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