Patients go to the doctor to find out the cause of back pain. People who spend a lot of time in their own summer cottage, garden often face such a painful syndrome. Constantly repairing houses and sparing no effort on the land, people therefore reduce their health. A day or two of hard work, and now can't stand up straight without severe pain. However, in some cases, the pain indicates the presence of other pathologies. To determine the appropriate treatment strategy, you must first find the root cause of the pain.
Possible factors: is it all serious?
To find a good treatment for a problem, you need to first identify its cause. Back pain in the lumbar region on the left, right, even causing pain in the hips, if the patient has impaired kidney function and health, bone necrosis and neuralgia will develop. Possibly acute pancreatitis. Each of the conditions described requires a radical treatment approach and consultation with a physician is recommended. Try to arbitrarily choose a course of therapy for yourself, you may harm your health, the condition will become worse. If you go to the doctor, at the front desk he will assess the symptoms, make a preliminary diagnosis and send him to studies that will confirm or disprove the assumption.
Kidneys hurt
If your back hurts a lot in the lumbar region, it is likely that you have pyelonephritis. This term refers to the formation of inflammatory foci in the organ. If the disease is not contagious, glomerulonephritis can be diagnosed. Sometimes pain syndrome indicates the presence of stones in the kidneys and ducts. Their arising processes, as well as movement, cause quite strong discomfort.
Often the disease develops against the background of hypothermia, which can be preceded by a cold. It is noted that people who follow strict diets are more likely to develop kidney disease. In many ways, the symptoms of kidney disease and the condition known as "back tear" are similar. There are a number of specific symptoms that allow you to more accurately determine the pathology. If the kidneys are diseased, sensations are independent of load, activity, and movement. Many people have fever, cloudy urine, change in shade. Some noted an increased urge to urinate, which itself is accompanied by pain. There is a slight proboscis about the edge of the hand near the kidney, which reacts with intense pain.
How to help yourself?
If men, women, children have low back pain, if there is any reason to suspect kidney disease, it is necessary to contact a local doctor, call a home doctor. The kidney is an extremely important factor for the functioning of the human body, so unnecessary risks are unacceptable. While waiting for the arrival of a specialist, you can try to alleviate the manifestations of the disease. Patients are placed or seated as comfortable as possible, and they are provided with means to reduce heat if the temperature exceeds 38 degrees. To ease the pain a little, you can take antispasmodics. If the patient needs to change position, he should be helped. In addition, it is necessary to monitor blood pressure and body temperature appropriately.
What happens is that people believe they know for sure what to do if their back hurts in the lumbar region: you need to immediately apply a warm compress or put the person in pain in a hot tub. In case of kidney disease, such procedures are strictly prohibited. Any restart would aggravate the patient's condition. If a person has developed pyelonephritis, this will trigger the focal point of inflammation. The patient's task is to wait for the appearance of a specialist. The doctor will examine the sick person and recommend further actions.
Pancreatitis
If back pain is in the lumbar region, in men, women, and children, the cause may be pancreatitis. Pathology may be suspected if the pain is overwhelming and at the same time the sensation is emanating from the left half of the body, the hypochondrium. It is possible to cover the back, abdomen - this forms painful rings. For some people, pancreatitis causes severe pain near the navel. If the pathology progresses atypically, the patient has low back pain - lumbar and slightly higher. The localized nature of this pain syndrome often causes an inaccurate initial diagnosis.
Assuming pancreatitis, it is necessary to call a doctor. In the meantime, you will have to completely refuse food - during inflammation, food can aggravate the condition. Caregivers should help the patient maintain a comfortable position; As much as possible, provide comfort and quiet for a person. You can drink some water without additives, but only in moderation. The patient should not be left alone, continuously monitoring the change of the condition until a specialist arrives. It is believed that the pain will be slightly weaker if you curl up in the characteristic position of the embryo.
Bone tumor
If the lower back is very painful, it is most likely caused by a disease of the cartilage that connects the elements of the spine. The pathological process is associated with compression of the nerve roots - this is what becomes the source of pain. According to doctors, the probability of getting the disease is very high for any of our compatriots over the age of 30. In recent years, osteonecrosis has been increasingly diagnosed in young people and detected in adolescents.
To stimulate pain can lift a heavy object, lie for a long time in a forced, uncomfortable position. The likelihood of disease is higher if the patient drives a car for a long time, sits a lot, moves less in daily life. Osteonecrosis may be suspected if pain radiates down the leg and discomfort is felt in the lower back. If you try to move, the pain increases. This is accompanied by any load and a simple change in the position of the body. Shooting a gun, a burning sensation may occur. It is possible to replace osteonecrosis if the characteristics of the buttocks and legs are reduced sensitivity, if maintaining a stable position for a long time, it is difficult to change. For many people, the thermoregulation of the extremities is disturbed, the feet sweat profusely and the feeling of cold is disturbed.
