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 faced by those who spend a lot of time in the country, in their own garden. Constantly repairing the house and not sparing efforts on the plot, people thereby undermine their health. A day or two of hard work and now impossible to straighten 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 underlying cause of the pain.
Possible factors: Is it all serious?
In order to find a good treatment for the problem, you must first determine its cause. In the lumbar region, the back hurts on the left, right, or even causes girdle pain, if a person has impaired kidney function and health, osteochondrosis has developed, neuralgia is observed. There is a possibility of acute pancreatitis. Each of the described conditions requires a thorough approach to treatment and consultation with a doctor is recommended. Trying to choose a course of therapy yourself, you can harm your health, the condition will worsen. If you go to the doctor, he will evaluate the symptoms in the reception, make a preliminary diagnosis and send studies that will confirm or deny the assumption.
My kidneys hurt
If your back hurts a lot in the lumbar region, there is a possibility of pyelonephritis. The term refers to the formation of foci of inflammation in the body. If the disease is non-infectious, glomerulonephritis can be diagnosed. Sometimes the pain syndrome indicates the occurrence of stones in the kidneys and ducts. The processes of their origin, as well as movement, cause quite a lot of discomfort.
Often the disease develops against the background of hypothermia, it may be preceded by a cold. It is worth noting that people who follow a strict diet are more likely to suffer from kidney disease. In many ways, the symptoms of kidney pathologies and the condition called "back tear" are similar. There are a number of specific symptoms that allow you to more accurately determine the pathology. If the kidneys are sick, the sensations do not depend on load, activity, movement. Many have fever, urine is cloudy, the shade changes. Some report an increased urge to urinate, the process itself is accompanied by pain. Near the kidneys there is a light touch with the edge of the hand, the area responds with severe pain.
How can you help yourself?
If a man, woman, child has back pain in the lumbar region, if there is reason to suspect kidney disease, it makes sense to contact the local doctor, call home. Kidneys are extremely important elements for the functioning of the human body, so unreasonable risks are unacceptable. While waiting for the arrival of a specialist, you can try to alleviate the symptoms of the disease. The patient is made to lie down or sit as comfortably as possible, allowing the fever to subside if the temperature is above 38 degrees. You can take an antispasmodic drug to ease the pain a little. If the patient needs to change position, he should be assisted. In addition, it is advisable to monitor blood pressure and body temperature.
It happens so that people make sure that they know exactly if your back hurts or not, what to do: you need to immediately make a warm compress or put the affected person in a hot bath. In case of kidney disease, such procedures are strictly prohibited. Any rewarming will dramatically worsen the patient's condition. If a person develops pyelonephritis, it activates an inflammatory focus. The patient's task is to wait for the professional to arrive. The doctor will examine the patient and recommend further actions.
Pancreatitis
If your back hurts in the lumbar region, man, woman, child, the cause may be pancreatitis. Pathology can be suspected if the pain surrounds, while creating a feeling that it comes from the left half of the body, from the region of the hypochondrium. It is possible to cover the back, abdomen - this creates rings of pain. For some, pancreatitis causes severe pain near the navel. If the pathology proceeds atypically, the patient has back pain - the lower part of the waist and a little higher. This nature of pain syndrome localization often leads to wrong initial diagnosis.
If pancreatitis is suspected, it is necessary to call a doctor. While waiting for a specialist, you will have to completely refuse food - during the inflammatory process, food can dramatically worsen the condition. The caregiver should help the victim to get into a comfortable position; To provide comfort and peace to a person as much as possible. You can drink some water without additives, but only in moderation. It is advisable not to leave the patient, to constantly monitor the change in the condition until the arrival of a specialist. It is believed that the pain is slightly reduced if you curl up in a fetal position.
Osteochondrosis
If the lower part of the back hurts a lot, it is likely that the cause was a disease of the cartilage of the joints connecting the elements of the spinal column. The pathological process is related to the stretching of the nerve roots - this is what becomes the source of pain. According to doctors, the probability of developing the disease is high for any of our compatriots over the age of 30. In recent years, osteochondrosis is increasingly diagnosed in young people and appears in adolescents.
A pain attack can be provoked by lifting a heavy object, being forced to stay in an uncomfortable position for a long time. The probability of developing pathology is higher if a person drives a car for a long time, sits a lot and moves little in daily life. It is possible to suspect osteochondrosis if the pain syndrome spreads to the leg, and the murmur 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 body position. Shooting, burning pain sensations are possible. Osteochondrosis can be replaced if the buttocks and legs are characterized by reduced sensitivity, and if a stable posture is maintained for a long time, it becomes difficult to change it. For many, the thermoregulation of the limbs is disturbed, the feet sweat profusely and the feeling of cold bothers them.
