Pain in the lower back during the movement, stretching, tilt, inhale and lying on your back or belly
Pain in the lower back or inhalation arise due to the damage of the nerve fibers or nerve endings between the vertebrae herniated disc, misaligned vertebrae, inflammatory changes in the ligaments of the spine, spasmodic contractions of the muscles of the back .
Since the duration and the intensity of the muscle contraction controlled by nervous system, all of the pathological changes in spinal nerve impact on the functionality of the skeletal muscles.
Against this background, excessive physical loads lead to a permanent Hyper Tonus of muscle groups (to stay in the condition acronyms without relaxation). The man cannot lean forward, and her legs from the bed.
Why is there pain in the lower back:
- Lifting of heavy objects with rupture of the muscle-bands aponeurosis;
- Sharp curves of the body to a corner more than 120 degrees of weakness of the vertebral animals bands lead to a displacement of the vertebrae;
- Strenuous gym without prior warm-up phase to form micro-cracks and cracks of the muscles;
- Long, "curved", the position of the lumbar spine when sitting, gradually leads to weakness of the muscle corset of the spine;
- Wearing on the hands of children with a weight of over 4 kilos, not infrequently accompanied by damage to the cartilage of the intervertebral disks (osteochondrosis).
In General, any load on the lumbar spine, leading to damage to the intervertebral discs (osteochondrosis, herniated disc). In such a Situation is likely to be contusion of the nerve root, the pure from the spinal cord, so the back starts to hurt.
In the case of damage to spinal muscles, any attempt to make a sharp turn ends inflamed severe pain due to compression of nerves or spasm of the muscles (myofascial syndrome). This is why doctors muscle relaxants prescribe in the case of herniated discs of the spine.
If the doctor, the Patient complains: "I can't bend over, because it should be a pain in the lower back with minimal Flexion and extension of the back", you suspect myofascial syndrome. If it is the sensitivity to pain increases with movement or when breathing in, since the increase in the force of the muscle spasm.
Another cause for pain in the lower back, a "banal" weakness of the abdominal muscles and the back. A sign for the presence of this condition is the presence of whining pain when I inhale, during the long stay on the legs or frequent torso. If you try to tilt to the front for people with a weak muscular corset of the back, vertebral hump.
In such a Situation, due to the weakness of skeletal muscles, the stretching of the muscles of the back is nervous, so the squeezing of the spinal. Thus, it does not hurt enough abdominal muscles, the muscles are strengthened and the pathology disappears forever alone.
In the case of a displacement of a lumbar vertebra relative to another (Spondylolisthesis) formed the precarious Situation of the axis of the Arteria vertebralis. At sharp turn of body or lifting of loads of nerve-injured roots for Spondylolisthesis.How to determine the cause of the pain itself
To discover hurts from the back, a distinction should be made between the five most common syndromes: pathology of the spine, myofascial syndrome, weakness of the muscle corset of the spine, diseases of the kidney, and metabolic disorders.
However, the most common pain in lower back when walking, as well as inhalation occurs due to a pathology of the spine. For confirmation of the "vertebral body" causes of a painful syndrome at home, a series of Tests, the following applies:
- You tap on the chin from the breast;
- Your abdominal muscles tighten;
- Take an upright Position, rises to the horizontal Position, but not by bending of the legs;
- You raise the legs, first one and then the other;
- Прощупайте points with the fingers along the spine.
To feel if during the execution of the above-mentioned exercises, strengthening of pains in the spine, the likelihood of the presence of pathology of the spine with irritation of the nerve endings is quite high. To confirm the assumption helps to x-ray of the spine, and magnetic resonance imaging.
Common diseases of the kidney, causing pain to the right and to the left of the spine, is a Urolithiasis. Pain syndrome it is due to the irritation of the nerves of the urinary tract ends largest calculus (stone).
Among the diseases of the metabolism, lower back pain pronounced osteoporosis (thinning of the bone structure with a lack of calcium). This condition leads to a deformation of the muscle-joint system of the spine and extremities.
In view of these above-mentioned diseases, the pain when walking in the area of the loin, you should not try to self-medicate and consult a doctor. In the presence of the pathology, it is important not only to get rid of, but also a thorough diagnostic condition of the Person, to prevent serious complication.Classification of pain in the lumbar spine
Share the pain in the back can primary and secondary.
- Primary pain syndrome on the background of the changes in the spine, the nerves, связочно muscular structures.
- Secondary loin hurts:
Due to the intensity of the primary pain-in capital may be covered or acute. Contribution has pain whining, and increases over time, with each loose motion or a sudden rotation of the trunk. In the case of acute pain syndrome in the lumbar Person feels a sharp pain when getting up from the bed or try to wear a shirt.
If the primary cause of the syndrome hurt lies in the narrow spinal canal, people almost always. He can't stand quietly spend a lot of time in, but when sitting the symptoms of the pathology facilitates.
- Tumors of the spine;
- Infections of the small pelvis;
- Injuries of the spine.
Secondary back when you inhale a Wake-up call, pain is a careful diagnosis of the condition of the health. If there are reinforced when stooping, short-term, extension or flexion of the upper extremities is an unfavorable sign is cancer.Rules the treatment of the disease
If the Patient says to the doctor: "I'm standing on the spot, but severe discomfort in the lower back", probably the reason for this Situation – the syndrome of weakness of the muscles of the back. In his rule, not through conservative medicines and the treatment by physiotherapy.
Quite another thing when a sharp aching pain increases when turning the upper body when you inhale or when you exhale. In such a Situation, the doctors prescribe the local or overall System of anti-inflammatory drugs, there is a high probability for myofascial syndrome or damage to the cartilage of the spine.
If the pain in the loin appears to be lying on his back, in a state of flexion or extension, but disappear on the belly, and when you get up from the bed – a sign of the pathology of the spine is mild. They are treated with conservative methods.
If the pain faith not by diseases of the spine, but only muscular spasms (disappears lying on the stomach),the doctors, the best treatment is the return of the people to moderate physical work, after the intramuscular injection of muscle relaxant .
If the pain is so strong that it should at the slightest movement from the bed. Probably between the vertebrae Hernia, in which the Person is transported to a stationary medical institution in a stationary state. After performing the x-ray diagnosis of the doctor himself gypsum coniciendum or the patient, is performed emergency surgery.
Manual therapy as an effective treatment of lumbar myalgia has a right to exist, but in the treatment of diseases of the spine you can.for the Stimulation of blood flow along the spine
Especially in the case of lumbar pain, doctors steroidal drugs , chondroprotectors not prescribe long-term courses, and symptomatic drugs.
Finally, readers advise: when you have pain in the lower back on the inhale, straightening and getting out of bed to treat it. Most likely, you have not a simple stretching of the muscles, but a serious pathology.