Why does the back hurt at the bottom of the back, how to treat it?

Low pain is a common phenomenon that most adults face less or more often.For many people, they are constant, background.However, sometimes they are able to have a significant negative impact on the quality of life, to interfere with everyday activity.In this case, it is necessary to start diagnosing and treating the back pain in the lumbar region, as it can be a sign of serious pathology.

What should you do if the back hurts in the lower back?

What should you do if the back hurts in the lower back area?First of all, the patient must independently assume what cause is embarrassed.

Pain can cause two types of pathologies:

• It is directly associated with the skeletal muscle system.They are characterized by growth/appearance when changing behavior, active movements, dynamic load on the muscular system.For the same reason, the pain appears after a long sitting work and so on;
• Is associated with pathology of the internal organs.In this case, you can determine the problem from simultaneous symptoms - in kidney disease, this is an increase in temperature, difficulty with urination, with backdrop bladder, it intensifies/appears during urination.Gynecological pathologies are associated with characteristic symptoms from the genitals, menstrual cycle.

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

1. Ultrasound examination of the pelvic organs;
2. Diagnostic cure;
3. Stains for pathological microflora;
4. General blood test.

In the event of suspicion of kidney, bladder pathology, the following studies have been conducted that the therapist determines:

1. Ultrasound study of the kidney/bladder;
2. General urine analysis;
3. Biochemical blood test;
4. Manual inspection.

In case of suspicion of the pathology of the skeletal muscle system causing back pain, you should consult a vertebologist/orthopedic/neurologist.

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

1. X -Ray - visualizes only bone tissue, but on it you can determine indirect signs of articular tissue pathologies, intervertebral discs;
2. Manual inspection - reflex control, sensitivity;
3. An electronurogram in case of suspicion of a significant involvement of nerve tissue in the process;
4. Ultrasound of the spine with contraindications to other search methods.

The most informative methods of complex research for back pain - CT, MRI.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 pathology of the internal organs, then it is necessary to cure their own issue.With urolithiasis, surgical elimination of stones is recommended, distributing them with special medicines.With pyelonephritis, the cystitis is less described, a wide spectrum of action for a long time.In the case of gynecological pathologies that cause back pain, it all depends on their type: hormones, antibiotics, anti -inflammatory drugs and surgical intervention may be prescribed.

But most often, the pain of the lower back is caused by the pathologies of the muscular system, which also requires comprehensive treatment.A neurologist, orthopedist can prescribe such treatment.

Removing pain with medication

If the back hurts at the bottom of the back, one of the following methods may help:

• Anti -inflammatory drugs non -inflammatory in tabletsAccepted 1 piece to 3 times/day.Effectively relieve pain, almost no contraindications, side effects.You cannot get them uncontrollable during pregnancy.When, after 2-3 days of intake, the pain does not pass, you should consult a doctor-the course of treatment can be extended to 14 days, but only under its control;
• Anti -inflammatory non -steroidal drugs in injectionsThey are administered intramuscularly at an individual dose no more than once a day.Relieve the pain more efficiently and faster than the medication in the tablets, but it is forbidden to use them for more than three days, as they begin to affect the chemical composition of the blood, reducing its coagulation.If necessary, extend the NSAID flow, the doctor prescribes the patient on the tablet;
• Analgesics in tabletsThey are allowed in extreme cases, as they have side effects, adversely affect the condition of the gastric mucosa, but relieve pain more effectively than NSAIDs.Take strictly if necessary for 1 tablet.Contraindicated during pregnancy, stomach ulcer, in some other cases;
• Analgesic in injectionsThey do not have such a pronounced negative effect on the mucosa, inserted into individual doses, also strictly according to indications.Contraindicated during pregnancy, reduce blood clotting.

Methods have a pronounced analgesic effect, but with a serious pathology, only comprehensive treatment will help relieve deterioration.

Extra medication

During the complex therapy of the back pain in the lower back, other medicinal substances have been prescribed:

• The heating of ointmentsApply if necessary up to 4 times a day.They help to relieve muscle spasm, painful in itself, provoking nerve tissue compression, blood vessels.Spasm occurs after a long static/dynamic load;
• Antispasmodics2 tablets are taken up to twice a day, contributing to the removal of muscle spasm;

• Chondroprotectors in ointments or tabletsAllow the strengthening of intervertebral discs, articular tissue, stop the progression of the pathological process.Ointment applies up to 4 times/day, tablets are taken 1-2 times/day;
• B vitaminsInjected intramuscularly once every 1-2 days in individual doses.Allows you to improve the conductivity of nerve impulses, maintain a good condition of nerve tissue;
• Nsaid massThey have an additional analgesic effect, applied directly to the painful area 3 times/day.The local funds themselves are not capable of being effective.But effective as an additional method.

