Why the back hurts, methods so that it does not hurt and is healthy

Why does the back hurt and what to do

Back pain is one of the most common complaints in people of working age. Typically, almost everyone by the age of 30 will experience this problem at least once. These pains can unsettle us for a long time, deprive us of our ability to work and sleep.

If we take it as a percentage, then almost 80% of the population in every country in the world has some kind of back problem. We can say that this is the second reason to go to the doctor, for example after a cold or flu. And most of all, the fact that these indicators are growing every year is depressing.

But what are the causes of back pain? How do I deal with this problem? What can we do to keep our back healthy?

What is the reason for this urgency of this problem?

Obesity and a sedentary lifestyle as causes of back pain

Vertebral diseases of the peripheral nervous system are mainly observed in young and mature people and are the main cause of temporary disability. This is due to the scientific and technological advancement that a sedentary lifestyle brings with it, which in turn deprives us of the ability to fully exercise and pump the back muscles, leading to back pain.

Most modern people are forced to be in a static position for long periods of time with muscle tension. This applies both to those who drive constantly, have sedentary work at the computer, often take long trips or flights, as well as to those who play sports for work, carry weights or have to work long hours on their personal property.

Another acute problem of our time is overweight and obesity. In fact, being overweight and obese cause not only back problems but many other diseases as well.

The psychoemotional status also plays an important role.

This is a separate disease or symptom. Why is this happening?

Back pain is not an independent disease, but an independent nosological unit. This is usually a symptom of some illness. In addition, back pain can cause some diseases of the skeleton itself, its ligaments and tendons, as well as diseases of the adjacent nerves and tissues.

Sometimes, for example, when the back hurts, it can be a symptom of quite serious somatic diseases, diseases of the heart, stomach, pancreas, kidneys, organs and joints of the pelvis, etc. And the doctor must be competent enough to distinguish this in time and refer the patient to a competent specialist. He must always stay in contact with other specialists: cardiologists, urologists, traumatologists, rheumatologists, gynecologists.

For example, a patient complaining of back pain was referred to a urologist. Which, by the way, was very surprised at first because he didn't see that the problem lay in his role. However, after further investigation, it turned out that her back pain was caused by urolithiasis. And when the stones, which I must say were quite bulky, were removed, the pain stopped.

Another case: a patient had severe thoracic spine pain, and based on the differential diagnosis, the doctor suspected that she had a myocardial infarction. She was urgently referred to a cardiologist who confirmed this.

Due to the differential diagnosis, sacroiliitis and aseptic necrosis of the femoral head are very often found. In such cases, it is necessary to resort to the help of rheumatologists and traumatologists - orthopedists. A specialist's competence and intuition therefore play a major role in this matter.

Back pain can also occur with the destruction and damage of nerve roots due to infectious processes, for example, in osteomyelitis or epiduritis. But that is also rare. In most cases, in around 90% of cases, back pain is still caused by diseases of the musculoskeletal system, namely the spine or the back muscles.

In addition, people who have been sedentary for a long time often complain of back pain and then suddenly decided to exercise. Most often, in this case, the pain is caused by overloading the previously untrained muscles, as well as stretching the muscles of the spine and their subsequent spasm with a sudden sharp twist, jump, etc.

So do not forget that everything is good in moderation, everything must be done right. Of course, exercising is good, but before purchasing a gym membership, be sure to consult your doctor to determine the allowable load. Otherwise, you will have to go to the doctor for some other reason.

Incidentally, mental factors can also cause back pain. The fact is that emotional stress is accompanied not only by anxiety, but also by muscle tension. This is why chronic stress and depressive states are so dangerous.

Diagnostic methods to clarify the diagnosis

Of course, the first thing a doctor should do is question and examine the patient in detail. It is necessary to find out the nature of the course of pain and its localization. For example, if the patient says they need to disperse a little for the pain to go away, there may be suspicion of degenerative changes in the spinal joints.

And if the patient notices that the pain gets worse after drinking a glass of beer, then most likely we are talking not about back disease, but about kidney disease. A highly qualified doctor is already able to diagnose a disease that causes back pain. In addition, sometimes it becomes clear the moment the patient crosses the threshold of the office. It is enough to see how he walks or how he stands.

Although, of course, there are cases when it is necessary to do additional research to finally determine the diagnosis.

MRI of the spine to find out the cause of back pain

The most accurate diagnostic method today is considered magnetic resonance imaging and computed tomography. In the course of these studies, it is possible to study in detail the structure of the spine, determine the presence or, conversely, the absence of hernias, the general condition of the vertebrae. The only drawback to these methods is their cost. Unfortunately, not everyone can afford such expenses.

But now more and more medical centers are contracting health insurance providers. This is a good trend that will allow more people in need to get the help they need and undergo the necessary diagnosis.

How is it treated today if it hurts?

