It often happens that the patient comes to the doctor to find out why his back hurts in the lumbar region. Quite often, those who spend a lot of time at their summer cottage, their own garden, face such a pain syndrome. Constantly repairing the house and sparing no effort in the plot, people undermine their health. A day or two of hard work, and now it is not possible to straighten up without excruciating pain. However, in some cases, pain indicates the presence of other pathologies. To determine the appropriate treatment strategy, you must first find out the root cause of the pain.
Possible factors: is everything serious?
To find a good treatment for a problem, you must first identify its cause. The back in the lumbar region hurts on the left, on the right, or even causes pain in the girdle, if a person has impaired health and kidney function, osteochondrosis has developed, and neuralgia is observed. There is a possibility of acute pancreatitis. Each described condition requires a thorough approach to treatment, and it is advisable to consult a doctor. Trying to choose a course of therapy on your own, you can harm your health, the condition will worsen even more. If you go to the doctor, then at the reception he will assess the symptoms, formulate a preliminary diagnosis and send you for studies 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. The term refers to the formation of foci of inflammation in the organ. If the disease is not infectious, glomerulonephritis can be diagnosed. Sometimes pain syndrome indicates the appearance of stones in the kidneys and ducts. The processes of their generation, as well as movement, cause quite strong discomfort.
Often the disease develops against the background of hypothermia, it may be preceded by a cold. It is observed that people who adhere to strict diets are more likely to suffer from kidney diseases. In many ways, the symptoms of kidney disease and the condition called "ripping your back" are similar. There are a number of specific symptoms that allow you to more accurately identify the pathology. If the kidneys are sick, the sensations do not depend on the load, activity, movements. Many have a fever, the urine becomes cloudy, the shade changes. Some note an increased need to urinate, the process itself is accompanied by pain. There is a light touch with the edge of the hand near the kidneys, the area will respond with severe pain.
How to help yourself?
If the back of a man, woman or 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 kidneys are extremely important elements for the functioning of the human body, therefore unjustified risks are unacceptable. While waiting for the arrival of a specialist, you can try to alleviate the manifestations of the disease. The patient lies down or sits to make him as comfortable as possible, a means of reducing heat is provided if the temperature exceeds 38 degrees. To relieve the pain a little, you can take an antispasmodic drug. If the patient needs a change of position, he should be helped. In addition, it is reasonable to monitor blood pressure and body temperature.
It happens that people are convinced that they know for sure if your back hurts in the lumbar region, what to do: you need to immediately put a warm compress or put the victim in a hot 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, then 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 the sensation that it comes from the left half of the body, the hypochondrium region. It is possible to cover the back, abdomen, this forms rings of pain. For some, pancreatitis causes severe pain near the belly button. If the pathology proceeds atypically, the patient has back pain: the lower back and a little higher. This nature of the localization of the pain syndrome often leads to an incorrect initial diagnosis.
Assuming pancreatitis, it is necessary to call a doctor. While waiting for a specialist, you will have to completely refuse food; During the inflammatory process, food can drastically worsen the condition. The caregiver should help the patient to adopt a comfortable position; as far as possible, provide comfort and peace of mind to a person. He can drink a little water without additives, but he is allowed to drink only in moderation. It is advisable not to leave the patient, constantly monitoring the change in status until a specialist arrives. It is believed that the pain is slightly weaker if you curl up in a position characteristic of the embryo.
osteochondrosis
If the back in the lower back is very sore, it is likely 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 pinching of the nerve roots; this is what becomes the source of the pain. According to doctors, the probability of developing the disease is high for any of our compatriots over 30 years of age. In recent years, osteochondrosis is increasingly diagnosed in young people and is detected in adolescents.
To provoke an attack of pain can lift a heavy object, a prolonged stay in a forced and uncomfortable position. The probability of developing a pathology is higher 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 extends to the leg, while discomfort 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. Shooting and burning pain sensations are possible. It is possible to replace osteochondrosis if the buttocks and legs are characterized by reduced sensitivity, and if a stable posture is maintained for a long time, it is difficult to change it. For many, the thermoregulation of the extremities is disturbed, the legs sweat profusely, and the sensation of cold is disturbing.
Characteristics of the case and first aid.
If your 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 same. medium. The affected area is covered with a warm woolen shawl or tied with a warm scarf and placed on a hard, flat surface. In the absence of the effectiveness of such measures, it is possible to smear the lower back with non-hormonal ointments to relieve 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-inflammatories on an empty stomach. The active components 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 lies precisely in osteochondrosis, it is necessary to visit a doctor for a diagnosis. Unjustified self-treatment with non-hormonal anti-inflammatory drugs will certainly lead to a deterioration of the condition. This will be especially pronounced if the patient has pancreatic disease, a violation in the gastrointestinal tract.
Security First
If the back hurts in the lumbar region, what to treat, the doctor will tell. You can not try to "fix" the spine, 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 baths are not allowed. We will have to give up saunas and baths. The heating at first gives a feeling of relief, but soon the pain comes 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 an image will allow you to assess the condition of the lumbar spine and determine the best way to treat the root cause of the pain.
