It often happens that the patient goes to the doctor to find out why the back hurts in the lumbar region. Very often, such a pain syndrome is encountered by those who spend a lot of time in a summer cottage, in their own garden. Constantly repairing the house and sparing no effort on the personal plot, thereby people undermine their health. A day or two of hard work, and now it’s not possible to straighten out without excruciating pain. However, in some cases, pain indicates the presence of other pathologies. To determine the appropriate treatment strategy, you must first find out the root cause of the pain.
Possible factors: is it so serious?
To find a good treatment for a problem, you must first establish its cause. The back in the lumbar region hurts on the left, on the right, or even causes girdle pain, if the person has impaired work and kidney health, osteochondrosis has developed, and neuralgia is observed. There is a chance of an acute form of pancreatitis. Each described condition requires a thorough approach to treatment, and it is advisable to consult a doctor. Trying to choose a course of therapy for yourself, you can harm your health, the condition will become even worse. If you go to the doctor, at the appointment he will evaluate the symptoms, formulate a preliminary diagnosis and direct him to studies that will confirm or refute the assumption.
Kidney hurts
If the back is very sore in the lumbar region, there is a possibility of pyelonephritis. The term designates the formation of foci of inflammation in the organ. If the disease is non-infectious, glomerulonephritis can be diagnosed. Sometimes pain indicates the appearance of kidneys and ducts of stones. The processes of their generation, as well as movements cause quite a strong discomfort.
Often, the disease develops against a background of hypothermia, it may be preceded by a cold. It is noted that people who adhere to strict diets are more likely to suffer from kidney diseases. In many ways, the symptoms of kidney pathologies and a condition called “tearing your back” are similar. There are a number of specific symptoms that allow you to more accurately identify the pathology. If the kidneys are sick, the sensations do not depend on the load, activity, movements. Many have a fever, urine becomes cloudy, the color changes. Some note frequent urge to urinate, the process itself is accompanied by pain. There is a light tap on the arm near the kidneys, the site will respond with severe pain.
How to help yourself?
If the back of a man, woman, or child hurts in the lower back , if there is reason to suspect a kidney disease, it makes sense to contact a local doctor and call him at home. The kidneys are extremely important elements for the functioning of the human body, therefore unjustified risks are unacceptable. Waiting for the arrival of a specialist, you can try to alleviate the manifestations of the disease. The patient is laid or seated so that it is as convenient as possible, they give a means to weaken the heat, if the temperature exceeds 38 degrees. To make the pain a little weaker, you can take an antispasmodic drug. If the patient needs a change of pose, he should be helped. In addition, it is reasonable to control blood pressure and body temperature.
It happens that people are convinced that they know for sure if their back hurts in the lumbar region, what to do: you need to immediately put a warming compress or put the sufferer in a hot bath. In the case of kidney disease, such procedures are strictly prohibited. Any warming will sharply worsen the condition of the patient. If a person has developed pyelonephritis, this activates the inflammatory focus. The patient's task is to wait for the arrival of a professional. The doctor will examine the sufferer and recommend further actions.
Pancreatitis
If the back hurts in the lumbar region, in a man, woman, or child, the cause may be pancreatitis. Pathology can be suspected if the soreness surrounds, and at the same time it feels as if it comes from the left half of the body, the hypochondrium. Possible coverage of the back, abdomen - this forms a ring of pain. In some, pancreatitis causes severe pain near the navel. If the pathology proceeds atypically, the patient has a back pain - lower back and a little higher. This nature of the localization of the pain syndrome often becomes the reason for the incorrect formulation of the initial diagnosis.
Assuming pancreatitis, you need to call a doctor. Expecting a specialist, you will have to completely abandon food - in the inflammatory process, food can dramatically worsen the condition. The caregiver should help the sufferer take a comfortable position; if possible, a person is provided with comfort and tranquility. You can gradually drink water without additives, but drinking is allowed only in moderation. It is advisable not to leave the patient, constantly observing the change of state until a specialist arrives. It is believed that the pain is slightly weaker if you curl up in a position characteristic of the embryo.
Osteochondrosis
If the back in the lower back is very sore, there is a chance that the cause was a disease of the cartilage of the joints that connect the elements of the spinal column. The pathological process is associated with pinching of the nerve roots - this is what becomes a source of pain. According to doctors, the likelihood of developing the disease is high for any of our compatriots older than 30 years. In recent years, osteochondrosis is increasingly diagnosed in young people, detected in adolescents.
Provoke a pain attack can lift a heavy object, prolonged stay in a forced, uncomfortable position. The probability of developing pathology is higher if a person rides in a car for a long time, sits a lot, does not move much in everyday life. Osteochondrosis can be suspected if the pain syndrome spreads to the leg, while whining is felt in the lower back. If you try to move, the soreness intensifies. This accompanies any load and a simple change in body position. Shooting, burning pains are possible. Osteochondrosis can be replaced if the buttocks and legs are characterized by a decreased sensitivity, and with prolonged maintenance of a stable posture, difficulties arise with its change. For many, the thermoregulation of the limbs is disturbed, the legs sweat profusely, and the sensation of cold disturbs.
