Why does the lower back hurt

lower back pain

Discomfort in the back area bothers or bothers almost every person at some time. The main load falls precisely on the structures of the lumbar spine. Lower back pain can be a sign of fatigue, overwork. But it is best to rule out more serious diseases. After all, there are a lot of causal factors for lower back pain. And they do not always relate to the actual structural components of the spine.

Shooting pains in the lumbar region

Pain syndrome has many different characteristics. These are the intensity, duration, cyclical or periodicity, as well as the response to the treatment. The pains in the lower back are most often of a shooting character: they are sharp, very strong. What could it be? Patients at this time may freeze for a while in one position, and they are afraid to change it, make an extra movement because of fear of increased pain. This syndrome is called lumbago by neurologists.

Why are there shooting severe pains in the lower back? The main reason for the appearance of lumbago is problems with the intervertebral disc. We are talking about osteochondrosis. It is a degenerative disease of the intervertebral discs. Contrary to popular belief, this pathology occurs not only in elderly patients. The described disease affects the working-age population, becoming the main cause of temporary disability.

The cause of pain syndrome combines several mechanisms. One of them is muscle spasm. It occurs due to irritation of the nerve roots by growths of the vertebral bodies (the so-called spines, exostoses). These outgrowths are nothing more than a compensatory reaction to the loss of the morphological and functional properties of the intervertebral cartilage.

The lower back hurts very badly. It is a tremendous effort for the patient to turn or straighten out. If it hurts in the back or right in the lumbar region, then here they talk about a spasm. The reasons, like the treatment, are therefore associated with the pronounced tension of the muscle fibers. That is why it is difficult for patients to move.

Degenerative diseases of the lumbar spine are chronic. That is, periods of exacerbations alternate with remissions. Without exacerbation, patients feel stable. There is no pain syndrome. But the longer the duration of the disease, the more pronounced degenerative changes in the spine, due to which static-dynamic disorders appear.

Treatment of osteochondrosis

Disease therapy provides for an integrated approach. If the lower back hurts, non-drug and medication methods are used for treatment.

First of all, neurologists recommend rest. For the period of exacerbation, bed rest is required. This is important in order to relieve the muscles of the spinal column, which are in a state of spasm. After all, the back hurts at the bottom of the spine for this very reason. Vertebrologists insist that in case of pain, the treatment of lumbar chondrosis includes the use of rigid beds (without the use of featherbeds), as well as special orthopedic pillows, sold in specialized salons.

How to remove pain? For this purpose, rubbing is prescribed. They should be gently massaged. It is recommended not to massage the spine area. It is better to rub ointments or gels into the paravertebral areas of the back. For grinding, dosage forms with non-steroidal anti-inflammatory drugs are used. They are good at eliminating pain in the lumbar spine.

What to do if the lower back continues to hurt? Severe pain requires the use of NSAIDs in injections or with the help of suppositories. Injection forms are convenient for starting therapy. After three days, with a positive effect, it is recommended to treat the lower back with pills or capsules. It is important to carry out gastroprotection. It is about protecting the gastric mucosa from the damaging effects of painkillers.

How to cure muscle spasm in the affected area of the spine? The cause of the discomfort must be eliminated. For this purpose, muscle relaxants are prescribed. The course of admission varies up to 2-4 weeks.

Drawing and dull pains

According to the opinions of neurologists and vertebrologists (specialists in back diseases), permanent discomfort in the back is uncommon for osteochondrosis. It is typical for other diseases of the spinal column, as well as for damage to other internal organs, such as the kidneys.

back pain due to kidney disease

A pulling back pain is considered a sign of chronic pyelonephritis. The reason for the pain and discomfort is that the kidney tissue becomes inflamed and increases in volume due to edema. In this case, the capsule is stretched, there are pulling pains in the lower back. Patients simultaneously note dysuric disorders. These include:

  • Discomfort when urinating;
  • Increased urge to urinate;
  • Swelling;
  • The rise in blood pressure.

