Severe back pain is a dangerous symptom, which in any case can not be tolerated. The reasons may be very different from degenerative changes in the spine to diseases of the internal organs. If very sore back, it is necessary first to provide physiological rest, to take a comfortable position.
Further actions are to call the doctor at home, and the acute, unbearable, sharp pain, when it is difficult to find relieves posture, is to call an ambulance. If the attack the man happens not for the first time, and he knows the reason, you can take an analgesic (nonsteroidal anti-inflammatory drug). On the painful place you can also put a cold rag. Next, you should contact the clinic and inform the doctor about the worsening of existing diseases.
Reasons
Sharp pain in the back has a different origin. The pain syndrome is acute or paroxysmal in nature, appears suddenly, worried continually or from time to time. The pain can be aching, pulling, eripiant partas and grow after a long stay in one position. Lower back sometimes there is a feeling of stiffness, heaviness, tingling, it can cause numbness or ants. Severe back pain significantly reduces the quality of life, impairs performance.
The risk group includes the following persons:
- office workers, programmers, etc. (who for a long time sitting at the computer);
- people with excess weight;
- persons who lead a sedentary lifestyle (lack of exercise);
- those who are engaged in heavy work, performs intensive physical work;
- those who have suffered a back injury;
- professional athletes;
- elderly;
- pregnant women, women after childbirth.
To provoke the pain can sudden careless movement, hypothermia. Diseases that are accompanied by pain in the back:
- scoliosis;
- osteochondrosis;
- spondiloarthrosis;
- hernia protrusion;
- infringement of the roots;
- violations of the cardiovascular and respiratory systems;
- neuralgia;
- trauma;
- infectious processes, tumors, etc.
Back pain can be the result of various injuries: bumps, bruises, fractures, etc. Mechanical trauma is a reason for immediate treatment to the doctor, even if, at first glance, it seems that nothing serious. Pain syndrome in less severe injuries (e.g., bumps) may appear immediately, but after some time. In severe cases, in addition to a sharp and severe pain, can observe paresis, paralysis.
To determine the severity of the condition of the patient appoint radiography, CT, MRI. In some cases, can help only surgery as conservative treatment of injuries is aimed only at the elimination of symptoms. After the operation is followed by a long course of rehabilitation. Even this amount of medical interventions does not guarantee that severe back pain will not bother the person throughout life.
OSTEOCHONDROSISThe pathological process often localized in the lower back or the cervical spine. The vertebrae have considerable mobility, they are also under great pressure as a result of unsustainable physical activity and other circumstances leads to pathological changes. Cartilage prone to metabolic disorders, inflammation and amount of salts. For detection of osteochondrosis of getting an MRI.
Acute pain attack occurs due to degenerative changes in the discs. In the development mechanism of pain is the inflammation and trapped nerve roots. Sharp pain in the neck radiating to the shoulder girdle, arms, shoulders. Progression of the disease affects the breast area, with severe pain appear in the sternum. To fully heal from degenerative disc disease is impossible, but to improve the quality of life is possible.
SCOLIOSISWhen the irrational distribution of back strain, a prolonged stay in one position, a sedentary way of life the spine undergoes deformation changes. Muscle is constantly having spasms, nerve endings are infringed. Because of this are a sharp pain. The onset is often in childhood, when children begin to go to school, spend a lot of time behind a Desk, carry heavy textbooks.
For the detection of scoliosis, special studies are required. The doctor to determine the curvature without instrumental methods during a routine examination.KYPHOSIS OF THE THORACIC
It is a violation of the skeleton, where the vertebral column curves posteriorly more anatomical norms. At the beginning of the disease the patient looks inclinavit ergo fleret, with the development of the pathological process is formed a hump. The shoulders are issued anteriorly, the thorax is narrowed. Because of this, the intervertebral discs of the thoracic are compressed and pain. The most dangerous is kifoskolioticheskaya form, the spine is curved while in the various departments.
SPONDILOARTHROSISThis disease changes the cartilage in the joints. The cartilages lose their elasticity and flexibility. Bone tissue is gradually erased, but are formed pathological bone growths – osteophytes. They cause severe pain and damaging surrounding soft tissue and nerves. Often these patients need surgery, because conventional treatment gives a temporary, symptomatic effect.
