It often happens that the patient goes to the doctor to find out why the back hurts in the lumbar region. Very often such a pain syndrome affects those who spend a lot of time in their summer cottage, their own garden. Constantly repairing the house and sparing no effort on the property, people thereby undermine their health. A day or two of hard work and now it's impossible to sit up without excruciating pain. However, in some cases, the pain indicates the presence of other pathologies. In order to determine the appropriate treatment strategy, you must first find out the root cause of the pain.
Possible factors: Is everything serious?
In order to find a good treatment for a problem, you must first identify its cause. The back in the lumbar region hurts on the left, on the right, or even causes girdle pain, if a person has impaired kidney function and health, osteochondrosis has developed, and neuralgia is observed. There is a possibility of acute pancreatitis. Each condition described requires a thorough approach to treatment, and it is advisable to see a doctor. If you try to choose a course of therapy yourself, you can harm your health, the condition will get worse. When you come to the doctor, at the reception he will assess the symptoms, formulate a preliminary diagnosis and send him to studies that will confirm or refute the assumption.
kidneys hurt
If the back hurts a lot in the lumbar region, there is a possibility of inflammation of the renal pelvis. The term refers to the formation of foci of inflammation in the organ. If the disease is non-infectious, glomerulonephritis can be diagnosed. Sometimes the pain syndrome indicates the appearance of stones in the kidneys and ducts. The processes of their formation, as well as movement, cause fairly severe discomfort.
Often the disease develops against the background of hypothermia, it can be preceded by a cold. It is noted that people who stick to strict diets are more likely to suffer from kidney disease. In many ways, the symptoms of kidney pathologies and the condition called "back tear" are similar. There are a number of specific symptoms that allow you to more accurately identify the pathology. When the kidneys are sick, the sensations do not depend on the load, activity and movement. Many have a fever, the urine becomes cloudy, the shade changes. Some notice an increased urge to urinate, the process itself is accompanied by pain. There is a light tapping with the edge of the hand near the kidneys, the area responds with severe pain.
How can you help yourself?
If the back of a man, woman or child has lower back pain, if there is a suspicion of kidney disease, then it makes sense to contact the local doctor, call him at home. The kidneys are extremely important elements for the functioning of the human body, so unjustified risks are unacceptable. While waiting for the arrival of a specialist, you can try to alleviate the manifestations of the disease. The patient is laid or seated in such a way that it is as comfortable as possible, he is given a means to reduce the heat if the temperature exceeds 38 degrees. To make the pain a little weaker, you can take an antispasmodic drug. If the patient needs a change of position, he should be helped. In addition, it is useful to monitor blood pressure and body temperature.
It happens that people are convinced that if the back hurts in the lumbar region, they know for sure what to do: you need to immediately put a warm compress or put the victim in a hot bath. With kidney disease, such procedures are strictly prohibited. Any rewarming will drastically worsen the patient's condition. If a person has developed pyelonephritis, this activates the focus of inflammation. The patient's task is to wait for the arrival of a specialist. The doctor will examine the person concerned and recommend further measures.
pancreatitis
If the back hurts in the lumbar region in a man, woman or child, the cause may be pancreatitis. A pathology can be suspected if the pain is circling and at the same time creating a feeling that it comes from the left side of the body, the hypochondrium region. It is possible to cover the back and abdomen - this forms pain rings. For some, pancreatitis causes severe pain near the navel. If the pathology proceeds atypically, the patient has back pain - the lower back and a little higher. This way of localizing the pain syndrome often leads to an incorrect initial diagnosis.
If pancreatitis is suspected, a doctor must be called. While waiting for a specialist, you need to completely refuse food - during the inflammatory process, food can drastically worsen the condition. The caregiver should help the person get into a comfortable position; as much as possible offering comfort and rest to a person. You can drink a little water without additives, but drinking is allowed in moderation. It is advisable not to leave the patient and constantly monitor the change in condition until a specialist arrives. It is believed that if you curl up in a position characteristic of the embryo, the pain is slightly weaker.
osteochondrosis
If the back is very sore in the lower back, the cause was probably a disease of the cartilage of the joints connecting the elements of the spine. The pathological process is associated with pinching of the nerve roots - this becomes the source of pain. According to doctors, the probability of contracting the disease is high for any of our compatriots over 30 years old. In recent years, osteochondrosis has been increasingly diagnosed in young people and found in adolescents.
To provoke an attack of pain, a heavy object can be lifted, a long stay in a forced, uncomfortable position. The likelihood of developing a pathology is higher if a person drives a car for a long time, sits a lot and moves little in everyday life. Suspicion of osteochondrosis is possible if the pain syndrome spreads to the leg, while a nagging is felt in the lower back. When you try to move, the pain increases. This is accompanied by any load and a simple change of posture. Shooting, burning pain sensations are possible. It is possible to replace osteochondrosis when the buttocks and legs are characterized by reduced sensitivity, and when maintaining a stable posture for a long time, it becomes difficult to change them. For many, the thermoregulation of the limbs is disturbed, the legs sweat profusely, and the feeling of cold disturbs.