Peculiarities of the case and first aid
If your back, lower back, spine hurts, there is no temperature, and the symptoms are similar to those described above, if you do not doubt that the cause of the pain is the spine, you can give yourself first aid in a simple way. means. The affected area is covered with a warm woolen shawl or tied with a heating scarf and laid down to lie on a hard, flat surface. In the absence of the effectiveness of such measures, it is possible to apply non-hormonal ointments to the lower part of the back to alleviate the inflammatory process. The doctor can prescribe systemic treatment with non-hormonal anti-inflammatory drugs. Medicines containing meloxicam and ibuprofen are usually prescribed.
Do not take analgesics and anti-inflammatory drugs on an empty stomach. The active components contained in the medicines irritate the mucous membrane of the stomach, can cause peptic ulcer disease, gastritis.
If there is no exact certainty that the cause of the pain lies in osteochondrosis, it is necessary to visit a doctor for diagnosis. Unreasonable self-medication with non-hormonal anti-inflammatory drugs will certainly lead to worsening of the condition. This will be especially pronounced if the patient has a pancreatic disease, a disorder of the gastrointestinal tract.
Safety first
If your back hurts, the doctor will tell you what to treat. You can't try to "set" the spine, it will intensify the pain, there is a chance of severe damage to the back. If osteochondrosis has passed into an acute phase, warming up should be avoided. It is not allowed to take hot baths. We will have to give up saunas and baths. Warming up gives a feeling of relief at first, butSoon the pain comes with renewed energy. If symptoms confirming osteochondrosis appear often, you need to visit a neurologist. The doctor will refer you to an MRI. Such an image will allow you to assess the condition of the lumbar spine and determine how to deal with the root cause of the pain.
If the osteochondrosis caused pain during physical activity, while the person was taking anesthetics or drugs to stop the inflammatory activity, it is likely that the condition will soon get much better. Even if the pain is completely gone, you should not return to your previous activities. For a certain period of time, rest should be provided to the patient. The best option is bed rest.
Neuralgia
There are many different manifestations of how the lower back hurts - when they stand on their backs, when they walk, when they bend. In some cases, the reason for this is an inflammatory process that affects nerve fibers. Neuralgia can be diagnosed with symptoms similar to those of osteochondrosis described above. During any physical activity, the back immediately responds to pain, even slight movement is difficult for the patient, and the need to move causes fear. There are a number of characteristics that make it possible to suspect what caused the pain and to distinguish neuralgia from stretched nerve endings that provide sensitivity to the spinal column.
With osteochondrosis, a person is subconsciously afraid to move, because the back gives pain to any action. Neuralgia also has this feature, but the pain spreads along the nerve causing it, and the sensations themselves are described by sufferers as a cramp. Perhaps unpredictable relief of the condition and return of pain when a person is calm, motionless. Sometimes neuralgia is accompanied by convulsions, muscle pain, and changes in skin tone. In some, the work of sweat glands is disturbed. When pressing on the back, the pain immediately covers both halves of the body symmetrically.
Help functions
If your back or lower back hurts a lot, only a qualified doctor will tell you what to do. It is quite difficult to rule out the pain syndrome caused by neuralgia, at the same time it is necessary to take measures to improve the patient's condition, since constant pain can cause mental deviations. To relieve pain, the doctor will prescribe non-hormonal anti-inflammatory drugs. In some cases, they prefer to stay on medications containing ibuprofen, meloxicam. The patient is prescribed rest.
If the patient goes to the doctor because the back hurts a lot, the lower part of the back, what to do should be decided by a qualified specialist. Depending on the specifics of the case, hospitalization may be recommended. This measure is applied if the sensations are very strong. In hospital conditions, blockades will be made for those in need using novocaine.
Features and pains
It also happens that a person breaks his back and his back hurts. The doctor will also tell you what to do in such a situation. It will depend on the severity of the damage. Sometimes rest is enough, and in other cases, the help of a surgeon is needed. It is known that pain is often accompanied by a period of rest after prolonged exercise or unreasonably heavy load. Pain can be caused by awkward, unsuccessful movements. It is known that pain is more often complained by people who are under stress, as well as those who, due to the nature of their work, sit for a long time, especially in front of the computer. The back often hurts those who exercise too actively, stand for a long time, suffer from excess weight. Lower back pain almost always accompanies pregnancy and bothers for some time after the birth of the child.
There are also situations when, in general, you don't need to figure out what to do: your back hurts in the lumbar region, but quite weakly, everything goes by itself over time. If the attack is one-time, not very strong, it was preceded by an obvious trigger (for example, long work in the country), you just need to rest and wait for the pain to disappear. If the pain comes in attacks, periods, and worries for a long time, you need to consult a doctor, because it is impossible to independently determine what causes the sensations.
