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lower back pain

Any pain is a sign that something is wrong with your body.Back pain is a symptom of disease of the internal system and individual organs, mainly manifesting as musculoskeletal degenerative dystrophic changes.Low back pain may require consultation with a neurologist, orthopedic surgeon, chiropractor, gastroenterologist, urologist, and gynecologist.

Back pain in lumbar area in women

The Pain of Pain - Disharmony

In addition to injuries caused by injuries, possible causes of low back pain may include the following conditions:

  • spine;
  • internal organs of the pelvis and gastrointestinal tract;
  • muscle.

The intensity and duration of low back pain vary widely; they can be:

  • sharp and painful;
  • permanent or periodic;
  • When the pain is the result of a pathological projection of the peritoneum and pelvic organs, the pain is localized to a certain point, such as the right or left side, or is mobile.

What could it be?

In order to make a diagnosis, you need to determine the nature, location and frequency of the pain, measure the temperature (high temperatures indicate inflammation and / or infection), analyze the accompanying symptoms of the disease (vomiting, coated tongue, diarrhea, redness of the skin or rash) and consult a doctor.

notes!The higher the temperature, the more likely the cause of the pain is contagious, such as shingles, which is characterized by lower back pain and a characteristic rash.

After talking to the patient and performing external examinations to confirm the diagnosis, the doctor may order blood and urine tests, if necessary, as well as:

  • computed tomography;
  • magnetic resonance imaging;
  • Ultrasound examination of internal organs;
  • X-rays.

1.Spine problems

Spinal problems are characterized by chronic low back pain with limited mobility for hours to weeks without an increase in body temperature.The most well-known low back pain syndromes are:

  • Radiculitis- Spinal nerve root damage, often of an inflammatory nature.Mainly affected by the cords formed by the roots and located between the vertebrae.In most cases there are no acute attacks.May be a secondary symptom of another disease, such as osteochondrosis or spinal tuberculosis;
  • Low back pain (low back pain)- Sudden, severe pain when lifting heavy objects, accompanied by clumsiness or hypothermia.It is accompanied by long-term stiffness and continuous tension in the waist muscles.This may be the result of a variety of conditions in addition to osteochondrosis, such as lumbar disc displacement;
  • Sciatica (inflammation and pressure of the sciatic nerve).Paroxysmal pain in the lower back often shifts to the sacrum and back of the leg.In women, this may be the result of chronic inflammation of the appendages.

notes!When the nerve roots of the spinal cord are damaged, pain in the lower back can spread to one or both legs, along with numbness and a "pins and needles" feeling.

The most common conditions that cause low back pain are:

  1. Lumbar osteochondrosisIt manifests as loosening of the cartilage and bone tissue of the joints, and the pathogenesis involves nerves, causing pain due to compression of the nerve roots extending from the spinal cord.
  2. Spondylosis- Dystrophy (progressive thinning) of the lumbar spine, ligaments weaken, bone growth occurs, and the spinal canal narrows.As a result, the bone growth begins to press on the nerve roots, causing soreness and possibly a feeling of weakness and numbness in the legs.May cause vertebrae to shift.Displacement of the vertebrae and discs in the lower back can cause disease in the underlying vertebrae and disrupt rectal and bladder function.
  3. ankylosing spondylitisAffects the intervertebral or synovial joints responsible for spinal movement.It manifests as joint and spinal pain, eye damage, connective tissue hyperplasia of spinal joints, stiffness of waist joints, and complete loss of mobility.
  4. protrusion(The intervertebral cartilage protrudes, but does not destroy its integrity), and then the intervertebral disc herniates (protrudes, destroys the cartilage integrity, and compresses the nerve roots), resulting in loss of joint function.Lower back pain may radiate into the legs.
  5. Narrowing of the spinal canal (stenosis)Due to chronic inflammation, it can cause compression of the nerves and spinal cord that run through it.The disease is accompanied by back pain and spasms after prolonged walking and spinal claudication syndrome.The pain decreases when sitting or lying down, but worsens again when physical activity is resumed.
  6. Scoliosis (curvature of the spine).In complex cases, with protective spasm of the back muscles on the background of spinal osteochondrosis with a herniated lumbar disc, lumbar pain may occur.

Good to know!When vertebrae shift, it's important to determine the cause of the problem: whether it's the result of an injury or a degenerative process.In the second case, regular adjustments to the vertebrae with the help of a chiropractor may aggravate the condition, causing the vertebrae to eventually become destroyed and compress the nerves.

Low back pain may be caused by an autoimmune process that causes non-infectious chronic inflammation of the joints involving the ligaments, muscles, and cartilage of the spine.

2. Infection, myositis, tumor

The lower back is the heaviest part of the spine and bears the greatest load.The inflammatory process in this area is accompanied by bone pain, fatigue, headache, limited mobility and fever.

May be caused by infectious diseases affecting the vertebrae and discs (tuberculosis, epidural abscess, etc.);

Acute spasmodic pain in the lower back occurs when bending over due to hypothermia, excessive physical exertion, stretching or inflammation of the muscles and ligaments (myositis).They appear suddenly and remain stationary; they can spread to the sacrum and back of the legs, making it difficult to bend and turn side to side.

Low back pain may also be the result of tumors in the vertebrae, spinal cord, nerve fibers, or retroperitoneal space.

3. Internal organ problems

Lesions of the internal organs often present with pain in the lower back, which indicates extensive damage to nerve fibers.

Among the main visceral diseases characterized by low back pain:

  • Pancreatitis (inflammation of the pancreas).Pain in the lower back and/or upper abdomen is severe and often of a circumferential nature.May have repeated vomiting, diarrhea, tongue coating, and drop in blood pressure;
  • Other pathologies of the gastrointestinal tract (intestinal obstruction or inflammation, ulcerative colitis).For appendicitis with an atypical course, persistent pain in the waist may be accompanied by a single episode of vomiting;
  • inflammatory kidney disease.Pain in the lower back that is constant, painful - inflammation of the kidneys (pyelonephritis), sharp, spasmodic - renal colic (due to the movement of stones from the renal pelvis to the ureter).Along with lower back pain, another symptom of kidney or bladder disease is frequent urination.Urine is cloudy, sometimes mixed with blood.May have fever, weakness, chills, headache, swelling, difficulty urinating;
  • reproductive system inflammation.It causes pain in the lower abdomen (in women with adnexal inflammation), in the anus (in men with prostatitis), and radiates to the lower back.Pain accompanied by systemic intoxication (weakness, headache, fever), spotting (in women).

In addition, pain may radiate to the lower back due to adhesions (scars) formed after surgery, as well as spinal cord circulation disorders (which can lead to stroke) or metabolic disorders (gout).

Low back pain and pregnancy

Pregnancy can exacerbate the manifestations of existing diseases in the mother's body.The condition especially often appears in the second half of pregnancy due to changes in hormonal levels and increased stress.In addition to the pain caused by the threat of premature birth, the causes of low back pain in pregnant women may be:

  • Herniated disc;
  • Radiculitis;
  • pancreatitis;
  • Pyelonephritis;
  • Urolithiasis (kidney stones).

Lower back pain may indicate a spinal problem or may be a symptom of urological, gynecological or gastrointestinal disease.Most commonly, this condition occurs when the spinal nerves become irritated and the nerve roots become pinched.In order not to aggravate the situation, establish an accurate diagnosis and undertake effective treatment, you should contact a therapist who will identify the pathological area and refer you to the appropriate specialist for treatment.