Why does the lower back hurt

Lower back pain

Back problems disturb or annoy almost everyone at some point. The main load falls precisely on the structures of the lumbar spine. Lower back pain can be a sign of fatigue and overwork. However, it is best to rule out more serious illnesses. After all, there are many causative factors behind back pain. And they don't always relate to the actual structural components of the spine.

Shooting lumbar pain

Pain syndrome has many different characteristics. These are the intensity, duration, cyclicity or periodicity, and the response to treatment. The lower back pains are mostly of a shooting nature: they are sharp, very strong. What could it be? Patients may freeze in one position for a while at this point and they are afraid to change it, make an extra movement for fear of increased pain. This syndrome is called lumbago by neurologists.

Why shoot severe lower back pain? The main reason for lumbago to occur is problems with the intervertebral disc. We are talking about osteochondrosis. It is a degenerative disease of the intervertebral discs. Contrary to popular belief, this pathology occurs not only in elderly patients. The disease described affects the working-age population and is becoming the main cause of temporary disability.

The cause of the pain syndrome combines several mechanisms. One of them is muscle spasms. It occurs when the nerve roots are irritated by growths in the vertebral bodies (the so-called thorns, exostoses). These excesses are nothing more than a compensatory reaction to the loss of the morphological and functional properties of the intervertebral cartilage.

The lower back hurts a lot. It is a tremendous effort for the patient to turn over or stand up. If it hurts in the back or directly in the lumbar area, then this is called a cramp. The reasons, as well as the treatment, are therefore related to the pronounced tension in the muscle fibers. Therefore, it is difficult for patients to move.

Degenerative diseases of the lumbar spine are chronic. That is, periods of exacerbations alternate with remissions. Without an exacerbation, patients feel stable. There is no such thing as pain syndrome. But the longer the duration of the illness, the more pronounced are the degenerative changes in the spine, due to which static-dynamic disorders occur.

Treatment of osteochondrosis

Disease therapy takes an integrated approach. When the lower back hurts, non-drug and drug methods of treatment are used.

First of all, neurologists recommend rest. Bed rest is required during the exacerbation. This is important to relieve the cramped muscles of the spine. After all, it is precisely for this reason that the back hurts at the bottom of the spine. Vertebrologists insist that when there is pain, the treatment of lumbar chondrosis includes the use of rigid beds (without the use of feather beds), as well as special orthopedic pillows that are sold in specialized salons.

How can you remove pain? For this purpose, rubbing is prescribed. They should be massaged gently. It is recommended not to massage the spine area. It is better to rub ointments or gels on the paravertebral areas of the back. Dosage forms with non-steroidal anti-inflammatory drugs are used for grinding. They are good at relieving lumbar spine pain.

What to do if the lower back continues to hurtSevere pain requires the use of NSAIDs in injections or with the help of suppositories. Injection forms are suitable for starting therapy. After three days of positive effects, it is recommended to treat the lower back with tablets or capsules. It is important to do a stomach protection. It's about protecting the stomach lining from the harmful effects of pain relievers.

How can you cure muscle spasms in the affected area of the spine? The cause of the discomfort must be eliminated. For this purpose, muscle relaxants are prescribed. The course of admission varies up to 2-4 weeks.

Pulling and dull pain

According to neurologists and vertebrologists (specialists in back disorders), permanent back problems are rare in osteochondrosis. It is typical of other diseases of the spine and damage to other internal organs, such as the kidneys.

Back pain from kidney disease

Pulling back pain is a sign of chronic pyelonephritis. The reason for the pain and discomfort is that the kidney tissue becomes inflamed and increases in volume due to edema. In this case, the capsule is stretched, drawing pain occurs in the lower back. Patients notice dysuric disorders at the same time. These include:

  • Discomfort when urinating;
  • Increased need to urinate;
  • Swelling;
  • The rise in blood pressure.

