Causes of low back pain and treatment at home

Causes of back pain in the lumbar region are factors such as injuries, chronic diseases, endocrine and age-related changes, as well as hereditary diseases associated with developmental disorders of bones, cartilage, muscles and connective tissue. The nature of the pain in these diseases can be of different intensity and localization. Severe and acute pain is characteristic of injuries and infectious and inflammatory pathologies, aching and moving pain reactions appear in chronic diseases of the musculoskeletal system. Also, back pain occurs due to pathological changes in the pelvic organs and abdominal cavity.

causes

The etiology and pathogenesis of lumbago is complex. Inflammation of the lumbar nerves has many causes, both internal and external. Many reasons depend on the general condition of the human body - immunity, allergic background and the level of pain threshold of each patient individually.

List of causes of back pain in the lumbar region:

causes Scroll
Innate
  1. Anomalies in the development of the vertebrae
  2. chondromatosis
  3. osteochondropathy
  4. myomalacia
  5. Fusion of the sacrum and the last lumbar vertebra
endogenous
  • Chronic diseases (diabetes mellitus, thyroid diseases, arthritis, arthrosis, chondropathy, tendonitis)
  • oncological diseases
  • blood pathologies
  • osteoporosis
  • sepsis
  • Infectious and inflammatory diseases
  • radiculitis
  • Pathologies of the urogenital system
exogenous
  1. Any injury in the lumbar region
  2. burns (chemical, solar)
  3. Heavy metal poisoning, poisons, food poisoning
  4. compressions
combined
  • Injuries + burns
  • Osteoporosis + Oncology
  • arthritis + trauma
  • Endocrine disorders + arthritis

For your information, any inflammatory or infectious processes of the pelvic organs lead to the development of back pain. Adnexitis, endometritis, proctitis, sigmoiditis, hemorrhoids, prostatitis, cystitis, fasciitis and myositis of the pelvic muscles cause a pain reaction. After diagnostic studies and establishing the main cause, you can proceed with conservative or surgical treatment.

Important!After eliminating the source of pain, the patient recovers, if it is not cancer. Relapse manifests itself only after hypothermia of the body, repeated trauma or exacerbation of the inflammatory processes of the genitourinary system or the last segments of the gastrointestinal tract.

pain classification

Pain syndrome of the lumbar spine is divided into several types. The classification is based on the degree of intensity of the body's reaction to various causes of pain.

Back pain in the lumbar region are:

  • strong: occurs as a result of a hit with a blunt or sharp object, when falling or jumping, during a sharp turn or tilt, with inflammation of the sciatic nerve + displacement of the vertebrae, fractures and cracks;
  • Acute: occurs with sciatica, herniated disc and pinched nerves, falls from one's own height and an accident;
  • pain: hypothermia of the body is manifested by aching pains in the lumbar region, as well as pregnancy, adnexitis, menstrual cycle;
  • Chronic (permanent, variable): Pathology of the musculoskeletal system such as spondyloarthritis, coxarthritis is manifested by a pain reaction of constant or variable type.

Wandering (wandering) pain also belongs to this classification. Chronic proctitis, sigmoiditis, coxarthrosis, adnexitis, prostatitis - are characterized by pain migration, that is, it is felt to the left, after a while to the right, then down and up - it all depends on the involvement of nervous ramifications in the inflammatory process.

Localization of the pain syndrome

The lower back hurts according to certain factors of an external or internal nature, but the localization of the pain syndrome does not have stability, the pain is always different and is always located in different places according to the angle of the lumbar vertebrae.

Back pain in the lumbar region of a man

Painful sensations of an acute, aching or variable nature can be noted in patients with lumbago above or below the waist, to the left or to the right of it, as well as after unsuccessful motor manipulations involving sharp turns or rapid bends plus lengthening of the hip body. In the latter case, there is a displacement of the vertebrae with pinching of the sciatic nerve.

