Backache

Pain, lumbago, constant heaviness, are you used to feeling sensations like in the back?

Painless pulling pain is often a sign of a dangerous disease. In the article, we will analyze all the causes of the disease.

Cause

1. Diseases of the spine and pelvic bones.

• Osteochondrosis (damage to the intervertebral disc (protrusion, disc herniation);
• Spondylitis (inflammatory disease of the spine);
• Spondyloarthrosis (arthrosis of the intervertebral joints);
• Spondylosis (bone growth);
• Spondyloarthritis (inflammation of the intervertebral joints);
• Myositis (inflammation of the muscles);
• Osteoprosis (decreased bone density) with fractures of vertebrae and other bone structures;
• Spinal cord and pelvic injuries (fractures, cracks);
• Sacroiliitis (inflammation of the sacroiliac joint);
• Tumors of bone and soft tissue structures.

2. Pain reflected 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 pain that occurs quickly, suddenly;
• Chronic - pain for more than 2 months, occurs with the development of spinal diseases;
• With inflammatory pathology of the genitourinary system, abdominal organs (with chronic gastritis, pancreatitis, cholecystitis, enterocolitis).

Pain intensity

From discomfort to severe pain.

If acute and intense abdominal pain radiates to the lumbar spine, it is always necessary to exclude surgical pathology that requires immediate surgical intervention (gastrointestinal bleeding, appendicitis, peritonitis, etc. ).

Strong pain in the lumbar spine

It can be reflex (muscle spasm caused by irritation of receptors on the paravertebral muscles). It hurts a person to cough, sneeze, all movements are accompanied by pain. When the nerve root is pressed (disc protrusion, disc herniation), the pain spreads to the lower part of the foot, usually from one side.

Myofascial syndrome

It is caused by irritation of pain receptors in muscles and fascia. There is the formation of triggers (pain nodes) in the muscles, the pain syndrome is chronic, often recurrent.

Any trauma to soft tissues or bone structures is also accompanied by intense pain.

When to see a doctor: Any case of pain in the lumbar spine 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, pulling pain and soreness are characteristic, often accompanied by urinary incontinence. In women, the symptoms are often acute, pronounced. With ovarian apoplexy or an ectopic pregnancy, the pain is unbearable. Usually the syndrome is more intense on the affected part.

With endometriosis, uterine myoma - a painful, interesting sensation. If pain is associated with spinal pathology, pain intensity does not depend on gender. It was observed that the man went to the doctor later.

Diagnostics

Examination by a specialist

• vertebroneurologist;
• gastroenterologist;
• neurosurgeon;
• surgeons;
• gynecologist;
• urologist;
• rheumatologist;
• oncologist.

Laboratory Methods

• general blood tests (to exclude inflammatory processes, leukocyte levels, ESR), exclusion of anemia (hemoglobin levels);
• general urine analysis: exclusion of inflammatory processes in the bladder, kidneys (bacteria, leukocytes, erythrocytes);
• stool analysis for supernatural blood;
• blood biochemistry: rheumatological tests to exclude 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

• radiography of the lumbar spine and pelvic bones; regular radiography of the abdominal cavity (excluding intestinal obstruction);
• Ultrasound of the abdominal and pelvic organs;
• FGDS;
• colonoscopy;
• MRI (CT) of the lumbar spine, MRI (CT) of the lumbar 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 detected, depending on the location and nature of the tumor, treatment tactics, surgery, or others are determined (observation and treatment in a neurosurgery hospital, surgery, oncology dispensary).

Drug treatment

Spinal diseases (more common in the framework of osteochondrosis):

• NSAIDs;
• muscle relaxation;
• opioid analgesics;
• diuretics;
• vascular medicine;
• antibacterial drugs;
• medical and medical restrictions with novocaine, lidocaine and diprospan.

Non -drug methods

They are used mainly in the treatment of diseases of the spine:

• physiotherapy (magnetic laser, magnetotherapy, CMT with novocaine, etc. );
• acupuncture;
• traction of lumbar spine hardware;
• manual therapy;
• massage;
• balneotherapy (application of mud, ozokerite);
• Exercise therapy.

Prevention of spinal diseases (in the framework of osteochondrosis) all of the above methods (except for physiotherapy).

Prevention of diseases of the gastrointestinal tract: diet, diet, work and rest.

If you have lumbar pain, go to the clinic.

The hospital has all the specialists and all the diagnostic methods described in this article. There is also an inpatient department: a gastroenterology department and an urban vertebrology center. All methods of treatment are used, except surgery. You can be monitored, examined and treated on an outpatient basis, outside of the hospital.