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Why do the back hurt in the lower back, how to treat?

Low pain is a common phenomenon that most adults face less or more often.For many, they are constant, background.However, sometimes they are able to have a significant negative impact on quality of life to interfere with everyday activity.In this case, it is necessary to initiate the diagnosis and treatment of pain in the spine in the lower back, as it may be a sign of a severe pathology.

What to do if your back hurts in the lower back?

What to do if your back hurts in the lumbar area?First of all, the patient needs to assume independently what the cause has discomfort.

Pain can cause two types of pathologies:

The causes of back pain in the lower back
  • Directly associated with the musculoskeletal system.They are characterized by increase/appearance when altering posture, active movements, dynamic load in the musculoskeletal system.For the same reason, the pain appears after a long work sitting and so on;
  • Associated with internal organ pathologies.In this case, you can determine the problem by concomitant symptoms - in kidney disease, this is an increase in temperature, difficulties with urination, with lumbar pain bladder diseases, intensifies/appears during urination.Gynecological pathologies are accompanied by characteristic symptoms of the genitals, menstrual cycle.

If the patient has reason to believe that pain in the lower back is associated with gynecological pathology, after going to the doctor, the following diagnostic studies will be performed:

  1. Ultrasound examination of the pelvic organs;
  2. Diagnostic Creetage;
  3. Pathological microflora stain;
  4. General blood test.

In case of suspicion of kidney pathology, bladder, the following studies that the therapist prescribes are performed:

  1. Kidney/Bladder Ultrasound Study;
  2. General urine analysis;
  3. Biochemical blood test;
  4. Manual inspection.

In case of suspected pathology of the musculoskeletal system, causing lower back pain, you should consult a vertebrologist/orthopedic/neurologist.

To establish the presence of a spinal disease, the following studies are performed:

  1. X -Ray - View only bone tissues, but you can determine the indirect signals of joint tissue pathologies, intervertebral discs;
  2. Manual inspection - reflex check, sensitivity;
  3. An electroneurogram in case of suspected significant involvement of nervous tissue in the process;
  4. Ultrasound of the spine with contraindications for other research methods.

The most informative complex research methods for lumbar pain - CT, magnetic resonance imaging.They can be used in any case, if necessary, confirm the diagnosis or if it is impossible to put it in another method.

Comprehensive treatment

How to treat back pain in the lower back?If they are associated with internal organ pathologies, their cause must be cured.With urolithiasis, surgical elimination of stones is recommended, dissolving them with special medications.With pyelonephritis, cystitis is prescribed Lissotics, a broad spectrum of action for a long time.In the case of gynecological pathologies that cause lower back pain, it all depends on your type: hormones, antibiotics, anti -inflammatory drugs and surgical intervention can be prescribed.

But most of the time, lower back pain is caused by pathologies of the musculoskeletal system, which also requires comprehensive treatment.An orthopedist neurologist can prescribe this treatment.

Pain removal with medicines

If the back hurts in the lower back, one of the following methods may help:

How to relieve lower back pain
  • Anti -non -inflammatory drugs in tabletsI accept 1 piece up to 3 times/day.Effectively relieve pain, almost without -indications, side effects.You cannot take them uncontrollably during pregnancy.When, after 2-3 days of taking, the pain does not pass, you should consult a doctor-the treatment course can be extended to 14 days, but only under your control;
  • Non -inflammatory drugs non -esteroids in injectionsThey are administered intramuscularly at an individual dose no more than once a day.Relieves pain more efficiently and faster than tablets in tablets, but it is prohibited to use them for more than three days, as they begin to influence the chemical composition of the blood, reducing their coagulation.If necessary, extend the course of the NSA, the doctor prescribes the patient to the tablet;
  • Pallets analgesicsThey are allowed in extreme cases, as they have side effects, negatively affect the state of the gastric mucosa, but more effectively relieve pain than NSAIDs.Take strictly, if necessary, for 1 tablet.Against -Indicated during pregnancy, stomach ulcer, in some other cases;
  • Injections analgesicsThey do not have such a negative effect on the mucous membrane, introduced in individual dosages, also strictly according to the indications.Against -Indicated during pregnancy, reduce blood coagulation.

Methods have a pronounced analgesic effect, but with a severe pathology, only comprehensive treatment will help alleviate exacerbation.

