Backache

Discomfort in this area is familiar to almost everyone. People encounter it at a young age, and by the age of 30-40, back pain becomes a daily occurrence.

However, only a specialist can determine why the lower back can hurt so much that it is impossible to stand up, it hurts even when lying down, and the pain shoots into the lower back after every movement.

reasons

People want to know why and why the lower back hurts so much when sitting or standing, with every movement the spine behind the back causes pain, so it cannot stand up after sitting in a chair, and what to do about themsymptoms, how and what to treat, what caused the ailment. It is impossible to answer these questions unequivocally and without in-depth research, since there can be many root causes.

Diseases of the spine

When a person complains "I can't sit and it hurts to walk", the lower back hurts when standing up or sitting in a chair, often can't walk or stand for a long time, it's impossible to relax in a sitting position for a month, the reasonthat's what diseases of the spine are for.

In addition, pathologies can be congenital or acquired due to improper lifestyle, predisposition or injury.

Common causes of pain in spinal diseases:

• Congenital anomalies.
• Poor blood circulation in the spinal cord.
• Degenerative changes.
• Secondary nerve damage that develops against the background of changes in the position of the spinal bones.

Deformation

Before you decide how to quickly and effectively treat pain in the lower back, you need to understand why, when you get up from a sitting position, your back hurts so much that it is difficult to stand up. Acquired or congenital deformities of the spinal bones are often to blame for this.

The curve appears throughout life. Often a person provokes changes in himself by not monitoring his posture or prefers to sleep in a soft bed. As a result, the load on the bones, muscles and ligaments is not distributed physiologically, which leads to pain.

People with established diagnoses will have to experience regular attacks:

1. kyphosis.
2. Scoliosis.
3. Lordosis.
4. Flat back syndrome.

Strict adherence to the doctor's recommendations can help in this case. Even if a person is born with such pathologies, today it is possible to stop their development and live a full life.

osteoporosis

A pulling, aching pain radiating into the chest may be the only sign of advanced osteoporosis. At the same time, unpleasant sensations are weak and appear irregularly. Discomfort is more often felt after heavy physical exertion or when the weather changes.

Even if the disease is not congenital, it can develop during life as a secondary disease after a number of negative influences, including intoxication and improper use of drugs.

Pathological fracture is considered dangerous. Accompanied by stronger pain than usual. At the same time, since there was no injury as such and it does not interfere with movement, it often remains undiagnosed. Which after some time can lead to further complications.

The question of how to quickly cure lower back pain is relevant for people with osteoporosis, since in their case unpleasant attacks can be easily and quickly stopped.

Injuries

When you think why, when I sit or stand for a long time, the lower back in the area of the spine, often below the waist, constantly hurts, try to remember if you hit this place.

Even a slight bump or fall can cause serious injuries that may not be easily detected at first glance.The most common causes of traumatic back pain:

• Spinal cord injury.You can easily get it by falling down or bumping your back. It manifests itself as a slight pain, sometimes swelling or bruising at the site of the impact. Most often it does not require special treatment. However, in severe cases it can provoke neurological symptoms.
• Compression fracture.It is more often caused by forced sharp bending of the torso. Later it manifests as severe pain when moving. Locally, sharp growths of the vertebrae are felt.
• Vertebral subluxationmanifests itself not only with pain and swelling, but also with frequent numbness at the site of injury. The lower limbs also gradually begin to go numb.

It is extremely important to be extremely careful with impacts and falls in the spine area. Because of mild pain, it is easy to miss a serious disability that will subsequently lead to greater limitations in life.

Infections

The cause of burning chronic severe pain that constantly hurts, stabs, grabs and does not go away in the lumbar region and the back can be infections.

There are pathologies that affect the spine. Without treatment, these diseases will quickly turn a person into an invalid.Spread of infection:

1. Osteomyelitiscan be introduced into the body through injury, during surgery, or through contact with another infected person. The infection causes sharp, severe pain that occurs with any sudden movement. In this case, the chronic course of the infection is characterized by smoothed manifestations of pain. In addition, a person suffers from intoxication, chills and fever.
2. Epidural abscessleads to severe pain combined with chills and severe muscle tension.
3. Tuberculosis of the spineit develops slowly but inevitably. Initially, it manifests itself only as periodic pain after physical exertion and stiffness of the gait. As the bones deteriorate, pain increases and the ability to move fully decreases.

Local inflammation

In addition to constantly spreading unpleasant sensations, sometimes people experience piercing pain in the lower back, in the waist, when sitting, what it can be and what it is called is determined by a specialist based on the results of the examination and research. The cause is local inflammation.

Furuncles, carbuncles, and paranephritis are easily recognized. The first two phenomena are lumps on the skin that react painfully to touch. In the case of paranephritis, fever first appears, and after 2-3 days severe pain develops, which prevents full movement and walking. The condition is considered serious and requires hospitalization.

Infectious diseases

Sometimes the explanation of why the lower back can hurt constantly goes into it, it catches when you stand for a long time, and sometimes the back starts to hurt, as if it will soon fall, and the decision of what to do and what to treat can be infectious diseases.

