Back pain

Pain, lumbago, constant heaviness, are you familiar with similar sensations in the back?

Harmless pulling pain is often a sign of a dangerous disease. In this article we will analyze all the causes of the disease.

Reasons

1. Diseases of the spine and pelvis.

• Osteochondrosis (damage to the intervertebral discs (bulge, disc herniation);
• Spondylitis (inflammatory disease of the spine);
• Spondyloarthritis (arthrosis of the intervertebral joints);
• Spondylosis (bone growth);
• Spondyloarthritis (inflammation of the intervertebral joints);
• Myositis (inflammation of the muscles);
• Osteoprosis (reduced bone density) with compression fractures of the vertebrae and other bone structures;
• Trauma of the spine and pelvic bones (fractures, cracks);
• Sacroiliitis (inflammation of the sacroiliac joints);
• Tumors of bone structures and soft tissues.

2. Reflected pain in the lumbar spine,associated with diseases of the abdominal and pelvic organs (inflammatory diseases and tumors), this pain is often accompanied by abdominal pain.

The nature of the painmay be different:

• Acute is a pain that appears quickly, suddenly;
• Chronic - pain for more than 2 months, occurs with the progression of diseases of the spine;
• With inflammatory pathologies of the genitourinary system, abdominal organs (with chronic gastritis, pancreatitis, cholecystitis, enterocolitis).

Intensity of pain

From discomfort to severe pain.

In case of acute and intense abdominal pain radiating to the lumbar spine, it is always necessary to exclude surgical pathology that requires urgent surgical intervention (gastrointestinal bleeding, appendicitis, peritonitis, etc. ).

Severe pain in the lumbar spine

It can be reflex (muscle spasm caused by irritation of receptors in the paravertebral muscles). It hurts to cough, to sneeze, all movements are accompanied by pain. When the nerve root is compressed (disc bulge, disc herniation), the pain spreads to the lower extremities, often on one side.

Myofascial syndrome

It is caused by irritation of pain receptors in the muscles and fascia. There is the formation of triggers (painful nodes) in the muscles, the pain syndrome is chronic, often recurring.

Any trauma to soft tissues or bone structures is also accompanied by severe pain.

When to see a doctor: Every case of lumbar spine pain requires a visit to a doctor to help diagnose the cause of the pain and take action.

Pain in men, women

In diseases of the reproductive system, the pain syndrome differs between men and women.

Men with prostate pathology are characterized by pulling, painful pain, often accompanied by urinary incontinence. In women, the symptom is often acute, pronounced. In ovarian apoplexy or ectopic pregnancy, the pain is unbearable. The syndrome is usually more intense on the affected side.

In endometriosis, uterine fibroids - painful sensations, pulling. If the pain is associated with pathology of the spine, the intensity of the pain does not depend on gender. It is noticed that men go to the doctor later.

Diagnosis

Review by specialists

• vertebral neurologist;
• gastroenterologist;
• neurosurgeon;
• surgeon;
• gynecologist;
• urologist;
• rheumatologist;
• oncologist.

Laboratory methods

• general blood test (to exclude the inflammatory process, the level of leukocytes, ESR), to exclude anemia (hemoglobin level);
• general analysis of urine: exclusion of the inflammatory process in the bladder, kidneys (bacteria, leukocytes, erythrocytes);
• fecal occult blood analysis;
• blood biochemistry: rheumatological tests to rule out systemic inflammation (CRP, RF, uric acid), assessment of liver function (alt ast bilirubin), assessment of renal function (creatinine urea), pancreatic function (amylase), etc.

Instrumental research methods

• radiography of the lumbar spine and pelvic bones; plain radiography of the abdominal cavity (except for intestinal obstruction);
• Ultrasound of the abdominal and pelvic organs;
• FGDS;
• colonoscopy;
• MRI (CT) of the lumbar spine, MRI (CT) of the lumbar with contrast;
• MRI (CT) of the abdominal cavity and small pelvis, MRI (CT) of the abdominal cavity and small pelvis with contrast.

Treatment

When a tumor is detected, depending on the location and nature of the tumor, the tactics of treatment, surgery or others are determined (observation and treatment in a neurosurgical, surgical hospital, oncology dispensary).

Medication treatment

Diseases of the spine (more often within osteochondrosis):

• NSAIDs;
• muscle relaxants;
• opioid analgesics;
• diuretic drugs;
• vascular drugs;
• antibacterial drugs;
• medical and medical blockade with novocaine, lidocaine and diprospan.

Non-drug methods

They are mainly used in the treatment of diseases of the spine:

• physiotherapy (magnetic laser, magnetic therapy, CMT with novocaine, etc. );
• acupuncture;
• hardware adhesion of the lumbar spine;
• manual therapy;
• massage;
• balneotherapy (mud applications, ozokerite);
• Exercise therapy.

Prevention of diseases of the spine (within osteochondrosis) all the above methods (except physiotherapy).

Prevention of diseases of the gastrointestinal tract: diet, diet, work and rest.

If you have lumbar pain, go to the clinic.

The hospital has all the specialists and all the diagnostic methods presented in this article. There are also inpatient wards: gastroenterology ward and city vertebrology center. All methods of treatment are used, except surgery. You can be monitored, examined and treated on an outpatient basis, ie outside the hospital.