Back pain: causes and treatment

Almost every person at least a long chapter in their life back pain the beginning,, u, c, te, in adult individuals again discomfort on a regular basis. Illustrated current issues every year more than three times the least spent for the treatment of back pain the truth is that the economy, the more of treatment for cancer patients.

Chapter time is about 2 weeks the pain usually, but yet months in many patients and longer residual effects recorded. There

the diagnosis of the patient as part herniated intervertebral disc disease, spinal canal, kidney disease, ovary, and other internal organs, and sometimes a malignant tumor or metastasis.

In our paper we will describe briefly the main reasons back pain and their distinctive features, helpful to understand if you are a person that is having problems with her health for a time and consult a doctor.

Possible causes of back pain:

• defeat the spine, ligaments, and Nov;
• root impingement and other spinal cord diseases;
• the internal organs the disease;
• connective tissue disease;
• depression and psychological disorders.

Proven, occur more frequently than back pain, low mobility, obesity, smoking, heavy physical work, residence an uncomfortable posture, prolonged action, vibration, sharp body during cornering.

Diseases of the spine, ligaments and joints

Most people complain of back pain occurs, intervertebral disc lesions, joint between the spikes, both wire themselves to the bone vertebrae. With age, intervertebral disc lose water, the thickness decreases. As a result, increases mobility, individual items of the vertebral column, irritation, pain receptors in the intervertebral joints. I must say, even in humans acute often "age changes", spine, back pain no. Disc herniation is usually matched with random pain.

In recent years, increasing value in the development of constant back pain, given the so-called joint syndrome "small face" — a special form of osteoarthritis, joint destructive the spine apparatus.

The pain syndrome may be single-sided and double-sided if it is localized, most commonly in the lumbar region of the spine is done with the approximate spread. The pain is usually visible, but in the morning after load day passes and is getting stronger again until the evening. He first appears after the body of rotation or tilt is usually sharp disturbing. The pain intensifies, and are reduced back разгибании standing, or lying with a slight flexion, easy to use supports. Syndrome the joints with "small face" recurs frequently.

Low back pain is frequently caused when the spine, state the following:

• spondylolisthesis – the vertebrae to each other and offset;
• spinal stenosis;
• ankylosing spondylitis ('s Bechterew's disease);
• wire with osteoporotic fractures of the vertebrae (usually in older persons, especially in women);
• a large disc herniation (up to 5 mm);
• the disease of the spine.

Insufficient physical activity throughout the day — a distinctive feature, work in an office. No movements provoke an uncomfortable posture prolonged exposure to overload the joint and cause pain, discomfort and slowly the damaged cartilage. Therefore, it is advised to the offices of employees exercising regularly, and they required the purchase of the vehicle, protect and repair cartilage.

More rare but dangerous tumour for a reason applies to pain syndrome, the most common cancer in the spine. The risk increases if the patient disease any cancer (most commonly lung cancer, breast and prostate), weight loss, fever, the duration of the complaint more than one month, are over age 50. Other metastases most commonly affected the thoracic spine.

Another reason with back pain, oncological diseases, myeloma refers to. Rarely, benign and malignant primary tumors of the spine, but I encountered, for example, Ewing's sarcoma of bone tissue of a benign tumor.

A patient should suspect ankylosing spondylitis at a young age, morning stiffness, spine and large joints, improve the situation after warming. The pain is usually visible in the gluteal region. Characteristic of his winnings night, so sick I can't sleep because of unpleasant sensations in the morning anyway.

Back pain other visible signs of the following diseases observed:

• psoriatic arthritis;

• rheumatic disease;
• juvenile rheumatoid arthritis;
• Crohn's disease, whipple's, ulcerative colitis;
• shigellosis, salmonellosis.

An important component of integrated treatment, medications, which is for saving and yield the normalization condition, joints and cartilage tissue. Injection helps stop the progression of cartilage destruction maximum bioavailability and fast acting drug reduces inflammation and supports the synthesis of hyaluronic acid. The effect of the attack thanks to the Quick no long-term medicine courses-a total of 20 injection 2 times a year. The dose and duration of NSAIDs use that can reduce back pain in addition to treat them.