Case features and first aid
If your back, lower back, and spine hurt, there is no temperature, and the manifestations are similar to those described above, if there is no doubt that the cause of the pain is the spinal column, you can give yourself first aid by simple means. The sick area is covered with a warm wool shawl or tied with a warming scarf, laid down to lie on a hard, flat surface. In the absence of the effectiveness of such measures, you can spread the lower back with non-hormonal ointments to facilitate the course of the inflammatory process. The doctor may prescribe systemic treatment with non-hormonal anti-inflammatory. As a rule, drugs containing meloxicam, ibuprofen are prescribed. The medicine "Diclofenac" has proven itself well.
You can not take analgesics and anti-inflammatory on an empty stomach. The active components contained in medicines irritate the gastric mucous membranes, can cause peptic ulcer disease, gastritis.
If there is no exact certainty that the cause of the pain is precisely in osteochondrosis, it is necessary to see a doctor for a diagnosis. Unjustified self-medication with non-hormonal anti-inflammatory will certainly cause a deterioration. This will be especially pronounced if the patient has a pancreatic disease, a violation in the digestive tract.
Safety first
If the back hurts in the lumbar region, than to treat, the doctor will tell. You can’t try to “correct” the spinal column, this will make the soreness worse, there is a chance of severe damage to the back. If osteochondrosis goes into the acute phase, warming should be avoided. You can not take hot baths. Have to abandon the sauna and bath. Warming up at first gives a feeling of relief, but soon the pain comes with renewed vigor. If symptoms indicating osteochondrosis appear frequently, you must make an appointment with a neurologist. Your doctor will give you an MRI scan. Such a picture will allow you to assess the condition of the lumbar spine and determine how best to deal with the root cause of pain.
If osteochondrosis has caused pain on the background of physical exertion, while the person has taken pain medication or an agent to stop inflammatory activity, it is likely that soon the condition will become much better. Even if the pain has disappeared completely, you should not return to your previous activity again. For some time, you should provide a patient back with peace. The best option is bed rest.
Neuralgia
There are a huge number of different manifestations of how the lower back hurts - when they lie on their backs, they walk, they bend over. In some cases, the cause is an inflammatory process that affects the nerve fibers. Neuralgia can be suggested by manifestations similar to the symptoms of osteochondrosis described above. With any physical activity, the back immediately responds with pain, the patient is hardly given even slight movement, and the need to move gives rise to fear. There are a number of features that make it possible to suspect what exactly caused the pain, and to distinguish neuralgia from pinched nerve endings that provide sensitivity to the spinal column.
With osteochondrosis, a person is subconsciously afraid to move, since the back is given in pain to any action. Neuralgia is also distinguished by this symptom, but pain spreads along the nerve that caused it, and the sensations themselves are described by the sufferers as twitching. Perhaps unpredictable relief and the return of soreness when a person is calm, motionless. Sometimes, against the background of neuralgia, convulsions occur, muscle pains, a change in the shades of the skin are disturbing. Some have disrupted sweat glands. With pressure on the back, soreness immediately covers both halves of the body symmetrically.
Help Features
If the back is severely sore , the lower back, only a qualified doctor will tell you what to do . The pain syndrome caused by neuralgia is quite difficult to exclude, at the same time, measures must be taken to improve the patient's condition, since constant pain can provoke mental abnormalities. To relieve pain somewhat, the doctor will prescribe non-hormonal anti-inflammatory. Often choose "Diclofenac", "Voltaren." In some cases, they prefer to dwell on medications containing ibuprofen, meloxicam. The doctor will also explain under which manifestations of neuralgia you need to take "No-shpa" or "Spazmolgon." The patient is shown peace.
If the patient goes to the doctor because his back hurts badly , the lower back should be decided by a qualified specialist. Focusing on the characteristics of the case, they can recommend hospitalization. They resort to this measure if the sensations are very strong. In a hospital setting, the needy will be given a blockade using novocaine.
Features and pains
It also happens that a person tore off his back and sore lower back. What to do in such a situation, the doctor will also tell. This will depend on the severity of the damage. Sometimes peace is enough, in other cases the help of a surgeon is required. It is known that often pain accompanies the period of rest after a long workout or an unreasonably large load. Embarrassing, unsuccessful movements can cause pain. It is known that more often people suffering from stress complain of pain, as well as those who, due to the nature of work, sit for a long time, especially in front of a computer. The back often hurts for those who train too actively, spend a long time standing, and suffer from excess weight. Pain in the lower back almost always accompanies pregnancy and worries for some time after the birth of the baby.
There are situations when, in general, you do not need to figure out what to do: your back hurts in the lumbar region, but rather weakly, over time, everything goes away on its own. If the attack is one-time, not too strong, it was preceded by an obvious causal factor (for example, prolonged work in a summer cottage), you just need to give yourself rest and wait for the pain to go away. If the pain comes in attacks, periods, bothers for a long time, you need to consult a doctor, because it is impossible to determine what provokes sensations on your own.