If osteochondrosis caused pain during physical exertion, while the person took an anesthetic or a drug to stop inflammatory activity, the condition is likely to get much better soon. Even if the pain is completely gone, you should not go back to your previous activity again. For some time, the sick back should be provided with rest. The best option is bed rest.
Neuralgia
There are a huge number of different manifestations of how the lower back hurts: when lying on their backs, walking, bending over. In some cases, the cause of this is an inflammatory process that affects the nerve fibers. It is possible to assume neuralgia for 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 urge to move creates fear. There are a number of features that make it possible to suspect what exactly caused the pain and to distinguish neuralgia from pinched nerve endings that provide sensitivity to the spine.
With osteochondrosis, a person is subconsciously afraid to move, because the back hurts from any action. Neuralgia also has this feature, but the pain will spread along the nerve that caused it, and patients describe the sensations as spasms. Perhaps an unpredictable relief of the condition and the return of pain when a person is calm, motionless. Sometimes against the background of neuralgia, seizures, muscle aches, and a change in skin tones are disturbing. In some, the work of the glands that produce sweat is interrupted. 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. 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, since constant pain can lead to mental deviations. To relieve some of the pain, the doctor will prescribe non-hormonal anti-inflammatory drugs. In some cases, they prefer to stop on drugs containing ibuprofen, meloxicam. The patient is shown rest.
If a patient goes to the doctor because his back hurts a lot, the lower back, what to do, should be decided by a qualified specialist. Depending on the details of the case, hospitalization may be recommended. This measure is used if the sensations are very strong. In a hospital environment, a blockade will be made to those in need using novocaine.
Characteristics and pains
It also happens that a person tore his back, and his lower back hurts. What to do in such a situation, the doctor will also tell. 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 rest period after a long workout or an unreasonably large load. The pain can be caused by clumsy and unsuccessful movements. 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, are known to complain of pain more often. The back often hurts in those who train too actively, spend a lot of time on their feet, suffer from excess weight. Low back pain almost always accompanies pregnancy and disturbs for some time after the birth of a child.
There are also situations when, in general, you do not need to know what to do: the back hurts in the lumbar region, but rather weakly, over time everything goes away by itself. If the attack is single, not too strong, was preceded by an obvious causal factor (for example, long work in a summer house), then 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 should see a doctor, since it is impossible to determine for yourself what provokes the sensations.
Reasons: primary and secondary
Primary pain is noted if there is a disease of the spine. Such a syndrome is possible if a person has developed spondyloarthrosis, 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 a narrow spinal canal, osteomyelitis, and a malignant process. Lower back pain is possible with ovarian cysts, endometriosis. The doctor must clarify all the factors of the case, reviewing 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 arthrosis. Scheuermann-Mau disease can cause pain. In some women, the pain indicates complications in carrying the fetus.
Whether to rush to the doctor?
There are certain signs of pain that indicate the need to get qualified help as quickly as possible. So, if when walking, the lower back responds with pain, coughing and sneezing lead to a worsening of sensation, while the sensations spread to the lower extremities, you should make an appointment with a neurologist. It will also help if your lower back hurts, the sensations are dull, your back hurts, the pain spreads to the legs, it is more noticeable when coughing and moving. Probably, such symptoms indicate sciatica, but a person needs the most timely help from a doctor, so contacting the clinic should not be delayed.
A traumatologist can tell you what to do if your back hurts in the lower back, if the sensations occurred against the background of muscle stretching or lifting an object that is too heavy. For these reasons, in addition to the pain due to hypothermia and exposure to a draft, it is first necessary to use creams that activate the blood supply for three days at home. If during this period the condition does not improve, you should make an appointment with the doctor.
Measurements 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 they have back pain in the lower back, these symptoms are most 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 alleviate the condition, it is necessary to use painkillers, rest. It is necessary to find out experimentally in which position the pain is weakest. The first two days, bed rest should be provided. 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 severe muscle tension. The area responds with rigidity, the sensations are acute, especially strong when trying to move. The doctor will also tell you better 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 ointments that relieve the inflammatory process and relieve pain. If the sensations have not subsided, make an appointment with your 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. The disease is indicated by a strong, sharp pain syndrome, 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 failure or an oncological pathology. In any of these options, it will not be 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 the functionality of the internal organ. It is possible to radiate pain if the pathology is localized in the pelvis, gastrointestinal tract and kidneys. Pain is often in 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 was preceded by an injury, if, in addition to the lumbar region, the foot and lower leg also hurt. In the event that the pain is accompanied by numbness of the extremities, the inguinal region, it is also impossible to delay contact with the clinic.
How to review?
If your back hurts in the lumbar region in the morning, this can be considered reason enough to see a specialist. First, you can go to the local therapist. The doctor will give instructions for instrumental tests and examinations, redirect to a highly qualified doctor based on the specifics 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. The blood and urine samples are analyzed in the laboratory. In some cases, it is necessary to study the puncture of the spinal cord, if malignant diseases are suspected, tissue samples are taken for 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 to 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. It may be helpful to give a medication designed to treat the joints. Rehabilitation simulators have been designed that quickly restore mobility. With severe pain and the need to stop inflammation and spasm, the doctor will perform a blockade.
Pharmacological treatment of back pain consists of taking oral and injectable medications. Often such treatment is combined with physiotherapy, which increases the 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.