature, and occur after the disease;
  • pinched nerve roots in the lower part of the spine;
  • symptoms of multiple sclerosis attacks the nerve fibers of the spinal cord;
  • lumboschialgia accompanied by sciatica;
  • degenerative sacroiliitis - purulent process in the sacrum.
Chronic pain, which is manifested by pulling, painful feeling, it is to be noted in the following diseases:
  • osteomyelitis;
  • osteoporosis;
  • deforming spondylosis;
  • tumors of the spine and spinal cord;
  • scoliosis (curvature of the spine);
  • the infection of tuberculosis, brucellosis;
  • the inflammation of rheumatoid arthritis;
  • atherosclerotic changes in the abdominal aorta.
Irradiating (reflected) pain in the lumbar region occur in the patient with injuries of the internal organs:
  • diseases of the digestive tract (the stomach, 12 duodenal ulcer, pancreas, gallbladder);
  • renal colic urolithiasis, pyelonephritis;
  • intestinal pathology - diverticulosis, tumors, ulcerative colitis, intestinal obstruction,
  • diseases of the pelvic organs.

It's good to know

Many people say that is really bad back in the lumbar region when the prostate gland, or tumors of the prostate. Women have a similar symptom cause the inflammatory process in the appendages, endometriosis, genital infections, or malignant tumors of the uterus and the ovaries.

Localization of the pain syndrome

In the process of diagnostics the doctor should pay attention not only on the type of pain, but the area of its localization. Matching the patient's complaints with the degree of pain and the affected area, it is possible to deduce what is the pathology that is causing the discomfort. This will help to outline the programme of examination of the patient and will expedite the correct diagnosis.

Back pain in the lumbar region on the right

If the patient is complaining of pain in the lower back on the right, the cause for this condition may be an inflammatory injury of the liver, gallbladder or right kidney. In intestinal obstruction or atypical manifestations of appendicitis pain occur on the right, above or below the waist.

Pain in the lumbar region on the left

The cause for this condition can become inflammation in the intestine, the pancreas, tumor, trauma, degenerative diseases (spondylosis, hernia). Pain on the left side of the lower back are observed in inflammation of the bladder, pyelonephritis, damage to muscles and ligaments in this area.

Back pain in the lumbar region in men

Worrying can cause excessive exercise. For example, back pain often have professional athletes involved in weightlifting, bodybuilding and gets sharp bends, bends, exercises with a barbell. The lumbar pain which accompanied the workers who perform heavy physical work - loaders, construction workers, agricultural workers.

Very often the cause of the pain syndrome in men include kidney disease, neurological disorders (neuritis, sciatica), degenerative processes in the lumbar spine, causing root compression (osteochondrosis, intervertebral hernia, pinched sciatic nerve). If kidney damage syndrome of pain in the lumbar region it is larger, if the person who is long in a vertical position, elbows down, turns sharp. Factors that contribute to the discomfort may be related diseases, diabetes, diseases of internal organs, inflammation of the prostate, neurasthenia.

Back pain in the lumbar region in a woman

Back pain in the lumbar region in a woman

In addition to the reasons mentioned above, back pain in females can cause an inflammatory disease of the pelvic organs (uterus, appendages), endometriosis, uterine fibroids, or malignant tumors. In addition, the lower back in women is often sick during pregnancy, as this period is significantly increase the load on the spine. The growth of the fetus, the center of gravity is shifted, and a woman may constantly feel pulling pain in the lumbar region (especially when bending forward).

In the later stages of pregnancy is a relaxation of the joints in the sacrum, as the body prepares for the upcoming birth. This process also causes tension and pain of the lumbar area. In addition, at the time of pregnancy, often exacerbated chronic diseases. Inflammation in the urogenital system, kidney disease can manifest itself reflects the pain in the lower back.

Sometimes, nagging back pain occur in women in different phases of the menstrual cycle, which may indicate the dysfunction of the reproductive system. In this case, as soon as possible to consult with an expert and carry out the necessary review. In order to promote a characteristic symptom may be abortion, which is associated with damage to the inner lining of the uterus, its contraction or development of endometritis (inflammation of uterus). In such cases, the pain is localized in the lower lumbar and radiates to the leg.

Often the cause of pain in the sacrum becomes a difficult birth, accompanied by damage and stretching of the birth canal. As you recover, these symptoms become less severe and soon disappear. If back pain in the lumbar region and radiates to the legs, the reason may be a shift of the vertebrae or pinching of the nerve roots that occurred during childbirth.

How to treat lower back pain?

The first patient was asked, what kind of doctor deals with back pain in the lumbar region and to what expert to turn to for help? First, you will need to get to the reception to the local therapist on the set of symptoms and on the basis of the results of the survey put the preliminary diagnosis and for further treatment, send the patient to specialists.

When traumatic injuries of the nature of the patient will guide the doctor - traumatologist. Inflammatory or degenerative injuries of the spine a rheumatologist, orthopedist, neurologist. In diseases of the digestive tract treatment the gastroenterologist provides. If the cause of the pain is in the defeat of the musculoskeletal system and connective tissue, the woman should address to the gynecologist, the man to the urologist. With the development of the tumor process the patient, who is dealing with the oncologist.

With the onset of sharp pain in the back - the so-called "lumbago", it is recommended that the pill any analgesic (Baralgina, Analgin, Ketanova) and attempts to be a comfortable place, where pain is felt is not so much, and relaxes the muscles. If not the effect, after 40 minutes, you can take stronger medications - Ketorol, Tramal, Diclofen. This strong painkillers, you may use a maximum of 2 times per day.

Remove the muscle spasm will help spazmolitiki (But-shpa, Drotaverine, Papaverine, Duspatalin). You can take a pill or diuretic (Furosemide, Veroshpirona), the elimination of puffiness and help to release pinched nerve roots. Of course, all of this means that are to be used only as a first aid in case of attack from sciatica or sciatica that does not preclude the possibility to visit a doctor.

07.08.2018