It often happens that the patient goes to the doctor to find out why the back hurts in the lumbar region. Often this pain syndrome is faced by those who spend a lot of time in their summer cabin, their own garden. Constantly fixing the house and sparing no efforts on the ground, people harm their health. A day or two of hard work, and now it's not possible to straighten out without excruciating pain. However, in some cases, pain indicates the presence of other pathologies. To determine the proper 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 lower back hurts on the left, right or even causes pain in the waist, if a person has impaired kidney function and health, then osteochondrosis has developed and neuralgia is observed. There is a possibility of acute pancreatitis. Each condition described requires a complete treatment approach, and it is advisable to consult a physician. Trying to choose a course of therapy 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 assess the symptoms, formulate a preliminary diagnosis and refer you to studies that will confirm or refute the assumption.
kidneys hurt
If your back hurts a lot in your lower back, 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 the pain syndrome indicates the appearance of stones in the kidneys and ducts. The processes of its generation, as well as the movement, cause quite strong discomfort.
Often, the disease develops against the background of hypothermia, it can be preceded by a cold. Note that people who adhere to strict diets are more likely to suffer from kidney disease. In many ways, the symptoms of kidney pathology and the condition called "tearing your back" are similar. There are several specific symptoms that allow you to more accurately identify the pathology. If the kidneys are sick, sensations do not depend on load, activity, movements. Many have a fever, the urine becomes cloudy, the color changes. Some observe an increase in the urge 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, 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, therefore, unjustified risks are unacceptable. While waiting for a specialist to arrive, you can try to alleviate the manifestations of the disease. The patient is placed or seated so that they are as comfortable as possible, they are given means to reduce heat if the temperature exceeds 38 degrees. To make the pain a little weaker, you can take an antispasmodic medication. If the patient needs a change of position, he should be helped. Also, it is reasonable to monitor blood pressure and body temperature.
It turns out 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 patient in a warm 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 patient's task is to wait for a professional to arrive. 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 involves, while creating a sensation that comes from the left half of the body, the hypochondrium region. It is possible to cover the back, the abdomen - this forms rings of pain. For some, pancreatitis causes severe pain near the belly button. If the pathology proceeds atypically, then the patient has back pain - in the lower back and a little higher. This nature of the pain syndrome location often causes an initial misdiagnosis.
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 must help the patient to adopt a comfortable posture; as far as possible, provide comfort and tranquility to a person. You can drink some water without additives, but you are only allowed to drink it in moderation. It is advisable not to leave the patient, constantly monitoring the change in condition until the arrival of a specialist. The pain is thought to be a little weaker if you curl up in a position characteristic of the embryo.
osteochondrosis
If the lower back is very painful, 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 the nerve roots - this is what becomes the source of pain. According to doctors, the probability of developing the disease is high for any of our compatriots over the age of 30. In recent years, osteochondrosis is increasingly being diagnosed in young people, being detected in adolescents.
Provoking an attack of pain can lift a heavy object, a long stay in a forced and 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 the pain 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.
Kit features 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 pain is the spine, you can provide first aid by simple means . The affected area is covered with a warm wool shawl or tied with a heating scarf and laid out on a hard, flat surface. In the absence of the effectiveness of such measures, it is possible to smear the lumbar region with non-hormonal ointments to alleviate the course of the inflammatory process. The doctor may prescribe systemic treatment with nonsteroidal 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 is precisely in osteochondrosis, it is necessary to consult a doctor for a diagnosis. Unjustified self-treatment with non-steroidal anti-inflammatory drugs will certainly cause a deterioration of 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 cannot try to "define" the spine, this will make the pain worse, there is a chance of serious back damage. If osteochondrosis has progressed to the acute phase, heating should be avoided. Hot baths are not allowed. We will 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 that indicate osteochondrosis appear frequently, you need to make an appointment with a neurologist. The doctor will give you a referral for an MRI. This image will allow you to assess the condition of the lumbar spine and determine the best way to address the root cause of the pain.
If osteochondrosis caused pain during physical exertion while the person was taking an anesthetic or medication to stop the inflammatory activity, then the condition is likely to soon get much better. Even if the pain has completely disappeared, you should not return to your previous activity again. For some time, rest should be provided to the sick back. The best option is absolute 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 that affects 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 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 spine.
With osteochondrosis, a person is subconsciously afraid to move, because the back causes pain with any action. Neuralgia also has this feature, but the pain will spread along the nerve that caused it, and the sensations themselves are described by patients as spasms. Perhaps an unpredictable relief from the condition and the return of pain when the person is calm, immobile. Sometimes, against the background of neuralgia, convulsions, muscle pain 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 resources
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, as constant pain can provoke mental deviations. To alleviate some of the pain, the doctor will prescribe non-steroidal anti-inflammatory drugs. In some cases, they prefer to dwell on medicines containing ibuprofen, meloxicam. The patient is shown at 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. Based on the specifics 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 the needy using novocaine.
