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 their summer cottage, their own garden. By constantly repairing the house and sparing no effort on the plot, people are thus undermining their health. A day or two of hard work, and now it is 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 discover the root cause of the pain.
Possible factors: are they all serious?
To find a good cure for a problem, you must first determine its cause. The back in the lumbar region hurts left, right or causes pain in the belt, if a person has reduced kidney function and health, osteochondrosis has developed, and neuralgia is observed. There is a possibility of acute pancreatitis. Each described situation requires a thorough approach to treatment and it is recommended to consult a doctor. Trying to choose a course of treatment for yourself on your own, you can harm your health, the situation will become even worse. If you go to the doctor, at the reception he will evaluate the symptoms, formulate a preliminary diagnosis and send him to studies that will confirm or refute the hypothesis.
Kidneys hurt
If the 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 organ. If the disease is not infectious, glomerulonephritis may be diagnosed. Sometimes the pain syndrome indicates the appearance of stones in the kidneys and ducts. The processes of their generation, as well as the movement, cause quite intense discomfort.
Often the disease develops against the background of hypothermia, it can be preceded by a cold. It is noted that people who adhere to strict diets 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, sensations do not depend on load, activity, movements. Many have a fever, the urine becomes cloudy, the color changes. Some note an increased desire to urinate, the process itself is accompanied by pain. There is a light blow with the tip of the hand near the kidneys, the area will respond with severe pain.
How to help yourself?
If the back of a man, woman, child has pain in the lower back, if there is reason to suspect a kidney disease, it makes sense to contact the local doctor, call him at home. Kidneys are extremely important elements for the functioning of the human body, so unjustified risks are unacceptable. While waiting for the arrival of a specialist, you can try to alleviate the manifestations of the disease. The patient is lying or sitting so that he is as comfortable as possible, he is given a means to reduce 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 to be repositioned, he should be assisted. In addition, it makes sense to monitor blood pressure and body temperature.
It happens that people are convinced that they know for sure if the back hurts in the lumbar region, what to do: you need to immediately apply a warm compress or put the sufferer in a warm bath. In the case of kidney diseases, such procedures are strictly prohibited. Any rewarming will drastically worsen the patient's condition. 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 patient and recommend further actions.
Pancreatitis
If the back hurts in the lumbar region, in a 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, the area of the hypochondrium. It is possible to cover the back, abdomen - this forms rings of pain. For some, pancreatitis causes severe pain near the navel. If the pathology progresses atypically, the patient has pain in the back - the lower back and a little higher. This nature of pain syndrome localization often causes initial misdiagnosis.
Assuming pancreatitis, it is necessary to call a doctor. While waiting for a specialist, you should completely refuse food - during the inflammatory process, food can drastically worsen the condition. The caregiver should help the sufferer into a comfortable position. as much as possible, provide comfort and peace to a person. You can drink some water without additives, but consumption is allowed only in moderation. It is better not to leave the patient, constantly monitoring the change in the situation until a specialist arrives. It is believed that the pain is slightly weaker if you curl up in a position characteristic of the fetus.
Osteochondrosis
If the back in the lower back is very painful, it is possible that the cause was a disease of the cartilage of the joints that connect the elements of the spine. The pathological process is associated with the pinching of 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 30 years old. In recent years, osteochondrosis is increasingly diagnosed in young people and is found in adolescents.
To cause an attack of pain can lift a heavy object, a long stay in a forced, uncomfortable position. The probability of developing pathology is greater if a person drives a car for a long time, sits a lot and moves little in everyday life. It is possible to suspect osteochondrosis if the pain syndrome spreads to the leg, while the moaning is felt in the lower back. If you try to move, the pain increases. This accompanies any load and a simple change in body position. Shootings, burning pain sensations are possible. It is possible to replace osteochondrosis if the buttocks and legs are characterized by reduced sensitivity, and if a fixed posture is maintained for a long time, it becomes difficult to change it. For many, the thermoregulation of the extremities is disturbed, the feet sweat a lot and the feeling of cold is annoying.