Fever, intoxication, the need to find a more comfortable position, pain in the muscles and joints - these are signs of an infected person. It often occurs in severe cases of ARVI or influenza.

Similar symptoms may also indicate an infection:

• Ebola fever.
• Foot-and-mouth disease of the human type.
• Severe course of coronavirus.
• Generalized forms of viral or fungal infections.

If such signs appear, you should immediately consult a doctor, as the condition may worsen in a few hours.

Muscle damage

When you understand why the lower back hurts and pulls, why it squeezes the back in the spine, why when you sneeze it radiates to the back, which began to hurt much more often, you need to find out the reason before deciding what to do.

In addition to problems directly with the spine, muscle damage can also hinder a person. This problem is often faced by professional athletes, people who do a lot of strength training or who perform physical labor. After excessive tension for several days, painful sensations appear in the muscles of the lower back, which disappear under the influence of drugs, warming ointments and massage.

However, there are also chronic changes in muscle tissue that often appear against the background of serious diseases and are their consequence. If they are found, complex therapy is carried out, sometimes even surgical intervention is necessary.

Types of pain

To find out what helps with lower back pain and how to get rid of it, you need to pay attention to the characteristics of the symptom.

If the unpleasant sensations occurred suddenly and recently, then the phase is called acute, and if you suffer for more than 3 months, then it is called chronic.

Depending on the intensity and variety of sensations, there are:

• Mechanical.It appears after heavy physical exertion, often in the afternoon, along with a feeling of fatigue. It is easily treated with rest. Most often, this is the result of degradation of the bone structures of the spine or its severe distortion.
• Inflammatory.Intensifies after rest, period of immobility. After some time, it weakens due to constant movement or taking anti-inflammatory pain relievers.
• Local.Resulting from direct damage to muscles, joints or ligaments. Concentrates directly at the point of damage.
• Koreshkova.Occurs when nerves are pinched due to injury, tumors, or herniation. Simultaneously with the onset of pain, the sensitivity at the site of injury decreases.
• A reflex.The most dangerous type because he deceives people. The patient thinks that he has pain in the lower back, but in fact these are reflected sensations that arise due to a disease of the internal organs.
• Myofascial.A protective mechanism, as it occurs due to muscle spasm in bone damage.

Depending on the description of the sensations, the doctor will be able to understand in the first minutes what kind of disease the person who is contacting him has.

Which doctor should I contact?

As soon as an unpleasant shooting in the lower back, constant pain or discomfort appears, the question of visiting a doctor arises.

Since this part of the body is specific due to the fact that there is not only the spine and muscles, but also a large number of internal organs that can also cause discomfort if the disease develops, it is strongly not recommended to treat yourself at Home. Due to the inability to determine the source of pain, the situation can worsen.

Initially, it is better to consult a general practitioner with such symptoms. Based on the symptoms that appear, the characteristics of the pain and the location of the lesion, he will be able to determine which specialist should deal with the problem.You may be directed to:

1. Neurologist.
2. The surgeon.
3. Urologist or gynecologist.
4. Nephrologist.

After the examination, they will prescribe the necessary tests to determine the exact cause of the discomfort.

Deciding to go to a specialist yourself without first consulting a therapist, you risk making an inaccurate diagnosis and wasting valuable time.

Diagnosis

Very often patients turn to the doctor when there is a hellish pain in the back, so strong that it hurts to get up and walk without even standing up, why does it hurt in the center or lower back, what could be bothering you in the spinecolumn, what causes the condition and what to do, what treatment for back pain.

Diagnosis:

• Patient interviewcollecting data on the signs and time of development of the disease. It is also important to understand your medical history and identify chronic diseases that may influence the development of attacks.
• Neurological examination. The doctor checks whether reflexes are preserved, how much muscle strength and reaction speed are affected, and how limited movements are. Additionally, the degree of superficial and deep sensitivity is examined.
• X-ray of the affected area of the back.The image will show the resulting injuries, pathological reduction of the intervertebral space, curvature and the beginning of degenerative processes. Neoplasms are also found.
• CT or MRIused to clarify the data obtained. They help to determine the location of even small hernias or processes of the spine, help to understand where the compressed nerves are located and why this happened.
• Functional studiesare aimed at determining the condition of the muscles and the degree of damage to the nerve tissue, the speed of the passage of the nerve impulse.
• Laboratory researches.Taking blood is necessary to determine whether the inflammation is infectious in nature.

In addition, depending on the indications, an X-ray examination of the internal organs located near the painful area may be prescribed. This is done to prevent exacerbation of chronic diseases of the kidneys, gastrointestinal tract or genitourinary system.

Treatment

It is extremely important to properly administer first aid to the patient and transport him to a medical facility without further injury. In case of an attack, place the person on something firm or lighten the load on the back and then take them to the hospital.

