Back pain is a pressing problem of many modern people. Most of them have serious problems with the health of the spine. At present, osteonecrosis is no longer an inherent disease with increasing age. Today, degenerative dystrophic changes in the cartilage tissue of the intervertebral disc develop at a fairly young age. They are found even in patients 20-25 years old. Fibroids are the most common cause of back pain. But not just him.
It is imperative to see an experienced doctor. Choose the right expert. The first thing to remember in this case: topical therapists do not treat low back pain. By medical and economic standards, it only eliminates symptoms for the specified number of days. His mission is to get the patient back to work as soon as possible. He does not pay attention to the fact that the disease will continue to spread far and wide. Therefore, many patients take time to be able to restore the health of the spine without surgery.
We recommend that you sign up for a full treatment at the manual therapy clinic. They use completely different methods and approaches. They do not use symptomatic treatments. Doctors who work in chiropractic clinics aim to restore the patient's total health, and do not hide existing symptoms.
To understand what to do if your lower back hurts a lot, you need to know how it works and what could be causing an unpleasant symptom. We recommend that you familiarize yourself with some aspects of the anatomy and physiology of the lumbar region.
In the center of this part of the body is the dorsal spine. The adult sacrum is a single triangular bone, consisting of five fused vertebral bodies. Between the first lumbar vertebra and the first lumbar vertebra lies the conditioned center of gravity of the human body. This accounts for the major mechanical load and depreciation from the lower extremities.
This is due to the fact that the iliac - sacral joints are located on the lateral surface of the sacrum. With their help, the pelvic ring is attached to the spine. In the lower part of the pelvic girdle are the hip joints. Thus, the entire load from the lower extremities across the hip and sacral-pelvic joints is transferred to the L5-S1 intervertebral disc.
Due to these anatomical features in modern humans, due to a sedentary lifestyle, at a fairly early age, the L5-S1 discs and sacroiliac joints are destroyed. And this is a serious cause of acute pain in the lower back.
The lumbar spine is composed of individual vertebral bodies and discs. They are quite large. Inside the lumbar and sacral portions of the spine are segments of the spinal cord of the same name. Paired lenticular nerves depart from them, forming the optic plexus and the major nerves. At the base of the sacrum, the terminal fibers of the spinal cord come out, forming another large nerve plexus - the "horsetail".
Long anterior and posterior ligaments run along the spine. They begin in the coccyx and end in the occipital region. There are also short transverse ligaments and cruciate ligaments. They are located between adjacent vertebral bodies. The vertebral muscles located along the spine provide diffuse nutrition to the cartilage tissues of the discs. If they do not work correctly, then osteonecrosis and its complications develop.
It is difficult to independently determine which tissues are being destroyed. An experienced doctor is required. An experienced doctor will conduct a preliminary examination and diagnosis. Develop a personalized treatment plan.
Why does the lower back hurt?
The first thing to do if you have lower back pain is to find out what is causing the condition. It is necessary to exclude the possibility of renal pathology. Very often, urolithiasis, pyelonephritis, glomerulonephritis and polycystic kidney disease are manifested by a characteristic pain syndrome in the upper part of the lower back. Other urinary symptoms may also be present. These are cramps when urinating, change in color and transparency of urine, increase in body temperature, malaise, intoxication and edematous nephrotic syndrome, hypertension, etc. v.
If you have these symptoms, we recommend that you see a nephrologist or therapist as soon as possible. You will receive professional medical care.
If before the onset of pain syndrome you have fallen, injured yourself, or had an accident, then you should contact your trauma doctor to make an appointment. The cause of the pain may be a fracture or fracture of the vertebral body or its course, the lateral lower arch. In addition, with a traumatic impact, damage to the tissues of the kidney is possible.