Features of the case and first aid
If the back, waist, spine hurts, while 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 spine, you can give yourself first aidin a simple way that means. The affected area is covered with a warm woolen shawl or tied with a heating scarf and lies on a hard, flat surface. In the absence of effectiveness of such measures, it is possible to smear the lower back with non-hormonal ointments to alleviate the course of the inflammatory process. The doctor may prescribe systemic treatment with non-hormonal anti-inflammatory drugs. As a rule, drugs containing meloxicam, ibuprofen are prescribed.
Do not take pain relievers and anti-inflammatory drugs on an empty stomach. The active ingredients contained in the drugs irritate the gastric mucosa, can cause peptic ulcer, gastritis.
If there is no exact certainty that the cause of the pain is precisely in osteochondrosis, it is necessary to visit a doctor for a diagnosis. Unreasonable self-medication with non-hormonal anti-inflammatory drugs will certainly cause the condition to worsen. This will be especially pronounced if the patient has pancreatic disease, violation of the gastrointestinal tract.
Safety first
If the back hurts in the lumbar region, what to treat, the doctor will say. You can not try to "adjust" the spine, this will worsen the pain, there is a possibility of serious damage to the back. If osteochondrosis has passed into the acute phase, warm-up should be avoided. Hot baths are not allowed. We should give up saunas and baths. Warming up at first gives a sense of relief, but soon the pain comes with renewed vigor. If symptoms indicating osteochondrosis occur frequently, you should make an appointment with a neurologist. The doctor will refer you for an MRI. Such an image will allow you to assess the condition of the lumbar spine and determine how best to treat the root cause of the pain.
If osteochondrosis caused pain during physical activity while the person was taking an anesthetic or a drug 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 activity again. For some time, rest should be provided to the sick back. The best option is bed rest.
Neuralgia
There are a huge number of different manifestations of how the lower back hurts - when lying on the back, walking, bending over. In some cases, the cause of this is an inflammatory process that affects nerve fibers. It is possible to assume neuralgia with manifestations similar to the symptoms of osteochondrosis described above. With any physical activity, the back immediately responds with pain, even a slight movement is difficult for the patient, and the need to move causes fear. There are a number of features that make it possible to suspect what exactly caused the pain and distinguish neuralgia from pinched nerve endings that provide sensitivity to the spine.
With osteochondrosis, a person is subconsciously afraid to move, because the back gives pain to any action. Neuralgia also has this characteristic, but the pain will spread along the nerve that caused it, and the sensations themselves are described by sufferers as twitching. Perhaps an unpredictable relief of the condition and the return of pain when a person is calm, motionless. Sometimes, against the background of neuralgia, spasms appear, muscle pains and a change in skin tones are annoying. In some, the work of the glands that produce sweat is disturbed. With pressure 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. The pain syndrome caused by neuralgia is quite difficult to rule out, at the same time, it is necessary to take measures to improve the patient's condition, since constant pain can cause mental deviations. To somewhat relieve the pain, the doctor will prescribe non-hormonal anti-inflammatory drugs. In some cases, they prefer to deal with drugs containing ibuprofen, meloxicam. The patient is shown resting.
If a patient goes to the doctor because his back, lower back hurts a lot, what to do, a qualified specialist should decide. Based on the specifics of the case, hospitalization may be recommended. This measure is resorted to if the sensations are too intense. In a hospital setting, indigent will be blocked using novocaine.
Features and pains
It also happens that a person tears his back and his lower back hurts. What to do in such a situation, the doctor will also tell you. This will depend on the severity of the damage. Sometimes rest is enough, in other cases the help of a surgeon is required. It is known that pain often accompanies a period of rest after a long workout or an unreasonably heavy load. Pain can be caused by awkward, unsuccessful movements. It is known that people who are stressed, as well as those who due to the nature of their work sit for a long time, especially in front of a computer, complain more often of pain. The back often hurts in those who train very actively, spend a lot of time standing, 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 cases when, in general, you do not need to figure out what to do: the back hurts in the lumbar region, but rather weakly, over time everything subsides by itself. If the attack is one-time, not very strong, preceded by an obvious causative factor (for example, prolonged work in a country house), you just need to rest and wait for the pain to go away. If the pain occurs in attacks, periods, worries for a long time, you need to consult a doctor, since it is impossible to determine on your own what causes sensations.