Why the lower back pulls during the exacerbation is understandable. The chronic course of pyelonephritis is associated with the replacement of functioning nephrons with connective tissue. This is the causative factor behind back and lower back pain.

With glomerulonephritis, patients often experience lower back pain. The equivalent of this sensation can be loin pain. The peculiarity of the symptoms, however, is that the kidney damage is bilateral. In pyelonephritis, the lower back hurts more on one side. Glomerulonephritis is a bilateral and symmetrical pathology.

Therefore it is not necessary to "write off" everything on the spine and intervertebral discs (osteochondrosis) in the case of back pain. It is important to rule out other diseases. Treatment tactics are determined by the attending physician depending on the changes noted.

Ankylosing spondylitis

This is another degenerative disease of the spine (or its joints) that is associated with symptoms such as lower back pain. Another name for the disease is ankylosing spondylitis. Usually, his lower back hurts all the time. Patients with this pathology do not notice analogues of lumbago and other variants of "lumbago".

Why does the lower back hurt in this situation? Rheumatologists explain the pathogenesis of spondyloarthritis using autoimmune processes. This means that once the inflammatory process starts, it will be steady and progressive if you do not start therapy.

Patients worry about lower back pain. They are naturally flammable. Pain occurs in the morning, as in rheumatoid arthritis. If the motor regime expands (until noon), the patient's condition improves significantly. Lower back pain can also increase late at night, early in the morning.

Over time, other manifestations of the disease appear. If the patient initially claims that they do not know how to get rid of lower back pain, other problems are added. Appearance, changes in posture. The so-called "supplicant pose" appears. Lower back pain persists. Ankylosing spondylitis often results in airway dysfunction. It becomes difficult for the patient to breathe deeply, deeply. The volume of breathing movements is limited.

In addition to lower back pain, patients also worry about peripheral joints. Arthralgia can occur in the area of the feet, hands (small joints) and larger joints. Then they speak of the peripheral form of ankylosing spondylitis, which is prognostically less favorable.

Treatment of back pain in ankylosing spondylitis begins with symptomatic therapy. These are therapeutic doses of nonsteroidal anti-inflammatory drugs. The pain in the spine is significantly reduced, as is the stiffness of movement. Then the question of prescribing basic treatment will be decided. Sometimes glucocorticoid hormones help relieve back pain in spondialoarthritis.

Tuberculous or bacterial spondylitis

Koch's bacillus is not only found in lung tissue, it can also affect the musculoskeletal system. In this case, spondylitis occurs - inflammation of the vertebral tissues. Initially disturbed by unspoken, dull back pain in the lumbar area. There may be weakness and fatigue before they appear. Patients find that the lower back is sore or sore when the lumbar spine is affected. In this case, movements are usually restricted.

In addition, the disease progresses. Over time, without specific treatment, the patient's condition and well-being will only worsen. The causes of back pain have been linked to the destructive effects of Mycobacterium tuberculosis. The more pronounced the inflammation, the brighter the clinical manifestations. A patient can get an appointment with a doctor if they have a very bad lower back. It becomes very difficult to withstand not only walking, but also long standing and, in general, any static load.

When should you suspect a tubercular character if it is particularly painful in the lower back in the lumbar area? An increase in body temperature is typical for this infection. It does not reach a fever but stops at a subfebrile level. The general state of health worsens - patients feel weak, inexplicable fatigue. The appetite is impaired. Patients lose weight and sweat at night in all temperature conditions. Lower back pain can be accompanied by frequent urination and incontinence. This is particularly typical of combined lesions of the lumbar and thoracic vertebrae.

During the blood analysis, an indication of the increase in an indicator such as the rate of erythrocyte sedimentation is indicated. This is a non-specific marker. However, if an increased ESR is found, a tuberculosis infection should first be ruled out. An x-ray of the lower back and the lungs (chest organs) is taken.