Why pulls the lower back during exacerbation is understandable. The chronic course of pyelonephritis is accompanied by the replacement of functioning nephrons with connective tissue. This is the causative factor for pain in the back and lower back.

With glomerulonephritis, patients often have lower back pain. The equivalent of this sensation can be lumbar pain. But the peculiarity of the symptomatology is that the kidney damage is bilateral. With pyelonephritis, the lower back hurts more, on one side. Glomerulonephritis is a bilateral and symmetrical pathology.

Therefore, when the back hurts, it is not necessary to "write off" everything on the spine and intervertebral discs (osteochondrosis). It is important to rule out other diseases. The treatment tactics are determined by the attending physician, depending on the identified changes.

Ankylosing spondylitis

This is another degenerative disease of the spine (or rather, its joints), which is accompanied by complaints such as pain in the lower back. Another name for the disease is ankylosing spondylitis. Usually, with him, the lower back constantly hurts. Patients with this pathology do not note analogues of lumbago and other variants of "lumbago".

Why does the lower back hurt in this situation? Rheumatologists explain the pathogenesis of spondyloarthritis in terms of autoimmune processes. This means that once started, the inflammatory process proceeds steadily and progressively, if you do not start therapy.

Patients are worried about pain in the lower back. They are inflammatory in nature. There is pain in the morning, as in rheumatoid arthritis. With the expansion of the motor regime (by lunchtime), the condition of the patients improves significantly. Pain in the lower back may also increase late at night, in the early hours of the morning.

Over time, other manifestations of the disease appear. If at first the patient claims that he does not know how to get rid of lower back pain, then other problems join. Appearance, posture changes. The so-called "supplicant pose" appears. Lower back pain persists. Respiratory dysfunction is common in ankylosing spondylitis. It becomes difficult for the patient to inhale deeply, deeply. There is a limitation of the volume of respiratory movements.

In addition to the pain in the lower back, patients are also worried about the peripheral joints. Arthralgia can debut from the area of the feet, hands (small joints), as well as from larger joints. Then they talk about the peripheral form of ankylosing spondylitis, which is prognostically a more unfavorable course.

Treatment of back pain with ankylosing spondylitis begins with symptomatic therapy. These are therapeutic doses of non-steroidal anti-inflammatory drugs. The pain in the spine is significantly reduced, as is the stiffness of movement. After that, the question of prescribing a basic treatment is decided. Sometimes glucocorticoid hormones help with back pain in cases of spondialoarthritis.

Tuberculous or bacterial spondylitis

Koch's bacillus is found not only in the tissues of the lungs, it can also affect the musculoskeletal system. In this case, spondylitis occurs - an inflammation of the vertebral tissue. Disturbed at first by unexpressed, dull back pain in the lumbar region. Before they appear, there may be weakness, fatigue. Patients note that it hurts or hurts in the lower back if the lumbar spine is affected. In this case, the movements are usually constrained.

Further, the disease progresses. Over time, without specific treatment, the patient's condition and well-being only worsens. The causes of back pain are associated with the destructive effect of Mycobacterium tuberculosis. The more pronounced the inflammation, the brighter the clinical manifestations. A patient can get an appointment with a doctor when he has a very bad lower back. It becomes very difficult to withstand not only walking, but also difficult standing for a long time and in general any static load.

When should you suspect a tuberculous nature in situations when it hurts badly right in the lower back in the lumbar region? An increase in body temperature is typical for this infection. It does not reach a fever, but stops at a subfebrile level. General health worsens - patients feel weak, unexplained fatigue. Appetite is impaired. Patients lose weight and also sweat at night in any temperature conditions. Low back pain may be accompanied by frequent urge to urinate and urinary incontinence. This is especially typical for combined lesions of the lumbar and thoracic vertebrae.

In the analysis of blood, attention is drawn to the increase in such an indicator as the erythrocyte sedimentation rate. This is a non-specific marker. But if an increased ESR is detected, tuberculosis infection should be ruled out first. An x-ray is taken of the lower back, as well as the lungs (chest organs).

