It is called back the body part in between, the waist and the bottom portion of the neck. Back pain that accompany many diseases. Also, very often after the second call is to be performed according to the number of the medical occupation.
It causes widespread pain
When back pain? Of course go to the doctor. Neurologists who treat back, Orthopedics, general practitioners, doctor manual. They will understand the real reason of illness, assignment, and a course of treatment. Why pain can be:
- osteokondrozis;
- spondyloarthrosis;
- ankylosing spondylitis ('s Bechterew's disease);
- low back pain;
- intercostal neuralgia;
- pregnancy;
- congenital and acquired scoliosis – scoliosis, kyphosis, lordosis;
- professional factors;
- long-term tension with exercise Nov back;
- tumor, metastasis, spinal column;
- painful, in some cases back internal organs.
Underlying cause diseases, back pain, and can combine more than one group: degenerative-degenerative, inflammatory, myofascial, a rare disease. Viewed separately, the physiological status of the body such as pregnancy.
Degenerative diseases of the spine
Osteokondrozis and spondyloarthrosis – often diseases, back pain. The reason lies in a variety of pathological changes of spinal structures. Differences and similarities are two diseases of honey:
| Disease name | Causes pain | Reasons |
| Osteochondritis | Defeat cartilage, intervertebral disc, starting with a gelatinous core. Adjacent vertebral body osteophyte formation pain with the hernia. | Injuries, falls, physical and static load, age. |
| Faceted arthropathy or spondyloarthrosis | Small dysfunction (direction) spine formation and bone growth. The rebirth of the intervertebral disc annulus fibrosus pathology of connective. | Low back pain, injury, strenuous exercise, poor posture, and foot function. |
Sciatica, lumbago, intercostal neuralgia, radicular syndrome – this is a disease that is a peer. This is a result of degenerative disc disease, complex hernias. Hernia irritation, squeeze the nerve roots, intercostal causes tension and spasm, Nov. As a result, lower back pain, which may give a a strong foot. Paresis causes the disease not the treatment. Feels sick "crawling shivering, numbness, decreased sensitivity extremity. Leg raise and difficult to correct. Raise or straighten the injured leg visible in the seat yourself while in terrible pain.
If the patient or due to degenerative disc disease, spondylarthrosis spin, stubbornly engage in serious treatment. In the first stage, especially for young people, the disease can be reversed. Chronic with periods remission and exacerbation of acceptance otherwise. Over time, increase the frequency of exacerbations and back pain will only increase.
Inflammatory diseases
Ankylosing spondylitis
That, ankylosing spondylitis, chronic, the joints of the spine of a heavy defeat. Have a genetic predisposition. More often amazes-bodied young men in the Prime Minister. Sooner or later injury the causes of the disease. Spondylosis begins with the changes that drives. As the disease progresses the vertebral passes, a tightly interconnected structure of connective tissue, hard (bamboo stick). It's a hard situation passes the spine completely.
If you appear in the morning stiffness, dull pain in the back, the flexibility of the spine is lost, consult a physician immediately. More to extend the period to suspend physical activity of the disease.
Illness The Liquor-Verneuil
How to diagnose ankylosing spondylitis applies to a group of non-specific spondylosis. Just after an injury. This is the cause of the tragedy-there is a brief period of traumatic pain. The disease is "closed indefinitely. That certainly finds a wounded man is healthy. Unexpectedly manifest the disease necrotic changes, vertebral fractures, Frequent recurrence, terrible pain.
Spondylitis
There are different reasons why specific and nonspecific inflammation spinal. Special spondylitis is called:
- disease vertebral tuberculosis (PTT);
- syphilis;
- gonorrhea;
- brucellosis;
- bowel, bruchnotifozna wand.
Tel vertebrae destruction that accompany the disease with very strong, persistent back pain, deformation of the spine.
Myofascial pain
The name tells Nov disease affecting the fascia and the back. Overvoltage, Nov injuries, poor posture, osteochondrosis and trigger points of the muscle fascia. This intense training in the form of painful lumps or heavy. He pressed on, severe pain and massage points that emerged.
The trigger zone there are active and passive. This special sensitivity and arousal of the active site, Nov, fascias. In a sharp reaction, the slightest movement Nov. Passive pain in areas visible after print.
Internal Medicine
Pneumonia, pleurisy cause back aching. Give pain relief in heart disease, under the shoulder blade. Kidney disease accompanies long-term pain, lower back, waist. But except for somatic diseases, pain, the first move, other symptoms. For example, pneumonia, pleurisy, cough, fever, shortness of breath, etc.
Physiological pain
Physiological status of a woman's pregnancy is often full of back pain. A bit radical carrying a child to term a woman's body and hormonal make-up. The increased workload of every organ system, except for the spine. Changing mental and emotional status of a pregnant woman.
Pain occurs in early pregnancy, the threat is low. Them pulling, aching, sometimes in the form of cramping. At a later date related to the pain overload, back muscles and the spine. A woman changes, lumbar lordosis posture increases pain another reason pregnant.
Emergency assistance there is a low threat. To reduce the load on the spine are advised to prenatal carrying a knee brace. Is responsible for this, even the heel height must be small.
Other causes
Neoplasms
Benign and malignant metastases, spine, prostate adenoma, multiple myeloma is the cause of disease is unbearable, terrible pain, spine and back.
Osteomyelitis of the spine
A rare disease due to an inflammation and infection of the spine, microbes: Staphylococcus, Escherichia coli, Streptococcus. Strikes of different sections of the spine. More often develops in males of 40-50 years. It is a disease a sharp pain, the affected area, high fever, intoxication.
Paget's Disease
Violation occurs osteodystrophy or bone synthesis and recovery. Visible on the background of autoimmune diseases, ankiloziruusem after being broken. The bones of the spine and characterized by extremely fragile and with fragility.
Diagnosis
Back pain is not necessarily a comprehensive examination. First, the doctor carefully examines the patient. More diagnosis-based clinical and instrumental performance.
On examination it turns out the character of the pain, location, duration view – night changing body position, physical activity, rest, etc. Into account the presence of coexisting diseases can cause back pain, pneumonia, pleurisy, neoplasms, mental illness, and injury. Other activities that are executed later:
- biochemical and complete blood count;
- radiography, two or more accesses;
- Spine Sa – Sa scan;
- Spine MRI Magnetic Resonance Imaging;
- bone scintigraphy – import 2-dimensional image was given after radioactive isotopes, and other such survey.
To make a diagnosis of what the doctor knows more pain. Sometimes, to find the cause of a disease, adequate radiography. Sometimes the additional remedy, any survey more informative.
Tactical therapy
Depending on the type and the severity of the disease is conservative or surgical treatment is selected in the manner required. The treatment of acute pain and the patient in the hospital for a severe disease, others remain standing. Held in spine surgery is extremely rare. Preferred conservative treatment effects of an underlying disease. Pain can be illustrated with:
- non-steroidal drugs;
- synthetic adrenal hormones;
- Nov relaxant;
- chondroprotectors;
- synovial prosthetics.
Relieve acute pain novocaine blockade, hydrocortisone injections, analgesics. Shown outside acute ointments, massage, physical therapy, physiotherapy, manipulative, and reflexology. Give good results in a Sanitarium in the city of. Temporarily relieve the patient's spine, worn a special locking corset.
Only a source of pain and unpleasant sensations. Treats the disease in the first period, as a defensive reaction, in my gut, that occur in the body, and the wrong measures to be taken.