Attention!Lumbar injuries of a mechanical, physical or chemical nature produce a flowing pain syndrome, that is, the entire lower back hurts, pain radiates to all nearby tissues and organs. In this situation, you should immediately call an ambulance and be examined by a traumatologist to exclude serious injuries such as fractures, tears and ruptures of internal organs with bleeding.

back pain above the waist

Diseases of the kidneys (pyelonephritis, glomerulonephritis, urolithiasis, nephropathy, renal prolapse, renal failure), liver (hepatitis, cirrhosis), intestines (gastroenteritis, colitis, appendicitis, Crohn's disease) - these diseases are characterized by a pain syndrome with a projection over the lumbar region. The severity of pain ranges from acute to aching, it all depends on the pathological phase, the depth of the lesion and the infectious agent.

pain below the waist

Infectious and inflammatory pathologies of the genitourinary system, rectum, sigmoid and internal fascia + muscles are expressed in the acute period by pain below the waist. With cancerous tumors of the pelvic organs, severe pain is characteristic, which is stopped by strong analgesics based on narcotic drugs. Also, the exacerbation of coxarthrosis is accompanied by a pain reaction of the lower back. Injuries to the pelvic bones, inflammation of the muscles after injections, the menstrual cycle - pain below the lower back are on the list of symptoms.

pain left and right

Depending on the localization of the inflammatory process, pain may appear in the left or right lower back. On the left side is the sigmoid + rectum, sphincter, both in men and in women, therefore, with diseases of these organs, pain in both sexes is equally localized.

Back pain in the lumbar region of a woman

With inflammation of the left ovary or ureter in women, a pain reaction also occurs on the left, and in men, pain in this area occurs with prostatitis, inflammation of the left testicle and left ureter. On the right side (regardless of gender) is the appendix + right ureter, with its pathology, the pain on this side is manifested due to an exacerbation of urogenital infections.

For your information!During an ectopic pregnancy with a rupture of the fallopian tubes, the pain reaction extends to the entire circumference of the lumbar region. The pain is unbearably strong, the patient is in a semi-conscious state, blood or clots are released from the genitals. In such cases, you need to urgently call an ambulance!

With lumbago and pinched sciatic nerve

Inflammation of the sciatic nerve develops after hypothermia of the body or increased physical labor involving weightlifting. The pain is unbearable, motor skills are limited, and it is often difficult for the patient to get out of bed. The body temperature rises especially at night. Treatment is carried out after establishing an accurate diagnosis or after instrumental studies for the purpose of differential diagnosis. A pinched nerve occurs after sharp turns of the body, in this case, acute pain occurs with a violation of the motor function of the spine.

Lower back pain during pregnancy

During pregnancy, especially in the last decade, expectant mothers constantly complain of pain in the lumbar region, such a reaction is due to the high pressure in the small pelvis and constant pressure on the sciatic nerve. With large fetuses, a narrow pelvis and maladjustment of the fetus, as well as abnormal development of the pelvic bones in pregnant women from this group, pain occurs by the 20th week of pregnancy. Disappears only after the dissolution of labor activity and the restoration of the physiology of organs and systems. There are exceptions: in 1% of those giving birth, this symptom becomes chronic and, under certain conditions (hyperthermia, excessive physical activity, weight lifting, running, long walks), it manifests itself with aching and wandering pains.

opinion poll

Diagnosis of back pain in the lumbar region is carried out in stages: visual examination by palpation of the lumbar region, as well as the internal organs of the abdominal cavity, as well as consultation with a gastroenterologist, neuropathologist, nephrologist, examination of women by a gynecologist , and men by an andrologist. The next level: laboratory and instrumental research. Based on the examination results, a clinical picture is created, the main cause is determined and the optimal treatment method is selected.

Laboratory and instrument diagnostics:

  1. Delivery of a general blood and urine test and a stool test;
  2. biochemical blood test for various markers and components;
  3. Laboratory examination of urine for salts (urates, oxalates), protein, acidity, erythrocytes, epithelium, microbial flora;
  4. a blood serum test for a rheumatoid component (C-reactive protein or immunoglobulins);
  5. three-projection X-ray examinations of the lumbar region;
  6. Ultrasound of the lower back and organs of the abdominal region and small pelvis;
  7. Magnetic resonance imaging (MRI) of the lumbar spine.

Computed tomography is performed to distinguish radiculitis, lumbago and oncological neoplasms. And also to exclude ectopic pregnancy, calculous pyelonephritis + cystitis and accumulation of purulent contents in the abdominal cavity and cavities of the small pelvis (peritonitis of the abdominal cavity and pelvioperitonitis of the small pelvis).

treatment methods

For the treatment of pain in the lumbar region, there are three options for optimal methods of eliminating pain, namely drug therapy, surgery and treatment with folk remedies. The method of treatment is selected for each patient individually, after receiving the results of the examination and accurately identifying the main pathology that causes back pain.

