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In fact, there are a lot of reasons why low back pain can develop, and the pain in this case is divided into primary and secondary.

Primary pains are caused by destructive processes occurring in the vertebral tissues. As a rule, these are degenerative-dystrophic changes that develop in the intervertebral discs and, over time, affect both the vertebrae themselves and the tissues surrounding them. For example, diseases such as spondylosis, osteochondrosis and spondylarthrosis can serve as causes of pain.

The development of these pathologies is carried out gradually and is accompanied by the appearance of chronic pain, and in the case of complications, attacks of severe pain that require prompt medical intervention.

Important! Degenerative-dystrophic changes in the spine, as well as their consequences, lead to the development of pain in 90% of cases.

Secondary back pain develops not only due to diseases of the musculoskeletal system, but also various pathologies of other organs. So, for example, the causes of secondary pain in this case can be:

• flat feet, curvature of the spine, etc.;
• diseases of a systemic and rheumatological nature;
• violations metabolic processes and endocrine diseases leading to changes in the structure of bone tissue;
• tumors of various origins;
• trauma;
• inflammatory processes;
• diseases of the abdominal cavity and genitourinary system.

Pain in the lumbar region becomes a real disaster for modern man. Despite the fight against it in the most progressive ways, it stops only for a while and comes back again. Pain can occur in a person at any age, which is why it is so important to know which exercises for back pain will help alleviate the condition.

How to relieve pain syndrome?

First of all, it is worth noting that the treatment of the lumbar spine is impossible without an integrated approach to it. Some pills, as a rule, cannot help relieve pain and get rid of the disease.

That is why the treatment of the lower back takes place according to following scheme. Pain is relieved with medicines, and then exercise therapy, massage, physio- and manual therapy, means traditional medicine etc.

Moreover, if conservative treatment of the lumbar spine does not help, the disease is treated promptly.

Conservative methods of treatment of the spine

The number of conservative methods of treatment of the lower back includes the following methods:

• drug therapy;
• massage.

Read more about on our portal.

Let's consider each of these methods in more detail.

Medical therapy

Treatment with medicines for back pain involves the use of several groups of drugs:

• non-steroidal anti-inflammatory drugs, which, in addition, have a powerful analgesic effect;
• muscle relaxants that eliminate muscle spasm in the lumbar region;
• vitamins included in group B, restoring and strengthening nervous system;
• nicotinic acid, pentoxifylline and other agents that improve the nutrition of spinal tissues and normalize the processes occurring in them;
• local anesthetics used for regional blockades to help relieve severe pain.

Important! While painkillers and anti-inflammatory drugs work well for pain, they are in no way involved in eliminating its cause.

exercise therapy

Exercise therapy in the treatment of the lower back is used only when the patient is completely relieved of pain. Thus, with exacerbations of diseases, it is completely contraindicated.

The video shows three exercises to relieve lower back pain

The secret of success in this case lies in strict adherence to the training regimen. Exercises to strengthen your back muscles should be done daily.

Important! A qualified physiotherapist should select a set of exercises.

Massage

Massage improves blood supply to damaged tissues, normalizes their nutrition, and accelerates the removal of toxins. Moreover, just like physiotherapy, it is carried out outside the period of exacerbation.

Massage should be performed by a certified specialist with some experience.

Physiotherapy

As a rule, the treatment of the lower back involves the use of procedures aimed at stopping the destruction of tissues and restoring the destroyed structures.

In general, patients with lower back pain are prescribed:

• magnet therapy;
• laser therapy;
• ultrasound therapy;
• electrophoresis;
• warming up;
• therapeutic mud wraps;
• paraffin applications.

Surgical treatment

Operations on the lumbar spine are performed in exceptional cases due to the fact that such an intervention is very risky. For example, surgery can be prescribed to patients with intervertebral hernias that provoke severe pain or with signs of compression of the spinal cord.

Basically, traditional medicine is used to treat the lower back at home. Lower back treatment folk remedies involves the use of the following recipes.

• Burdock leaf compress. Dry leaves of the plant are soaked in boiling water, wrapped in cloth and applied to the lower back. On a sore spot, the compress is aged for at least an hour.
• Radish compress. The radish is grated, mixed with sour cream and applied to the sore spot in the form of a compress. The loin is tied with a scarf made of wool. The procedure is performed at night before going to bed.

You can use traditional medicine only after consulting a doctor.

The main thing - remember that the treatment of the lower back must begin with a visit to the doctor. Only in this case it will be effective and relieve pain for a long time.