Causes: primary and secondary
Primary pain is observed in the presence of spinal disease. Such a syndrome is possible if a person has developed spondylarthrosis, spondylosis. Possible hernia or protrusion. Secondary pain syndrome accompanies fractures, tumor processes, prolonged muscle tension. Such pain can be caused by diseases (kyphosis, arthritis, tuberculosis), there is a possibility of narrowing of the spinal canal, osteomyelitis and malignant process. Lower back pain is possible with ovarian cysts, endometriosis. The doctor must clarify all the factors of the case, check the patient's condition to find out what to do. Back pain in people with lumbar cystitis, scoliosis and osteoarthritis. Scheuermann-Mau disease can cause pain. In some women, pain indicates a complication of carrying the fetus.
Should we rush to the doctor?
There are certain signs of pain that indicate the need to get qualified help as quickly as possible. So, if the lower part of the back responds to pain when walking, coughing, sneezing causes aggravation of sensitivity, and the sensations spread to the lower limbs, you should make an appointment with a neurologist. It will also help if you have back pain, the sensations are dull, the back hurts, the pain spreads to the legs, it is more noticeable when coughing and moving. Probably, such symptoms indicate sciatica, but a person needs the most timely help from a doctor, so you should not delay contacting the clinic.
A traumatologist can tell you what to do if your back hurts in the lumbar region, if the sensations appeared after straining muscles or lifting a very heavy object. For such reasons, as well as for pain caused by hypothermia and scratching, it is first necessary to use blood flow activation creams at home for three days. If the condition does not improve during this period, you should make an appointment with a doctor.
Dimensions and time
For three days you can try to help yourself with back, lumbago. According to doctors, who know exactly what to do if the back hurts in the lower back, those who are forced to work because of their work often suffer from such symptoms. Usually, the pain goes away on its own within a few days after exercise, although in rare severe cases it can last for several weeks. To relieve the condition, it is necessary to use painkillers, rest. It is necessary to experimentally find out in which position the pain is the weakest. Bed rest should be provided for the first two days. If the sensations do not go away in three days, they will be recorded by the doctor.
Possible pain syndrome on the background of myositis. Such a pathological process is usually preceded by hypothermia or strong muscle tension. The zone responds to stiffness, the sensations are sharp, especially when trying to move strongly. The doctor will also tell you the best thing to do if you have back pain for this reason. First of all, doctors recommend taking a warm shower, finding suitable warm clothes and completely giving up physical activity. For the first three days, use ointments that ease the inflammatory process and relieve pain. If the sensations do not subside, make an appointment with a doctor.
Chronic and radiating pain
About what to do if the back hurts due to spondylosis, the doctor will tell you only after a careful assessment of the patient's condition. The disease is indicated by a strong, sharp pain syndrome, the lower back hurts, the legs become weak and numb. With such manifestations, you should immediately make an appointment with a neurologist.
Ankylosing spondylitis can provoke pain. A possible reason is metabolic failure or oncological pathology. In any of these options, it will be impossible to help yourself, you need to consult a qualified specialist and do a detailed examination of the body.
It happens that a person is sure that the pain is localized in the lower back, but the real reason is a malfunction of the internal organ. Radiation pain is possible if the pathology is localized in the pelvis, gastrointestinal tract and kidneys. Lower back cancer often causes pain. It is impossible to postpone a visit to the doctor if the syndrome lasts more than three days, if it was preceded by an injury, if the leg and lower leg hurt in addition to the waist. In the case when the pain is accompanied by numbness of the limbs, groin, it is also impossible to delay contacting the clinic.
How to check?
If you have lower back pain in the morning, this can be considered a sufficient reason to contact a specialist. First, you can go to a local therapist. The doctor will give instructions for tests and instrumental examinations, depending on the details of the case, he will refer to a highly qualified doctor. The most accurate diagnosis is usually made by a neurologist. For this, you need to get MRI, ECG and ultrasound results. Blood and urine samples are tested in the laboratory. In some cases, it is necessary to study the puncture of the spinal cord, if malignant diseases are suspected, tissue samples are taken for biopsy.
How are they treated?
Many people are afraid to go to the doctor if their back hurts in the morning, because they think that the doctor will immediately send them for surgery. Today, there are many effective methods for the treatment of various diseases of the spinal column. There is a method using waves and magnetic fields. Taking a medicine designed to treat joints may help. Rehabilitation simulators that quickly restore mobility have been developed. With severe pain and the need to stop inflammation and spasm, the doctor will make a blockade.
Drug treatment for back pain involves taking oral and injectable medications. Often such treatment is combined with physiotherapy - this increases the effectiveness. Prescribe medications to relieve swelling, relieve stiffness, eliminate the inflammatory focus. Since all such medicines have a wide list of contraindications and possible side effects, self-medication with them is strictly prohibited.