If you are concerned about lower back pain due to tuberculous destruction, the causes and treatment are clear. Therapy is prescribed by a phthisiatrician together with a neurologist. They use specific antibacterial drugs that act perniciously on mycobacterium, the causative agent of tuberculosis. Pain treatment involves the use of analgesics in the form of injections, suppositories or tablets. Sometimes the help of surgeons is required. When the back hurts in the lumbar region, the causes are eliminated with surgical treatment.

What does the girdle nature of pain indicate?

The pain in the lower back is not always of a shooting and localized nature. Patients complain of discomfort in the lower back, which extends around the entire circumference. This is how girdle pain in the lower back is characterized. These discomfort can hardly be attributed to diseases of the joints and elements of the spinal column.

Patients at this time mistakenly believe that the lower back hurts: what to do in these cases? The reason usually lies in the pathology of the internal organs. Why does the back in the lumbar region hurt and at the same time cause sensations of a surrounding nature? It is generally accepted that this is how pancreatitis manifests itself. It is about inflammation of the pancreas. The girdle pain in the lower back is dull at first, then it acquires an increasing character. The patient's abdomen is board-shaped, firm and flat to the touch. The doctor experiences a pronounced muscle resistance during examination and palpation. The causes of back pain in this situation are irritation of the nerve plexuses that innervate the pancreas. Therefore, with pancreatitis, the lower back hurts. Sometimes, at the same time, it gives off in the chest area and disrupts breathing (discomfort when trying to breathe in deeply, take a full breath). How to relieve back pain with pancreatitis? Antispasmodics, antisecretory agents are used.

Girdle pain in the lumbar region may also indicate cholecystitis or gallstone disease. The bitterness in the mouth worries, the discomfort is more pronounced in the right hypochondrium. There is soreness in the right neck region.

Shingles in the lower back is a manifestation of intercostal neuralgia. Most often, the causes of pain are associated with hypothermia. Why does the lower back hurt, and the intercostal nerves are affected? This is due to the similarity and layering of the zones of innervation.

Recommendations for the prevention of low back pain

Low back pain treatment is not always successful. Despite ongoing therapy, lower back pain persists. It remains constant, periodically manifesting itself as episodes of lumbago or lumbodynia.

For this reason, preventing the disease is much easier than treating the lower back. Lower back pain occurs much less often if you sleep on hard beds using special orthopedic mattresses and pillows. It is recommended to exercise in the morning and take walks in the fresh air at night.

The regime of work and rest should be observed. This is especially true of persons engaged in "sedentary" types of work activities. Why does the lower back hurt? Orthopedists attribute this to scoliosis - a curvature of the spine to the right or left. With such a pathology, the lower back may hurt. It is recommended to get up more often, do a warm-up, change the position of the body.

How can lower back pain be treated if the condition is chronic? It is very important to use physiotherapy exercises. The exercise therapy doctor selects exercises on an individual basis, taking into account height, weight, concomitant diseases, type of activity, level of physical fitness. If your back hurts, a more gentle complex is used, and during remission, exercises can be more difficult.

Prophylactic administration of drugs is indicated for chronic course. This is necessary to prevent attacks of exacerbation of chondrosis. If the spine in the lumbar region often hurts, courses of vitamins of group B are prescribed. It is these drugs that have proven effective in the prevention of exacerbations of osteochondrosis.

For discomfort in the lumbar region, treatment for the prevention of lumbago includes chondroprotectors. These are agents that slow down the degeneration of cartilage structures. Reception must be coursework. To increase the effectiveness, they begin with parenteral administration, and then smoothly switch to oral administration (in tablets or capsules).

In the lumbar region, the appearance of pain and discomfort should alert the patient and seriously think about his health and the condition of his spine, joints between the vertebrae. When the back area is ill, you do not need to use the methods and medicines advised by neighbors or other acquaintances. For discomfort in the lower back, treatment is complex, pathogenetic, individualized. It is prescribed by a neurologist. Research needs to be done first. After all, when it hurts about the lower back, you need to know the reasons in order to adequately and competently eliminate them from the standpoint of modern medical science.

29.08.2021