Medication

Complex treatment of diseases of the spine, especially the lower back, consists of nonsteroidal anti-inflammatory substances of the group based on acetylsalicylic acid of the COX1 and COX2 order. In parallel with NSAIDs, analgesics are prescribed to relieve pain, and with severe pain, analgesics of narcotic origin are administered. Drugs that relieve muscle colic must be taken along with the indicated means. If the pain is accompanied by inflammation, antibiotics are prescribed.

Supplement to the treatment regimen for low back pain syndrome:

  1. chondrorestorative drugs;
  2. Antioxidants: Vitamin C;
  3. drugs that restore nerve function;

Chronic forms of arthritis-arthrosis with signs of ankylosis and muscle rigidity require glucocorticosteroid therapy. The course of treatment should not exceed 5 injections, these drugs can completely destroy the cartilaginous plates and lead to complete ankylosing of the spine.

Advisory!Mild forms of arthritis or arthrosis are treated locally, that is, with ointments and gels based on NSAIDs, analgesics, chondroprotectors and warming components. A doctor's consultation is necessary for the correct selection of the medication.

Physical exercise and exercises

Morning exercises, running, swimming and special exercises improve the trophism of all joints and have a beneficial effect on the lower back and lower limbs. Constant tilting of the back at all possible angles with free movements and by the method of opposition, as well as rotation around the axis of the spine activate the mechanism of strengthening the muscular and ligamentous corset. They firmly fix the vertebrae of the back and lower back in a specific and correct anatomical position. Increased blood flow during exercise restores the regeneration process of connective tissue and cartilage. Even with age, the vertebrae do not lose their motor function.

massage

General massage with ointments, oils or gels based on nonsteroidal anti-inflammatory substances that stop the destruction of the joints at a certain stage of their development. When massaging the body, innervation and blood supply improve, resulting in increased metabolism. Cells are updated, the work of the joints of the spine is restored. Acute back pain disappears completely. The massage course lasts a month or a month and a half, and in some cases lasts until the full rehabilitation of the sore back.

heating and cryotherapy

Mud, paraffin and ozokerite applications warm up aching lower back. In parallel with complex drug treatment, heat applications improve trophism + innervation of the diseased area, relieve pain and eliminate swelling. Cold treatment or cryotherapy also has its advantages: cold constricts the blood vessels and stops inflammation. Cold creates artificial stress, and the body strengthens the immune response and strengthens the protective barrier that intensively fights inflammation and pain. Full course of treatment - for warming procedures 28 days, for cryotherapy 2 weeks.

Recipes of traditional medicine

The most effective folk remedies are alcohol-based compresses. They relieve pain in a few applications, reduce inflammation and restore mobility to a sore back when other conditions are not involved. Compresses are applied for 1. 5-2 hours.

Excellent alcohol compresses from:

  1. Burdock root, thistle and fresh nettle leaves 2-3 tbsp. l. per herb + alcohol diluted to 40 degrees 0. 5 l.
  2. Birch buds + oak bark, half a liter of any vodka (moonshine is possible).
  3. horseradish / honey / mustard / burdock root (2-3 tablespoons) + 300-500 ml. alcohol.

A novelty appeared in the folk recipe for treating back pain: a jelly pillow made from porridge of nettle (100 g), crushed lemon peel (100 g) and chili pepper (one sweet pepper), 100 ml of boiling water and two bags of gelatin. The resulting mass is applied for 2-3 hours. The combination of ingredients has a triple effect: relieve pain + swelling, improve metabolic processes and restore cartilage plates. In 2-3 months, the back gains elasticity and mobility.

preventive measures

A healthy diet and lifestyle without nicotine, alcohol, too much salt + sugar and GMOs are 5 points in the preventive measures for musculoskeletal disorders. Hardening, gymnastics and swimming take the main place in everyday work. Reduced physical activity, caution in movements and timely examination + further treatment reduce the risk of disability by 99%.

Back pain, or rather lower back pain, of any kind is alarming. Many patients are forced to think about serious health problems. And some "daredevils" are intensively engaged in self-treatment, without examination and medical advice. This is not a way out! The pain can become dull after compresses, but the main cause remains, and the pathology slowly goes into the chronic stage. In this caseyou can provoke oncological diseases or other pathologies, such as urolithiasis or glomerulonephritis, leading to death, therefore, information about back pain in the lumbar region of the cause, than to treat at home, will help in timely examination and treatment.

21.02.2022