Causes: primary and secondary
Primary pain is seen if there is spinal disease. Such a syndrome is possible if a person has developed spondyloarthritis, 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 spinal canal stenosis, osteomyelitis and malignant process. Lower back pain is possible with ovarian cysts, endometriosis. The doctor must clarify all the factors of the case, checking the patient's condition to find out what to do. Lumbar pain in people suffering from cystitis, in patients with scoliosis and osteoarthritis. Scheuermann-Mau disease can cause pain. In some women, pain indicates complications in the birth of the fetus.
Whether to rush to the doctor?
There are certain signs of pain that indicate the need to get specialized help as soon as possible. So, if when walking the lower back responds with pain, coughing, sneezing leads to a worsening of the sensation, while the sensations spread to the lower extremities, you need to make an appointment with a neurologist. It will also help if the lower back hurts, the senses are dull, the back hurts, the pain spreads to the legs, it is more noticeable when you cough and move. Probably, such symptoms indicate sciatica, but a person needs the most timely help from a doctor, so you should not delay in contacting the clinic.
A traumatologist can tell you what to do if your back hurts in the lower back, if the sensations came on the background of stretching muscles or lifting an object that is too heavy. For such reasons, as well as for pains due to hypothermia and exposure to electricity, it is first necessary to use creams that activate blood flow for three days at home. If during this period the condition does not improve, you should make an appointment with the doctor.
Measures and timing
For three days, you can try to help yourself with back pain, back pain. According to doctors who know exactly what to do if their back hurts in the lower back, such symptoms are more often experienced by those who, due to their activities, are forced to work hard. The pain usually goes away on its own within a few days after exercise, although in rare severe cases it persists for weeks. To relieve the condition, it is necessary to use pain relievers, rest. It is necessary to learn experimentally in which position the pain is weaker. The first two days you should provide yourself with bed rest. If the sensations have not passed in three days, they are recorded with a doctor.
Possible pain syndrome on the background of myositis. Such a pathological process is usually preceded by hypothermia or intense muscle tension. The area responds with stiffness, the sensations are intense, especially when you try to move. The doctor will also tell you best what to do if your back hurts in the lower back for this reason. Doctors advise first to take a hot shower, find suitable warm clothes and completely give up all physical activity. In 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.
Chronic and radiating pain
About what to do if the back hurts in the lower back due to spondylosis, the doctor will say only after a careful assessment of the patient's condition. The disease is indicated by a syndrome of strong, sharp pain, 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 cause pain. A possible reason is a metabolic deficiency or oncological 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 located in the lumbar spine, but the real reason is the failure of the functionality of the internal organ. Radiating pain is possible if the pathology is located in the pelvis, gastrointestinal tract and kidneys. Often gives pain in the lower back with cancer. It is impossible to postpone the visit to the doctor if the syndrome lasts more than three days, if there has been an injury, if, in addition to the lumbar region, the leg and lower leg also hurt. In the event that the pain is accompanied by numbness of the limbs, groin area, it is also impossible to delay contacting the clinic.
How to check?
If in the morning your back hurts in the lumbar region, this can be considered a sufficient reason to contact a specialist. First, you can go to the local healer. The doctor will give instructions for tests and organ tests, redirect to a highly qualified doctor based on the details of the case. The most accurate diagnosis is usually made by a neurologist. To do this, you need to get the results of MRI, EKG and ultrasound examination. Blood and urine samples are tested in the laboratory. In some cases, it is necessary to study spinal cord puncture, if there are suspicions of malignant diseases, tissue samples are taken for biopsy.
How will they be dealt with?
Many people are afraid to go to the doctor if their back hurts in the lumbar region 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 spine. There is a method that uses waves and magnetic fields. Giving a medicine designed to treat joints can help. Rehabilitation simulators have been designed that quickly restore mobility. With severe pain and the need to stop inflammation and spasm, the doctor will make a blockade.
Drug treatment of back pain includes oral and injectable medications. Often such treatment is combined with physiotherapy - this increases effectiveness. Prescribe drugs to relieve swelling, relieve stiffness, eliminate the inflammatory focus. Since all these drugs have a wide list of contraindications and possible side effects, self-medication with them is strictly prohibited.