Pain during movement: walking, extension, tilting, breath and lying on your back or stomach
Pain in lower back when walking or inhalation occur due to injury of nerve fibers or endings between the vertebrae hernia, displaced vertebrae, inflammatory changes in the ligaments of the spine, spasm contractions of the muscles of the back .
Since the duration and intensity of muscular contractions controlled by the nervous system, any pathological changes in the spinal nerves affect the functionality of the skeletal muscles.
Against this background, excessive exercise lead to persistent Hyper tonus of muscle groups (stay in a state of contraction without relaxation). Man cannot lean forward, and stand up out of bed.
Why is there pain in the lower back:
- Lifting too heavy objects with rupture of the muscle-bundles of the aponeurosis;
- Sharp turns of the body at angle more than 120 degrees with the weakness of the vertebral ligaments lead to the displacement of the vertebrae;
- Strenuous fitness activities without warming forming cracks and tearing of muscles;
- Long "hunched" position of the lumbar spine when sitting gradually leads to weakness of muscles;
- Carrying children weighing more than 4 pounds is often accompanied by damage to the cartilage of the intervertebral disks (osteochondrosis).
In General, any load on the lumbar spine that leads to damage of the intervertebral discs (osteochondrosis, hernia). In such a situation is likely compression of the nerve root that exits the spinal cord, therefore, begins to ache.
If the damage to the muscles of the back, any attempt to make a sharp turn ends in severe pain due to compression of a nerve inflammation or spasm of the muscles (myofascial syndrome). That's why doctors prescribe muscle relaxants, hernia of the spine.
If the doctor the patient complains: "can't bend over because there back pain with minimal flexion and extension of the back", should be suspected myofascial syndrome. It pain sensitivity increases with movement or breath, as it increases strength muscle spasm.
Another cause of pain in the lower back is "obvious" weakness of the abdominal muscles and back. A sign of the presence of this condition is the presence of complain of pain on inspiration, during a long stay on his feet or frequent trunk bending. When you try to tilt forward at the person with weak muscular corset back there is a "spinal hump".
In such a situation, due to the weakness of skeletal muscles occurs stretching of the muscles of the back, so the compression of the spinal nerves. So it doesn't hurt enough to strengthen the muscles of the abdomen and the pathology will disappear on their own.
The displacement of one lumbar vertebra relative to another (spondylolisthesis) is formed by the unstable situation of the vertebral axis. With a sharp turn of the body or lifting the nerve roots spondylolisthesis when injured.How to determine the cause of the pain yourself
To figure out why back pain should be differentiated among the five most frequent syndromes: the pathology of the spine, myofascial syndrome, weak muscles, kidney, and metabolic disorders.
However, most often lower back pain when walking and on inspiration caused due to spinal disorder. To confirm the "spine" causes of the pain syndrome of the house applies a number of tests:
- Tap the chin of the breast;
- Tighten the press;
- Take a vertical position, lifting from a horizontal position, but without bending the legs;
- Lift up the legs, first one and then another;
- Palpate the fingers point along the spinal column.
If when performing the above exercises feel strengthening of pain in the spine, the probability of the presence of pathology of the spine with irritation of the nerve endings is high enough. To confirm the hypothesis will help x-rays of the spine and magnetic resonance imaging.
Often kidney disease, leading to pain on the right and left of the spine, is urolithiasis. Pain syndrome when it occurs due to irritation of the nerve endings of the urinary tract of a large calculus (stone).
To diseases of metabolism, lower back pain can be attributed to pronounced osteoporosis (rarefaction of bone structure for calcium deficiency). This condition leads to deformation of bones and joints of the spine and extremities.
Given the severity of the above diseases, leading to pain when walking in the lumbar region, we recommend you not to try to treat them yourself, and consult a doctor. In the presence of pathology is not only important to get rid of her, but also to conduct a thorough diagnosis of the human condition, to prevent severe complications.Classification of pain in the lumbar spine
To share the pain in the back can be primary and secondary.
- Primary pain syndrome occurs in the backdrop of the changes of the spine, nerve endings, ligaments and muscle structures.
- Again a sore lower back when:
The intensity of primary pain can be cumulative or acute. The cumulative pain is a whining character and increases over time for any careless movement or a sharp turn of the body. In acute pain syndrome in the lower back, the person feels sharp pain when getting out of bed or trying to put on a shirt.
If the primary cause of the syndrome is a narrow spinal canal, hurt almost always. He cannot bear to stand, but when sitting the symptoms of the pathology easier.
- Tumors of the spinal column;
- Infections of small pelvis;
- Injuries of the spine.
Secondary pain in the lower back on the inhale is a worrying signal that requires careful diagnosis of the health status. If it increases with bending forward, standing short, extension or flexion of the upper extremities is unfavorable symptom of cancer.Rules of treatment of this disease
When the patient tells the doctor: "I stand in place, but a really sore lower back", most likely, the reason for this situation is the weakness of the muscles of the back. It is usually not appointed conservative drugs, and the treatment is carried out with the help of physiotherapy.
It is quite another thing when pain increases sharply when turning the torso on the inhale or when you exhale. In such a situation, doctors have administered local or General systemic anti-inflammatory drugs, as they are likely to myofascial syndrome or damage to the cartilage of the spine.
If lower back pain appears lying on his back, in a state of flexion or extension, but disappears on my stomach and when getting out of bed is a sign of pathology of the spine mild. Treat her conservatively.
If the pain is not caused by pathology of the spine, but only a muscle spasm (not disappear lying on the stomach),the doctors believe that the best treatment is the return of man to moderate physical labor after intramuscular injection of muscle relaxant .
If the pain is so strong that it occurs at the slightest movement, you should not get out of bed. Likely between the vertebrae hernia, in which the person must be transported in a stationary medical institution in a stationary state. After performing x-rays the physician self-impose a plaster coniciendum or the patient will be carried out emergency surgery.
Manual therapy as an effective treatment for lumbar myalgia has the right to exist, but in the treatment of diseases of the spine, it can only be used for stimulation of the blood supply to the spinal column.
Mainly for lumbar pain doctors prescribe non-steroidal preparations , chondroprotectors long courses and symptomatic drugs.
In conclusion, the advice to readers: when you have pain in lower back when breathing in, straightening and getting out of bed, do not treat it yourself. Most likely, you have not a simple muscle strain and more serious pathology.