It is unlikely that anyone in this life can boast that he has never had a backache in the entire history of existence. Most often, we do not go to the hospital, because the pain is caused by completely “on-duty” reasons (overload, draft, muscle strain), and usually it goes away on its own. But sometimes there are seizures that you just can’t forget about:

• they last much longer and more intensively
• deprive us of our former motor activity
• tend to come back

In this case, it is worth thinking about what caused the pain, because if it were something trifling, it would not signal itself again. The return of an attack is a sign of a chronic disease. How to treat back pain in this case?

The pain that arose in the lumbar region was popularly dubbed sciatica, and the doctors somewhat modernized the word, replacing it with " radiculopathy».

Radiculopathy or sciatica is not a disease, but the name of lumbar pain and just a symptom. There can be many reasons for its occurrence, and the best thing to do in the beginning, if there is a persistent chronic pain symptom in the back, is to see a doctor.

Causes of chronic back pain:

• Scoliosis
• Myositis
• Spondylitis
• and others
• Systemic destructive lesions of the spine caused by:
  • Infectious processes:
    tuberculosis, osteomyelitis
  • Autoimmune diseases:
    rheumatoid arthritis, ankylosing spodoloarthritis
  • Diseases caused by metabolic disorders:
    osteoporosis
  • Oncological diseases of the spine
• Back injury:
  fracture, subluxation of joints, torn ligaments, discs etc.
• Congenital abnormalities:
  • defects in the structure of the vertebrae
  • joint displacement
• Diseases of the chest and abdomen
• Blood diseases
• Pregnancy
• Diseases of the central nervous system and psyche

It is also important to distinguish hereditary nature many destructive diseases, since treatment in this case can be carried out in a completely different way.

It is impossible to answer unambiguously the question of how to treat back pain within the scope of this article, judging by the impressive list of reasons given above. However, it is possible to give the most necessary recommendations on what to do in this case.

Establishing the nature of back pain

First of all, it is necessary to establish the nature of pain, and if we summarize all the diseases that cause it, it can be of four types:

• muscular
• nervous
• Vegetative-vascular
• Reflected

Today it is believed that most often the pain syndrome is caused by muscle spasm when:

• dystrophic processes (osteochondrosis, hernia, spondylitis, etc.)
• myositis
• subluxations of the joints

Treat this kind of pain with ibuprofen, ketoprofen, indomethacin and other non-steroidal anti-inflammatory drugs are sometimes not only useless, but even harmful, since drugs in this group have many serious contraindications, and they can hit the stomach, intestines, liver and kidneys.

Osteochondrosis of the first second stage is hardly worth treating with NSAIDs. Why?

Yes, because he does not give such severe pain that needs urgent relief. Even the disease of the young (cervical osteochondrosis) often passes in the form of discomfort, a feeling of tension in the cervical-occipital and shoulder-scapular regions of the back. And acute pains in the neck can be due to myositis, a fairly common phenomenon, by the way, since the neck is a very unprotected department, prone to hypothermia and increased stress.

Once, doctors conducted an experiment, dividing patients with osteochondrosis into two groups. Some were treated diclofenac, others - ordinary paracetamol. The experiment showed exactly the same effect of anesthesia in both groups.

Treatment options for chronic back pain

Chronic aching pain in osteochondrosis is sufficient to treat with the following methods:

• massage
• acupuncture
• Physiotherapy
• Folk remedies

Osteochondrosis of the first and second stages is successfully treated through the normalization of intra-metabolic processes and regeneration of bone tissues:

• Vitamins (E, D, B, C)
• minerals and metals ( potassium, magnesium, phosphorus, copper, zinc, iron)
• (glucosamine, chondroitin)

It is at the early stage of osteochondrosis that the patient has a chance to eliminate not the external pain symptom, but the very internal cause- disease

A neglected pathology is already a herniated disc, which is much more difficult to deal with.

Pain in scoliosis I and II degree are treated with special corrective exercises that eliminate muscle spasm

Medical treatment for acute back pain

Another thing is an acute pain attack in the back. Here, in addition to the torment of the patient, the threat of an increase in muscle spasm and the inclusion of a mechanism of continuous chronic pain syndrome is added, which will be extremely difficult to get rid of.Therefore, in this case, it is necessary to apply anesthesia

In what cases can this be?