Case characteristics and first aid
If the back, lower back, spine are painful, and there is no temperature and symptoms similar to those described above, if you do not suspect the cause of the pain is the spine, you can give yourself first aid. yourself in a simple way. mean. The affected area is covered with a warm woolen towel or tied with a warm towel, and lie down on a hard flat surface. In the absence of the effect of such measures, you can smear the lower back with non-hormonal ointments to reduce the course of the inflammatory process. Your doctor may prescribe systemic treatment with non-hormonal anti-inflammatory drugs. As a rule, drugs containing meloxicam, ibuprofen are prescribed.
Do not take pain relievers and anti-inflammatory drugs on an empty stomach. The active ingredients in the drug irritate the stomach lining, can cause peptic ulcer disease, gastritis.
If there is no certainty that the exact cause of the pain is osteonecrosis, it is necessary to see a doctor for a diagnosis. Unreasonable self-treatment with non-hormonal anti-inflammatory drugs will certainly make the condition worse. This will be especially evident if the patient has pancreatic disease, a violation in the gastrointestinal tract.
Safety first
If back pain in the lumbar region, what to treat, the doctor will tell. You can't try to "squeeze" the spine, this will make the pain worse, potentially causing severe back damage. If osteonecrosis has progressed to the acute stage, warm-up should be avoided. Hot showers are not allowed. We will have to give up the sauna and bath. At first, the body heats up giving a feeling of relief, but soon the pain comes along with renewed vitality. If symptoms suggestive of osteonecrosis appear frequently, you need to make an appointment with a neurologist. Your doctor will give you a referral for an MRI. Such imaging will allow you to assess the condition of the lumbar spine and determine the best way to address the root cause of the pain.
If osteonecrosis causes pain on exertion, while the person has been given anesthesia or medication to stop the inflammatory activity, chances are that the condition will get much better soon. Even if the pain is completely gone, you should not return to your previous activity again. For a while, the patient should be rested. The best option is bed rest.
Nerve pain
There are many different manifestations of how painful the lower back is - when they lie on their back, walk, bend over. In some cases, the cause of this is an inflammatory process that affects nerve fibers. Sciatica can be presumed because of its manifestations similar to those of osteonecrosis described above. With any physical activity, the back immediately reacts with the feeling of pain, the patient has difficulty even moving slightly, and wanting to move also creates fear. There are a number of features that make it possible to accurately suspect the cause of the pain and differentiate neuralgia from the pinched nerve endings that provide sensitivity to the spine.
With osteonecrosis, a person subconsciously is afraid to move, since the back causes pain with any action. Nerve pain also has this feature, but the pain radiates along the nerve causing it and the sensation itself is described by the patient as a convulsion. Perhaps remission is unpredictable and the pain returns when a person is calm, immobile. Sometimes, against the background of neuralgia, convulsions occur, muscle pain and a change in skin tone are worrisome. In some people, the work of the sweat-producing glands is disrupted. With pressure on the back, the pain immediately covers both halves of the body symmetrically.
Help feature
If your back or lower back hurts a lot, only a qualified doctor can tell you what to do. The pain syndrome caused by sciatica is quite difficult to rule out, and at the same time, it is necessary to take measures to improve the patient's condition, because constant pain can cause mental distortion. To alleviate some of the pain, your doctor will prescribe non-hormonal anti-inflammatory drugs. In some cases, they prefer to take medicine containing ibuprofen, meloxicam. The patient is allowed to rest.
If the patient goes to the doctor because of a lot of back pain, what to do with the lower back, it should be decided by a specialist doctor. Based on the specifics of the case, hospitalization may be recommended. This measure is used if the feeling is very strong. In a hospital setting, blockade will be implemented on the poor using novocaine.
Traits and pain
It also happens that a person has a back tear, and his lower back hurts. What to do in such a situation, the doctor will also tell you. This will depend on the severity of the damage. Sometimes rest is enough, in other cases a surgeon's help is required. It is known that soreness is often accompanied by periods of rest after long workouts or unreasonably large loads. Pain may be caused by clumsy, unsuccessful movements. It is known that people who are stressed, as well as those who have to sit for long periods of time, especially in front of the computer, often complain of more pain. Back pain often occurs in people who exercise too hard, stand for a long time, and bear excessive weight. Lower back pain almost always accompanies pregnancy and bothers for a while after childbirth.
In general, there are also situations where you do not need to find out what to do: the back hurts in the lumbar region, but is quite weak, with time everything will go away on its own. If the pain is one-time, not too strong, has obvious etiology (for example, prolonged work in a summer cottage), just give yourself a break and wait for the pain to go away. . If the pain comes in episodes, menstrual cycles, anxiety for a long time, you need to consult a doctor, because it is not possible to determine on your own what is causing the sensation.
