With discomfort in the back, sooner or later, approximately every first encounters.But it is one thing-when the pain pass by themselves within two to three days, and quite another-when the pain regularly returns or becomes so strong that there is no way to endure it.In such cases, you can not do without the help of professionals from medicine.
Bruise or stretching
Most of the cases of back pain are associated with damage to the ligaments or muscle fibers.“Pull your back” as a result of falling, lifting weights and even unsuccessful sudden movements.A swelling usually occurs in the place of bruises, and the skin acquires a bluish tint.
If the pain is weak and does not particularly interfere, most likely, within a couple of days, everything will pass by itself;All you need to do is limit physical activity as possible.However, if from the moment of injury it has already begun for the third day, and the pain has not yet been released, it makes sense to visit the traumatologist.It also happens that from the very beginning the pain is so strong that it is impossible to endure it without analgesics;In this case, it is better to contact the emergency room without delay.
Osteoarthritis
This disease, attacking the cartilage of the joints, usually chooses those who are more than 45 years old.It all starts with non -aching pain and constraint of movements;Over time, the symptoms grow.Sometimes others are added to them: the joints during movements begin to crack, the back is swollen in the spine.
The first step is to visit a therapist or rheumatologist.To clarify the diagnosis, the doctor will prescribe blood tests and an X -ray examination.In the initial stages of the disease and in its light forms, diet, competently selected physical exercises, warm baths and drug therapy will help.In severe forms and in advanced cases, the joint prosthetics may be required.
Radiculitis
The boots were injected to the shutter, and they froze in an awkward pose, gritting their teeth from pain;So radiculite manifests itself.For a long time, this disease was not observed among the young and for the most part chose those who over 40. However, in recent decades, radiculitis began to rapidly young.At risk of both the victims of sedentary work and the workers of professional sports.
The cause of the disease is inflammation or damage to the roots of the spinal nerves.The most common variety of the disease is the lumbosacral radiculite, characterized by severe pain in the lower back area, making itself felt during inclinations or walking.Less commonly occurs breast radiculite (as if surrounds the chest), cervical and cervical-gloss radicolite (pain concentrates in the neck, shoulders, hands, sometimes dizziness joins them).
If something similar happens to you, do not delay a visit to a neurologist.An accurate diagnosis will help a radiological examination.The treatment will be complex: anti -inflammatory and painkillers, physiotherapy, massage and exercise therapy.
Acute pyelonephritis
Usually affects the beautiful floor;The fault is the features of the structure of the urethra in women.The first signal is severe back pain, in the lower back or slightly higher;can give to the sides.The temperature jumps up to 40 degrees, chills begin, the head hurts;Nausea is possible up to vomiting.Frequent urination;The urine departs muddy, sharply smelling, sometimes with blood.
At the first symptoms, you need to call an ambulance as soon as possible;They do not joke with the kidneys, in this case the slightest delay can lead to their irreversible defeat.They are treated with acute pyelonephritis usually in a hospital - they prescribe a course of antibiotics in an injection form, if necessary, to ensure a normal outflow of urine, a catheter is introduced into the ureter, and in complicated cases, which, fortunately, are infrequent, resort to surgical intervention.
A hernia of the intervertebral disc
Even young people are not safe from her.The signs that the structure of the wheels separating from each other is disturbed can be very different: from weak back pain and mild numbness of the muscles to bouts of dizziness, increased pressure, numbness of the limbs during walking and urinary incontinence.The stronger the symptoms are more expressed, the sooner you need to get to the doctor - an orthopedist or surgeon.The most informative examination is MRI of the spine: the results will show whether it is possible to do with conservative treatment, or is surgery.
Varry fracture
Usually it is the result of a serious injury - such as a fall from a height or a road accident.However, in people over 60 years old, suffering from osteoporosis, even a slight physical effort like a banal inclination can lead to a turning vertebra.Muscle spasm, sharp and severe back pain, a pronounced hematoma - an occasion to immediately seek help from Traumatologist.You will be prescribed CT or MRI, as well as the measurement of bone density - Densitometry.In most cases, the treatment includes wearing a special corset and taking local painkillers, but with complicated fractures - in particular, if the cerebrospinal nerve is damaged - you can not do without surgery.
Bekhterev disease
Other names are ankylosing spondylitis, ankylosing spondylitis.It all starts with the fact that a strong stiffness is noted in movements (it is difficult, and sometimes it is impossible to lean at all), the back hurts in the lower back, the joints stir.The pain, which is characteristic, is released with slight physical activity or after a hot shower.Then constant weakness, weight loss and subfebrile (below 37.5 degrees) temperature may join.As a rule, the disease affects young people who are not yet 30;Men suffer from him nine times more often than women.
It is better not to delay the doctor’s visit to the doctor.Otherwise, sooner or later, such unpleasant complications as constant aching back pain, severe curvature of the spine, and a violation of the work of an increasing number of joints will allow themselves to know themselves sooner or later.Get ready for regular communication with doctors;For the correct diagnosis, you will have to observe at least three months.Treatment - corticosteroids, non -steroidal anti -inflammatory drugs, physiotherapy.
Spinal injury
Serious injuries, accompanied by damage to the spinal cord, can lead to a car accident, a fall from a great height and other accidents.Symptoms: acute pain or, on the contrary, complete loss of sensitivity in the back and limbs;It may be difficult to breathe, there are frequent cases of feces and urine.The sooner you can call an ambulance, the better.But to move the victim independently is a bad idea;So you can harm him even more.
Inflammation of the sciatic nerve
Other names are ishialgia, Ishias.If the sciatic nerve is inflamed, the pain is localized in the lower back and in the buttocks, gives it to the legs and can intensify during coughing.Sometimes muscle weakness and numbness in the legs join pain;Fleas and excessive sweating of the feet are possible.With such symptoms, it is worth visiting a neurologist;The doctor will check your reflexes, prescribe ultrasound and MRI, recommend anti -inflammatory drugs, as well as massage, exercise therapy, physiotherapy and manual therapy.
Osteochondrosis
If the back hurts in the lower back and the pain gives to the sacrum or to the legs, if, with physical exertion, the pain intensifies, if there is obvious discomfort when you try to lean or turn to turn away, it is likely that you are faced with manifestations of lumbar osteochondrosis.It is also characterized by a violation of the sensitivity of the legs.With osteochondrosis of the thoracic region, pain is localized between the shoulder blades and in the chest;They intensify during hypothermia, deep breath and exhalation or an attempt to turn, are felt more at night than during the day.Those who have a breast osteochondrosis often complain that the chest seemed to be squeezed from all sides, and goosebumps run through the skin every now and then.At the first alarming signs, it is necessary to visit a neurologist;The doctor will prescribe radiography and MRI of the problem spine.Treatment of osteochondrosis includes manual therapy, physiotherapy exercises, massage.