Reasons: primary and secondary
Primary pain is observed if there is a disease of the spine. Such a syndrome is possible if a person has formed spondylarthrosis, spondylosis. Hernia or protusion possible. Secondary pain syndrome accompanies fractures, tumor processes, prolonged muscle tension. Such pain can be caused by diseases (kyphosis, arthritis, tuberculosis), there is a chance of a narrowed spinal canal, osteomyelitis and a malignant process. Low back pain is possible with ovarian cysts, endometriosis. The doctor should clarify all the factors of the case, checking the patient's condition, in order to find out what to do. Back pain in the lumbar region in people suffering from cystitis, in patients with scoliosis and with osteoarthritis. Scheuermann-Mau disease can provoke pain. In some women, soreness indicates complications of bearing the fetus.
Should I rush to the doctor?
There are certain signs of pain indicating the need to receive qualified help as quickly as possible. So, if, when walking, the lower back responds with pain, an aggravation of sensation leads to a cough, sneezing, while the sensation spreads to the lower extremities, you need to make an appointment with a neurologist. It will help if the lower back hurts, the sensations are dull, the back aches, the pain spreads to the legs, is more noticeable when coughing and moving. Probably, such symptoms indicate sciatica, but a person needs the doctor’s help as timely as possible, so you shouldn’t drag him to the clinic.
What to do if the back hurts in the lower back, the traumatologist can tell, if the sensations came against the background of muscle stretching or lifting too heavy an object. For such reasons, as well as pain due to hypothermia and staying in a draft, it is first necessary to use blood-activating creams for three days at home. If the condition does not get better during this period, you should make an appointment with the doctor.
Measures and timelines
Within three days, you can try to help yourself with lumbago, lumbago. As the doctors say, they know exactly what to do if the back hurts in the lower back, more often these symptoms are encountered by those who, due to their activity, are forced to work hard. Usually, a few days after the load, the pain itself goes away, although in rare severe cases it persists for weeks. To alleviate the condition, you need to use analgesics, give yourself rest. It is necessary to experimentally find out in which position the pains are the weakest. The first two days should provide a bed rest. If sensations have not passed in three days, they are recorded to the doctor.
Possible pain on the background of myositis. Such a pathological process is usually preceded by hypothermia or strong muscle tension. The area responds with constraint, the sensations are sharp, especially strong when trying to move. What to do if the back hurts in the lower back for such a reason is also best described by the doctor. Doctors advise to first take a warm shower, find suitable warm clothes and completely abandon any physical activity. The first three days use ointments that facilitate the inflammatory process, relieve pain. If the sensations have not subsided, make an appointment with the doctor.
Chronicle and radiating pain
The doctor will tell about what to do if the back in the lower back hurts due to spondylosis, after a careful assessment of the patient's condition. The disease is indicated by a strong, sharp pain syndrome, the lower back is aching, the legs are weakening and numb. With such manifestations, you need to immediately sign up to a neurologist.
Ankylosing spondylitis can provoke pain. A possible cause is a metabolic failure or cancer pathology. In any of these options it will not be possible to help yourself on your own, you need to consult a qualified specialist and a detailed examination of the body.
It also happens that a person is sure that the pain is localized in the lumbar spine, but the true reason is a malfunction in the functionality of the internal organ. Irradiating pains are possible if the pathology is localized in the pelvis, gastrointestinal tract, and kidneys. Often pain gives back to the lower back with cancer. You can not postpone a visit to the doctor if the syndrome lasts more than three days, if it was preceded by an injury, if, in addition to the lumbar region, the foot and lower leg also hurt. In the case when the pain is accompanied by numbness of the extremities, the inguinal area, one also cannot be pulled to the clinic.
How to check?
If in the morning the back hurts in the lumbar region, this can be considered sufficient reason to contact a specialist. First, you can go to the local therapist. The doctor will give directions for tests and instrumental examinations, redirect to a highly qualified doctor based on the details of the case. The most accurate diagnosis is usually made by a neurologist. For this, it is necessary to obtain the results of an MRI, ECG and ultrasound examination. In the laboratory, blood samples, urines are checked. In some cases, it is necessary to study the puncture of the spinal cord, in case of suspected malignant diseases take tissue samples for a biopsy.
How will they treat?
Many are afraid to go to the doctor if in the morning a back pain in the lumbar region hurts, because they believe that the doctor will immediately direct him to surgery. Today, there are many effective methods of treating a variety of diseases of the spinal column. There is a method using waves and magnetic fields. The introduction of Fermatron, a drug designed to treat joints, may help. Rehabilitation simulators are designed that quickly return mobility. With severe pain and the need to stop inflammation and spasm, the doctor will block.
Medication for back pain involves oral and injectable medication. Often, such treatment is combined with physiotherapy - this increases the effectiveness. Prescribe medication to relieve swelling, relieve stiffness, and eliminate the inflammatory focus. Since all such medicines have a wide list of contraindications and possible side effects, self-medication is strictly prohibited.