If you are concerned about lower back pain from tuberculous destruction, the causes and treatment are clear. The therapy is prescribed by a doctor together with a neurologist. They use specific antibacterial drugs that adversely affect mycobacteria, the causative agent of tuberculosis. In the treatment of pain, analgesics in the form of injections, suppositories or tablets are used. Sometimes the help of a surgeon is required. If the back hurts in the lumbar area, the causes are eliminated with surgical treatment.

What does the belt nature of pain indicate?

Lower back pain is not always sharp and localized. Patients complain of lower back discomfort that extends over the entire circumference. This is how belt pain in the lower back is characterized. These complaints can hardly be attributed to diseases of the joints and elements of the spine.

Patients at this point mistakenly believe that the lower back hurts: what to do in these casesThe reason usually lies in the pathology of the internal organs. Why does the back hurt in the lumbar region and at the same time cause sensations of a surrounding nature? It is generally accepted that this is how pancreatitis manifests itself. It is about inflammation of the pancreas. The belt pain in the lower back is dull at first, then it takes on an increasing character. The patient's abdomen is board-shaped, firm, and flat to the touch. The doctor feels pronounced muscle resistance during the examination and palpation. The causes of back pain in this situation are irritation of the nerve plexuses that innervate the pancreas. Therefore, with pancreatitis, the lower back hurts. Sometimes it gives off in the chest area at the same time and disrupts breathing (discomfort when trying to breathe in deeply, breathe deeply). How to Relieve Low Back Pain in PancreatitisAntispasmodics, antisecretory agents are used.

Belt pain in the lumbar area can also indicate cholecystitis or gallstone disease. The bitterness in the mouth is worrying, the discomfort is more pronounced in the right hypochondrium. There is pain in the right neck area.

Shingles in the lower back is a manifestation of intercostal neuralgia. Most commonly, the causes of pain are associated with hypothermia. Why is the lower back painful and the intercostal nerves affected? This is due to the similarity and stratification of the innervation zones.

Recommendations for the prevention of low back pain

Treating back pain is not always successful. Despite ongoing therapy, lower back pain persists. It remains constant and periodically manifests as episodes of lumbago or lumbodynia.

Because of this, preventing the disease is much easier than treating the lower back. Back pain is much less common if you sleep on hard beds with special orthopedic mattresses and pillows. It is recommended to do sports in the morning and take walks in the fresh air at night.

The working and rest hours should be adhered to. This is especially true for people who do "sedentary" activities. Why does the lower back hurt? Orthopedists attribute this to scoliosis - a curvature of the spine to the right or left. With such a pathology, the lower back can be painful. It is recommendedto get up more often, to warm up, to change body position.

How can lower back pain be treated if the condition is chronic? It is very important to use physical therapy exercises. The movement therapist selects the exercises individually, taking into account body size, weight, concomitant diseases, type of activity and physical fitness. If your back is sore, a gentler complex is used, and exercises can be more difficult during remission.

In the case of a chronic course, prophylactic medication is indicated. This is necessary to prevent attacks of exacerbation of chondrosis. If the spine in the lumbar region often hurts, courses with vitamins of group B are prescribed. These drugs have been shown to be effective in preventing exacerbations of osteochondrosis.

For lumbar complaints, treatment to prevent lumbago includes chondroprotectors. These are active ingredients that slow down the breakdown of cartilage structures. The reception must be coursework. To increase effectiveness, start with parenteral administration and then gently switch to oral administration (in tablets or capsules).

In the lumbar area, the appearance of pain and discomfort should alert the patient and give serious thought to his health and the condition of his spine and the joints between the vertebrae. If the back area is diseased, then you do not need to use the methods and drugs recommended by neighbors or other acquaintances. For complaints in the lower back, treatment is complex, pathogenetic and individual. It is prescribed by a neurologist. Research has to be done first. Because if it hurts in the lower back, then you need to know the reasons for getting rid of it adequately and competently from the point of view of modern medicine.

29.08.2021