It often happens that patients go to the doctor to find out why the back hurts in the lumbar region. Often, such a pain syndrome is faced by those who spend a lot of time in their summer cottage, their own garden. Constantly repairing the house and not working hard on the plot, people thereby affect 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 know the cause of the pain.
Possible factors: is everything serious?
To find a good treatment for a problem, you need to identify the cause first. The back in the lumbar region hurts on the left side, on the right side, or even causes girdle pain, if a person has impaired kidney function and health, osteochondrosis has developed, and neuralgia is observed. There is a possibility of acute pancreatitis. Each condition described requires a comprehensive approach to treatment, and it is advisable to consult a doctor. Try to choose a course of therapy for yourself, you can endanger your health, the situation will get worse. If you come to the doctor, at the reception he will evaluate the symptoms, formulate a preliminary diagnosis and send you to a study that will confirm or refute the assumption.
Kidneys hurt
If the back hurts a lot in the lumbar region, there is a possibility of pyelonephritis. This term refers to the formation of an inflammatory focus in an organ. If the disease is not infectious, glomerulonephritis can be diagnosed. Sometimes the pain syndrome indicates the appearance of stones in the kidneys and ducts. The process of their generation, as well as movement, causes rather strong discomfort.
Often the disease develops against the background of hypothermia, it may be preceded by a cold. It is observed that people who follow a strict diet are more likely to suffer from kidney disease. In many ways, the symptoms of kidney pathology and the condition called "back tear" are similar. There are some specific symptoms that allow you to identify the pathology more accurately. If the kidney hurts, the sensation does not depend on the load, activity, movement. Many have a fever, the urine becomes cloudy, the shade changes. Some note an increased desire to urinate, the process itself is accompanied by pain. There is a light tap with the edge of the hand near the kidney, the area will react 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 kidney disease, it makes sense to contact the local doctor, call him at home. The kidney is a very important element for the functioning of the human body, so undue risk is unacceptable. While waiting for the arrival of a specialist, you can try to reduce the manifestations of the disease. The patient is laid down or seated so that it is as comfortable as possible, they are given ways to reduce heat if the temperature exceeds 38 degrees. To make the pain a little weaker, you can take antispasmodic drugs. If the patient needs a change of position, he should be assisted. In addition, it is reasonable to monitor blood pressure and body temperature.
It happens that people are sure that they know for sure if the back hurts in the lumbar region, what to do: you need to immediately put a warm compress or put the sufferer in a hot bath. In the case of kidney disease, such a procedure is strictly prohibited. Any rewarming will drastically worsen the patient's condition. If a person has had pyelonephritis, this activates the focus of inflammation. The patient's task is to wait for the arrival of a professional. The doctor will examine the patient and recommend further action.
Pancreatitis
If the back hurts in the lumbar region, in men, women, children, the cause may be pancreatitis. Pathology can be suspected if the pain surrounds, while creating the feeling that it comes from the left half of the body, the hypochondrium area. It is possible to cover the back, stomach - this forms a ring of pain. For some people, pancreatitis causes severe pain near the navel. If the pathology is not common, the patient experiences back pain - lower back and slightly higher. The localization nature of this pain syndrome often leads to a wrong initial diagnosis.
Assuming pancreatitis, it is necessary to contact a doctor. While waiting for the specialist, you need to completely refuse food - during the inflammatory process, food can drastically worsen the situation. Caregivers should help the patient to assume a comfortable posture; as much as possible, give comfort and peace to someone. You can drink some water without additives, but drinking is only allowed in moderation. It is advisable not to leave the patient, constantly monitor the changes in the condition until the specialist arrives. It is believed that the pain is slightly weaker if you curl up in the characteristic fetal position.
Osteochondrosis
If the back in the lower back is very painful, the likely cause is a disease of the joint cartilage that connects the elements of the spine. The pathological process is associated with pinching the nerve root - this is the source of the pain. According to doctors, the probability of suffering from this disease is high for any of our compatriots who are over 30 years old. In recent years, osteochondrosis is increasingly diagnosed in young people, and detected in adolescents.
To trigger an attack of pain can lift heavy objects, stay in a forced, uncomfortable position for a long time. The possibility of developing pathology is higher if a person drives a car for a long time, sits a lot, and moves little in daily life. It is possible to suspect osteochondrosis if the pain syndrome spreads to the legs, while nagging is felt in the lower back. If you try to move, the pain increases. This accompanies any load and simple changes in body position. Shooting, burning pain sensations are possible. It is possible to replace osteochondrosis if the back and legs are characterized by reduced sensitivity, and if a stable posture is maintained for a long time, it becomes difficult to change it. For many people, the thermoregulation of the limbs is disturbed, the feet sweat a lot, and the feeling of cold is disturbing.