The following diseases and conditions can be potential causes of low back pain:
- violation of trauma to the integrity of the ligamentous, tendon and muscular apparatus (stretch, microscopic rupture, fibrosis, deformity of the membrane of the skin, etc. );
- degenerative dystrophic processes in the cartilage tissues of the intervertebral discs, leading to the development of osteonecrosis and osteopathy;
- protrusion (decrease in height and increase in occupied area) of the intervertebral disc;
- extrusion (rupture) of the annulus and exit of the herniated disc mass;
- unstable position of the vertebral bodies and their cyclic displacement relative to each other in a pattern of lateral development, antiarrhythmias, and feedback;
- destruction and inflammation of the disc joints aim well;
- scoliosis and pelvic deformity;
- degenerative deformity of the sacroiliac joint - sacrum;
- spinal stenosis;
- compression of the lens nerves and their branches (sciatica, sciatica, radiculopathy);
- equina cauda syndrome, piriformis muscle;
- inflammation of the facial plexus and many other plexuses.
It is difficult to independently determine the real reason for lower back pain. To do this, you need extensive practical experience and specific knowledge. Therefore, you should not self-diagnose and treat. It is better to consult an experienced doctor in a timely manner and undergo a full course of treatment.
Lower back pain - what to do at home
If your lower back hurts a lot, the first thing to do is make sure your body is fully rested. Lie on your back on a hard surface and try to relax your back muscles. If the pain does not subside within 30-40 minutes, call an ambulance. This may be a condition that requires immediate surgical care.
The next thing to do at home if your lower back pain is to rule out all possible risk factors. These include the following aspects:
- overweight - every extra kilogram constantly increases the pressure on the cartilaginous discs and causes their premature destruction;
- violation of posture (round or stooped, bowed, etc. ) - possible violation of the processes of load distribution, displacement of the vertebral bodies and discs;
- arduous physical labor involving lifting and carrying heavy loads;
- domestic, sports and industrial injuries of the lower back;
- organizing sleeping and working places improperly;
- sedentary work associated with prolonged static tension of the muscular framework of the body;
- low-quality clothing and footwear selection;
- incorrect positioning of the foot when walking and running (flatfoot or clubfoot);
- smoking and drinking alcoholic beverages (reduces the intensity of microcirculation of lymphatic fluid and blood, leads to the development of ischemia and dystrophy of the tissues of the spine);
- malnutrition and inadequate supply of clean water.
If your lower back hurts a lot and you don't know what to do, see your doctor right away. Only a specialist can find the underlying cause, eliminate it, and develop an individual course of treatment.
Lower back pain - manual treatment
So, what to do if your lower back hurts - there are several treatment options available. The first is to book an appointment with a local therapist at a city clinic. In this case, symptomatic treatment will be performed. All unpleasant symptoms will be eliminated, but the process of destruction of the tissues of the spine continues. And it can even increase, because using symptomatic remedies to treat pain, doctors completely disable the natural defense mechanisms of the human body.
For example, with disc protrusion, pain syndrome in most cases is associated with the fact that the vertebral muscles themselves compensate for the worn load. This is accompanied by intense tension in the muscle fibers and pain. However, if muscle relaxants are used, the muscles become paralyzed and all the deterioration and mechanical load begin to be applied completely to the already damaged discs. In some cases, this causes annulus rupture and the appearance of a herniated disc.
You can also visit a manual therapist. This specialist practices a completely different approach to treatment. He will try to detect all the risk factors and make individual recommendations for each patient to eliminate them. He will then develop an individual course of treatment. It will be based on the principle of complete restoration of the process of diffuse nutrient disturbance of the cartilage tissues of the disc.
To restore the normal shape of the disc, several sessions of manual spinal traction are performed. During this procedure, the doctor increases the elasticity of the soft tissues around the spine. He then spreads the adjacent vertebral bodies to a normal distance. The disks have space to fully expand. After 2-3 sessions, the acute pain syndrome completely disappeared.
In the future, a full course of treatment is carried out. It can include chiropractic, exercise therapy, kinesiotherapy, laser therapy, physical therapy and more.