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. Constantly repairing the house and sparing no effort on the plot, people thereby 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 it all serious?
To find a good treatment for a problem, you first need to identify its cause. The back in the lumbar region hurts on the left, on the right, 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 described condition requires a thorough approach to treatment, and it is advisable to consult a doctor. Trying to choose a course of therapy for yourself on your own, you can harm your health, the condition will become even worse. If you come 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 assumption.
Kidneys hurt
If the back hurts very much 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 non-infectious, glomerulonephritis can be diagnosed. Sometimes the 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 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 that is called "tear off the 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 urge to urinate, the process itself is accompanied by pain. There is a light tap with the edge of the hand near the kidneys, the area will respond with severe soreness.
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. The 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 laid or seated so that it is as comfortable as possible, they are 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 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 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 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 task of the patient is to wait for the arrival of a professional. The doctor will examine the sufferer 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 soreness encircles, while creating a feeling 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 navel. 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 causes 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 sufferer to take a comfortable posture; as far as possible, provide comfort and tranquility to a person. You can drink a little water without additives, but drinking is allowed only in moderation. It is advisable not to leave the patient, constantly monitoring the change in condition 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 connecting the elements of the spinal column. The pathological process is associated with pinching of the nerve roots - this is what becomes the source of pain. According to doctors, the likelihood of developing the disease is high for any of our compatriots over 30 years old. In recent years, osteochondrosis is increasingly being diagnosed in young people, and is detected in adolescents.
To provoke a pain attack can lift a heavy object, a long stay in a forced, uncomfortable position. The likelihood of developing 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 spreads to the leg, while nagging 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, 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 becomes difficult to change it. For many, the thermoregulation of the limbs is disturbed, the legs sweat profusely, and the feeling of cold is disturbing.
Features of the case and first aid
If the back, lower back, spine hurt, 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 spinal column, you can give yourself first aid by simple means. The affected area is covered with a warm woolen shawl or tied with a warming scarf, and laid down to lie down 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 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 analgesics and anti-inflammatory drugs on an empty stomach. The active components contained in medicines 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. Unjustified self-treatment with non-hormonal anti-inflammatory drugs will certainly cause a deterioration in the condition. This will be especially pronounced if the patient has a pancreatic disease, a violation in the gastrointestinal tract.
Safety First
If the back hurts in the lumbar region, what to treat, the doctor will tell. You can not try to "set" the spinal column, this will make the pain worse, there is a chance of severe damage to the back. If osteochondrosis has passed into the acute phase, warming up should be avoided. Hot baths are not allowed. We'll have to give up saunas and baths. Warming up at first gives a feeling of relief, but soon the pain comes with renewed vigor. If symptoms indicating osteochondrosis appear frequently, you need to make an appointment with a neurologist. The doctor will give you a referral for an MRI. Such a picture will allow you to assess the condition of the lumbar spine and determine how best to deal with 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, it is likely that the condition will soon become much better. Even if the pain has disappeared completely, 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 they lie on their back, walk, bend over. In some cases, the cause of this is an inflammatory process affecting the nerve fibers. It is possible to assume neuralgia by 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 gives rise to 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 spinal column.
With osteochondrosis, a person is subconsciously afraid to move, because the back gives pain to any action. Neuralgia also has this feature, but the soreness 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 soreness when a person is calm, motionless. Sometimes, against the background of neuralgia, convulsions occur, muscle pains, and a change in the shades of the skin are disturbing. In some, the work of the glands that produce sweat is disrupted. With pressure on the back, pain immediately covers both halves of the body symmetrically.
Help Features
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 exclude, at the same time, it is necessary to take measures to improve the patient's condition, since constant pain can provoke mental deviations. To ease the pain somewhat, the doctor will prescribe non-hormonal anti-inflammatory drugs. In some cases, they prefer to dwell on medications 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, 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 very strong. In a hospital setting, the needy will be given a blockade using novocaine.
Features and pains
It also happens that a person tore off 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 soreness often accompanies a period of rest after a long workout or an unreasonably large 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 about pain more often. The back often hurts in those who train too actively, spend a long time standing, suffer from excess weight. Lower 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 don’t need to figure out what to do: the back hurts in the lumbar region, but rather weakly, with time everything goes away on its own. If the attack is one-time, not too strong, it was preceded by an obvious causative factor (for example, prolonged work in a summer cottage), you just need to give yourself a rest and wait for the pain to go away. If the pain comes in attacks, periods, worries for a long time, you need to consult a doctor, because it is impossible to determine on your own what provokes sensations.
Reasons: primary and secondary
Primary pain is observed if there is a disease of the spine. Such a syndrome is possible if a person has developed spondylarthrosis, 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 narrowed 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, checking the patient's condition in order to find out what to do. Back pain in the lumbar region in people suffering from cystitis, in patients with scoliosis and osteoarthritis. Scheuermann-Mau disease can provoke pain. In some women, soreness indicates complications in bearing the fetus.
Whether to hurry 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, sneezing leads to an aggravation 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 sensations are dull, the back aches, 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 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 sensations came against the background of muscle stretching or lifting an object that is too heavy. For such reasons, as well as pain due to hypothermia and exposure to a draft, 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 backache, 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, 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 analgesics, give yourself rest. It is necessary to find out experimentally in which position the pain is the weakest. 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 severe muscle tension. The area responds with stiffness, sensations are sharp, especially strong when trying to move. The doctor will also best 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 ointments that ease the inflammatory process, relieve pain. If the sensations have not subsided, make an appointment with the doctor.
Chronicle 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 is aching, the legs are weakening and numb. With such manifestations, you should immediately make an appointment with a neurologist.
Ankylosing spondylitis can provoke pain. A possible reason is a metabolic failure 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 localized 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 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 was preceded by an injury, if, in addition to the lumbar region, the foot and lower leg also hurt. In the case when the pain is accompanied by numbness of the limbs, the inguinal region, 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 the local therapist. The doctor will give directions for tests and instrumental examinations, 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, ECG and ultrasound examination. Blood and urine samples are checked 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 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 spinal column. There is a method using waves and magnetic fields. It may help to administer a drug designed to treat joints. 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 involves taking oral and injectable medications. Often such treatment is combined with physiotherapy - this increases the effectiveness. Prescribe medications to relieve swelling, relieve stiffness, eliminate the inflammatory focus. Since all such medicines have a wide list of contraindications and possible side effects, self-medication with them is strictly prohibited.