Features of the case and first aid
If the back, lower back, 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 aid with ease and meaning. The affected area is covered with a warm woolen scarf or tied with a heating scarf, and laid to lie on a hard, flat surface. In the absence of the effectiveness of such measures, it is possible to smear the lower back with a non-hormonal ointment to reduce the course of the inflammatory process. Doctors may prescribe systemic treatment with non-hormonal anti-inflammatory drugs. As a rule, drugs containing meloxicam, ibuprofen are prescribed.
Do not take analgesic and anti-inflammatory drugs on an empty stomach. Active components contained in the drug irritate the gastric mucosa, can cause peptic ulcer disease, 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. Improper self-treatment with non-hormonal anti-inflammatory drugs will inevitably lead to a worsening of the condition. This will be very noticeable if the patient has pancreatic disease, violations in the gastrointestinal tract.
Safety comes first
If the back hurts in the lumbar region, what to treat, the doctor will tell. You should not try to "fix" the spinal column, this will worsen the pain, there is a possibility of severe damage to the back. If osteochondrosis has passed into the acute phase, heating should be avoided. Hot showers are not allowed. We have to leave the sauna and shower. Warming up initially provided some relief, but soon the pain came with renewed vigor. If symptoms indicating osteochondrosis appear frequently, you should make an appointment with a neurologist. The doctor will give you a referral for an MRI. Such pictures will allow you to assess the condition of the lumbar spine and determine the best way to deal with the cause of the pain.
If osteochondrosis causes pain during physical exercise, while the person takes anesthetic or drugs to stop the inflammatory activity, it is possible that the condition will improve. Even if the pain is completely gone, you should not return to your previous activities again. For some time, rest should be given to people with back pain. The best option is bed rest.
Neuralgia
There are a large number of different manifestations of how the lower back hurts - when they lie on their backs, walk, bend over. In some cases, the cause of this is an inflammatory process that affects nerve fibers. It is possible to consider neuralgia with manifestations similar to the symptoms of osteochondrosis described above. With any physical activity, the back immediately reacts with pain, even the slightest movement is difficult for the patient, and the need to move creates fear. There are several characteristics that make it possible to suspect what exactly causes pain, and to distinguish neuralgia from pinched nerve endings that give sensitivity to the spinal column.
With osteochondrosis, a person is unconsciously afraid to move, because the back gives pain to any action. Neuralgia also has this feature, but the pain will spread along the nerve that caused it, and the sensation itself is described by the sufferer as twitching. May relieve unpredictability and return of pain when a person is calm, motionless. Sometimes, against the background of neuralgia, convulsions occur, muscle pain, and changes in skin color are disturbing. In some, the work of the glands that produce sweat is disrupted. With pressure on the back, the pain immediately covers both sides of the body symmetrically.
Help Features
If your back or lower back is very painful, only a qualified doctor will tell you what to do. The pain syndrome caused by neuralgia is quite difficult to exclude, at the same time, it is necessary to take measures to improve the patient's condition, because constant pain can trigger mental deviations. To reduce some of the pain, the doctor will prescribe non-hormonal anti-inflammatory drugs. In some cases, they prefer to think of drugs that contain ibuprofen, meloxicam. The patient is shown resting.
If the patient goes to the doctor because the back is very painful, the lower back, what to do, should be decided by a qualified specialist. Based on the specifics of the case, hospitalization may be recommended. This step is used if the sensation is very strong. In a hospital setting, restrictions will be made to those who need to use novocaine.
Features and pain
It also happens that someone tears his back and his lower back hurts. What to do in such a situation, the doctor will also tell you. This depends on the severity of the damage. Sometimes rest is enough, in other cases the help of a surgeon is needed. It is known that pain often accompanies a period of rest after prolonged exercise or unreasonably large loads. Pain can be caused by awkward and unsuccessful movements. It is known that stressed people, as well as those who, due to the nature of their work, sit for a long time, especially in front of the computer, complain about pain more often. The back often hurts in those who train too actively, spend a long time standing, are overweight. Lower back pain almost always accompanies pregnancy and bothers for some time after childbirth.
There are also situations when, in general, you do not have to think about what to do: the back hurts in the lumbar region, but it is quite weak, with time everything disappears by itself. If the attack was only one time, not too strong, it was preceded by an obvious causative factor (for example, prolonged work in the summer cottage), you just need to rest and wait for the pain to disappear. If the pain comes in attacks, menstruation, anxiety for a long time, you need to consult a doctor, because it is impossible to determine on your own what is causing the sensation.