How and with what to treat the back and what to do when the back in the middle of the spine is very severe and constantly hurts in the lumbar region, the lower back, the doctor decides only after establishing the reasons why this happened, treatmentin this case it is prescribed both conservatively and in the form of surgical intervention.

Before the examination, the use of drugs to suppress symptomatic pain is not recommended, only a single dose of analgesics is allowed.

After examination and diagnostic measures, the doctor will prescribe appropriate treatment, which is complex for back diseases.Therapy includes:

1. Medicine intake.
2. Physiotherapy.
3. Use of external drugs.
4. Lifestyle changes.

In difficult cases, surgical intervention is also performed.

Several types of drugs are used to treat back pain:

• NSAIDs are pain relievers and anti-inflammatory drugs.At the first visit, it is possible to administer it by injection, in the future, doctors recommend a combination of tablets and ointments with a similar effect.
• Local anestheticsit is used to create a blockade in cases where the pain becomes unbearable.
• B vitaminsenhancing the effect of other drugs, stimulating improved blood supply to the affected area of the back.
• Physiotherapyperformed after relief of acute pain. Immediately after the end of the attack, a special therapy is selected, which has a positive effect on the condition of the spine. In addition, a set of physical therapy exercises is prescribed.

Surgical intervention is an undesirable option for the development of the situation. Because the spine is one of the most complex organs of the human body. There are many points near it that affect the functioning of the body, so doctors try to perform surgical intervention as little as possible. However, there are hopeless situations where it is impossible to restore health without a surgeon's scalpel.

Surgery is required:

• In case of tumor formation.They are removed regardless of benignity or malignancy, as gradual growth causes serious pain and can provoke the appearance of paralysis.
• Intervertebral hernias,gradually destroy the space around them. They are the culprits of constant, endless pain.
• Narrowing of the intervertebral canal.
• Instability of spinal elements,severe injuries requiring additional fixation of the bones in their places.

After a course of treatment or surgery, the patient must be prepared for the fact that there is still a lot to be done to finally say goodbye to pain.

Rehabilitation

Depending on the reasons why the spine hurts in the lumbar region and the intensity of the pain, treatment is prescribed. However, taking a course of medication and possibly surgery is not all it takes to return to a full, healthy life.

More often, additional rehabilitation includes physical therapy procedures.Frequent meetings:

1. Massage.In addition, it is not recommended to choose this procedure for yourself.
2. Physical therapy course,which takes place under the supervision of an experienced trainer who knows at what speed and intensity the exercises should be performed. It is also possible to use specialized simulators.
3. Manual therapy.
4. Acupuncture.
5. physical therapy,aimed at additional use of painkillers: electrophoresis, magnetic therapy, laser treatment.

When deciding how to treat severe, acute or painful back pain in the lumbar region, the doctor determines what to do if the spine constantly aches and hurts, the muscles are stiff and stiff, depending on the reasons, additional treatment is prescribed. In which a detailed course of restorative procedures is additionally prescribed, which will help improve well-being and return to health. Patients should be prepared that the rehabilitation period may last more than a month if the nerve endings or vertebrae are severely damaged.

Consequences

If, turning to friends with a complaint: "If the lower back suddenly hurts for no reason, the back falls, then what to do in such a situation? ""in response, you only hear a suggestion to take a pain reliever, do not hesitate to follow this advice.

The main consequences of untreated spinal diseases:

• Greater distribution of painintensification of attacks due to the fact that more healthy tissues will suffer from a gradually expanding problem area.
• A sharp deterioration in the work of the cardiovascular system.And problems in this area can lead to the development of chronic diseases of any organ, including deterioration of brain function.
• In the worst cases, it is possibletemporary or permanent paralysis of the limbs.

In addition, self-medication without prior diagnosis or a doctor's prescription can lead to a deterioration in well-being. And subsequently, the course of treatment and recovery will become long and complicated.

Prevention

The main medical direction that helps to maintain health and avoid unpleasant days in which you will be deprived of the opportunity to live a full life is prevention. This will help to avoid inflammation or the appearance of many diseases of the lower back.

You need to follow a few rules and tips:

1. Choose a medium-firm mattress for the bedroom.
2. If you move a little during the day, but sit a lot at the computer, then rest for a few minutes every hour to do a short warm-up of the lumbar spine.
3. Give up bad habits.
4. Try not to make sudden, thoughtless body movements.
5. Exercise regularly. Even a small 15-minute gymnastics in the morning already has a positive effect on the condition of the spine. After 30, it's best to find a hobby that will allow you to get the physical activity you need with little chance of injury. Consider yoga or swimming in the pool to stay in shape.
6. Control your posture.
7. Avoid severe hypothermia in the lower back.
8. Treat detected diseases in a timely manner.
9. Go for regular check-ups.
10. If you feel back pain, contact the clinic immediately for a consultation.

Painful sensations in the spine are one of the most unpleasant. In addition to direct pain, they also bring with them stiffness of movements, which prevents them from leading a full, normal life.

The sooner professional treatment for back problems begins, the sooner a person can return to a full life. And neglecting your health in this case can lead to injury.