Causes of acute pain

This is possible with:

1. Intervertebral hernia posterior orientation (), accompanied by nerve or spinal compression
2. Injuries caused by fractures, subluxations, displacements of the elements of the spine
3. Spontaneous displacement of the vertebral joints due to long-term muscle spasm
4. Ostrom myositis
5. exacerbations spondylarthrosis, rheumatoid arthritis
6. Malignant tumors And metastases

The pain is paroxysmal in these cases, its nature can be dual (and nervous, And muscular-reflex), which explains the increased pain intensity. Therefore, before treating the disease, the attack itself is first eliminated with the help of:

• Single injections nonsteroidal drugs (movalis, ibuprofen, diclofenac)
• novocaine (lidocaine) blockades
• Neurotropic drugs (vitamin b)
• Complex preparations (NSAIDs + vitamin B)
• epidural blockade with help corticosteroids
• drugs ( morphine, promedol)

Back pain, as you can see, can be very strong: sometimes it is not possible to cope with pain for a long time. This explains such an impressive selection of medical products.

Vegetative-vascular pain

Such pain occurs due to a violation of the autonomic nervous regulation. And. It manifests itself with numerous symptoms resembling diseases, to which, in fact, these symptoms have nothing to do. Patients begin to treat:

• headaches and dizziness
• chest pain and angina
• ulcers and gastritis
• urinary disorders

But in fact, it is necessary to treat the circulatory and nervous system, taking vasodilators, antidepressants, and sedatives.

When the spine has nothing to do with it

The back sometimes hurts for reasons not related to the spine, but to problems of the internal organs. This kind of pain is called referred pain.

If you are used to self-medication and are used to relying on yourself, then this is definitely not your case, since everything can end in a sad ending.

If, or you feel, this does not always mean osteochondrosis or a hernia.

You should never take painkillers on your own unless an accurate medical diagnosis has been made. This can lead the doctor astray due to the blurring of clinical symptoms.

Methods for diagnosing pain

Diagnosis of back pain is carried out in different directions, depending on the preliminary diagnosis, using standard and high-precision methods:

1. x-ray
2. Densitometry
3. Computed and magnetic resonance imaging
4. Electromyography
5. Laboratory diagnostics and other methods

Non-drug treatments for pain

In addition to medications, the following methods are also used:

• Postisometric relaxation (method of motionless static exercises)
• Traction (, dry and underwater)
• Reposition of the joints by osteopathic methods (manual therapy)
• radio frequency denervation
• Therapeutic exercises for the back
• Laser and magnetic therapy

In some cases (with a severe degree of the disease, ongoing pain), a decision may be made about a surgical operation.

People often complain of lower back pain, and this is natural: this area accounts for most of loads. Compared with other departments, the lumbar is more prone to diseases.

In this article, we will look at what is back pain in the lumbar region, what causes it and how to get rid of it.

Low back pain is known as lumbago, or "lumbago". Sometimes it is so strong that a person has to take an unnatural position, his movements are constrained. Any movement causes the patient the strongest discomfort.

Lower back pain is a dangerous manifestation of diseases of the spine

Pain can last for a couple of minutes or several days. Then they suddenly stop, but after a while they are repeated with new force. A person has to get used to such waves of pain that will not go away completely if he is not treated.

Why does the lower back hurt?

The following factors may be the reason:

• prolonged driving or working at a computer in a sitting position;
• physical stress, emotional or nervous stress At work;
• enhanced training in the gym (when doing exercises in a standing or sitting position);
• pregnancy and difficult childbirth;
• overweight problems.

Lower back pain can occur for a variety of reasons.

Sometimes the pain goes away on its own. This makes it clear the following: if the lower back bothers you regularly, the development of a serious disease is not excluded. And with untimely treatment, it can lead to serious consequences, which will have to be disposed of with the help of surgical intervention.

Back pain as a symptom of disease

There are two types of low back pain: primary and secondary.

The link between pain and disease has been discovered for a very long time.

Primary pain syndrome occurs directly with the development of diseases of the spine. It can be:

• osteochondrosis of the lumbar;
• the formation of protrusion of the intervertebral disc;
• intervertebral hernia;
• spondylosis or spondylarthrosis;
• spinal diseases such as kyphosis, scoliosis, kyphoscoliosis;
• arthritis;
• discitis, osteomyelitis and tuberculosis of the spine.

Secondary pain syndrome occurs due to diseases in other areas of the body. It is caused by the following reasons:

• fractures;
• tumor inside the spinal canal;
• constant muscle spasms;
• diseases of internal organs;
• urolithiasis;
• complicated pregnancy;
• ovarian problems.

If you want to know more and also consider alternative treatments, you can read an article about it on our portal.