Features and pains
It also happens that a person ripped his back and the 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 necessary. It is known that pain often accompanies a period of rest after a long workout or an excessively heavy load. Pain can be caused by clumsy and unsuccessful movements. It is known that people who are stressed, as well as those who, due to the nature of their work, spend a lot of time sitting, especially in front of the computer, complain more often of pain. The back often hurts in those who train very actively, spend a lot of time on their feet, suffer from excess weight. Low back pain almost always accompanies pregnancy and bothers for some time after a child is born.
There are also situations when, in general, you do not need to know what to do: the back hurts in the lower back, but a little weakly, over time everything goes away on its own. If the attack is single, not very strong, was preceded by an obvious causal factor (for example, prolonged work in a summer cabin), you just need to 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, as it is impossible to determine on your own what causes sensations.
Reasons: primary and secondary
Primary pain is seen 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 narrowing of the spinal canal, osteomyelitis and malignant process. Low back pain is possible with ovarian cysts, endometriosis. The doctor must clarify all the factors of the case, checking 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, the pain indicates pregnancy complications.
Rush to the doctor?
There are certain signs of pain that indicate the need to get qualified help as soon as possible. Therefore, if when walking the lower back responds with pain, coughing, sneezing leads to a worsening of the sensation, while the sensations spread to the lower extremities, it is necessary to make an appointment with a neurologist. It will also help if the lower back hurts, the sensations are dull, the back hurts, the pain spreads to the legs, it is more noticeable when coughing and moving around. Most likely, these symptoms indicate sciatica, but a person needs the most timely help from a doctor; therefore, you should not delay contacting the clinic.
A traumatologist can tell you what to do if your back hurts in your lower back, if the sensations come in the context of muscle stretching or lifting a very heavy object. For these reasons, in addition to pain from hypothermia and exposure to drafts, 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.
Measurements and time
For three days, you can try to help yourself with back pain, low back pain. According to doctors who know exactly what to do if the back hurts in the lower back, most often these 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 relieve the condition, it is necessary to use painkillers, rest. It is necessary to find out experimentally in which position the pain is weakest. For the first two days, you should rest in bed. If the sensations do not go away within three days, they are recorded with a doctor.
Possible myositis background pain syndrome. This pathological process is usually preceded by hypothermia or severe muscle tension. The area responds stiffly, the sensations are sharp, especially strong when trying to move. The doctor will also tell you what to do if your back hurts in your lower back for this reason. Doctors advise first taking a hot shower, finding suitable warm clothes and completely abandoning any physical activity. The first three days use ointments that facilitate the inflammatory process, 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 lumbar region due to spondylosis, the doctor will tell only after a careful assessment of the patient's condition. The disease is indicated by a severe, sharp pain syndrome, the lower back is aching, the legs are weakened 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 oncologic pathology. In none of these options it will not be possible to help yourself, it is necessary to consult a qualified specialist and a detailed examination of the body.
It also happens that a person is sure that the pain is located 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 located in the pelvis, gastrointestinal tract and kidneys. Often the pain gives to the lower back with cancer. It is impossible to postpone a visit to the doctor if the syndrome lasts for more than three days, if it was preceded by an injury, if, in addition to the lower back, the foot and leg also hurt. In the event that the pain is accompanied by numbness of the limbs, of the inguinal region, it is also impossible to postpone contact with the clinic.
How to check?
If your lower back hurts in the morning, this can be considered reason enough to contact a specialist. First, you can go to your local therapist. The doctor will give directions for examinations and instrumental exams, redirecting 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 MRI, ECG and ultrasound scan results. Blood and urine samples are checked in the laboratory. In some cases, it is necessary to study the spinal cord puncture, if malignant diseases are suspected, tissue samples are collected for biopsy.
How will they be treated?
Many people are afraid to go to the doctor if their lower back hurts in the morning, because they believe that the doctor will immediately refer them for surgery. Today, there are many effective methods for treating various diseases of the spine. There is a method using waves and magnetic fields. It may help to give a drug designed to treat the joints. Rehabilitation simulators are designed to quickly restore mobility. With severe pain and the need to stop the inflammation and spasm, the doctor will do a block.
Drug treatment of back pain involves the use of oral and injectable medications. Often this treatment is combined with physical therapy - this increases effectiveness. Prescribe drugs to relieve swelling, relieve stiffness, eliminate the inflammatory focus. As all these drugs have a wide list of contraindications and possible side effects, self-medication with them is strictly prohibited.