Features of the suitcase and first aid
If the back, lower back and spine hurt, while there is no temperature and the manifestations are similar to those described above, and there is no doubt that the cause of the pain is the spine, you can simply give yourself first aid means. The affected area is covered with a warm wool scarf or wrapped in a warm scarf and placed on a hard, flat surface. In the absence of the effectiveness of such measures, it is possible to smear the lower back with non-hormonal ointments to ease the course of the inflammatory process. The doctor may prescribe systemic treatment with non-hormonal anti-inflammatory drugs. As a rule, drugs are prescribed that contain meloxicam, ibuprofen.
Do not take analgesics and anti-inflammatory drugs on an empty stomach. The active substances contained in drugs irritate the gastric mucosa, can cause stomach ulcers and gastritis.
If there is no exact certainty that the cause of the pain lies precisely in osteochondrosis, it is necessary to see a doctor for a diagnosis. Unjustified self-treatment with non-hormonal anti-inflammatory drugs will certainly lead to a worsening of the condition. This is especially pronounced if the patient has a disease of the pancreas, an injury in the gastrointestinal tract.
safety first
If the back hurts in the lumbar region, what to treat, the doctor will say. You can not try to "set" the spine, this will aggravate the pain, there is a possibility of serious damage to the back. If osteochondrosis has passed into the acute phase, then warming up should be avoided. Hot baths are not allowed. We have to do without saunas and baths. Warming up gives a feeling of relief at first, but soon the pain comes with renewed vigour. If there are frequent symptoms that indicate osteochondrosis, you need to make an appointment with a neurologist. The doctor will give you a referral for an MRI. Such a picture allows you to assess the condition of the lumbar spine and determine how best to deal with the root cause of the pain.
If osteochondrosis caused pain during physical exertion, while the person was taking an anesthetic or medication to stop inflammatory activity, it is likely that the condition will improve much soon. Even if the pain is completely gone, you should not return to your previous activity. The sick back should be given rest for some time. The best option is bed rest.
neuralgia
There are a variety of different manifestations of how the lower back hurts - when lying on their back, walking, bending over. In some cases, the cause of this is an inflammatory process affecting nerve fibers. It is possible to assume neuralgia by manifestations similar to the symptoms of osteochondrosis described above. With every physical activity, the back reacts immediately with pain, even a slight movement is difficult for the patient and the urge to move triggers fear. There are a number of features that make it possible to guess what exactly caused the pain and to distinguish neuralgia from pinched nerve endings that make the spine sensitive.
With osteochondrosis, a person is subconsciously afraid to move, because the back causes pain with every action. Neuralgia also has this feature, but the pain spreads along the nerve that caused it, and the sensations themselves are described by sufferers as twitching. Perhaps an unpredictable alleviation of the condition and the return of pain when a person is calm and motionless. Sometimes against the background of neuralgia, spasms appear, muscle pain and a change in skin color are annoying. In some, the work of the sweat glands is disturbed. When pressure is applied to the back, the pain immediately seizes both halves of the body symmetrically.
help functions
If your back or lower back hurts badly, only a qualified doctor will tell you what to do. The pain syndrome caused by neuralgia is quite difficult to exclude, at the same time it is necessary to take measures to improve the patient's condition, since constant pain can provoke mental deviations. To relieve the pain somewhat, the doctor will prescribe non-hormonal anti-inflammatory drugs. In some cases, they prefer to deal with drugs containing ibuprofen, meloxicam. The patient is shown calm.
If a patient goes to the doctor because his back hurts badly, the lower back what to do should be decided by a qualified specialist. Depending on the specifics of the case, hospitalization may be recommended. This measure is used when the sensations are very strong. In a hospital, novocaine is used to block those in need.
functions and pain
It also happens that a person rips off his back and his lower back hurts. What to do in such a situation, the doctor will also tell you. This depends on the severity of the damage. Sometimes rest is enough, in other cases the help of a surgeon is required. It is well known that muscle soreness is often accompanied by a period of rest after a long workout or an unreasonably high level of exertion. Pain can be caused by clumsy, unsuccessful movements. It is known that people who are stressed, as well as those who sit for a long time at work, especially in front of the computer, complain more often of pain. If you train too actively, stand for a long time, suffer from overweight, your back often hurts. Lower back pain almost always accompanies pregnancy and bothers for some time after the birth of a child.
There are also situations when, in general, there is no need to think about what to do: the back hurts in the lumbar region, but rather weakly, over time it all goes away by itself. If the attack is single, not too strong, and an obvious causative factor preceded it (for example, prolonged work in a summer cottage), all you need to do is rest and wait for the pain to go away. If the pain comes in bouts, periods and worries for a long time, you need to see a doctor, since it is impossible to determine for yourself what is causing the sensations.