Video -How to relieve acute pain in the lumbar region

Pain classification

Lower back pain can be:

• strong;
• sharp;
• aching;
• chronic;
• displaced.

severe pain

Severe pain appears with osteochondrosis. Pain haunts a person constantly: when he walks, sits, lifts weights, even coughs or sneezes. Sometimes she gives to the lower limbs. This is accompanied by numbness and a feeling of "goosebumps".

A person feels severe pain immediately, which is why he goes to the hospital. So it's easier to get rid of them.

With sciatica, a person feels severe pain in the lower back and other parts of the body: in the buttocks, thighs, pelvis and shins. Pain becomes stronger in the process of walking, coughing, changing body position.

At the first such signs, you need to contact a neurologist. It is recommended to sleep on a hard mattress to maintain the lower back in the correct anatomical position.

Acute pain

Acute pain in a person manifests itself in the following cases:

• Crick;
• long stay in an uncomfortable position;
• work with weights;
• trauma;
• abrupt movements;
• hypothermia of the body;
• draft.

To eliminate such pain, you need to use gels and ointments that have anti-inflammatory and analgesic properties. They will help to improve blood circulation and get rid of edema. If after two or three days after the first manifestation of lower back pain does not go away, then it's time to see a doctor.

In the early days, when lower back pain is especially strong, it is better to adhere to bed rest.

Aching pains

Aching pain in the lower back can occur due to myositis or inflammation of the muscles of the lower back. A person is constrained in movements, because he experiences pain when making even the simplest movements.

Aching pain is not as noticeable as others, especially in early periods its development

To get rid of the pain, you must first take a warm shower, and then put on warm clothes. Physical exercise are excluded. To alleviate the condition, it is recommended to rub ointments that have a warming effect. If the pain does not go away after three days, it is better to consult a doctor.

chronic pain

Often the cause of such pain is deforming spondylosis. A person with such a disease is very worried about the lower back, loss of sensation and weakness in the legs may develop.

Getting rid of chronic pain is impossible. The best thing a doctor will do is reduce their strength.

Chronic pain can also be caused by ankylosing spondylitis, metabolic problems, or cancer. To cope with these diseases at home will not work. It is also difficult to identify the cause in the early stages. Therefore, if pain occurs that does not go away for more than three days and even intensifies, you should consult a doctor.

Displaced pains

This type is distinguished by its "entanglement". A person feels pain in the lower back and believes that the cause of them is in problems with the spine. But in reality, displaced pains usually manifest themselves due to diseases of the organs located in the pelvic region, tumors and diseases of the gastrointestinal tract and kidneys.

This type of pain is considered the most dangerous, since its symptoms are easily "confused" with the symptoms of other diseases.

In what cases you need to see a doctor?

If you have any sign from the list below, you should immediately sign up for a consultation with a therapist.

• severe pain in the lumbar region does not go away after three days or more;
• the cause of the pain in a spinal injury that you know about (for example, a couple of days before there was an accident or a fall on your back);
• your lower back, hips, shins and feet hurt at the same time;
• due to pain, sensation is lost in the buttocks, hips, legs, feet and in the groin area.

How to cure back pain?

Usually, the patient receives a complex treatment, where attention is paid to the lumbar region, the spine, and nearby organs.

Treatment is divided into two types: conservative and surgical.

Treatment of low back pain is carried out using a number of methods to relieve pain and reduce the load on the muscles. Pain in the lumbar region occurs for a number of reasons, the timely detection of which allows you to choose the most suitable way eliminate discomfort and discomfort in the lower back. With pathologies of the musculoskeletal system, complex treatment may be necessary.

Medical treatment

Medications help relieve. The main indications for the use of painkillers are:

• pain in the lumbar region of unknown etiology;
• (one or more).

Medicines for lumbago in the lower back and pinched muscles are available in the form of:

• tablets;
• injections;
• plasters;
• ointments.

Self-selection of medications is strictly prohibited. If you experience severe pain in the lumbar region, you may need to consult a neurologist.

Pills

According to patient reviews, the most effective pills for back pain - Diclofenac. The main component is the substance of the same name (25 mg). The drug has pronounced analgesic properties. The use of the drug is possible not only for back pain, but also for joint damage, including. The instructions for use contain contraindications, which include:

• exacerbation of ulcers of the intestine and stomach;
• pathologies from the hematopoietic organs;
• history of gastrointestinal bleeding;
• pregnancy;
• breast-feeding;
• individual intolerance to individual elements.

The regimen for taking an analgesic is selected individually. Standard regimen - 1 tablet 2-3 times a day.