Reason: main and secondary
Primary pain is observed if there is pathology of the spine. Such a syndrome can occur if a person has developed degenerative spondylolisthesis, degenerative spondylolisthesis. There may be a hernia or protrusion of the eye. Secondary pain syndrome is accompanied by fractures, tumor processes, prolonged muscle tension. Such pains can be caused by diseases (kyphosis, arthritis, tuberculosis), there is a possibility of narrowing of the spinal canal, osteomyelitis and malignant processes. Lower back pain can be caused by ovarian cysts, endometriosis. The doctor must clarify all the elements of the case, examine the patient's condition to figure out what to do. Low back pain in people with cystitis, in people with scoliosis, osteoarthritis. Scheuermann-Mau disease can be painful. In some women, soreness indicates complications in pregnancy.
Should I hurry to the doctor?
There are some signs of pain that indicate a need to get professional help as quickly as possible. So, if when walking, the lower back reacts with pain, coughing, sneezing, leading to an aggravated feeling, and the sensation spreads to the lower extremities, you need to see a neurologist. It also helps if lower back pain, dull sensations, back pain, pain radiates down the leg, more noticeable when coughing and moving. It is possible that such symptoms indicate sciatica, but a person needs the most prompt help from a doctor, so you should not delay in contacting the clinic.
The trauma doctor can tell you what to do if your back hurts in the lower back, if that sensation occurs with muscle strain or lifting something too heavy. For such reasons, as well as pain from hypothermia and exposure to drafts, it is necessary to use three-day blood flow-activating creams at home first. If your condition does not improve during this time, you should make an appointment with your doctor.
Measures and timing
In three days, you can try to relieve your back pain, low back pain. According to doctors, people who know exactly what to do if their back hurts in the lumbar region, who often experience such symptoms because their activities are forced to do heavy work. The pain usually goes away on its own within a few days of exercise, although in some rare severe cases the pain persists for weeks. To reduce the condition of the disease, it is necessary to use pain relievers, give yourself rest. It takes experimentation to find the most painful site. The first two days, you should give yourself bed rest. If the sensations do not go away in three days, they will be recorded with the doctor.
Pain syndrome can occur against the background of myositis. Such a pathological process often precedes hypothermia or severe muscle tension. This area responds to a hard, sharp sensation that is especially strong when trying to move. Your doctor will also tell you what is best to do if your lower back hurts for this reason. Doctors recommend taking a warm bath first, finding suitable warm clothing, and giving up any physical activity altogether. The first three days use ointments that calm the inflammatory process, relieve pain. If the feeling still hasn't subsided, make an appointment with your doctor.
Chronic and diffuse pain
About what to do if the back is painful in the lower back due to spondylosis, the doctor will only tell after a thorough assessment of the patient's condition. The disease is manifested by the syndrome of sharp, sharp pain, pain in the lower back, weakness and paralysis of the legs. With such symptoms, you should immediately schedule an appointment with a neurologist.
Ankylosing spondylitis can cause pain. One possible reason is a metabolic failure or cancer pathology. In these options will not be able to go away on their own, you need to consult a qualified specialist and do a detailed physical examination.
It also happens that a person is sure that the pain is localized in the lumbar spine, but the real reason is a deterioration in the function of internal organs. There may be diffuse pain if the disease is localized to the pelvis, gastrointestinal tract, and kidneys. Usually low back pain with cancer. It is impossible to postpone the visit to the doctor if the syndrome persists for more than three days, if it was preceded by an injury, if, in addition to the lumbar region, the feet and legs are also painful. In case the pain is accompanied by numbness in the limbs, groin area, it is not possible to delay contacting the clinic.
How to check?
If you have low back pain in the morning, this can be considered a sufficient reason to contact a specialist. First, you can visit your local therapist. The doctor will give the direction of examination and instrumental examination, redirecting to a highly qualified doctor based on the details of the case. 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 tests. Blood and urine samples are examined in a laboratory. In some cases, it is necessary to study lumbar puncture, if malignancy is suspected, tissue samples are taken for biopsy.
How will they be treated?
Many people are afraid to go to the doctor if they have back pain in the morning, because they believe that the doctor will give them an operation right away. Today, there are many effective methods in the treatment of various diseases of the spine. There is a method that uses waves and magnetic fields. It may be helpful to use a medication designed to treat the joint. Rehabilitation simulators have been designed to quickly restore mobility. With severe pain and need to stop inflammation and spasms, the doctor will proceed to blockade.
Medications for back pain include oral and injectable medications. Often such treatment is combined with physiotherapy - this increases the effectiveness. Prescribe medication to reduce swelling, reduce stiffness, eliminate inflammatory focal points. Since all such drugs have a list of contraindications and possible side effects, self-medication with them is strictly prohibited.