Based on the above, it becomes very clear that it is the correct diagnosis that determines the further actions of the doctor and the treatment program, which include certain methods of back treatment for pain relief.

Modern medicine has three treatment methods:

  1. Drug therapy;
  2. non-drug therapy;
  3. Surgery.

With drug therapy and surgery, everything is clear. The doctor will either prescribe the drugs indicated in this case or perform an operation to remove, for example, an inguinal hernia.

Non-drug methods include: manual therapy, physical therapy, percutaneous electrical neurostimulation (when the nervous system is stimulated with a weak electrical signal), massage, kinetotherapy with post-isometric muscle relaxation, physical therapy exercises, and others.

In fact, most of the time, complex therapy is required when treating back pain. This happens because the cause of this pain is usually a combination of several provoking factors. For example, it can be inflammation and improper posture, improper stress and inflammation, or inflammation and degenerative-dystrophic process, etc. Suppose a patient develops myofascial pain as a result of sanogenetic mechanisms of neurological manifestations of diseases of the spine. This muscle contracts due to pain and inflammation, and when it contracts, the spine shifts. So it turns out that the pain associated with its displacement is added to the primary pain. It is very important to define the psychosocial aspect of pain.

Accordingly, various methods should be used to treat such pain. This is the only way to achieve good results.

In addition, the effectiveness of treatment depends to a large extent on the patient himself, how carefully he follows medical prescriptions, psychosocial status, and how quickly the patient asked for help.

When should you seek help, when is it time to sound the alarm?

This is also some kind of problem. The fact is that people prefer to be treated alone and they go to doctors even when the process is so advanced that it is already difficult to walk. This is the wrong approach. Finding medical help early is half the battle. Don't expect everything to go away on its own. Yes, this option is sometimes possible, but the opposite is also possible if the condition worsens and the pain increases.

If you have back pain, do not pull, do not be lazy, but at least consult your family doctor. If you have a mild sprain, you can easily take his advice yourself, and by the way, no one will force you to stand in the operating room. But if the problem turns out to be serious, then you can not do without the help of a qualified specialist. The sooner it arrives, the better.

Yet don't rush to climb into your home first aid kit and swallow a handful of pain relieving pills that "helped your girlfriend, mother, or grandmother so much", covering herself with heating pads and dealing with all kindssmeared with ointments. It is likely that, on the contrary, you will not benefit from it. It is entirely possible that you will not need them at all, and if you do need them, it is still better if they are appointed by a specialist.

Why is the behavior of those who do not like to see a doctor and who decide not to heed the problem dangerous?

Don't underestimate the problem, don't wait until it's all over. The least risk is that the disease will turn into a chronic form, and you will lose your ability to work for a long time and only a normal full life.

If you have a serious pathology, for example, an injury or a rheumatological disease, the lack of proper treatment can even lead to disability. Think about it!

There are several popular massage techniques shown for back pain that are not dangerous.

The centuries-old practice of massage undoubtedly speaks for itself. Massage is used to strengthen the body in general and to strengthen its defenses, as well as to treat specific diseases such as ligament, joint and spinal diseases.

But there is one BUT! Massage should only be performed by a licensed professional who has at least some secondary medical education. You shouldn't trust everyone in a row, because if the massage is done incorrectly, you can do a lot of harm. In addition, there are also contraindications to this procedure, for example, diseases of the internal organs, varicose veins, the postoperative period and so on.

Any disease is easier to prevent than cure. Does this also apply to back pain?

Certainly! It is better not to allow their occurrence at all, so as not to suffer later.

We need to try to lead a healthy lifestyle, eat right, monitor weight, and exercise. These are general guidelines. However, there are some specific rules that will help you keep your spine healthy and prevent back pain.

The first is proper posture. How you stand, sit, walk, and even lie down is very important. No matter what position you are in, you don't have to lie down. Keep your back straight and do not stretch your neck forward. When you are sitting, make sure your back is resting on the back of a chair or chair and your feet are touching the floor.

If you have a sedentary job, get up at least a few times a day, walk around the office, and warm up. When there is a lot of work and you don't have time to get up, regularly change your posture and shift your body weight from one leg to the other.

If your work involves lifting weights, avoid making sudden movements. It is better to act slowly. It is best to sit down first and then take the heavy thing you need. Then the load will not be on the vertebral muscles, but on the thighs. This helps prevent back pain.

The second point is the bed that you sleep on. It's best if it's not too hard, not too soft. It is best to sleep on your side so that you can relax and take pressure off your spine.

And the third point is physical activity. Be sure to exercise, but consult your doctor first. He will select the necessary exercises for you, which you can do both at home and in the gym, but without harming your back.

Swimming is well suited, this sport is often recommended for various diseases, both for preventive and therapeutic purposes.

And one more piece of advice, it's more about the beautiful half of humanity. Make sure your shoes are comfortable, don't wear very high heels every day, this is also a burden on your back.

22.03.2021