Ointments

Medicines for external use are used if a person suddenly has a backache. The cream is easily rubbed into the skin, the active elements in its composition quickly reach the source of pain. To relieve pain in the lower back, you can use:

1. Efkamon. Ointment for lower back pain, which contains methyl salicylate and camphor oil. It relieves tension from the muscles of the lower back and improves blood flow.
2. Capsicama. Warming gel with turpentine and camphor. The pain reliever has irritant and vasodilating properties.
3. Apizartron. The ointment contains bee venom. The warming drug has a vasodilating effect.

Any pain-relieving ointment must be applied in a thin layer and rubbed until completely absorbed. Pain medications for external use are also used for bone pain after injuries.

injections

The solution for injection is used topically when it is painful and difficult for the patient to walk. Injections for back pain:

1. Neurobion. The main ingredient is lidocaine. The package contains 3 ampoules.
2. Trigamma. Vitamin complex. In a pack - 5 ampoules.
3. Milgamma. The package contains 5 or 10 ampoules. Combined vitamin preparation.

After the injection has been administered intramuscularly, the patient should be at rest for 15-20 minutes.

plasters

The patch for back pain has a number of advantages over other forms of release. Active elements do not get into the blood, the patch does not leave marks on clothes, does not hinder movement and is not visible to others. It is glued directly to the site of the lesion. The therapeutic effect lasts up to 72 hours.

Physiotherapy

Physiotherapy is understood as the treatment of the patient with various physical factors, which include ultrasound, infrared radiation, electric current and light. Pain in the lumbar region is eliminated in several sessions of electrophoresis or laser therapy. The technique increases muscle tone.

Gymnastics

Strengthens muscle tissue and spine. Blood circulation improves, the required amount of nutrients enters the joints. Gymnastics involves the muscles of the abdominal cavity and the gluteal region. To consolidate the result, it is necessary to perform at least 6-8 approaches.

Massage

For medicinal purposes severe pain in the region of the sacrum, vacuum and are used. In the first case, banks are placed on the lower back, which act on biologically active points. Massage relaxes and strengthens muscles, improves blood flow and relieves pain spasm. Traditional massage allows you to quickly eliminate pain in the lower back. In the absence of proper experience, self-massage is unacceptable. To achieve maximum results, experts recommend at least 5-6 sessions.

warming up

Paraffin is used for medicinal purposes for radiculitis, osteochondrosis, and hernia. A uniform and prolonged thermal effect eliminates discomfort and alleviates the general condition of the patient. Mineral wax must be melted in a water bath. Duration of 1 session of paraffin therapy - no more than 60 minutes. The course of treatment includes 14-20 procedures.

Alternative Therapies

TO unconventional methods treatments for diseases of the lumbar include acupuncture, mud baths and wraps, as well as traditional medicine. These methods are considered the most gentle and safe.

Folk remedies

Unpleasant sensations in the sacrum are treated with warming analgesic compresses. They are applied 2-2.5 hours before bedtime. Popular Recipes alternative medicine:

1. Radish. The peeled vegetable is passed through a meat grinder, the resulting slurry is slightly squeezed and mixed with sour cream - this will avoid burning. The mass is applied to the lower back with a thin layer, without rubbing, the back should be covered with a towel. After 70 minutes, the compress is removed.
2. Mustard powder. 20 g of powder must be diluted warm water to the consistency of thick cream. The mixture is applied to the lower back and covered with a warm scarf. After 4-5 minutes, the mustard mass must be washed off.

Compresses should not burn the skin. If a burning sensation occurs, the compress is recommended to be immediately removed from the lumbar region.

Acupuncture

Acupuncture is performed by a specialist. Acupuncture impact on the points provokes the release of hormones produced by the adrenal cortex. They have analgesic and anti-inflammatory effects. The needles are inserted shallowly, the duration of the session is 45-60 minutes. Acupuncture includes 10-12 sessions.

mud therapy

As part of therapeutic mud there are mineral compounds that have a beneficial effect on nerve endings and soft tissues. Mud compresses relieve pain, stop inflammation in soft tissues and muscles. has practically no contraindications.

Ways to prevent pain

Preventive measures, with which you can prevent the appearance of pain in the lumbar region, are aimed at strengthening the muscular frame. Experts recommend:

• walk and sit up straight;
• do not lift weights;
• sleep on a hard mattress;
• avoid overvoltage.

An important role in the prevention of lumbar diseases is played by the complete rejection of bad habits. Tobacco smoking increases the risk of blockage of blood vessels, resulting in impaired blood flow. In this case, nutrients cease to flow into muscle tissue and joints. Physical activity should be moderate, they must be alternated with rest.