Hernia EDUCATIONWear as intervertebral discs lose their elasticity and durability. The vertebrae thus have on drives a double load. All this leads to the fact that the cartilage is beginning to emerge in anatomically normal limits.
The localization of the pathological process in the spinal canal is disturbed sensitivity, can occur paresis, paralysis. In the result of root compression is causing severe pain attacks. To detect a hernia using CT and MRI. The disease can be treated surgically. Now use minus traumatica laser intervention, shorten the recovery period.
NEURALGIAUnder the influence of traumatic factors, hypothermia, physical exhaustion starts inflammation, which affects the nerves also. So developing neuralgia. The sign – sharp, tribunus plebis modestus, "infringe" pain in different parts of the back, right or left, bottom, chest and t.. d. Pain may occur during sudden movements, strong cough.
In this state, take painkillers and anti-inflammatory pills and arrange the correct mode of the day.INTERNAL MEDICINE
Pain in the back can occur in IBS. Have pain burning, pressing nature, which is given in the back, shoulders, jaw, left shoulder. It may seem that aches in the left side. The patient may specify the precise localization behind the breastbone. A typical symptom of coronary pain relief of nitroglycerin sublingually. Heart pain after pills or nitrospray passes after 5-10 minutes. If the attack lasts 20 minutes or longer, there is reason to think about myocardial infarction. I need to call an ambulance!
Another cause of severe acute back pain – renal colic. The process localized to one side. The pain is so intense that the patient tosses in bed, unable to find a forced position. While there are dysuric disorders, urine is separated a little, it can have blood. The pain extends in the course of the ureter down gives in the lower abdomen, groin. All these conditions require urgent medical assistance!
What to do when pain syndrome
If symptoms indicate coronary, renal origin of pain (especially if the patient knows about the presence of the relevant issues), you need to call an ambulance. Such patients are hospitalized in the intensive care unit. When the coronary syndrome should take semi-sitting position, loosen tight clothing, take a nitroglycerin under the tongue. Renal colic forced poses no patient can help heat the area of the affected side. Conventional painkillers in renal, hepatic colic, acute coronary syndrome not help. The patient is administered opioids.
The above-described condition that require emergency medical care. In other cases threatening the life of the patient. If the patient knows that he has back problems, he could to facilitate the attack take anti-inflammatory analgesic drug. It is important to ensure complete physiological rest, to eliminate any load in the period of exacerbation.
In diseases of the musculoskeletal system in acute anti-inflammatory use, calefactionem cunctam ointment. In severe cases, when the pills don't help, doctors prescribe injections – procaine, lidocaine blockade. If symptoms have not disappeared, prescribe non-steroidal anti-inflammatory drugs.
As soon as the condition gets better, you need to come to the doctor. If the patient has addressed for the first time, the specialist will determine why backache and what to do if there is intense pain. In the period of remission, when pain attack stopped, the patient is administered therapeutic massage, exercise therapy, physiotherapy, acupuncture, etc. All of these methods are applicable in the early stages of the disease. In severe cases, surgery is required.
It is useful to wear a special orthopedic corsets that support the back and reduce the load. Such devices are also recommended during pregnancy to reduce the load on the spine. Nice effect on back problems gives physiotherapy. Complex prescribed by your doctor, and is best done under the supervision of an instructor.
Examples of exercises:
- Lie on your back. Bend the leg at the knee. Another bend and straighten, touching the floor. Do 10 repetitions, then switch legs.
- Lie on the floor. To bend feet in knees. Alternately, take the knees apart.
- Put your hands on your shoulders and do rotational movements forward and backward.
- Hands up to his castle. Head tilt back, to try to look at the palm.
- To do torso twists.
It is important not to forget about prevention. If you have extra weight, you need to reset it. You should lead an active lifestyle, especially sedentary workers. The workplace should be well-designed, it is better to purchase a special reclining chair. You also need to pay attention to shoes is to avoid excessive wearing of high heels or models with an uncomfortable Shoe. Diseases of the spine is easier to prevent than to treat, so you need to keep in mind about the above simple and doable rules.