The lower back pain reduces the quality of life, can cause depression.Before going to the doctor, it is important to understand what provokes pain, stop it, reduce intensity.
The cause of pain in the lower back may be high physical activity, a serious disease of the internal organs, and problems with the musculoskeletal system.It is dangerous and unacceptable to engage in self -diagnosis and self -medication.You can and should stop an unpleasant symptom for the period until consulting with a medical specialist.Only a doctor can determine what is a provoking factor, prescribe the correct treatment.All that the patient should do is evaluate the intensity of pain, determine what provokes their strengthening.The exact data provided by the patient at the appointment with the doctor is one of the collisions of successful treatment.
The main causes of lower back pain
The age of patients suffering from regular or periodic pain in the lower back is reduced.The symptom can be different-intense and moderate, local and spreading to the entire lumbar-cross of the spine.There are a lot of reasons for pain in the lower back:
- deformation of the spine or neoplasm - hernia;
- diseases of the genitourinary system;
- high physical activity and injuries;
- sedentary lifestyle;
- violation of blood circulation in the pelvic area;
- Psychological problems - stress, depression;
- overweight;
- Problems with the gastrointestinal tract.
It is not worth neglecting pain in the lower back - in this way the body signals serious problems.Most of the reasons that cause it proceeds asymptomatic, and manifest themselves already in the last stages, when comprehensive treatment is required.
Problems with the musculoskeletal system, such as the formation of hernias on the vertebrae, make themselves felt only when the nerve or blood vessel is already pinched.Most gynecological diseases in women are manifested precisely by pain in the lumbar spine - an increase in the uterus or ovaries as a result of the development of inflammation provokes muscle spasm, stable blood flow to the small pelvis is blocked.Problems with the reproductive system in men are also reflected in the form of stitching or cutting pain, giving out in the back.
Low back pain types
Consultation of a medical specialist is necessary even in cases where the symptoms are not yet pronounced and does not have a serious effect on the quality of life and performance.The intensity and type of pain are different, and before going to an appointment with a doctor, you need to decide what they are:
- local;
- generalized;
- periodic;
- constant.
Local lower back pains are concentrated at a certain point, can be reflected in one or both legs, give to the tailbone.Generalized syndrome gradually spreads to the entire back, covering the abdomen.
Periodic back pain differs from other types in that they disappear after the cause of their appearance has been eliminated - problems with internal organs, excessive loads or individual physiological features.In medicine, such symptoms are divided into reflected and radiative.The reflected appears as a result of problems with internal organs located in the pelvis.Randy lower back pain occurs due to problems with the spine-pinching of nerve fibers or blood vessels, a deformation of the vertebral column.
When visiting a doctor, the patient should clearly formulate his complaints and indicate what pains he torments him - chronic or sharp, and how long they last.Without this data, the doctor will not be able to prescribe the correct diagnosis, which will complicate and tighten the treatment, can lead to the development of more serious pathologies.
Self -diagnosis and ambulance with lower back pain
It is not always possible to seek help from a medical specialist as soon as the lower back pain appeared.In order to reduce the intensity of an unpleasant symptom, it is necessary to determine the cause that caused its appearance.This can be done without even having medical knowledge.For preliminary self -diagnosis, you can use one of three tests:
- Dezherin test;
- LASAGA test;
- Lerrey test.
The deherin test is to strain the abdominal muscles, and listen to your sensations.If the lower back pain intensifies, then the probability of the development of chondrosis or osteochondrosis is great.But if discomfort is felt in the abdominal cavity, then the reason lies in problems with internal organs.
Lasuga test - lying on the back, lift his legs alternately.If a shooting pain or upper spine appears during the exercises, the nerve is pinched.
Lerrey test - you need to try to get out of the position lying on your back without bending your legs at the knees.If shelters or aching pain are localized in the lower back, this should be considered a sign of the formation of hernias in this spine.
The method of reducing the intensity of lower back pain depends on the results of self -diagnosis.Medical specialists do not recommend using warming ointments or compresses to stop the syndrome without consulting a doctor.They can provoke the development of inflammation or other complications.As an ambulance, you can use analgesics, drugs from the NSAID or NSAID group.The latter option is preferable, since the spectrum of action of funds is more wide-they eliminate pain, relieve inflammation and reduce the temperature, but taking them for more than 3 days is dangerous.
Which doctor to contact with the lower back pain
Often patients seek medical help when the disease progresses, and the lower back pain manifests itself intensively, it is no longer possible to cope with them on their own.As a result of regular administration of painkillers and external remedies - ointments, gels - in most patients at the time of treating the doctor have problems with the gastrointestinal tract and skin.It is impossible to postpone a visit to the clinic even with a weakly expressed pain syndrome in the lower back.In addition, it is important to choose the right specialist.
The establishment of the causes that provoke the appearance of pain in the back should be engaged in more than one doctor, but several highly specialized doctors:
- therapist;
- neurologist;
- gynecologist or urologist.
At the appointment of a general practitioner - therapist - the cause of pain in the lower back is determined.What it can be - neuralgia, diseases of internal organs or psychological problems, the therapist should establish.He will prescribe standard examinations and give recommendations on further action.
At the reception, a neurologist is prescribed more detailed studies-x-rays, computed or magnet-resonance imaging (CT or MRI).Such diagnostics are deeper, research helps to assess the condition of each vertebra, nerve endings and blood vessels.At this stage, osteochondrosis, lumbago, Ishias are revealed, the location of intervertebral hernias, damage to bone and muscle tissues are determined.
Consultation of a gynecologist or urologist is necessary for those patients who have a general practice doctor suspected problems with internal organs.Diseases can cause pain in the lumbar spine such as:
- ulcers and tumors in the gastrointestinal organs with retroperitoneal distribution;
- colitis, problems with the colon;
- inflammatory processes of the uterus, appendages in women;
- cholecystitis or pancreatitis;
- kidney and liver diseases;
- Relacing aneurysm of the abdominal aorta;
- Appendicitis or peritonitis.
Regardless of what the diagnosis tactics and with the participation of which highly specialized doctors were chosen by the therapist, the patient must undergo the following standard examinations - to take a blood test from the vein and finger, urine.Research results will help to identify the presence of inflammation in the body and evaluate the effectiveness of the functioning of internal organs.
It is important to understand that any methods of self -medication in case of pain in the lower back can harm, often irreparable.Long -term intake of painkillers, products from the category of NSAIDs, folk methods is dangerous.All drugs, herbs and ointments have contraindications and side effects, most of which can aggravate the situation, make the pain syndrome even more intense or drown out, masking the underlying disease.It is impossible to self-medicate for more than 3-5 days if the methods are not approved by the attending physician who knows the true cause of symptoms.Only consultation of a medical specialist and course treatment with a complex of drugs will help to correct the situation, improve the quality of life and recover completely.