Reasons: primary and secondary
Primary pain is observed when there is a disease of the spine. Such a syndrome is possible if a person has developed spondylarthrosis, spondylosis. Possible hernia or bulge. Secondary pain syndrome accompanies fractures, tumor processes, persistent muscle tension. Such pain can be caused by diseases (kyphosis, arthritis, tuberculosis), there is a possibility of a narrowed spinal canal, osteomyelitis and a malignant process. Lower back pain is possible with ovarian cysts, endometriosis. The doctor needs to clarify all the factors of the case and review the patient's condition to figure out what to do. Back pain in the lumbar region in people with cystitis, in patients with scoliosis and arthrosis. Scheuermann-Mau disease can cause pain. In some women, pain indicates complications in the birth of the fetus.
Whether to rush to the doctor?
There are certain signs of pain that suggest you need to seek qualified help as soon as possible. So, if the lower back reacts with pain when walking, coughing, sneezing leads to an aggravation of the sensation, while the sensations spread to the lower extremities, you need to make an appointment with a neurologist. It also helps when the lower back hurts, the sensations are dull, the back hurts, the pain spreads to the legs, it is more noticeable when coughing and moving. Most likely, such symptoms indicate sciatica, but a person needs the timely help of a doctor, so you should not delay contacting the clinic.
A traumatologist can tell you what to do if your back hurts in the lower back, if the sensations appear against the background of a muscle stretch or lifting an object that is too heavy. For these reasons, as well as pain from hypothermia and drafts, it is first necessary to use creams that improve blood circulation at home for three days. If the condition does not improve during this period, you should make an appointment with the doctor.
measures and timing
For three days you can try to help yourself with back pain, lumbago. According to doctors, who know exactly what to do if their back hurts in the lower back, such symptoms are more common in people who, because of their activities, are forced to work hard. The pain usually goes away on its own within a few days after exercise, although in rare severe cases it lasts for weeks. To alleviate the condition, it is necessary to use analgesics and rest. It is necessary to find out experimentally in which position the pain is weakest. You should treat yourself to bed rest for the first two days. If the sensations have not passed in three days, they are recorded with a doctor.
Possible pain syndrome against the background of myositis. Such a pathological process is usually preceded by hypothermia or severe muscle tension. The area reacts with stiffness, sensations are sharp, especially strong when trying to move. The doctor will also be best at telling you what to do if your back hurts in the lower back because of this. First of all, doctors advise taking a warm shower, finding suitable warm clothes and completely abandoning any physical activity. For the first three days, use ointments that reduce the inflammatory process and reduce pain. If the sensations have not subsided, make an appointment with the doctor.
Chronicle and Radiant Pain
What to do if the back hurts due to spondylosis in the lower back, the doctor will tell only after a careful assessment of the patient's condition. The disease is indicated by a strong sharp pain syndrome, the lower back hurts, the legs are weaker and numb. With such manifestations, you should immediately make an appointment with a neurologist.
Ankylosing spondylitis can cause pain. A possible reason is metabolic failure or oncological pathology. With none of these options it is not possible to help yourself, you need to consult a qualified specialist and conduct a detailed examination of the body.
It also happens that a person is sure that the pain is localized in the lumbar spine, but the real reason is the failure of the internal organ's functionality. Referred pain is possible when the pathology is localized in the pelvis, gastrointestinal tract and kidneys. Low back pain is common with cancer. It is impossible to postpone a visit to the doctor if the syndrome lasts more than three days, if it was preceded by an injury, if in addition to the lumbar region there is pain in the foot and lower leg. If the pain is accompanied by numbness of the limbs, groin, then it is also impossible to delay contacting the clinic.
How to check?
If in the morning the back hurts in the lumbar region, this can be considered a sufficient reason to see a specialist. First of all, you can go to the local therapist. The doctor will give instructions for tests and instrumental examinations and, based on the details of the case, will refer to a highly qualified doctor. The most accurate diagnosis is usually made by a neurologist. To do this, you need to get the results of the MRI, ECG and ultrasound scan. Blood and urine samples are examined in the laboratory. In some cases, it is necessary to examine the puncture of the spinal cord, if there is a suspicion of malignant diseases, tissue samples are taken for a biopsy.
How are they treated?
Many people are afraid to go to the doctor in the morning with back pain in the lumbar region, believing that the doctor will immediately send them for surgery. Today there are many effective methods of treating various diseases of the spine. There is a method that uses waves and magnetic fields. Giving medication to treat joints can help. Rehabilitation simulators have been developed that quickly restore mobility. With severe pain and the need to stop inflammation and spasms, the doctor will do a blockade.
Drug treatment for back pain includes taking oral and injectable medications. Such treatment is often combined with physiotherapy - this increases the effectiveness. Prescribe drugs to reduce swelling, relieve stiffness and eliminate the focus of inflammation. Since all of these medicines have a wide list of contraindications and possible side effects, self-medication with them is strictly forbidden.