Spondylitis is osteomyelitis of the spine it is necessary to assume or prolonged fever, drug or intravenous drug use, previous infection or injury, intake of immunosuppressants. Inflammatory diseases of the spine and may be of a specific nature during the origin, syphilis, tuberculosis.

The work of the serious issues that require a careful examination of the defined pseudo patient:

• the pain that suddenly emerged for the first time in my life;
• very strong pain;
• lack of pain in the position of the body;
• pain is more powerful, a night and a day;
• the patient's age younger than 20 years and over the age of 55;
• recently transferred back to the trauma;
• probability of infection of the urinary tract, receiving immunosuppressants, acquired immunodeficiency syndrome);
• transmitted disease;
• unexplained body weight reduction, and fire;
• general weakness;
• urinary or fecal incontinence;
• violation, Hiking;
• a progressive neurological disease.

Nov involvement

The defeat of the back muscles may be secondary to: diseases of the spine, tense the muscles when creating a "protective corset" that holds the backbone, but constant stress causes pain and spasms themselves. Initially spasm usually occurs Nov, for example, for long term stays excessive anxiety or an uncomfortable posture. Such a pain syndrome is a relatively benign treatment, poor response to medical treatment and good.

Oct back pain also some systemic diseases manifest. These are:

• romatika polimiyaljiya;
• fibromyalgia.

Fibromyalgia is a relatively common disease, most common in midlife women. Characterize that pain spilled, Nov body, fatigue, sleep disturbances, skin changes, irritability, anxiety, an unstable chair.

Pathology spinal cord and nerve roots

Root compression, spinal cord, vertebrae, the holes between the spikes, a rare cause of pain, out of every 10 patients. Pain syndrome but is more powerful and long lasting, continue the treatment, about 2 months.

Compression (compression) root cause:

• slipped disc;
• hypertrophy, a bunch of yellow;
• bone growth;
• narrowing of the spinal canal (eg, due to injury).

The image of the root lesion (radiculopathy): acute "стреляющая" back pain, nerve root involvement in the region, sensitivity of the violation, decreased reflexes, weakness, about Nov. If root compression proven with modern research methods and drug therapy are ineffective, surgery is sometimes the cure.

The internal organs the disease

Back pain occurs only diseases, spine, or spinal cord, but at the same time is a course many diseases of internal organs:

b

• heart disease (myocardial infarction, stable and unstable angina, infective endocarditis, aortic aneurysm);
• lung disease (pulmonary embolism, pneumothorax, pleural effusion);
• esophagus and stomach pathology (peptic ulcer, esophageal spasm, esophagitis);
• inflammatory processes, kidney, liver, pancreas and gall bladder.

To differentiate these diseases usually allow two points:

• and very sudden intense back pain;
• symptoms lesions, the relevant organs (shortness of breath, wheezing, lung pain on palpation of the abdomen and the like).

Back pain, especially of the spine and symptoms, along with diseases arise unexpectedly, it is always needed to save exceptions for an electrocardiogram, acute myocardial infarction. Atypical localization of pain is typical for coronary heart disease, especially the elderly like this.

Psychogenic disorders

Chronic pain syndrome contribute to transition, social and behavioral factors:

• financial difficulties;
• emotional tension;
• because of the inevitable pain of confidence, due to her seeming everyday tasks;
• severe illness and disability and of thought possible;
• depression;
• addiction to other people;
• disease avoidance strategy, in which the patient for diagnosis and treatment no action the status of the person.

Which consult a doctor

So the causes of back pain are varied. Best-related diseases, you should consult with the neurologist when they appear in the spine and spinal cord. Also you may need to consult other professionals: a brain surgeon, oncologist, gastroenterologist, cardiologist, a surgeon, a psychologist and at the same time. Specialist first aid therapist, you will be able to give a survey of ten primary load.