Comprehensive treatment is prescribed by a doctor, it is complemented by massage, physiotherapy, physical education physiotherapy.

exercise

Exercise therapy and gymnastics

The following exercises help to effectively relieve pain in the lumbar:

• A cat-border.Take a position on the floor with knees and palms.Bend your back as much as possible, adjust on top of 10 seconds.Then bend your back as much as possible, adjust it to the bottom for 10 seconds.Repeat the exercise 7 times in both directions;
• Lie on the floor, on the stomach, the legs straight, the arms lie in front of you.At the same time, raise your arms, upper body, straight legs, as if they perform the "bridge" otherwise.Fix at the maximum point for the maximum possible time, slowly return to its original position.

Physical exercises prescribed by a physician of physiotherapy exercises help to strengthen the muscle frame so that the spine becomes more resilient to loads.They also normalize tissue nutrition, intervertebral discs, preventing the development of degradation processes in them.However, exercises can only be performed during periods of forgiveness - during injuries, worsening chronic diseases, they are prohibited.

Yoga

Yoga has the same indications, contraindications as exercise therapy.

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

1. Tilting forward from a sitting position;
2. Child's position;
3. Twisting from a lotus position;
4. Goddess lies;
5. Feet at right angles to the body with wall support;
6. Free wind;
7. Awakening poses.

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

swimming

During swimming, the load is removed from the spine, the muscle frame is strengthened and the muscle work is normalized, and the blood circulation is improved.You cannot swim during periods of irritation.It is also important to adhere to certain styles that do not exert a load in the lumbar region.This is a swimmer on the back shown at the beginning of the lesson, at the end of it, Brace, like a dog.Rabbit style is not recommended, as it provides a significant load on the muscular system.

Physiotherapy

How to treat pathology?A good additional method is physiotherapy.

The following methods are used:

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

During it, hypertonitis, muscle spasm is removed, the inflammatory process decreases, swelling of swelling, blood circulation, microcirulation is normalized.Usually, 7-10 procedures are enough to achieve a positive positive effect.

Massage

Massage allows you to relieve muscle hypertonitis, strengthen muscle crust, such as exercise therapy, it is forbidden to perform severe pathologies.

Perform light massage as follows:

1. Rubbing with an open palm, on both sides of the spine;
2. By pressing, accompanied by vibrating/circular motions - apply strength simultaneously with two fingers, symmetrically, at some points along the spinal column;
3. Development of deep muscle layers - press four fingers in tissue on both sides of the spine, without reducing the pressure to advance the hands forward - from the sacrum to the thoracic region.

End the complex by rubbing.

Organizing the workplace

Often, back pain manifests in people engaged in sitting work.As a result of prolonged landing, a strong static load is on the back.It can be reduced by the proper organization of the job.Must meet the following rules:

1. When placing the forearm on the table between them and the shoulder, a proper angle must be formed;
2. The legs should stand on the floor in a sitting position, the knee should bend at an angle of 90 degrees;
3. The distance from the eyes (with a straight spine) on the computer screen is 50 cm, on the surface of the table-30-40 cm.

Moreover, you can improve your condition by buying a special orthopedic landing.

PREVENTION

If the middle region has not hurt yet, but you feel stiffness in it, take the following measures to prevent pain in the lower back:

1. Avoid lifting weight;
2. Avoid prolonged dynamic/static load;
3. Make a holiday in gymnastics with sitting work;
4. Perform exercise therapy daily;
5. I eat correctly;
6. Abandon bad habits;
7. Avoid designs;
8. Follow your weight - do not allow it to be grouped.

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

cONcluSiON

The back and back pain can cause different pathologies and you can get rid of unpleasant symptoms only by eliminating the cause of this pathology.Therefore, if pain to relieve pain ceases to act, back pain becomes regular/very severe, then you should consult a doctor to establish the cause of the pain and eliminate it.