Additional drugs

During the complex back pain therapy in the lower back, other medicinal substances are prescribed:

  • Warm ointmentsApply if necessary up to 4 times a day.They help alleviate muscle spasm, painful in themselves, causing nervous tissue compression, blood vessels.Spasm occurs after a long static/dynamic load;
  • Antispasmodic2 tablets are accepted up to twice a day, contribute to the removal of muscle spasm;
    • How to treat back pain on the bottom
  • CondoProtectors in Ointments or TabletsAllow to strengthen intervertebral discs, joint tissues, interrupt the progression of the pathological process.The ointment is applied up to 4 times/day, the tablets are taken 1-2 times/day;
  • Vitamins B.Intramuscular injected 1 time in 1-2 days in individual doses.Allow you to improve the conductivity of nerve impulses, maintain a good condition of nervous tissue;
  • Aine MasiThey have an additional analgesic effect, applied directly to the painful area 3 times/day.By themselves, local funds are not effectively capable.But effective as an additional method.

The comprehensive treatment is prescribed by a doctor, is supplemented with massage, physiotherapy and physical education of physiotherapy.

Exercises

Exercise Therapy and Gymnastics

The following exercises help effectively relieve lower back pain:

  • A cat fat.Take a position on the floor with your knees and palms.Fold as much as possible, fix the top of 10 seconds.Then tilt your back as much as possible, fix it at the bottom point for 10 seconds.Repeat the exercise 7 times in both directions;
  • Lie on the floor, on the stomach, the straight legs, the arms extended in front of you.At the same time, raise your arms, the upper body, straight legs, as if performing the "bridge" on the contrary.Correct to the maximum for the maximum time possible, slowly return to your original position.

Physical exercises prescribed by a physiotherapy doctor help to strengthen muscle structure so that the spine becomes more resilient to cargo.They also normalize the nutrition of tissues, intervertebral discs, preventing the development of degradation processes in them.However, exercises can only be performed during periods of remission - during injury, exacerbation of chronic diseases, are prohibited.

Yoga

Yoga has the same nominations, against -indications as exercise therapy.

The following asanas are the most useful pain in the lower back:

  1. Slope in front of a sedentary position;
  2. Child pose;
  3. Cheer on a lotus pose;
  4. Goddess Lie;
  5. Legs at straight angles to the body with wall support;
  6. Free wind;
  7. Awakening pose.

It is recommended first to execute them under the supervision of an instructor.

Swimming

During swimming, the load is removed from the spine, muscle structure is strengthened and muscle work is normalized and blood circulation is improved.You cannot swim during periods of exacerbations.It is also important to adhere to certain styles that do not have a load in the lower back.This is a bath in the back shown at the beginning of the lesson, at the end of it, let go, like a dog.Rabbit style is not recommended as it provides a significant load in the muscle system.

Physiotherapy

How to treat pathology?A good additional method is physical therapy.

The following methods are used:

  1. Microwave;
  2. UHF;
  3. Magnetotherapy.

In the course of hypertonicity, muscle spasm is removed, the inflammatory process decreases, swelling decreases, blood circulation and microcirculation are normalized.Generally, 7-10 procedures are sufficient to obtain a stable positive effect.

Massage

Massage allows to alleviate muscle hypertonomy, strengthen muscle corset, such as exercise therapy, is prohibited to perform severe exacerbations of pathologies.

Perform light massage as follows:

  1. Rubbing with open palm trees on both sides of the spine;
  2. Pressing, accompanied by vibratory/circular movements - apply forces simultaneously with two fingers, symmetrically, at various points along the spinal column;
  3. The development of the deep layers of the muscles - press four fingers on the fabric on both sides of the spine, without reducing the pressure to advance the hands forward - from the sacred to the thoracic region.

Finish the complex also rubbing.

Workplace organization

Often spine pain manifests itself in people involved in sedentary work.As a result of a prolonged session, a strong static load is in the column.It can be reduced with the proper organization of the workplace.Must meet the following rules:

  1. When placing the forearm on the table between them and the shoulder, a right angle should form;
  2. The feet should be on the floor in a sitting position, the knee should be folded at an angle of 90 degrees;
  3. The distance from the eyes (with straight back) to the computer screen is 50 cm to the table surface of 30 to 40 cm.

In addition, you can improve your condition by buying a special orthopedic session.

Prevention

If the lumbar region has not yet hurt, but you feel rigidity in it, take the following measures for pain prevention in the lower back:

  1. Avoid weight lifting;
  2. Avoid dynamic/static loading prolonged;
  3. Take breaks in the gymnastics with sedentary work;
  4. Perform exercise therapy daily;
  5. Eat properly;
  6. Abandon bad habits;
  7. Avoid drafts;
  8. Follow your weight - Do not allow the set.

These methods prevent the development of pathologies of the musculoskeletal system.

Conclusion

Back and lower back pain can cause various pathologies and you can get rid of unpleasant symptoms just by eliminating the cause of this pathology.Therefore, if the pain of relieving pain ceases to act, lumbar pain becomes regular/very intense, you should consult a doctor to establish the cause of pain and eliminate it.