Causes: primary and secondary
The main pain is observed if there is a disease of the spine. Such a syndrome is possible if a person has suffered from spondylarthrosis, spondylosis. Possible hernia or protrusion. Secondary pain syndrome accompanies bone fractures, tumor processes, prolonged muscle tension. Such pain can be caused by diseases (kyphosis, arthritis, tuberculosis), there is a possibility of a narrow spinal canal, osteomyelitis and malignant processes. Lower back pain is possible with ovarian cysts, endometriosis. The doctor must explain all the factors of the case, examine the patient's condition to know what to do. Back pain in the lumbar region in people suffering from cystitis, in patients with scoliosis and osteoarthritis. Scheuermann-Mau disease can cause pain. In some women, pain indicates complications in childbirth.
Whether it is necessary to rush to the doctor?
There are certain signs of pain that indicate the need to seek qualified help as soon as possible. So, if while walking the lower back reacts with pain, coughing, sneezing leads to aggravation of the sensation, while the sensation spreads to the lower part of the leg, you need to make an appointment with a neurologist. It will also help if the lower back hurts, a dull sensation, back pain, pain spreads to the legs, it is more noticeable when coughing and moving. Perhaps, such symptoms indicate sciatica, but a person needs the most timely help from a doctor, so you should not delay contacting the clinic.
A traumatologist can tell you what to do if your back hurts in the lower back, if the sensation comes against the background of muscle strain or lifting too heavy an object. For such reasons, as well as pain from hypothermia and exposure to drafts, it is first necessary to use a cream that activates blood flow for three days at home. If during this period the situation does not improve, you need to make an appointment with a doctor.
Steps and times
For three days, you can try to help yourself with back pain, lumbago. According to doctors who know exactly what to do if their back hurts in the lower back, more often such symptoms are experienced by those who, because of their activity, have 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 several weeks. To alleviate the situation, it is necessary to use analgesics, give rest. It is necessary to find out experimentally where the position of pain is the weakest. The first two days you should prepare yourself with bed rest. If the sensation does not pass in three days, it is recorded with a doctor.
Possible pain syndrome on the background of myositis. Such a pathological process is usually preceded by hypothermia or severe muscle tension. The area reacts with stiffness, sharp sensations, especially strong when trying to move. The doctor will also tell you what to do if your back hurts in the lower back for this reason. Doctors advise first to take a warm shower, find suitable warm clothes and completely abandon any physical activity. The first three days use an ointment that eases the inflammatory process, relieves pain. If the sensation does not subside, make an appointment with a doctor.
Chronic and radiating pain
About what to do if the back hurts in the lower back due to spondylosis, the doctor will tell only after a careful assessment of the patient's condition. This disease is manifested by strong and sharp pain syndrome, lower back pain, weak legs and numbness. With such manifestations, you should immediately make an appointment with a neurologist.
Ankylosing spondylitis can trigger pain. Possible reasons are metabolic failure or oncological pathology. In any of these options, it is not possible to help yourself, 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 localized in the lumbar spine, but the real reason is the failure of internal organs. Radiating pain is possible if the pathology is localized in the pelvis, gastrointestinal tract, and kidneys. Often pain gives to the lower back with cancer. It is impossible to postpone a visit to the doctor if the syndrome lasts more than three days, if it is preceded by an injury, if, in addition to the lumbar region, the legs and lower legs also hurt. In the case when the pain is accompanied by numbness of the limbs, inguinal area, it is also impossible to delay contacting the clinic.
How to check?
If your back hurts in the lumbar region in the morning, this can be considered a sufficient reason to contact a specialist. First, you can go to a local therapist. The doctor will give instructions for tests and instrumental examinations, directed 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, ECG and ultrasound examination. Blood and urine samples are examined in the laboratory. In some cases, it is necessary to study a spinal cord puncture, if a malignant disease is suspected, a tissue sample is taken for a biopsy.
How will they be treated?
Many people are afraid to go to the doctor if their back hurts in the lumbar region in the morning, because they believe 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 are methods using waves and magnetic fields. It may help to administer medications designed to treat joints. The rehabilitation simulator has been designed to quickly restore mobility. With severe pain and the need to stop inflammation and spasms, the doctor will make restrictions.
Drug treatment for back pain involves taking oral medications and injections. Often such treatment is combined with physiotherapy - this increases effectiveness. Prescribe drugs to relieve swelling, relieve stiffness, eliminate the focus of inflammation. Since all such drugs have an extensive list of contraindications and possible side effects, self-medication with them is strictly prohibited.